CARE HOME ADULTS 18-65
Northampton Road (65) 65 Northampton Road Croydon Surrey CR0 7HD Lead Inspector
Claire Taylor Unannounced Inspection 9th September 2005 12.00 Northampton Road (65) DS0000028184.V253285.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.V253285.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.V253285.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.V253285.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 11 November 2004 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.V253285.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place during a lunchtime and afternoon so that the inspector could meet with both service users. Time was spent examining records, talking to the two service users, touring the building and meeting with the home manager and owner. Both service users are thanked for taking time to talk about their lifestyle and experiences in the home. Their contribution to this inspection is much appreciated. The registered manager, Mrs Dabadeen and her husband are also thanked for their time to facilitate this inspection. What the service does well: What has improved since the last inspection?
The home has admitted a second service user since the last inspection and it was clear that she had received appropriate support to settle in to the home and furnish her bedroom with her chosen possessions. The other service user has wanted to do voluntary work in a charity shop for some time and the manager has supported her to achieve this. Two care staff have recently been employed on a part time basis. The local fire authority undertook a fire safety inspection in August of this year and the owners have addressed the three requirements that were set. Likewise, some of the requirements from the home’s previous inspection had been met that relate to record keeping. I.e. Service users have been provided with an appropriate contract that clearly outlines the terms and conditions of living in the home. To further safeguard the health, safety and welfare for those living and working in the home, risk assessments for the premises have been completed and the home has been
Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 6 inspected for compliance with the water authority. As required previously, the manager has obtained a copy of the local authority’s procedure for the protection of vulnerable adults. 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
Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. Northampton Road (65) DS0000028184.V253285.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.V253285.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, 2,4 and 5 The home provides prospective service users and their representatives with all the information they need to make an informed choice about where to live although the Statement of Purpose needs a slight amendment. Assessments are undertaken to evaluate needs prior to admission although the home must ensure that an appropriate review meeting is held and service user plan is developed appropriately following admission to the home. Such lack of information means that the home cannot be certain that individual needs are being or will continue to be met. EVIDENCE: A detailed Statement of purpose and guide is in place, which sets out in detail the home’s aims and objectives, and the services and facilities provided. One addition needs to be made however in that the room sizes / measurements should be specified. Since the last inspection, one service user has been admitted to the home (December 2004). Records indicate that the home undertook a thorough assessment of the new service user’s personal, social and health care needs. The owners also spent time getting to know the service user by meeting with her at her former placement. A copy of the assessment carried out by the individual’s Care manager was also obtained by the home. The new service user confirmed that she had received good support to move and familiarise herself with the home. Prior to admission, she visited for tea and also spent a day getting to know the other service user who lives there. She said she felt welcomed and liked her new home. Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 10 Although the service user was clearly well supported to settle in, a full review meeting had not been held following the trial stay period. This is important as it provides the service user and other relevant parties with assurance that the home is able to meet their needs. The manager, Mrs Dabadeen explained that she had made several attempts to contact the service user’s placing care manager but had no response. During the inspection however, Mrs Dabadeen managed to contact the relevant care manager and organise a date for a formal review meeting. As required previously, written contracts have been provided, ensuring that service users are aware of their rights and responsibilities to live in the home and likewise, the home’s duty of care (its terms and conditions). Northampton Road (65) DS0000028184.V253285.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, 7 and 9 Overall, individual plans of care are well organised and service users are fully involved. The newest service user now needs an up to date care plan however that shows their assessed needs are reflected accurately and that staff have up to date information about how to support the service user. Choice and decision making for service users is promoted which maximises their involvement and opportunities to contribute to the operation of the home. Service users are provided with the necessary support to take risks so that independence is maximised as far as possible. EVIDENCE: Both service users’ plans were examined. Both individuals are fully independent in most areas and it was clear that the owners and staff support them to continue to develop their independence whenever possible. One service user’s plan was well organised and places an emphasis on promoting independence for the individual. The plan had been reviewed within the past six months and up dated accordingly to reflect any changes. The newest service user’s care plan had been completed at her previous placement and was therefore out of date. 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 manager keeps diary
Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 12 notes on the service users’ daily routines on a regular basis. The philosophy of the home is to enable the service users to take responsibility and it was clear that the current service users have made significant progress in developing their independence since moving there. Service users’ meetings are regularly held and discussions are geared towards their views. E.g. choice of activities, food and general issues about the home. Staff appeared committed to ensure that service users are fully involved with the operation of the home and encourage them to contribute. Appropriate risk assessments were in place and had been reviewed at regular intervals to reflect any changes. 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. Northampton Road (65) DS0000028184.V253285.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, 14,15,16 and 17 The daily routines and practices in this family type home promote service users’ rights and encourage independence. 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. 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. Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 14 EVIDENCE: The two service users have the benefit of a separate kitchenette and lounge area upstairs in the house. This provides them with good opportunities to take on responsibilities for maintaining an independent lifestyle as far as possible. Records confirmed that service users are supported to further their skills in areas such as cookery, shopping and household management. There are risk assessments in place to reflect this. In addition, the homeowners are supporting them to continue and develop social networks. The home makes good use of community facilities and is within easy travelling distance of Croydon shopping centre as well as local shops. The service users went out for lunch during this inspection. One service user explained that she regularly visits her friends and travels independently. She also spoke about her job, working at a local charity shop for three days a week, which she really enjoys. The other service user does not travel without supervision but is fully supported by the owners to access community activities of her choice. The newest service user said that she liked going out for meals with them. 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. The homeowners appeared committed to include the service users in all aspects of family life, both inside and outside the home. Hobbies and interests include pub visits, music, watching T.V., entertaining friends, shopping and beauty treatments such as manicures, facials and waxing at a local beautician’s. Visitors are welcomed at the home and the service users have their own lounge to entertain guests. Due to one service user’s personal circumstances, the home manager monitors social contacts and friendships with people outside of the home. Again, risk assessments in place reflect this. Mealtimes are flexible and arranged with regard to the service users’ daily activities and routines. Both service users are supported to participate in meal preparation on a daily basis. They confirmed that they are involved with weekly supermarket visits and other shopping trips. One service user has signed to indicate that she does not want records maintained of food she has eaten. Menus are available but should be reviewed following the new service user’s admission. This ensures that the home provides up to date information about the food provided and demonstrates that service users’ preferences have been taken into account. Northampton Road (65) DS0000028184.V253285.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): 19 Promotion of health is well observed. Service users’ welfare is closely monitored to ensure that their physical and emotional needs are met. EVIDENCE: Both service users are registered with a local G.P. surgery and have access to other NHS facilities as needed including optician, dentist and a “well woman” clinic. Records seen indicated that healthcare needs are being closely monitored and that the service users are supported to manage their own healthcare wherever possible. Records also showed that the homeowners had carried out a full assessment for the newest service user regarding any healthcare needs and issues. Referrals to other appropriate professionals are also made where necessary. Northampton Road (65) DS0000028184.V253285.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): 22 and 23 The home has a complaints procedure to ensure that service users feel their views are listened to and acted on. Improvements are needed with training and staff recruitment to ensure that the people living in the home are fully protected from abuse. EVIDENCE: The home has a clear complaints policy that is also available in picture format and a log sheet for recording any complaints. The service users have been provided with a list of emergency telephone numbers, including relevant care manager and the Commission for Social Care Inspection. Both service users are aware of who to contact should they wish to complain. No complaints have been made about the home since the last inspection (November 2004). Two part time staff had been appointed within the previous week at the time of this inspection. Of concern however, was that the home had not undertaken all the necessary recruitment checks to ensure maximum protection for the service users. Neither staff member had a CRB or POVA check nor had the manager applied for one. 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. This issue has been highlighted further on in the report under staffing standards and a requirement set. There has been no progress on training the staff in adult protection issues. A recommendation was set at the home’s previous inspection for this 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 home’s procedures and appropriately trained to take the necessary action. Northampton Road (65) DS0000028184.V253285.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, 27 and 30 Overall, the home is decorated and furnished to a good standard and provides service users with safe, comfortable surroundings in which to live. One of the service user’s bedrooms is in need of redecoration however. The home is kept clean, hygienic and in a generally good state of repair although the upstairs bathroom is need of some redecoration. EVIDENCE: Northampton Lodge is an ordinary family home that has been extended to provide care and accommodation for three people with learning disabilities. There are three single bedrooms of which one was vacant at the time of this inspection. The home appears to suit the needs and lifestyles of the service users who currently live there. The home appeared bright, clean and free of offensive odours and furniture and fittings appeared comfortable and of good quality. With the added benefit of a kitchenette and own lounge, the service users are supported to develop their daily living skills and progress towards a more independent lifestyle. The new service user kindly showed the inspector her bedroom, which she had personalised with her chosen possessions and belongings. The décor was in a fair condition although the wallpaper was torn in places and in need of attention. The service user said that she would like her room redecorated and the manager acknowledged this. Outstanding from the last inspection is that the home produces a written plan for redecoration and
Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 18 any planned renewal maintenance of the premises. Since the last inspection, the home has addressed requirements set at a fire safety inspection by the London fire and emergency planning authority. In addition, records confirmed that the premises have been checked for compliance with water supply regulations. Two requirements were identified and the manager reported that she was awaiting test results from water samples taken. Outcomes will be checked at the next inspection. The service users manage their laundry and use the washing machine independently. The home was clean, tidy and hygiene practices well observed with hand-drying facilities provided in the service users bathroom. The bathroom is now in need of redecoration however. Various tiles were missing, the lino flooring was damaged in places and the sealant around the bath was discoloured and in need of replacing. Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Improvements are needed with staff training to ensure they have the necessary knowledge and skills to carry out all their duties competently, whilst ensuring the service users are protected. The homes procedures for the recruitment of staff do not provide all the safeguards to offer protection to the service users. EVIDENCE: Mrs Dabedeen, the home manager, has a nursing background and has experience of working with people with learning disabilities. During discussion, she demonstrated a good knowledge about the service users’ needs and competency in managing the home. The manager’s husband provides extra support for service users to go on outings or other activities in the community. She demonstrated skills and competencies to meet her needs with an emphasis on developing the service user’s independence to her maximum potential. It was concerning to find that no CRB disclosure or POVA First check was available for the two new staff. If staff have not been vetted correctly this could potentially place service users at risk. The manager reported that the staff were not working unsupervised as they were still on probation. Some other records have been obtained appropriately including job application, proof of identity and recent photograph. There were no job references however for either staff. The manager must ensure that all documentation pertaining to all persons who work in the home is in place. The manager should refer to those listed in Schedule 2 of the care homes regulations. Limited progress has been
Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 20 made with staff training and given that two staff have been appointed, the owners must ensure that all those working in the home acquire the necessary skills and knowledge to meet the service users needs and home’s stated purpose, including training in key health and safety issues. A suitable induction training pack needs to be developed so that new staff are provided with important information for them to familiarise themselves with the home and specific needs of the service users. A training and development profile needs to be developed for each staff that includes identified training needs and records that evidence the staff ‘s experience. i.e. certificates of training and qualifications. Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 Some improvements are needed with quality assurance systems to ensure that the quality of care is regularly appraised and the home is meeting its objectives. Overall the homes health and safety arrangements are adequate to protect the service users and staff from avoidable harm. The hot water supply for the service users bath needs adjusting to the required temperature and new staff need to be trained in key health and safety topics. EVIDENCE: Some quality assurance monitoring tools were in place such as review meetings and house meetings for service users and monthly health and safety checks on the environment. The service users are involved in day-to-day decisions and their views are sought regularly through discussion with the homeowners. At the previous inspection, the home was required to implement a quality assurance system and an annual development plan, with both involving service users. The home has designed questionnaires but these have yet to be offered to service users, their relatives and other interested parties. Once these are returned this information can be included in the annual
Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 22 development plan. This then can be used as the basis of a quality assurance system. As this has not commenced, the requirement remains in force. The home has a health and safety file in place and the manager completes a health and safety check on the environment every month. Risk assessments covering safe working practices for the premises have been completed. Fire drills, fire equipment and fire system checks are carried out at appropriate intervals. Two areas of concern were noted during this inspection. The first related to the lack of staff training in key health and safety issues. I.e. fire, moving and handling, food hygiene and infection control. The owners must ensure that both they and the two new staff are appropriately trained and up to date with current legislation in order that service users health and welfare is safeguarded. In the service users’ bathroom, the bath hot water supply was not running to the required temperature of 43 degrees Celsius and this must be rectified. Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 X X 2 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X 2 X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 2 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Northampton Road (65) Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X DS0000028184.V253285.R01.S.doc Version 5.0 Page 24 YES 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 1 Regulation 4(1)(c) Requirement The size measurements of the rooms in the home must be included in the Statement of Purpose. 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. Following the admission of a new service user, the home must ensure that a service user plan is developed based upon their needs assessment. Menus need to be updated which demonstrate that service users’ preferences have been taken into account. All staff must receive training on the abuse awareness and adult protection with records to evidence this kept in the home. The service user’s bedroom is redecorated in accordance with her preferences. The bathroom needs redecoration as outlined in this report. Timescale for action 31/10/05 2. 4 14(1)(d) (2)(a) 31/10/05 3. 7 14(1)(d) (2)(a) 15 17(2) sch.4 (13) 13(6) 18, 19(5 b) 23(2)(d) 13(3) 23(2)(a,c & d) 31/10/05 4. 17 31/10/05 5. 23 31/12/05 6. 7. 26 27 31/01/06 31/12/06 Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 25 8. 24 23(2)(a-d) 9. 34 19(4)(b) (5)(d) 10. 34 17(2) 19(1)(b,c) The home produces a written 31/10/05 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 11/11/04) The Registered provider must 31/10/05 ensure that records of all person employed are kept at the home in accordance with Schedule 2 of the Care Homes Regulations. Staff without a valid CRB and POVA first check must not work unsupervised until all necessary checks and documentation have been put in place. The registered provider must 09/09/05 ensure that they obtain an up to date CRB and POVA check for new staff before they commence employment. The registered provider and manager must demonstrate that they have updated their skills and knowledge periodically. A suitable induction training pack must be developed for staff. (Now outstanding from inspection 11/11/04) 31/12/05 11. 35 17(2),18 (1)(c) 10 12. 35 17(2) The registered provider must 18(1)(a)(c) 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. 24 The registered provider must develop an annual quality assurance plan based on seeking the views of service users and implement measures to ascertain whether the aims
DS0000028184.V253285.R01.S.doc 30/11/05 13. 39 31/10/05 Northampton Road (65) Version 5.0 Page 26 14. 42 23(2)(j) 15. 42 9 13(5) 18(1a) 19(5b) and objectives of the home are being met. (Now outstanding from inspection 11/11/04) The registered provider must 30/09/05 ensure that the hot water supply for the bath for the use of service users is maintained at a temperature of 43 degrees Celsius. 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. 1. Refer to Standard N/A Good Practice Recommendations None made at this inspection. Northampton Road (65) DS0000028184.V253285.R01.S.doc Version 5.0 Page 27 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
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