Inspection on 28/06/07 for Orient St Adult Respite Unit

This inspection was carried out on 28th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Orient St Adult Respite Unit 05/10/05

Orient St Adult Respite Unit 11/03/05

Orient St Adult Respite Unit 18/06/04

Orient St Adult Respite Unit 15/03/04

Orient St Adult Respite Unit 13/01/04

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 Orient St Adult Respite Unit 19 Orient Street Kennington London SE11 4SR Lead Inspector Sonia McKay Unannounced Inspection 28th June 2007 09:30 Orient St Adult Respite Unit DS0000032035.V341730.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 Orient St Adult Respite Unit DS0000032035.V341730.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. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orient St Adult Respite Unit Address 19 Orient Street Kennington London SE11 4SR 020 7582 5907 020 75825344 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) Southwark Social Services Mrs Wendy Jean Palmer Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: Orient Street Respite Unit is run by Southwark Council to provide a short-term respite care service to a maximum of four adults with learning disabilities. The home is situated in a quiet cul-de-sac in Kennington, within walking distance from the shopping centre with leisure facilities and close to public transport routes to central and South London. The home has a car park in which visitors may park and it is used for the home’s minibus. Otherwise parking is restricted in Orient Street. The building also houses a respite care unit for children and the children’s unit is the subject of a separate inspection that will be carried out by Ofsted. A central administration area separates the units and a garden to the rear of the building is shared between the adults and children’s units. A copy of the most recent CSCI inspection report is available in the reception area, and a pack of information about the service provided is available to prospective clients and their families. This service can only be used by Southwark residents and all placements are arranged by Southwark Social Services. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over the course of one day. The inspection involved discussion with people using the service and managers and staff on duty. There was a tour of the premises and documents relating to care, staffing and environmental safety were examined. The registered manager completed a pre-inspection questionnaire to supply the Commission with up to date information about the operation of the service. Prior to the inspection visit, seven of the people who use the service were supported to complete questionnaires about their experiences of using the service. The Commission thanks all who kindly contributed their views, experiences and time to assist with this inspection. What the service does well: The changing needs and goals of people using the service are reflected in their individual plans. Service users and their carers are consulted about what should be written in these plans and they are assisted to make decisions about their care. Support plans and risk assessments provide staff with information that helps them provide each person with the right amount of care and support. The home has been managed well and staff like working in the centre. Many staff have worked with the people using the service for a long time and know them well. Comments from people using the service include: “I like it here and people are friendly and staff are very nice people” “I am happy here” “Happy to come her” “I like to go to the clubs and do table top activities” “I know what to do to make a complaint, I would tell the staff or my mum” “I like my en-suite bedroom and I like staff to take me out to the pub or shopping” Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 6 “I like Orient Street it’s better than staying in the house doing nothing and I know other people that come here” “ I like to go shopping at the weekend “ What has improved since the last inspection? 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 Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a pack of useful and accessible information available that must be reviewed to ensure compliance with recent changes in legislation. People needs and aspirations are assessed before they are offered a service. EVIDENCE: Prospective service users are given a pack of information about the services provided at Orient Street respite centre. Discussion with the home manager indicates that there is a need to review the information provided to ensure that all information required by regulation is available. (See requirement 1) Many of the people who use the adult service also used the Orient street children’s respite unit. The children’s unit is staffed by the same team and registered manager as the adult unit. All referrals come from Southwark Social Services, who provide detailed information about the care and support needs of the person referred. A social worker completes an application form and supplies supplementary information Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 10 in the form of community care assessments or other professional assessments of need. The registered manager and staff complete an assessment of the persons needs to see whether they can provide a service. Before each respite visit, a letter of confirmation is sent. This details the nominal fee that is payable for the duration of the stay. People are offered an opportunity to visit the service before they make the decision to use it. This can be an invitation to share a meal with people already using the service and an overnight stay. Staff also try to arrange visits when people that the referred person knows are staying in the service as well. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed and changing needs and goals are reflected in their individual plans and they are assisted to make decisions about their care. Support plans and risk assessments enable people to maintain as much independence as possible. EVIDENCE: Each person has a written plan for how they will be cared for. The plans are written in the first person and users/carers are encouraged/supported to be involved in the planning. The plans are detailed and cover all aspects of care and support. Care • • • plans include information about: Identity Health Personal self care skill DS0000032035.V341730.R01.S.doc Version 5.2 Page 12 Orient St Adult Respite Unit • • • • Social life and leisure Education Individuality Behaviour Plans focus on strengths and abilities and are reviewed annually or when needs change in any way. The person using the service and their relatives/carer are involved in the review. This is usually done during a meeting at the respite unit. It is recommended that this involvement be evidenced by a signature on the document where possible, or written confirmation of how agreement with the plan has been achieved. (See recommendation 1) Some of the staff have attended training in keeping care planning centred on the person, as recommended in the previous inspection report. This ensures that staff have the necessary skills to involve people in the process of making written plans for how they should be cared for and supported. Individual risk areas, highlighted in the main care plan, are developed for each risk area identified. Each person has a ‘client handling’ risk assessment that provides staff with information about how to keep each person safe during any moving and handling situations. A handling support plan is written to provide clear direction for staff. There is some confusion as to the correct way to assist people who use wheelchairs to transfer safely in and out of the respite centre vehicle. Staff need clear information as to the correct way to support/assist each person who uses a wheelchair to access the vehicle safely. The house vehicle is not being used by people who use wheelchairs because of this uncertainty. One person using the service commented “ We need a new mini bus so we can go out!” Alternative transport arrangements are in place because of this (Taxis and dial–a- ride) and people who use wheelchairs can still use the service. It would be better to ascertain the correct way to support each person to use the house vehicle. (See recommendation 2) Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. 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. People have an opportunity to develop and to take part in a range of leisure activities and to maintain their friendships and relationships whilst staying in the centre. A healthy diet is offered and enjoyed by people using the service. EVIDENCE: People are able to engage in a variety of activities during their visits to the centre. Most are able to continue with the daytime activities they usually engage in whilst at home, for example, daycentres, schools and colleges. The visitor’s policy states that visitors are welcomed but should leave by 9pm. Friends and relatives can visit, telephone or write. Staff are also able to support a range of evening and weekend activities, such as trips to discos, clubs and pubs. There have been trips to the seaside and museums and fun days, soft play and barbeques at the centre. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 14 There is a range of activities available in the centre including television, music, musical instruments, books, films, and a garden area with seating, a soft playroom and cooking activities. The centre employs a cook, who is knowledgeable of the likes and dislikes, cultural preferences and dietary requirements of each person using the service. Records are kept of each person’s meal preferences and a brief synopsis is discreetly kept in the kitchen anytime that person comes to stay, as a reminder. The cook has an adequate food budget, and supplies are plentiful and fresh. The well ordered food storage area contains stocks of some of the specialist products required (for example, gluten free). The kitchen and cooking areas are clean and systems are in place to ensure health and safety around food and meal preparation. Staff are also trained in food hygiene as some of the evening meals are served or prepared by care staff as well. The staff and the people using the service eat together at mealtimes. This is good practice. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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 receive personal support in the way they prefer and require and their physical and emotional needs are addressed and met. Residents can administer their own medication if this is deemed safe and appropriate and systems are in place to ensure that staff administration of medicine is safe. EVIDENCE: Assistance with any aspect of personal care is provided in the privacy of bathrooms or bedrooms, and people’s self-care skills are well documented in their individual care plans. This ensures that people are encouraged to maintain and develop their independence as much as possible and that assistance is given in the way each person needs and prefers. As people do not live at the centre all the time, there is an arrangement with a local group practice of doctors for interim treatment if necessary. Health and medication issues are updated prior to each visit to ensure that staff are up to date with each persons care and health needs before they Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 16 arrive. The registered manager said that regular multi-disciplinary meetings are now being held and this increases the sharing of information about health and support needs for each person whilst they are staying in the centre. A detailed record is kept of any health appointment attended whilst at the centre and feedback is given to carers. The staff team also complete behavioural monitoring and recording as necessary. All staff are trained to administer medication. Care plans contain a medication profile and details of any allergies. The registered manager has developed a policy for people who are able to administer their own medication, as required in the previous inspection report. At the time of this inspection none of the people using the service are able to administer their medication. The community pharmacist conduct regular audits of the handling of medication in the service and provides team advice and training as required. The report of the most recent pharmacy inspection indicates that medicines are handled well and provides advice on how to administer variable dose medications safely. There is a lockable steel cabinet for medication to be stored in and staff retain the keys at all times. Lockable storage areas can be provided for any person able to self medicate. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service can be confident that their concerns will be listened to and acted upon and they are protected from abuse, neglect and self-harm. EVIDENCE: There is a formal complaints policy and procedure in place. A hard-backed book is used to record complaints that are made directly to the centre staff and the actions taken by the registered manager to investigate and resolve the issues raised. Formal complaints are dealt with by the local authority and informal complaints are also externally monitored. There is a video about how to make a complaint, this makes the procedure accessible to people who find written documents difficult to understand. This is good practice. There have been two complaints made since the last inspection, both were investigated and resolved appropriately. One was in regard to a damaged article of clothing and the other in regard to one person missing breakfast because of getting out of bed later than usual. All staff have received training in safeguarding adults and adult protection. Staff spoken with were aware of what action to take should they have any concerns about the safety and welfare of anyone using the service. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 29 & 30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The centre is safe, comfortable, safe and hygienic. EVIDENCE: The centre is located in a residential area, reasonably close to shops and transport links. The building is clean and well decorated throughout. All four bedrooms are single occupancy and two have en-suite bathing facilities. There are two bedrooms on the ground floor. One of these bedrooms has had a ceiling track fitted so that people with mobility needs can be moved from bed to the en-suite bathroom with ease. There is a new adjustable bed and the bathroom has been fitted with an easy access spa bath. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 19 There is a kitchen and dining room and two communal lounges. There is a reasonably sized garden with seating and a soft-play room. The bedrooms are comfortable but could be made more homely with pictures and items chosen by people using the service. (See recommendation 3) Environmental health inspectors inspected the food handling arrangements recently. New freezers have been purchased as a result as the seals on the old ones were damaged. Systems and ‘in house checks’ are in place to monitor the safety of the environment. Professional checks of hoists and other equipment take place on a regular basis. The previous inspection report required the centre to make sure that the needs of people with epilepsy are addressed and met. A bedroom monitoring and call alarm system has been installed to enable effective monitoring of nighttime seizure activity and to replace the baby monitors in previous use. The requirement is therefore met. The roof has been replaced since the last inspection visit. The kitchen and carpets has been professionally steam cleaned and a new shower chair purchased. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34 & 35. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff team are competent and qualified and there is good staff retention. This means that people receive a consistent service. Recruitment procedures were not examined during this inspection, although it is recommended that additional information about staff recruitment be kept on site. EVIDENCE: There is a centre manager (the registered manager), three deputy managers, ten daytime residential care officers and three waking night care officers. There is an administrator, a cook and a domestic. There is good staff retention in the centre; most staff have worked there for many years. This provides people using the service with consistency of service. Agency staff are sometimes used, but again the manager tries to use a small pool of agency staff that people are used to. The previous inspection report required that the job descriptions be revised to reflect the fact that the team that staff the adult side of the centre also provide service to the children’s side of the centre. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 21 Discussion with the centre manager indicates that although there has been some progress in changing the job descriptions they have not been introduced yet. The requirement is not met and is therefore carried forward in this report. (See requirement 2) Staff were observed to be approachable and accessible to the people using the service at the time of the inspection. No new staff have been employed since the last inspection visit, when recruitment procedures were deemed to meet the standard expected. Recruitment records are kept at the human resources office for Southwark social services rather than at the centre, although confirmation of adequate criminal records checks are available at the centre. The centre manager should keep a photograph of each member of staff and a record of the recruitment checks obtained by the authority at the centre. The inspector has provided the centre manager with a template document to enable this. (See recommendation 4) There are thirteen care staff and two deputy managers in the team (plus the registered manager). All care staff have worked in the service for more than a year and all are now graded as senior residential care officers. Of the fifteen care staff: • 4 are qualified social workers • 1 is a qualified learning disabilities nurse • 7 have attained a vocational qualification in promoting independence in care services (NVQ 3) There is also an ongoing training and development plan for each member of staff and for the team as a whole. Recent staff training has included: • Food hygiene • Fire safety • Moving and handling • How to make referrals to POVA (Protection of Vulnerable Adults) • Vulnerable Adults Procedure • First Aid • Cultural issues around food • HIV and AIDS • Safe administration of medication (rectal suppositories sometimes prescribed for people with epilepsy) Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 22 Planned training includes: • Safe physical breakaway techniques • Supporting people around their sexuality and safe sex • Fire safety • Safe administration of medication (Epipens sometimes prescribed to people with diabetes) Senior staff are available to provide ‘on-call’ advice at all times. Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 23 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 good This judgement has been made using available evidence including a visit to this service. People benefit from a well run home. The views of people using the service underpin the monitoring and review of the service provided and their contributions effect change. The health, safety and welfare of people using and working in the service are promoted and protected. EVIDENCE: The registered manager is a qualified specialist learning disabilities nurse and also has a management qualification. She has extensive experience in working with people with a learning disability. Feedback from staff indicates that the manager is approachable and open to their ideas and views. The registered manager leads the team and delegates Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 24 responsibility within the team, each team member having additional responsibility for some aspect of the running of the centre. Systems are in place to monitor the quality of the service provided. A local authority designated ‘responsible individual’ visits the service each month to conduct an unannounced inspection. A detailed report on the findings of each of these visits is available in the service. Surveys were sent to people using the service and their carers in December 2006. Discussion with the registered manager indicates that this surveying resulted in changes in how the centre communicates with carers. The written reports written after each period of respite care have been revised. This demonstrates that the centre is acting on issues raised during consultation. The written findings of the survey carried out in December 2006 are positive. An annual report is also produced and circulated to stakeholders. This gives information about any complaints, how the service has been used, staffed and resourced, the findings of CSCI inspection visits, meetings and forum updates and other useful information. Feedback that the Commission received from people using the service is positive. One area raised was access to a suitable vehicle. (See recommendation 2) Systems are in place to monitor and assure environmental safety. Staff have designated responsibilities in each area of the home and in house checks are conducted and recorded. External specialists conduct Environmental and fire risk assessments and there is a risk assessment in place for each member of staff also. Fire evacuation drills are conducted with the required frequency and the results are recorded. Checks on equipment relating to fire safety are conducted by staff and by external professionals. The results if these tests are retained. Any accidents, injuries or incidents are recorded and appropriate authorities are notified. During this inspection it was noted that records contain entries for both the adult respite centre and the children’s respite centre. As these are separate registered services inspected by two different regulating bodies, it is recommended that records be maintained separately. (See recommendation 5) Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 25 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 2 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 2 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 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 3 X X 3 X Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 26 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 YA1 Regulation 4 5 Requirement Timescale for action 31/10/07 2. YA31 12(5) The registered persons must review the statement of purpose and information given to prospective service users and ensure that all information required by regulation is up to date and available. 31/10/07 The registered persons must contact Human Resources and work with them to produce a clearly defined job description, which makes reference to the different service user groups who use the unit. This has been restated from the previous inspection reports. The timescales of 30/04/04, 30/07/05 and 31/03/06 are not met. Evidence that action has been taken to meet this requirement must be supplied to the Commission by Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 27 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 YA7 Good Practice Recommendations The registered manager should ensure that evidence of agreement is obtained in regard to written plans for each persons care. Agreement should be sought from people using the service and/or carers relatives as appropriate. The registered person should seek clarification from a suitably competent/qualified person as to the correct and safe way of assisting each person (who may use a wheelchair) to use the house vehicle. The registered persons should continue to assist people to choose items of décor that make the centre more homely. The registered person should keep a record of the recruitment process and checks undertaken by the local authority at the centre. The registered person should separate records relating to the adult respite centre from the records relating to the children’s respite service. 2. YA9 3. 4. 5. YA26 YA34 YA41 Orient St Adult Respite Unit DS0000032035.V341730.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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. 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