Inspection on 07/12/07 for Northampton Road (65)

This inspection was carried out on 7th December 2007.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Northampton Road (65) 17/02/09

Northampton Road (65) 26/02/07

Northampton Road (65) 04/01/06

Northampton Road (65) 09/09/05

Northampton Road (65) 11/11/04

Northampton Road (65) 28/06/04

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 Northampton Road (65) 65 Northampton Road Croydon Surrey CR0 7HD Lead Inspector David Pennells Key Unannounced Inspection 7th December 2007 11:30 Northampton Road (65) DS0000028184.V350094.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 Northampton Road (65) DS0000028184.V350094.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. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northampton Road (65) Address 65 Northampton Road Croydon Surrey CR0 7HD 020 8655 1929 F/P 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.V350094.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2007 Brief Description of the Service: Northampton Lodge is registered to provide care for up to three younger adults with learning disabilities, though currently the community operates happily with just two people using the service - living with the Dabadeens. The home is a semi-detached house situated in a residential area not that far from East Croydon and Addiscombe Village centre; it is well situated to access local transport links (trams & busses), shops and other community facilities. The accommodation available for service users comprises: three single bedrooms, two reception rooms, a kitchen, two bathrooms and two toilets. Upstairs, service users have the benefit of their own kitchenette to prepare drinks and snacks as well as their lounge / dining area to entertain guests. There is a large garden / grassed area to the rear of the property and parking to the front of the property - and on the street (free of charge). Two service users currently live at the home. The home is also the residence of the registered owners, Mr and Mrs Dabadeen - who live there with their two children. The Dabadeens are seeking, if possible, to change these registered premises into Supported Living accommodation, with the sanction of the two placing authorities. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We undertook the unannounced inspection visit from before lunchtime through an afternoon, allowing us to meet the people who used the service, the proprietors, and also their children. During this time, the lifestyle of those living there was seen and discussed, with these people offering their own opinions about the service, and the proprietors being amenable to our enquiries and comments. All parts of the care premises were seen. We are grateful we were able to share hospitality with the ‘extended family’ and thank them all for the welcome and cooperation during the visit. What the service does well: What has improved since the last inspection? Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 6 Since the previous inspection visit, in response to requirements we set, the medication records have been improved - with profiles now being kept in place for each person using the service - though only one currently has an active profile, the other not receiving medication. We found those having medication are now asked to sign for receipt of their medication - this emphasising their joint responsibility in this area. Staff rotas are now kept to show when additional (part-time) staffing is brought in to the home, and such staff members now have written contracts of employment. A requirement concerning staff training has also been satisfied, with basic courses being evidenced. Fire alarm checks are now regularly being undertaken showing which activation point had been used - hence ensuring a cyclic routine of regular checks. Fire drills have been reduced from the (too frequent) monthly events to a more significant quarterly routine. 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. The summary of this inspection report can be made available in other formats on request. Northampton Road (65) DS0000028184.V350094.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 Northampton Road (65) DS0000028184.V350094.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose, and Service User Guide provide prospective service users with details of the services the home offers. This enables them to make an informed decision about admission to the home. The home has created an assessment of each individual residing at the home, ensuring that aspirations & needs are recognised and will be responded to. This assessment tells the home all about them, what they hope for and want to achieve, and the support they need. EVIDENCE: We found that there have been no changes in home’s service provision or category since the last inspection visit, and no new people have been admitted to the service for some time. The home’s Statement of Purpose was reviewed in the last year or so to include the sizes of the rooms and details about the experiences of those using the service, and the qualifications of the staff employed there. The views of the two service users who live there have also been added with positive and personal feedback. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 9 East Sussex CC and the London Borough of Croydon currently fund placements at the home. The current scale of charges is set at approximately £750 per person per week - though both people are also covered by ‘added-value’ care rates above this level. The cost of toiletries / magazines / holidays are paid by the individual. The two current people resident at the home have been at the home since 2001 and 2004 respectively. Both are women and are in the approximate age range of 35 - 50. Coming from white and black Caribbean backgrounds, both have individual programmes, and needs identified for them within this plan. When these newcomers first move to the home, care managers from their placing authority completed informative comprehensive needs assessments. These are now the bases of the home’s care plans, and clearly describe each individual’s social, physical, emotional and cultural needs. We found the resultant service user plans were well organised, had been reviewed at regular intervals and up dated accordingly to reflect any changes, also containing detailed guidelines to follow in order to meet the individual’s identified personal, social and healthcare needs. Difficulties in gaining a full local authority care review from one authority were being managed by the home through correspondence seeking to identify a person to undertake a Review of the placement - as active social work / care management engagement had come to an end with the successful placement at the home. This lack of direct ongoing support was the subject of a complaint lodged with the local authority by the person using this service herself. Northampton Road (65) DS0000028184.V350094.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a plan of care that the person, or someone close to them, has been involved in making. The assessment and care planning process and resulting service user plan supports staff to meet people’s assessed needs and personal goals. Choice and decision making for people using the service is encouraged and promoted to a good standard, enabling their active involvement in, and opportunities to contribute to, the culture and operation of the home. Individuals are supported to take risks as part of an independent, preferred lifestyle, through risk plans being formulated and reviewed, fully safeguarding individuals from potential harm. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 11 EVIDENCE: We found that the manager had developed care plans for the two persons who use the service. Each has a written plan of care that describes their needs, strengths and wants - and states when they require support from staff. As a small home, the manager / proprietor retains the main ‘keyworker role’ - this ensuring a generally constant overview of their particular cases. We found that other staff members continued to maintain progress records for the service users which highlighted progress, achievements and any activities participated in during their shifts, but some gaps / deficits were noted principally when the family was together rather than when others were providing the care / oversight. It is again recommended that these progress notes be regularised to a minimum of a daily entry. The manager and her husband have undertaken training in ‘person centred planning’, and this was evidenced by the preamble to the care plans seen on the day of the inspection. This is introduced with the intention to make the care plans even more accessible and meaningful to each individual, beyond the current practice of them currently signing their agreement / acquiescence to their plans. We again found that those living at the home considered that they were sufficiently consulted about the running of the home, and do not wish to be more involved in decision-making. One service user chooses to go out locally, shopping and buying her toiletries and other requisites, whilst the second prefers to be more ‘organised’ and structured in her approach to gaining personal requisites. We found that risk plans covered a variety of situations - from accessing community activities and travelling independently, to learning skills within the home. Risk assessments have also been put in place to safeguard people when the home is occasionally left un-staffed (being part of a specific developing plan moving towards independence). We found that records evidenced that those who use the service are supported to take risks as part of an independent everyday lifestyle. These plans recognise the rights of the person to take responsible risks - but also to be supported, where necessary. Northampton Road (65) DS0000028184.V350094.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. Users of the service access activities inside and outside the home in the local community regularly, and are supported to continue education and appropriate activities, in order to maximise both fulfilment and achievement in their lives. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. Friends and relatives of people living at the home can expect to be welcomed, and encouraged to keep in touch with those who live at Northampton Road. Food provision reflects a wide variety and provides choice, whilst seeking to maintain a healthy lifestyle, for those resident at the home. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 13 EVIDENCE: We found that there is a lot of flexibility in the daily routines due to the small scale nature of the home, and people are very much involved in the day–to– day decision-making processes. Both of those living at the home were consulted about lifestyles and feel positively about the activities provided. We found that the general domestic life at the home is clearly enjoyed by both of those who live with Mr & Mrs Dabadeen; videos, letter writing, books, TV, DVDs and personal items being in evidence. The homeowners support the people using the service 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 the proprietors and the one staff member who is employed at the home. Social needs are clearly described within the care plans taking into account individual preferences. Both service users discussed their social lifestyle / activities and commented positively about the opportunities provided. Family involvement is encouraged as appropriate and friends are welcome at the house. One person at the home is more independent outside the home and is well known in the local community; the second needs company and encouragement - swimming is certainly enjoyed, once the person gets out. Pubs, clubs, restaurants and bars are popular and frequented, the library, post office and beauty treatments such as manicures, facials and waxing at a local beautician’s are also popular. We found that work experience had ceased - an opportunity at a local charity shop had stopped - possibly due to the ‘older’ culture of the place being unsuitable for these younger people. Day care opportunities have also been rejected on the basis of inappropriate / demeaning activities. Again, no specific cultural or religious needs have been identified for either of those currently living with the Dabadeens. One had accompanied the Dabadeens with their family to Dubai; and both had been to Jersey for an enjoyable holiday. Due to the smaller size of the home, meals are planned on a daily basis. Those resident are consulted about their preferred meals - and menus are revised to include / respond to their preferred choice. People using the service said they like the meals and enjoy going out shopping to the supermarket to help get in the provisions - if they want. Northampton Road (65) DS0000028184.V350094.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. 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. People using the service can be confident they will be supported in personal / intimate care issues according to their own preferences and assessed needs. Those using the service may be assured that their welfare is closely monitored to ensure that their physical and emotional needs are met - and will receive care support through the intervention of allied professionals (including any prescribed medication) in an appropriate way. The home manages the administration of medication well, within the context of policy and good record keeping. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home will support them with it in a safe way. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 15 EVIDENCE: Those using the service continue to clearly choose their own clothes and initiate their own activities of choice; they are supported in both activities and day-to-day routines by staff. Care and support provided by the home was found to be appropriate and sensitive to the needs of the two individual service users. Within the home routines are flexible, and guidance and support is ‘second nature’ to the proprietor, who ‘lives alongside’ the people, whilst integrating support and assistance. Dental and GP inputs are available at local surgeries, and visits by psychologists / counsellors are arranged as appropriate. The right of either individual to refuse treatment is also acknowledged. Medication storage and records were examined and found generally well kept. Medication profiles are now kept up to date mapping any changes to the prescriptions. A recommendation that people who use the service who selfmedicate are encouraged to ‘sign for’ receipt of their medication (thus emphasising their responsibility and providing a written audit trail for the drugs) is now in place. Northampton Road (65) DS0000028184.V350094.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Those using the service and their advocates can be assured that comments or complaints will be taken notice of, investigated and acted upon within the home’s stated procedural timescales. The home provides support to people at the home to ensure that they are protected from harm, neglect and forms of abuse. Staff members need to have a better understanding of identifying and preventing abuse - through attending local authority training provided for such elements. EVIDENCE: We found the home continues to have a complaints policy and procedure - that is also available in picture format - and a log sheet for recording complaints. Those using the service are provided with a list of emergency telephone numbers, including relevant care managers, and the Commission. Both people using the service are aware of whom to contact should they wish to complain. No complaints had been made about the home since the last inspection. Procedures for alleged abuse is in place at the home, alongside the London Borough of Croydon adult protection / safeguarding procedure. Alongside completing in-house training on abuse awareness [this organised by Mr Dabadeen], as good / best practice, all staff must attend the Croydon local authority training on ‘Adult Protection & Safeguarding’. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home is generally decorated and furnished to a good standard and provides people with safe, comfortable surroundings in which to live. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. Improvements continue to be made to the fabric of the premises meaning that people are provided with a more welcoming, homely and pleasing environment in which to live. EVIDENCE: The house is in a good community-based location, in the middle of an ordinary street in Addiscombe, close to shops, trams, busses and local civic amenities. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 18 The centre of Croydon with the attraction of bars and clubs is a short drive / bus / tram journey away. Both people using the service hold keys. The home clearly suits the needs and lifestyles of the two service users who currently live there. With the benefit of their separate kitchenette and lounge, they are supported to develop their independent daily living skills and hope to progress towards a more independent lifestyle. Following refurbishment undertaken last year, when those who use the service reported their active involvement in the decoration of their rooms, the house has been more stable this past year. One individual said she was still very pleased with her ‘new’ room - that had been repainted and furnished with items of her choice, including a new dressing table. She had gone shopping and chosen pictures for her wall and selected the paint colour. The other service user had chosen some new bed linen and carpet for her room. There is a planned maintenance book. The users of the service are supported to do their own housework and arrange their rooms as they wish. Good general hygiene practices are observed - and the home appeared reasonably clean and tidy, and odour-free. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are supported by a staff team who understand and do what is expected of them. This would be better if staff members were given 1:1 supervision support by the manager to discuss progress and exchange ideas. Training for staff members has improved resulting in a more skilled workforce to meet the service users’ needs and home’s aims and objectives. Overall, recruitment practices are now managed more appropriately to ensure protection and safety or service users. EVIDENCE: We found that the two people using the service are supported within a family type environment and staffing context. The owners - Mr and Mrs Dabadeen, and just one part time care worker currently staff the home - with the occasional use [when necessary] of an external ‘agency’ worker. People using the service were content with this small staff team, and gave the clear impression that they are treated as part of the family. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 20 The home has developed an induction pack that covers key learning objectives and an ‘orientation to the service’ process. Staff files previously seen included a completed induction record for current & past staff and records of training. Training opportunities are made available; courses being accessed through an independent training consultant used by the home. Staff members had undergone ‘in-house’ training on Food Hygiene and Abuse Awareness, and the current staff member is studying for their Level 2 NVQ in Care qualification, which includes training in First Aid. The two homeowners have attended a course on understanding mental illness. We found that staff files contained most of the necessary documentation as required in the Care Homes Regulations 2001 including a completed CRB and PoVA First check. Staff members now have a contract of employment provided for the home’s protection, as much as for the security of the employee. Record keeping for staff had clearly improved and the manager now ensures that recruitment practices are properly in place. The absence of staff supervision is identified as the principal staffing deficit. This must be afforded to all staff members - even if only one is employed. It is suggested that such an input could be provided ‘pro-rata’ as the staff member is not a full-time practitioner (working about 15 hours per week). The inspector suggests that perhaps a 1:1 session each quarter would be sufficient. The opportunity to invite feedback, to encourage the staff member’s development, and to monitor performance must be implemented. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People have confidence in the care home because it is generally run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice; the quality assurance system development seeks to ensure that the quality of care is more regularly appraised. Overall, health and safety practices are well observed to ensure that service users live in a safe environment although some checks are required to guarantee complete safety. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Manager, Mrs Dabadeen, has a nursing background and has experience of working with people with learning disabilities. She is currently undertaking the CMS at Croydon College and already currently holds the NVQ in Care, Level 3. Throughout the inspection, Mrs Dabadeen demonstrated a good knowledge about both service users’ needs and showed a general competence in managing the home. The manager’s husband provides extra support for those who use the service - going on outings or to other activities in the community. As a small home, the input to Quality Assurance functions at a ‘micro-level’ when compared to larger organisations - and current provision ensures that those who use the service are involved in day-to-day decisions - their views being sought regularly through discussion with the homeowners. Further systems still need to be put in place, however - such as satisfaction questionnaires. The home is required to implement a quality assurance system and put in place an annual development plan, involving service users. A Quality Plan was developed for 2006 - this needs to be kept ‘up to speed’ by review and supplementing information through using questionnaires, etc. The individual people who use the service handle their finances independently they have their own benefit books, and manage their own financial affairs. A full and comprehensive Fire Risk Assessment has been completed for the home - with fully illustrated documentation. The inspector’s comment that fire drills be reduced to approximately three-monthly events had been heeded. The Fire point activation checks also now indicate the specific point used - thus ensuring that all points are checked by rotation. All accidents and incidents are recorded, and safety notices are displayed appropriately. Other servicing and maintenance records for the home were checked on this occasion - it being noted that the Portable Appliance Testing was still overdue. Other electrical safety checks had been completed, as well as regular fire equipment and fire system checks. The manager continues to complete a health & safety check on the home’s environment every month. Up-to-date risk assessments covering safe working practices for the premises were in place. Since the previous key inspection, some progress has been made with training staff in key health and safety issues, such as in-house training completed on food hygiene practices. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 1 X X 1 X Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 24 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 YA23 Regulation 13(6) Requirement That all staff members attend formal training on Adult Protection / safeguarding organised by the ‘host’ local authority (LB Croydon). A previous recommendation that remains outstanding and is significant enough to become a requirement. All staff members - even if parttime - must be afforded personal supervision to encourage their development and monitor performance. A previous requirement that has exceeded its target date of 30/06/07 for achievement. Questionnaires must be offered to people who use the service, their family / representatives and any other interested parties - to assess whether the home is meeting its aims, objectives and stated purpose. A copy of the survey assessment document to be sent to the Commission. A previous requirement that has exceeded its target date of 30/05/07 for achievement. Timescale for action 15/04/08 2. YA36 24 15/04/08 3. YA39 18(2) 15/04/08 Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 25 4. YA42 13(4) Small electrical appliances - both belonging to the home and the people using the service - must be PAT tested on an annual basis. A previous requirement that has exceeded its target date of 30/05/07 for achievement. 15/04/08 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 YA6 Good Practice Recommendations That all documentation is monitored / checked that it is dated - and that progress notes for those that use the service be regularised to a daily entry. Northampton Road (65) DS0000028184.V350094.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V350094.R01.S.doc Version 5.2 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. 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