Inspection on 07/09/06 for Murree Residential Care Home

This inspection was carried out on 7th September 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Murree Residential Care Home 08/06/09

Murree Residential Care Home 08/09/08

Murree Residential Care Home 20/04/07

Murree Residential Care Home 06/10/05

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 Murree Residential Care Home 17 Marquis Close Wembley Middlesex HA0 4HF Lead Inspector Key Uannounced Inspection 7 September 2006 08:40 th Murree Residential Care Home DS0000061675.V306394.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 Murree Residential Care Home DS0000061675.V306394.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. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Murree Residential Care Home Address 17 Marquis Close Wembley Middlesex HA0 4HF 020 8903 1571 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) murreecarehome.co.uk Mrs Shahnaz Abbasi Mrs Shahnaz Abbasi Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users admitted to the home must all be able to manage the stairs without assistance. Date of last inspection 6th October 2005 Brief Description of the Service: Murree House residential care home provides personal care for up to 3 adults with learning disabilities. The home was recently registered and has now accommodated its first resident. There are 2 vacancies. The property is off a road, which is part of a route linking Ealing Road with the North Circular Road. There is a barrier across this road, close to the home, and so access to the home by vehicle must either be from the North Circular Road or by using a detour around the barrier if approaching from Ealing Road. There is space to park outside the home on the street and 2 cars could park on the paved area at the front of the house. Inside the home there is a bedroom on the ground floor and 2 bedrooms on the first floor. There are bathing and toilet facilities on both floors. There is a kitchen and an open plan lounge and dining area on the ground floor. The office is on the first floor. The laundry room is in a building in the attractive garden at the rear of the house. Details of the fees charged for the service may be obtained, on request, from the home. Murree Residential Care Home DS0000061675.V306394.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 a day in September 2006 and began at 8.40 am and finished at 2.05 pm. The Inspector would like to thank the manager and her husband (who works in the home) for their assistance during the inspection. During the inspection discussions with the manager and her husband took place, records were examined and a site visit was carried out. The Inspector met with the resident and had an opportunity to talk about the quality of care before the resident went out for the day. The Inspector would like to thank the resident for their participation in the inspection. What the service does well: What has improved since the last inspection? Four statutory requirements were identified during the last inspection in October 2005 and 2 of these have now been met. The manager has successfully completed an RMA training course. The insurance policy for the home has now been activated. The other 2 statutory requirements were in respect of recruitment. However no new staff have commenced working in the home so the timescales have been extended to enable a future demonstration of compliance. Murree Residential Care Home DS0000061675.V306394.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. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service A comprehensive assessment of the needs of the resident from the placing authority, which includes a copy of the core assessment and risk assessment, assists the home in determining whether a service tailored to the individual needs of the resident can be provided. The opportunity to visit the home, prior to admission, enables the prospective resident to sample life in the home and to decide whether the service provided is acceptable. EVIDENCE: An examination of the case file confirmed that the home had received information from the placing authority, prior to the admission of the resident, to enable the manager to decide whether the service provided could meet his needs. The information provided included a detailed report from the social worker, the standard core assessment (which had been based on information from the family, social services, medical records, the consultant psychiatrist, clinics where he was receiving psychotherapy services and the accommodation team), a summary of needs and the risk assessment. A discussion took place with the resident regarding the period prior to their admission to the home. He confirmed that he had been to visit the property prior to his admission and that on this visit he had been accompanied by his social worker. He said that he had chosen which of the 3 available bedrooms Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 9 he wished to occupy when he was admitted into the home. He confirmed that he had visited more than one care home as part of the selection of a suitable placement, which could meet his needs. He said that he had moved into the home without a period of further introductory visits. Although the home would usually expect residents to visit the home on a number of occasions, including an overnight stay, it was noted that while studying his case file the social worker had recommended that the period of introductory visits be waived as it would not meet his particular needs. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service A care plan has been drawn up for the resident so that the service provided can meet his individual needs. The home is able to demonstrate that changes in the needs of residents are identified and addressed through a system of review meetings and monthly evaluations. The resident’s right to make decisions about their life in the home is respected. Responsible risk taking contributes towards the resident leading an independent lifestyle and risk assessments need to be recorded. EVIDENCE: The case file included an assessment for a care plan, which had been drawn up following a meeting where the resident, family member, therapist and manager had been present. It covered a range of personal, health and social care needs. A care plan had been developed, which identified the skills and abilities of the resident and outlined where support was needed. The care plan included both short term and long term goals. The manager’s husband has been identified as the resident’s key worker. Since the admission date in June the social worker has visited the resident in the home and there is evidence of Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 11 an initial review of the placement being carried out. The home has also held a review meeting. There was a record on file that the social worker and psychiatrist are satisfied with the good progress already made by the resident and have noted that the resident has settled in well. A weekly summary of the progress being made in relation to meeting the targets listed in the care plan is being kept. The manager said that the resident had been provided with a copy of their care plan. In a discussion with the resident he described his lifestyle and confirmed that the content and organisation of this was of his own choosing. The resident confirmed that he dealt with his own finances but the manger said that she is encouraging him to budget and to try to save. For this purpose, she has given him a book to record all his items of expenditure. His family have taken the responsibility to assist him in the event of any enquiries regarding his benefits. The risk assessment provided as part of the referral process remains on file. The home has not drawn up any further assessments since his admission to the home. Eating lunch and travelling independently in the community are 2 areas where the home has identified a need for risk management strategies and the manager was able to describe what has been put in place. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 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): 12, 13, 14, 15, 16, 17 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Taking part in activities, pursuing new interests and using community resources gives residents the opportunity to enjoy an interesting and stimulating lifestyle. Residents are encouraged and supported to become more independent by making decisions and by having their wishes respected. As residents need a diet which is varied and wholesome and which meets their need for a pattern of health eating amendments need to be discussed and agreed with the resident. EVIDENCE: A discussion took place, first with the resident in respect of their lifestyle and then with the manager. The resident said that he has recently worked in an Oxfam shop, on a voluntary basis and would like to seek paid employment. In the mean time the manager has helped the resident to enrol at a college where he will be studying GCSE’s. Attendance at college will be on 3 days per week. The key Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 13 worker is assisting this process by offering support, and transport, when needed. In addition to receiving a lift in his key worker’s car the resident confirmed that he also used public transport, including underground trains and buses and that he travelled independently. He said that his choice of community resources tended to be London wide rather than concentrated in the borough in which he was living. When he went out he preferred to be on his own rather than with someone from Murree House although he had joined the owners when they were invited to family celebrations. He described himself as “more of a lodger than a resident”. When he went out he enjoyed visiting libraries, museums, art galleries, historical mansions and cemeteries. The manager said that in the home he enjoyed listening to music, playing board games, doing jigsaw puzzles and going out for a walk or to an Internet cafe. The resident said that although there was a selection of videos he had said that he had only watched some of these. He said that he did not have regular visitors that came to see him at Murree House although the manager said that he has visited his family occasionally and maintains telephone contact with them. He had developed his own daily routines and he confirmed that when he was in his room his privacy was respected. He likes to listen to music when he is in his room relaxing. He had door keys to both his own room and to the front door. The manager said that he was responsible for keeping his room tidy and that he was encouraged to do his laundry and ironing. He liked to help water the garden. He said that he would prefer to have meals that were less fattening and gave the example of noodle soup. He said that he liked healthy eating and enjoyed Japanese food. He would like to be involved in the planning of the menu. Food records were up to date and showed a varied menu with Friday evening being a take away meal or a meal out. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 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, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive prompting with personal care in a manner, which respects their privacy and dignity. Residents’ health care needs are met through access to health care services in the community. Residents’ general health and well-being is promoted by staff that assist the resident to take prescribed medication in accordance with the instructions of the resident’s GP and psychiatrist. EVIDENCE: The resident is able to attend to his personal care needs and the manager said that only occasional prompting was required. He was clean and tidy and very smartly dressed. He purchases his own clothing and decides what to wear each day. He decides when he goes to bed at night and when he gets up in the morning. He has a male key worker. The resident confirmed that he was registered with health care services e.g. optician and dentist. However these are not local practices and the manager helped arrange an appointment with a local optician when there were problems with his glasses. At the moment he is in the process of transferring from the Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 15 GP he is registered with (out of borough) and registering with a local GP. He said that he attended regular psychotherapy sessions at a clinic. The manager said that a therapy session also took place in the home, once a week. His overall health care is monitored through CPA meetings. There was evidence that a recent review of the medication taken by the resident had been conducted and that the medication prescribed had been reduced. Medication records were inspected and these were up to date and complete. Medication is kept in a locked facility and the storage was safe. The manager administers the medication and is a qualified nurse. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 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, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are aware of their right to complain if the care that they receive is not satisfactory. An adult protection policy and protection of vulnerable adults training for people working in the home contributes towards the safety of residents. EVIDENCE: There is a complaints procedure in place. The procedure includes timescales for resolution of the complaint and advises the complainant of their right to refer to other agencies e.g. the CSCI. The manager said that no complaints have been recorded since the last inspection. There was no procedure on display in the home. The manager said that the procedure is discussed as part of the admission process. Information in respect of complaints is also included in the service users’ guide. The resident was aware of his right to complain if he was not satisfied with the care received. He said that he would speak to a person who was independent of the home. Both the manager and her husband that works in the home have enhanced CRB disclosures. There is a comprehensive protection of vulnerable adults policy in place. The policy also includes a whistle blowing procedure. The home has a copy of the local authority’s interagency guidelines. The manager and her husband have both undertaken training in the protection of vulnerable adults. The manual also contains a policy for supporting residents with challenging behaviour. The manager said that there have been no allegations Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 17 or incidents of abuse since the last inspection. She confirmed that restraint is not practiced in the home. Murree Residential Care Home DS0000061675.V306394.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, 25, 27, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a comfortable and “homely” environment with pleasant communal facilities. Single bedrooms provide residents with privacy and a room sufficient in size in which to relax. Residents live in a home where standards of cleanliness are good and where bathing and toilet facilities are appropriately placed. EVIDENCE: A site inspection took place and with the permission of the resident, included the bedroom that is currently in use. The home is kept and maintained to a good standard. The premises were bright and airy. Lighting, heating and ventilation were suitable for the time of year and weather conditions. There is a single bedroom for each resident. One of the 3 bedrooms is situated on the ground floor at the front of the house and the other 2 bedrooms are situated on the first floor. All 3 bedrooms are above the minimum of 10 square metres and are spacious. The resident said that when they visited the Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 19 home they chose the bedroom that they wanted to occupy. The resident expressed satisfaction with their room and had chosen a new bed. There are bathing and toilet facilities on each floor where residents are accommodated. There is a shower room, containing a toilet and wash hand basin, leading off from the dining area on the ground floor. There is a bathroom, containing a toilet and wash hand basin, on the first floor. Each of the bedrooms contains a wash hand basin. There is a combined lounge and dining area, which is comfortably furnished and decorated. The kitchen is a separate room. Residents have access to a lovely garden at the rear of the house, which has a patio and lawn area, borders and mature shrubs. There is a combined office and sleeping in room for staff on the first floor. The home was clean and tidy and free from offensive odours. The laundry facilities are situated in a building in the garden and include hand-washing facilities. The washing machine has a sluicing cycle. There is an infection control policy in the home’s policies and procedures manual. The manager has undertaken infection control training while working as a nurse and her husband has also undertaken a recent training course in infection control procedures. Murree Residential Care Home DS0000061675.V306394.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 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. NVQ training enhances the general skills and knowledge of carers and the home needs to meet the target of at least 50 of carers achieving an NVQ level 2 or 3 qualification. Staffing levels are sufficient to support the resident and to meet his needs. Recruitment practices, which include checks and references, protect the welfare and safety of residents and the home needs to ensure that when staff are recruited there is evidence of this on file. EVIDENCE: As only 1 resident is accommodated at present the manager and her husband are the only staff working in the home. The husband of the manager is working as a carer in the home and plans to enrol on an NVQ level 2 in care training course. There was evidence that contact has been made with a college. The manager did not have a rota as only herself and her husband were working in the home at present. She said that although they shared the daytime duties her husband carried out most of the sleeping in duties. Support is provided to the resident at all times when he is in the home and when he requires assistance when out in the community. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 21 Two statutory requirements were identified during the last inspection in respect of the recruitment process. Staff were not to work in the home until all the required checks had been carried out and all the required documents had been obtained. Reference requests were to be addressed to the manager or proprietor or personnel department and posted to the business address. The process of recruitment has not been completed and so it was not possible to check compliance. The timescales have therefore been extended. The manager said that as the 2 remaining vacancies are filled staff will be recruited and she is in the process of considering applications at present. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42, 43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager continues to develop her knowledge through further training and this contributes towards understanding the needs of residents and staff. There are no formal quality assurance systems in place. Training in safe working practice topics enables members of staff to safeguard the health, safety and welfare of the residents and must be undertaken by all persons working in the home. In the event of an accident or incident occurring in the home the displaying of a valid certificate of insurance reassures the residents, members of staff and visitors that their safety is protected. EVIDENCE: The manager is an RGN with 11 years experience of supporting adults with learning disabilities, in a care setting. She has worked in residential and nursing homes and also in a day centre. A statutory requirement was identified during the previous inspection that the manager would enrol on an NVQ level 4 in management and care training course when the first referral to Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 23 the home was accepted. The manager has completed an RMA course and is waiting for her certificate. The manager (and her husband) is able to speak and/or understand English, Urdu, Hindi, Punjabi, Arabic and Gujarati. She has recently attended risk assessment training. As the resident has only been living in the home for approximately 3 months, and he is the first resident to be accommodated, feedback on the quality of the care in the home has been obtained on a day-to-day basis from the resident. There is a record on file from other people involved in his care that the home has performed well, judging by the progress made by the resident in a relatively short space of time. Formal quality assurance systems have not been put into place yet. Although the manager has undertaken training in safe working practice topics i.e. infection control, fire safety, first aid, food hygiene and manual handling her husband, who is working in the home, is waiting to attend 3 of these courses. There were valid certificates for the checking of the electrical installation but not for the portable electrical appliances of for the Landlord’s Gas Safety Record. No accidents have been recorded since the last inspection. There was a recorded fire risk assessment and health and safety assessment. A statutory requirement was identified during the previous inspection that when a referral is accepted the insurance company is contacted to activate the insurance cover for public liability. A valid certificate of insurance covering the period from 9/6/06 to the 8/6/07 was available. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 1 X X 1 3 Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 13.4 Requirement That the home draws up risk assessments for activities carried out as part of daily living e.g. eating lunch and travelling independently in the community. That the manager and the resident review the menu and make adjustments, where necessary. That 50 of carers working in the home have achieved an NVQ level 2 or 3 qualification. That staff do not commence duties in the home until all the necessary checks have been carried out. That reference requests are addressed to the manager or proprietor or personnel department and sent to the business address. That quality assurance systems are in place for obtaining feedback from residents, their representatives, placing authorities etc and that the information generated is used in drafting the first annual development plan for the home. That all staff working in the DS0000061675.V306394.R01.S.doc Timescale for action 01/11/06 2 YA17 12.3 17/10/06 3 4 YA32 YA34 18.1 19.1 01/09/07 01/10/06 5 YA34 19.1 01/10/06 6 YA39 24.1 01/01/07 7 YA42 18.1 01/04/07 Page 26 Murree Residential Care Home Version 5.2 8 YA42 13.4 home undertake training in safe working practice topics i.e. food hygiene, fire safety, manual handling, first aid and infection control procedures. That the home has a valid 01/12/06 certificate for the testing of the portable electrical appliances and for the Landlord’s Gas Safety Record. That copies of these certificates are forwarded to the CSCI. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA22 Good Practice Recommendations That a copy of the complaints procedure is displayed in the office. Murree Residential Care Home DS0000061675.V306394.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Murree Residential Care Home DS0000061675.V306394.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. 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