Inspection on 19/07/05 for Park End Road

This inspection was carried out on 19th July 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Park End Road 18/05/09

Park End Road 24/05/07

Park End Road 02/11/05

Park End Road 23/02/05

Park End Road 23/11/04

Park End Road 24/02/04

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 Park End Road 20-22 Park End Road Romford Essex RM1 4AU Lead Inspector Roger Farrell Announced Inspection 19 July 2005 11:00 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 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 Stationary 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. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park End Road Address 20-22 Park End Road, Romford, Essex RM1 4AU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01708 736439 Outlook Care Gillian Margaret Leonard CRH Care Home 7 Category(ies) of Learning Disability (7) registration, with number of places Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23 February 2005 Brief Description of the Service: Park End Road is a care home providing accommodation and support to seven people who have a learning disability. Opened in May 2000, it is operated by Outlook Care, a not-for-profit organisation who provide a range of services for vulnerable service users in N E London and Essex. The building is owned and maintained by Havering Council. All seven residents moved in when the home opened, six having lived in a council run old style home called Hamlin House, which was phased out of use. The manager is Gill Leonard, who had worked at Hamlin House for many years and took a lead role in arranging the transfers to the new facilities. She is also responsible for managing another of the organisation’s homes situated about three miles away in Widecombe Close.The premises are two integrated semi-detached houses, situated a short walk from the shops, facilities and transport links of Romford town centre. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on Tuesday 19 July 2005 between 11am and 3pm. The inspector mainly wanted to find out what had been done to rebuild the staff team. There had been lots of problems last summer keeping the staff team working together – a number of staff had left; some were off as they were expecting babies; and differences in opinion between a new deputy and the manager on how the home was run meant that the manager was away for three months whilst Outlook Care looked into this disagreement. Only a couple of familiar staff were left. As well as agency workers, staff from other Outlook homes stepped in, and this included making sure that the planned holidays could go ahead. Last year’s main inspection report speaks about these problems, and said what needed to happen to improve matters. Some relatives raised their concerns with the inspector. Despite the tensions and the need for temporary staff, the residents all coped well and got on with their lives. The care files used to plan what support the residents say they need were not being kept up-to-date. A big help was that an independent advocate who the residents know well continued to visit regularly and listen to their views. The manager returned last October, and though it has taken time, she now has almost a completely new team. The main headline of this inspection is that all staff are saying that they are working well together. The manager was again very efficient in showing the inspector the paperwork he asked to see. A sign that this home is back on the right track is that the changes asked for in the last two reports have been tackled, and no new requirements are set in this latest report. A recommendation has been made to keep trying to persuade some residents not go into other people’s bedrooms, as this was the main area raised in residents’ questionnaires. Another recommendation has been made about increasing communal space. This visit included checking the care plan files; being given an update on each person’s needs, including medical conditions and contact with their families; meeting with a group of staff and seeing what training they have done; making sure all new staff are properly vetted; looking at how medication is handled; and checking over the house, including safety arrangements. The inspector had lunch with the four residents who were at home, and they each showed him their bedrooms. He is grateful for the warm welcome he receives from residents, and the helpful way the manager and staff answer his questions. Special thanks are due to the advocate who helped residents fill in questionnaires, and for giving her views. He would also like to thank those relatives who returned comments and who spoke on the phone. One health care worker wrote – “The care provided is of a high standard and clients are given opportunity to participate in a wide ranging programme of social and Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 6 leisure activities. The current recruitment and retention issues are being addressed.” What the service does well: What has improved since the last inspection? Comments made to the inspector help show what has improved. The manager said – “The staff team are getting on really well. This has happened in the short time we’ve been together as a full team. New staff are willing to learn, and are open and supportive….They have worked really hard on the ‘pcp’ files and care plans….The main thing is that we all trust each other.” The new deputy was away at the time of the inspection, but wrote – “The overall quality of care is good. Recently four new members of staff have been recruited and time is needed to establish relationships with service users.” This was echoed in the statements of support workers, such as one person with many years experience working at Outlook Care homes – “I think the atmosphere is very good. We have a new staff team and it’s all falling into place and things have settled down nicely.” One person who recently joined the team added – “It’s not bad at all. We all help each other. I can only see it getting better and better.” Relatives also talked of a new beginning, one parent saying – “I think it is pretty good again. I can’t think of any worries that we would want to raise. We have always liked where the home is as it is handy for the shops in Romford.” The regular advocate told the inspector – “I think it is working really well. The new deputy is a great influence and has a lovely manner. When I arrived unannounced recently I found residents doing ordinary things, such as being involved [in tasks] in the kitchen…There was a period when staff were not sure who I was, but I am received much better these days.” She talked of some residents being less willing to speak up when the staff situation was messy, but that her meetings are now much more lively. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 7 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. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, and 5. The use of pictures and symbols helps make key information understandable. This includes the information that would be used to help a new resident make a choice if a vacancy occurred. EVIDENCE: A copy of Outlook Care’s ‘Referrals Procedure – Residential Care’ that was revised in August 2004 is available. This would be used to plan any future move-ins. The manager has had recent experience of following this at her other home. The inspector has seen examples of the original assessments that were used to match places at Park End Road five years ago. These showed good cooperation between all those involved, including residents and their families. The up-to-date files have carried forward some important information, such as the good profiles and medical details. The manager described each person’s support needs, including the current level of assistance with personal care and special needs. Along the care practice files, this shows good attention to detail and the involvement of others such as a psychiatrist, physiotherapist, and a speech therapist. A number of residents have medical conditions that need monitoring, and staff are maintaining good tracking records of contacts with doctors and other health care workers, including health reviews. The ‘statement of purpose’ and ‘service-users’ guide have been put together in a way that make them understandable to the residents using pictures and photos. Each person has a pictorial contract of residency, and a signed copy of the licencee agreement on their personal file. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, and 9. The personal care files are now much better, showing in good detail the help that is needed by each resident and their choices. This shows that the team are back to working at the expected level EVIDENCE: Outlook Care use the ‘Person Centred Planning’ (‘pcp) approach. This provides the framework for the layout and content of service-users’ plans. This includes a comprehensive set of needs assessments under a wide range of user-friendly headings, which lead on to the action plans and risk assessments. The main sections of the ‘pcp’ files are designed to fully involve the resident in their support planning and how they spend their time. Understanding and inclusiveness is helped by the extensive use of pictures and photos. Last year these had fallen behind, and staff turn-around meant that the keyworker system had lapsed. The manager and team have put in a lot of hard work to bring these up-to-date. The inspector looked at a range of ‘pcp’ files; ‘health care files’; day-to-day activities diaries; and the ‘need to know’ files. These were all found to be satisfactory. The ‘support care plan sheets’ cover what help each person needs with personal care and daily life. These have been useful in guiding new staff as they have joined. The manager is hoping to add further sections setting out step-by-step guides on skills training. These standards are now recorded as ‘met’. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 11 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 standard(s) 12, 13, 14, 15, 16 and 17. Residents continue to have busy lifestyles, each having an individual programme covering their abilities and preferences. This also includes social and leisure activities. Residents again told that they like the food, saying that they can choose their meals and staff do help them make healthy decisions. EVIDENCE: The inspector saw the updated weekly programmes showing that residents continue to attend a range of centre and colleges at least three days each week. One person has switched to a new venue where he prefers the slower pace designed for older people. All residents need to be accompanied when going out. The home does not have it’s own vehicle, but residents make extensive use of the council’s transport scheme and ‘dial-a-ride’. There are ten extra hours a week used for supporting activities in the community. Popular activities include – pub lunches; evening meals out; swimming; bowling; cinema; evening clubs and the monthly Spillsbury disco. This year’s holiday is booked, with all residents going away together to a holiday camp in Hastings, accompanied by five staff. The ‘pcp’ files have Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 12 monthly resume sheets of activities, and set out each person’s family and friendships. This includes helping one resident maintain contact with his only family member who lives in America, and who visited a couple of months ago. Residents’ active social lives mean they have wide friendship circles. This includes still seeing people who they had shared with at Hamlin House. In May there was an anniversary party celebrating the home having been open for five years. Discussing choices about holidays and other social events features in the excellent pictorial and word ‘newspaper’ minutes done by the advocate at her monthly meetings. All comments from residents regarding the standard of meals were again satisfactory. The week’s menu is agreed each Sunday, with the main weekly shop involving residents done on Tuesdays. There are no special food needs, but three residents have had dietary assessments. At this visit the inspector joined residents for lunch. All residents were guided to make their preferred sandwiches. As on previous occasions, the meal was found to be a relaxed and sociable gathering. The kitchen had adequate and varied stocks, including fruit, fresh vegetables, and soft drinks. One Jewish resident chooses not to have a kosher diet, and his family support this preference. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 13 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 standard(s) 20. Safe arrangements are in place for dealing with medication. Following one minor error of a lost pill a couple of months earlier extra tight controls have been introduced. A pharmacist who checked conditions a week before this visit praised staff for their good standards. EVIDENCE: No resident who is currently on medication is assessed as capable of taking control of their medicine. The inspector looked at the arrangements for the ordering, storage, administration, and disposal of drugs. Boots supplies medication monthly in their monitored dose blister packs, with printed recording sheets. Whilst the manager was away last summer supplies were relocated to a locked kitchen cupboard. However, this cupboard was above the washing machine and at time the temperature was over the recommended level. A sturdy lockable bureau is now used, kept in the dining area. This was neatly and safely arranged. The medication recording sheets have photos attached. In addition to the general procedures, the inspector saw the helpful individual guidelines and information on the drugs being used, and the individual risk assessments. The manager is familiar with the latest guidance as she and the deputy have recently done a more detailed ‘Safer Handling of Medication’ course, which Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 14 others are due to attend. Managers were due to attend a briefing day that would include introducing revised policies and procedures covering medication. Boots have provided staff with training in the past, and visit to inspect the arrangements every three months. All staff do a yearly competency test on dealing with medication. There was one minor error in May, and for the time being a pill-count audit is being done at each handover, though the manager said this would now be decreased. The supplying pharmacist did a check a week before this inspection and left a report. One of her comments was – “The records of medication are the best I’ve seen in a home….the atmosphere is light and happy – a lovely home.” Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 15 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 standard(s) 22 and 23. A good range of information is available to residents on complaints and protection. When matters are raised, the correct procedures are followed. Residents have the added safeguard of regular contact with an advocate who they know well. EVIDENCE: Outlook Care have a clear and effective complaints procedure pack and a copy is available at this home. Information on making complaints is included in the pictorial ‘service users’ guide’, and displayed on the notice board. This includes details of how to contact the advocacy service and the Commission, with a ‘one touch’ telephone connection to both these external services. The inspector looked at all the paperwork covering the one issue recorded since the last main inspection. This matter is still being investigated, but shows that the organisation take their responsibilities seriously. Residents regular contact with the outside advocate includes her explaining how to use their right to complain. The policies covering adult protection include ‘Infringement of Service Users’ Rights Procedures’; ‘Whistleblowing’; and ‘Abuse Management’. In addition there were copies of ‘No Secrets’, and the local Adult Protection Guidelines. The leaflet ‘No More Abuse’ produced by ‘Voice UK’ and ‘Change’ is also available. Staff do a one-day course on adult protection, and sign to confirm they have read the local guidelines. Each staff member has been given a copy of the General Social Care Council’s ‘code of practice’, and gave informed answers when asked about safeguards. When issues were raised last year about how the home was being managed the procedures were followed. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 16 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 standard(s) 24, 25, 26, 27, 28, 29 and 30. This is a well-maintained, homely and clean house, which residents say they like. One person keeps her bedroom quite bare, but the six other residents have made their own rooms very comfortable, which show their tastes and interests. The idea to add a conservatory needs to be followed through as having just one main communal room for seven people restricts choice. EVIDENCE: The home was created by joining two neighbouring houses, there being one main communal room used as a lounge and dining area. About eighteen months ago hand-wash basins were installed in all bedrooms; a sleeping-in room created; and the office relocated. The creation of the sleeping-in room meant that a small ‘quiet room’ was lost, however this was little used. These adjustments mean that the overall communal space falls fractionally below the recommended standard, but overall the home provides reasonably good quality accommodation, and residents tell the inspector how much they like their home. The inspector again found the premises clean, safe, comfortable, well ventilated, and with good attention to home making. At this visit four residents showed the inspector their bedrooms. Three were pleasantly decorated and well equipped, reflecting individual’s interests. One Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 17 resident’s room is quite sparse, but this is out of choice, and she does not like sleeping in a bed. This room had been painted recently. Staff are continuing to try various ways to adapt her room to meet the wear and tear. One bedroom falls marginally below the recommended space standard. However, this resident chose this room, and tells the inspector how much he likes it. The main room is decorated in a bright contemporary style. However, when asked staff said that the main improvement they would like to see is a conservatory extension. They say that all residents use this room a lot, and just having the one space means there can be restrictions, one person saying – “Sometimes some [residents] want to watch tv, some want to play music, and others want it quiet to get on with their writing or art.” The manager said that she is looking into this possibility and will be speaking with the council, who own the building. Staff also said that having a separate utility room would be helpful, particularly as there is plenty of space at the back of the building. The inspector said this needs to be part of the proposal made to the council as assistance with continence takes place, and at present the washing machine is in the kitchen. Three residents need to use a wheelchair at times away from the building, but all are mobile in-doors. Bathrooms have a small range of adaptations. The assistance call system is not used at present. There is a very large rear garden, with generous patio space with tables and chairs. There has been some improvement in maintaining the garden, including laying a new path, and the manager has ideas about further improvement. The manager was told to speak to the council, who collect clinical waste, and ask them for a better storage container. Staff carry out some redecoration, such as recently repainting the kitchen. Contractors are due to decorate the stairway and hall in No 22, and fit a new carpet. All residents have keys to their bedrooms. Despite there being a set of house rules agreed at meetings, going into the bedrooms of others uninvited is the one area a number of residents said was their main complaint. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32 33, 34, 35 and 36. All the signs are that a stable staff team has been re-established following a difficult period last year. All permanent staff are new to this home, and they say there is a shared enthusiasm to make sure residents are well supported, and appreciate the leadership provided by the manager and new deputy. EVIDENCE: At last year’s announced inspection there were only two permanent support workers left on the rota, one of whom was part-time, and the other was due to start maternity leave. Nine months on the picture is very different. Although two staff were still away on maternity leave, all staff were permanent or longstanding agency workers. Verbal and written comments made by relatives, the manager and deputy, support workers, and the visiting advocate all confirmed that good stability and unity had been restored. The manager and staff expressed mutual appreciation, with lots of positive references to the new deputy who started in April. The staff team is made up of – manager (17.5 hours); deputy (currently 30 hours); 3 f/t, and 3 p/t support worker posts, plus 30 additional shift hours (total = 215 hours, excluding the manager and deputy’s time), and a further 10 hours for community support activities. The manager said that this means that there are eighteen additional care hours since last year. Six residents Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 19 attend centres at least three days a week that does not require support from the home’s team. Normal cover is two people on each of the early and late shifts, and one person on sleep-in duty. The extra eighteen hours is being used to have a third person on for the busy part of the morning three days a week. Some of these hours may be used to have a part-time cleaner. The inspector looked at a number of staff files to check on vetting. These contained completed application forms; two written references; a photo; copies of passports; medical forms; and statements of terms and conditions. The organisation are registered body with the CRB and have received enhanced level checks on all staff at this home. Copies of the organisation’s Recruitment and Equal Opportunities Policies are available. Outlook Care has a good record on training and staff said there is a positive approach to encouraging skills development. The inspector looked at the overall training matrix and individual training profiles. This includes core topics such as infection control; first aid; health and safety; protection and alleged abuse; food hygiene; fire safety; manual handling; and the ‘person centred planning’ approach’. In their meeting with the inspector, staff made positive comments about their employer’s record on skills and knowledge development. When asked about specific issues such as adult protection and safe working practices staff gave an informed response. They confirmed that regular supervision and staff meetings now take place. One person said – “[The manager and deputy] are open to ideas and we can speak up here. We are consulted and there is an open approach.” The overall number of staff with an NVQ qualification has fallen due to the change in staff, but starting on such schemes has been discussed with the new staff. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42. The manager was able to show the inspector all the paperwork he asked to see covering safety arrangements. This shows a thorough approach to making sure the house is safe for residents. EVIDENCE: Documents were available covering in-house and consultant fire checks and drills; fire equipment maintenance; gas, electricity and water certificates; general health and safety checks; and risk assessments. Managers were due to attend a session introducing improved risk assessment forms. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 21 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park End Road Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 22 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 Regulation Requirement No requirenents set at this visit. Timescale for action 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. 2. Refer to Standard 16 28 Good Practice Recommendations Continue to talk with residents about ways of ensuring privacy is maintained by persuading people not to go into the bedrooms of others. Prepare a proposal to increase communal space by adding a consevatory, and possibly a utility room. Discuss this with the council. Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ferguson House 113 Cranbrook Road Ilford Essex IG1 4PU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park End Road G55_S0000027869_Park End Rd_V232993_190705_Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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