CARE HOME ADULTS 18-65
Northampton Road (65) 65 Northampton Road Croydon Surrey CR0 7HD Lead Inspector
Claire Taylor Unannounced Inspection 4 January 2006 12:10p Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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 Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Northampton Road (65) Address 65 Northampton Road Croydon Surrey CR0 7HD 020 8655 1929 020 8655 1929 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) Mrs Nandhinee Dabadeen Mr Ravesh Dadabeen Mrs Nandhinee Dabadeen Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 9th September 2005 Brief Description of the Service: Northampton Lodge is registered to provide care to three young adults with Learning Disabilities. A semi-detached house situated in a residential area of East Croydon, it is well placed to access local transport links, shops and facilities. The accommodation available for service users comprises of three single bedrooms, two reception rooms, kitchen, two bathrooms and two toilets. Upstairs, service users have the benefit of their own kitchenette to prepare drinks and snacks as well as a lounge / dining area to entertain guests. There is a large garden to the rear of the property and parking to the front. Two service users currently live there. The home is also the private residence of the registered owners, Mr and Mrs Dabadeen, and their family. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was the home’s second for the year 2005/2006. It took place during a lunchtime and afternoon so that the inspector could meet with both service users. Inspection time was spent talking to the two service users, one staff and the homeowners Mr and Mrs Dabadeen. Both service users are thanked for taking time to talk about their lifestyle and experiences in the home. This inspection focused upon the requirements and recommendations set at the last inspection. Some concerns were identified during this visit and as a consequence an official letter known as an “immediate requirement” was given to the owners. This advised that the identified concerns must be put right within 14 days or enforcement action may be taken. What the service does well: What has improved since the last inspection?
The same service users continue to live at the home and have developed a good friendship. Both confirmed that they get on well together. The newest service user who moved in a year ago said that she liked the home and the owners, Mr and Mrs Dabadeen. At the previous inspection (September 2005) there had been fifteen areas in which the home had to improve. Disappointingly the home has taken limited action to address the requirements that were set. The findings outlined in this report are therefore similar to those highlighted in the previous one. Further additional or “Themed Visits” are Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 6 therefore required in order to reduce the outstanding requirements and improve the service provided in the home. What they could do better:
Concerns were identified regarding the vetting of staff. No CRB disclosure or POVA First check was available for the one staff employed. In addition, no records, recruitment checks or documentation were available as required in the Care Homes Regulations 2001. It is important that staff are employed correctly so that people living in the home are not put at risk and protected from those who should not be working there. This concern was discussed with both the homeowners at the last inspection and as no action had been taken to address the matter, an immediate requirement was issued. With regards to future recruitment, staff members must not work unsupervised until the owner is in receipt of an approved CRB/ POVA check and all necessary checks and documentation have been put in place. Assessment and care planning must improve so that staff know what to do for each service user. The placing authority (Croydon) had not undertaken a review of one service user’s needs and this must be addressed. Although it is acknowledged that the manager has made efforts to arrange a meeting in conjunction with the placing authority, the home has a responsibility to ensure that a review of service users needs is undertaken at least six monthly. In addition an up to date care plan must be developed for the service user. Failure to plan and evaluate care does not give assurance that the service user’s assessed needs are being met by the service. Service users risk assessments need reviewing so that staff have up to date information on how to minimise risks concerning activities that a person undertakes, or things that might happen or that put them at risk of being harmed. Potential new service users are not given all the information they need to make an informed decision about the home. The Statement of Purpose therefore needs revising. Menus need to be reviewed and rewritten to demonstrate that service users’ preferences have been taken into account. Limited progress has been made to organise training for staff in a number of core areas of practice, including adult protection, handling of medication and key health and safety topics such as fire safety, moving and handling, infection control and food hygiene. Although this service operates as a small family home, the registered provider and manager must demonstrate too, that they have updated their skills and knowledge periodically. Staff need to be suitably trained to ensure that the needs of the service users are met. Poor progress has been made with regards to the home implementing a quality assurance system and an annual development plan. Quality monitoring is important as it demonstrates how the home regularly appraises its care practices through the views of service users, relatives and other relevant parties. Some areas of the home are still in need of redecoration including the upstairs bathroom and the newest service user’s bedroom. The hot water supply for the bath was not reaching the required temperature and this must be addressed. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 7 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. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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 Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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): 1, 2 and 4 Potential new service users are not given all the information they need to make an informed decision about the home. Following admission, the home must ensure that an appropriate review meeting is held and care plan is developed for a service user. Such lack of information means that the home cannot be certain that individual needs are being or will continue to be met. EVIDENCE: A Statement of purpose and guide is in place but needs revising to accurately reflect the services being provided by the home. I.e. full details about all staff experience and qualifications and the views of both service users should be included. As previously identified, room sizes / measurements also need to be specified. The provider is therefore required to revise the Statement of purpose in consultation with the two service users currently living at the home. When they first moved to the home, care managers from the service users’ placing authorities completed informative needs assessments. These clearly describe each individual’s social, physical, emotional and cultural needs. A review of needs for one service user has not been carried out since they moved to the home over a year ago. There were also no records to demonstrate that the placing authority (Croydon) had undertaken a review following the trial stay period. This concern was highlighted at the last inspection and must be addressed. In addition, the home had not developed a care plan for this service user. An appropriate review meeting must be held and service user plan developed appropriately following admission to the home. This is important as it provides the service user and relative if appropriate, with
Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 10 assurance that the home can continue to meet their needs. Mrs Dabadeen reported that a formal review meeting had been arranged but was cancelled due to the care manager being unable to attend. This is acknowledged but the home has a responsibility to ensure that a review of service users needs is undertaken at least six monthly. This issue has been discussed further under the next set of standards. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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 and 9 Assessment and care planning must improve so that staff have up to date information about how to support the service users to meet their assessed needs and personal goals. To enhance the service users independence, effective support is provided within a risk management framework although some individual plans need reviewing. EVIDENCE: The last inspection report identified that one service user’s care plan had been completed at her previous placement and was therefore out of date. Records revealed that a care plan has yet to be developed since the service user moved to the home. Failure to plan and evaluate care does not give assurance that the service user’s assessed needs are being met by the service. Up to date information concerning the provision of care must be available to ensure that the staff are fully aware of the service user’s assessed needs and how to support them. The requirement is therefore repeated. Positively, the other service user’s plan was well organised, had been reviewed at regular intervals and up dated accordingly to reflect any changes. It also contained detailed guidelines to follow in order to meet the individual’s identified personal, social and healthcare needs.
Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 12 Daily records are also kept which highlight progress; achievements and any activities participated in. Records showed that service users are supported to take risks as part of an independent lifestyle. The risk plans recognise the rights of the service users to take responsible risks and be supported where necessary. E.g. community access and meeting members of the public, using the kitchen, taking medication and personal care. Not all risk plans had been reviewed as and when needed however and this must be addressed. I.e. some were no longer relevant to identified needs. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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): 12, 13 and 17 Service users access the local community regularly and are supported to continue education and appropriate activities, so that they can maximise fulfilment and achievement in their lives. As previously required, menus need to be updated to show what food is provided in the home and that service users’ choices and cultural preferences have been taken into account. EVIDENCE: Due to the small scale nature of the home there is a lot of flexibility in the daily routines and service users are very much involved in the day–to–day decisionmaking process. Both service users were consulted about their social lifestyle and commented positively about the activities provided. The homeowners support the service users to continue and develop social networks and they regularly access community activities such as pub visits, meals out and shopping. Service users confirmed that they often go out with Mr Dabadeen and the one staff employed at the home. One service user explained that she had recently enjoyed spending the New Year with her family. Records confirmed that service users are supported to further their skills in areas such as cookery, shopping and household management. In addition service users
Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 14 are well supported to follow their hobbies and personal interests. These include pub visits, music, watching T.V., entertaining friends, shopping and beauty treatments such as manicures, facials and waxing at a local beautician’s. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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): X None of these standards were assessed on this occasion. Standard 19 was assessed as met at the September 2005 inspection. EVIDENCE: Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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): 23 Improvements are needed with training and staff recruitment to ensure that the people living in the home are fully protected from abuse. Standard 22 was assessed as met at the September 2005 inspection. EVIDENCE: At the last inspection, the registered provider was advised of her responsibilities in relation to the new POVA register and that satisfactory CRB checks must be obtained for all staff prior to them starting work. It was therefore concerning to find that the necessary recruitment checks had not been carried out on staff. If staff have not been vetted correctly this could potentially place service users at risk. This issue has been highlighted further on in the report under staffing standards and the requirement repeated. A requirement was set at the home’s previous inspection for staff to receive training on adult protection issues and this has yet to be addressed. To ensure that the home follows a proper response to any suspicion or allegation of abuse, staff must be familiar with the procedures for adult protection and appropriately trained to take the necessary action. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 17 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, 26 and 27 Overall, the home is decorated and furnished to a good standard and provides service users with safe, comfortable surroundings in which to live. As previously required however, one service user’s bedroom and the upstairs bathroom is in need of redecoration. EVIDENCE: The home appears to suit the needs and lifestyles of the service users who currently live there. With the benefit of a separate kitchenette and lounge, the service users are supported to develop their daily living skills and progress towards a more independent lifestyle. Two requirements are outstanding from the last inspection in that the bathroom is in need of redecoration and the home still needs to develop a written plan for redecoration and any planned renewal maintenance of the premises. This will demonstrate how the home is kept in a good state of repair and that any necessary refurbishments or improvements to the environment are planned for and carried out. The owner explained that some redecoration work was due to commence this month, including the bathroom and repainting of one bedroom as requested by one service user. Progress will be checked during the course of future inspections and themed visits to the home. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 18 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, 34 and 35 The procedures for the recruitment of staff are not robust and do not offer sufficient protection to people living in the home. Limited progress has been made to ensure that the staff team are suitably trained to meet the needs of the service users and contribute to the running of the home. Without improvement this could have a detrimental impact on the quality of care. EVIDENCE: At the last inspection, a requirement was set that satisfactory CRB checks must be obtained for all staff. It was concerning to find that no CRB disclosure or POVA First check was available for the one staff employed at the home. If staff have not been vetted correctly this could potentially place service users at risk. In addition to lack of a CRB check, no records, recruitment checks or documentation were available for the staff member as required in the Care Homes Regulations 2001. Staff must not work unsupervised until all necessary checks and documentation have been put in place and the owner is in receipt of an approved CRB/ POVA check. An immediate requirement was issued for these concerns to be put right within 14 days. Information about the vetting process and importance of legal checks was also to the staff concerned. Limited progress has been made with staff training and requirements have therefore been repeated. The owners must ensure that all those working in the home have the necessary skills and knowledge to meet the service users needs and home’s stated purpose. Although this service operates as a small family
Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 19 care home, the registered provider and manager must demonstrate that they have updated their skills and knowledge periodically. There were no records to demonstrate that the staff employed had received any orientation to the home or training. Staff working in the home must be provided with appropriate training in order that service users needs can be met. This must include a suitable induction programme for staff to familiarise themselves with the home and specific needs of the service users. A training and development profile must be developed that includes identified training needs and records that evidence the staff ‘s experience. I.e. training certificates and qualifications. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 20 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): 39 and 42 Further systems must be put in place to ensure that quality of care is regularly appraised and that the home is run in the best interests of the service users. Improvements are still needed to further safeguard the health, safety and welfare of the service users and staff. The hot water in the bathroom must be adjusted to the required temperature and staff must be provided with training in key health and safety topics. EVIDENCE: The service users confirmed that they are involved in day-to-day decisions and their views are sought regularly through discussion with the homeowners. Some records showed that service users have an influence on the way the home is run. E.g. through informal meetings. Further systems need to be put in place however such as satisfaction questionnaires. At the previous inspection, the home was required to implement a quality assurance system and an annual development plan, with both involving service users. As this has not commenced, the requirement remains in force. Staff training in key health and safety issues has still to be achieved. I.e. fire, moving and handling, food hygiene and infection control. The owners must ensure that all staff are
Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 21 appropriately trained and up to date with current legislation in order that service users needs can be fully met and health and safety practices adhered to. The bath hot water supply needs adjusting to the required temperature of 43 degrees Celsius and this must be addressed. It is acknowledged that refurbishment work was due to start in the bathroom. Fire drills are appropriately organised and fire alarms and equipment checked at regular intervals. All accidents and incidents are recorded and safety notices are displayed appropriately. Other servicing and maintenance records for the home were not checked on this occasion. Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 X 2 X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 X X 2 X Standard No 24 25 26 27 28 29 30
STAFFING Score 2 X 2 2 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 1 1 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Northampton Road (65) Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X DS0000028184.V271797.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA34 Regulation 13, 18 Sch 2 & 4 Requirement The registered provider must ensure that staff identified at this inspection have applied for a CRB disclosure and have a POVA first check in place. The registered provider must ensure that all documentation required in Schedule 2 of the National Minimum Standards and regulations is obtained for the identified staff member and retained in the home. Immediate requirement issued. 2. YA1 4(1)(c) The size measurements of the rooms in the home must be included in the Statement of Purpose. (Timescale of 31/10/05 not met) The registered provider must revise the home’s Statement of Purpose so that it accurately reflects the services provided in the home and the views of the people living there. 28/02/06 Timescale for action 18/01/06 3. YA1 6(a) Sch 1 28/02/06 Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 24 4. YA4 14(1)(d) (2)(a) 5. YA4 14(1)(d) (2)(a) 15 6. 7. YA9 YA17 13(4)(6) 17(3a) 17(2) Sch.4 (13) 8. YA23 13(6) 18, 19 9. 10. YA26 YA27 23(2)(d) 13(3) 23(2)(a,c & d) 23(2)(a-d) 11. YA24 Following the admission of a new service user, the home must ensure that an appropriate review meeting is held following the person’s trial stay period. (Timescale of 31/10/05 not met) Following the admission of a new service user, the home must ensure that a service user plan is developed based upon their needs assessment. (Timescale of 31/10/05 not met) All risk plans for service users must be reviewed every six months. Menus need to be updated which demonstrate that service users’ preferences have been taken into account. (Timescale of 31/10/05 not met) All staff must receive training on the abuse awareness and adult protection with records to evidence this kept in the home. (Timescale of 31/12/05 not met) The service user’s bedroom is redecorated in accordance with her preferences. The bathroom needs redecoration. (Timescale of 31/12/05 not met) The home produces a written plan for redecoration and any planned maintenance of the premises. Any action and outcomes from the plan should also be recorded. (Now outstanding from inspection November 04) The registered provider and manager must demonstrate that they have updated their skills and knowledge periodically.
DS0000028184.V271797.R01.S.doc 28/02/06 28/02/06 28/02/06 28/02/06 28/02/06 31/01/06 28/02/06 28/02/06 12. YA35 7(3), 10, 18 Sch.2 28/02/06 Northampton Road (65) Version 5.0 Page 25 A suitable induction training pack must be developed for staff. (Now outstanding from inspection 11/11/04) 13. YA35 17(2) sch.4 (6 a) 18 The registered provider must develop a training and development profile for each staff that includes identified training needs and records that evidence the staff ‘s experience. i.e. certificates of training and qualifications. (Timescale of 30/11/05 not met) 28/02/06 14. YA39 24 15. YA42 23(2)(j) 16. YA42 9(2b i) 13 18 19 The registered provider must 28/02/06 develop an annual quality assurance plan based on seeking the views of service users and implement measures to ascertain whether the aims and objectives of the home are being met. (Now outstanding from inspection 11/11/04) The registered provider must 31/01/06 ensure that the hot water supply for the bath for the use of service users is maintained at a temperature of 43 degrees Celsius. (Timescale of 30/09/05 not met) All staff must attend training on 31/01/06 health and safety topics i.e. food hygiene; moving and handling; infection control and fire and keep records to evidence this. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Northampton Road (65) DS0000028184.V271797.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
