Inspection on 20/09/07 for Park House

This inspection was carried out on 20th September 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park House 16/06/06

Park House 25/10/05

Park House 06/07/05

Park House 10/03/05

Park House 15/07/04

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 House 157 Park Lane Hornchurch Essex RM11 1EH Lead Inspector Jackie Date Key Unannounced Inspection 20 September to 1st October 2007 12:45p th Park House DS0000027870.V351475.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 Park House DS0000027870.V351475.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. Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Address 157 Park Lane Hornchurch Essex RM11 1EH 01708 707370 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) jinder.prior@ntlworld.com Mr Michael Joseph Prior Mrs Harjinder Kaur Prior Mrs Harjinder Kaur Prior Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th June 2006 Brief Description of the Service: Park House is a semi-detached property in a residential area of Hornchurch. Residents (all female) are accommodated in 5 single bedrooms. The home is not suitable for anyone with a physical disability, although there is one bedroom and a bathroom on the ground floor. Therefore a resident with some mobility problems could be accommodated. The home is close to local shops and amenities. Romford market town is in walking distance of the home and there are good links with local buses and train services. There are two parking spaces at the side of the home in front of the garage. There are no restrictions about parking in the road in front of the home and in the road to the side of the home. Some residents access day services, others are supported in community based activities by the staff team. The scale of charges per week for each resident range from £799.23 to £906.66 per week. The manager/proprietor provided this information shortly after the visit. Information about the service provided is contained in the service users guide Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 12:45pm. It took place over 5 hours. A second shorter announced visit was made on 1st October. The purpose of this was to meet the manager and to examine some documentation that was not available at the time of the first visit. This was a key inspection and all of the key inspection standards were tested. Staff were asked about the care that residents receive, and were also observed carrying out their duties. Where possible, residents were asked to give their views on the service and their experience of living in the home. All of the shared areas and the bedrooms were seen. Staff, care and other records were checked. The last key inspection was in June 2006. In March 2007 a shorter random unannounced inspection was carried out. This was to assess the progress made by the home and to monitor the actions taken to address the requirements made. Where appropriate, references are made about these inspections in relevant sections of this report. Relatives, social workers and healthcare professionals were contacted and asked for their opinions of the service. At the time of writing this report feedback had been received from 2 relatives. Any feedback subsequently received will be taken into account for future inspections. Keyworkers supported all of the residents to complete feedback forms and feedback forms were received from 6 staff. Services are now required to complete an AQAA (Annual Quality Assurance Assessment) and the completed form was received on 20th August 2007. Information provided in this document also formed part of the overall inspection. The inspector would like to thank the residents and staff for their input during the inspection. What the service does well: There is a fairly stable staff team and therefore residents are supported by staff that they know and who know them well. Residents can and do choose what they want to do and where they go. There is a very relaxed atmosphere and staff and residents appear to get on well. Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 6 A relative said “we are satisfied with the care our daughter gets. We now have a lot of peace of mind. She seems settled and happy.” Another relative said “ she is quite happy there, the staff seem nice and she is well cared for.” A resident said “the staff look after me well.” Another resident said “the staff are nice, I like living here.” What has improved since the last inspection? What they could do better: There are 4 requirements from this inspection. They relate to medication, the shower room and availability of records and other paperwork. For accountability, the person making the entry must sign hand written entries on medication records. Guidance is needed so that staff are aware of the action they need to take if a medication error is made. The shower room needs refurbishment to make it suitable for residents to use. All records and paperwork needs to be readily available at the home not only for inspection but also so that staff have access to the information that they need to safely meet residents’ needs. It is suggested that the manager uses the Key Lines of Regulatory Assessment (KLORA) to assist the staff team to identify areas for further development of the service. Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park House DS0000027870.V351475.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 Park House DS0000027870.V351475.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, 3, 4 & 5. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Appropriate information would be gathered on a prospective resident prior to their moving into the home and this would give staff a picture of the individual’s needs and how to meet these. Prospective residents and their relatives can spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home, within their capacity to do so. Residents have contracts/statement of terms and conditions and therefore have information about the service that they are entitled to. EVIDENCE: At the time of the random inspection the Statement of Purpose and Service Users Guide had been updated as required at the last key inspection. It is recommended that the guide be simplified and made user friendly to assist residents to understand it. There have been no vacancies at the home for some time. However the home has an admission policy and prospective residents are encouraged to visit the Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 10 home prior to admission (this may be a visit and a meal or an overnight stay dependent on the person involved). This is to get to know the residents who already live there and to see what it is like living at Park House. Prior to admission the home receives an assessment by the placing authority and then the proprietor/manager will carry out their own assessment of the needs of the person to ensure that the home can meet their needs. A review will be carried out after 6 weeks to give everyone an opportunity to see how the placement is going. All residents have contracts completed by the placing authorities and therefore residents have detailed information about the service that they are entitled to. Park House DS0000027870.V351475.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, 8 & 9. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Residents’ care plans and risk assessments contain sufficient information to enable staff to safely meet their needs. Residents are consulted about what happens in the home as far as they are able. EVIDENCE: All of the residents have plans which give details of how they need/like to be supported. A selection of care plans were examined during the visit and the information contained in them was detailed and relevant. They also indicate strengths and priorities and what individuals like and dislike. For example one resident likes knitting and jigsaw puzzles. Care plans seen were up to date and demonstrated that staff know the residents well. At the time of the random inspection the proprietor/manager said that the Local Authority were not up to date with their reviews and was advised that she should organise reviews and that these should take place even if the placing authority could not attend. Since that inspection 4 residents have had reviews and the other Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 12 two should be held in the near future. Residents have signed their care plans and confirmed that they had been involved in developing these and also in their review meetings. Daily recordings are made about what each person has done and support that they have been given. Therefore there is information about each individual, which can be used as part of the review process and to identify ongoing and changing needs. There are risk assessments in place. These identify risks for the residents and staff and indicate ways in which the risks can be reduced to enable the residents’ needs to be met as safely as possible. Risk assessments are relevant to individual needs. Risk assessments have been reviewed and are up to date. Therefore staff have up-to-date information about risks to residents and how to minimise them. This will help to keep residents safe. Residents can and do make decisions about what they do and what happens in their lives. At the random inspection the manager/proprietor explained that the residents do not like to sit down to a “formal” meeting and that this had not worked. This was discussed and it was agreed that the meetings do not need to be “formal” and that the informal “chats” with residents to get their views are acceptable but that in future a record would be kept of this. These records show that residents are consulted about a variety of things including the menu, activities and what celebrations they would like. Park House DS0000027870.V351475.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): 11, 12, 13, 14, 15, 16 & 17. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. The residents are encouraged to take part in activities, to be part of the local community and to be as independent as possible. Residents can and do express their opinions about what is happening in the home and in their lives. Residents are supported to keep in contact with their relatives and relatives are welcomed at the home. Residents are given meals that meet their needs and individual preferences. EVIDENCE: Residents undertake educational and supported work projects. This includes college and day services. A resident has been going to a supported work Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 14 project 4 days a week. Activities take place and residents attend a local Church on a Sunday. One resident said that she was a Roman Catholic and that she liked to pray and to go to church. Local clubs are used which take place on Monday, Wednesday and Saturday. Residents also go to places of interest and like to go out for meals. They use local facilities. They usually have an annual holiday and this has often been abroad. One relative said, “she goes on holiday and to clubs and is settled there.” All of the residents participate in household chores and help with the cooking and shopping and are encouraged to be as independent as possible. There was a very relaxed atmosphere at the home and the residents were observed to spend time sitting in the garden chatting and laughing with staff and having a drink. One resident said “the staff are nice, I like living here.” Relatives also confirmed that staff were nice. A member of staff said “there is a family atmosphere here.” Links with families and friends are encouraged and there are no restrictions placed on visiting times. Two of the residents go home to visit their relatives. No relatives were visiting at the time of the inspection but two relatives were spoken to after the visit. Meals and meal times are generally arranged around the daily activities that are taking place. The main evening meal is when all residents and staff sit down together. Menus are generally kept to unless residents make requests for something different. A record is kept of the food that is offered to residents and of what they choose. One of the residents said that the food was good. During the course of the visit residents were observed to make their own drinks. All of the residents are able to indicate what they would like to eat and at lunch time the two residents that were at home chose different things for lunch. One resident has an eating disorder and the staff on duty were observed to quietly and patiently encourage her to eat. None of the residents have any specific dietary requirements in relation to their religious or cultural needs. Park House DS0000027870.V351475.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. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Residents receive personal care that meets their individual needs and preferences and the staff team support them to get the healthcare that they need. Residents’ prescribed medication is appropriately administered and some changes to record keeping will make this more robust. EVIDENCE: The residents require differing amounts of support with their personal care and details of the help that they need and how they prefer to be supported are in their individual plans. All of the residents are female and personal care is always provided by female staff. During the afternoon of the visit a male staff was on duty. He said that he mainly worked at the ‘sister’ home, Sycamores, but did one afternoon shift a week at Park House. He was quite clear that he did not assist with personal care and said that all of the ladies got themselves ready for bed. A relative said that his daughter was always clean and tidy and Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 16 appropriately dressed. Residents receive personal care that meets their needs and preferences. All of the residents go to the local doctor and specialist help is received when needed. Staff take residents to all of their medical appointments. Residents’ files have details of health care issues and show that residents have regular access to health care professionals. Records are kept of medical appointments and these show that residents have checks from the optician, dentist and when needed the chiropodist. One resident has an eating disorder, her weight is monitored and she is encouraged and supported to eat and to take food supplements. Therefore residents’ health care needs are being met. None of the residents are able to self medicate and medication is administered by staff that have been trained and deemed capable to do this. Medication is stored in an appropriate lockable cabinet attached to the wall in the kitchen area. Since the last key inspection the system for the storage and administration of medication has changed and therefore there are no longer stock items stored at the home. The medication folder contains details about each resident and the medication that they take. Some residents receive PRN (as required) medication and protocols/guidelines have been developed for these to ensure that all staff know when to give this medication and for what purpose. The manager/proprietor said that there had been some problems/issues with the company that had been providing the medication. She has therefore decided to change to a new company as she feels that their system will be more suitable and robust. The new company will be providing staff training and this is due to happen in the next few weeks. Examination of the MAR (Medication Administration Record) found that there were some handwritten entries. For accountability hand written entries on MAR charts must be signed and dated by the person making the entry. The entry must also include the source of the information. e.g. GP, registered nurse. Also required is guidance on the action to be taken in an event of an error occurring when administering medication. This will ensure that the correct action is taken should this situation arise. Overall, residents’ medication is satisfactorily administered and addressing these requirements will make this more robust. Park House DS0000027870.V351475.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. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. There is a complaints procedure that would be followed in the event of any complaints being made. All staff have received adult protection training to ensure that they are clear about what constitutes abuse and what to do if abuse is seen or suspected. This gives residents a greater protection from abuse. Residents’ finances are satisfactorily managed. EVIDENCE: The home has policies and procedures for dealing with complaints and this is displayed in the home. It also holds the Havering Complaints procedure and the ‘No Secrets’ document. All of the residents would be able to say if they were not happy about anything and said that they would ‘tell Jinder’. There were not any recorded complaints. The Commission has not received any complaints or concerns about the service since the last inspection The proprietor/manager is appointee for two of the residents and another two look after their own finances with some support. A random selection of residents’ finances was checked and cash amounts held agreed with records. Receipts were on file. Residents’ monies are securely stored. Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 18 Staff have received protection of vulnerable adults and challenging behaviour training as required by previous inspections. They are aware of what constitutes possible abuse and of the action that needs to be taken. This offers more protection to residents. Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 19 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, 25, 26, 27, 28, 29 & 30. People using the service experience adequate quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. The residents live in a home that is suitable for their needs and planned improvements to the bathroom and shower room will improve the environment and facilities available. EVIDENCE: Park House is a home for 5 adults with learning disabilities situated in Hornchurch, Essex. It is an end of terrace house with an enclosed garden to the rear. There is large through lounge, a kitchen /dining area, a bathroom and one bedroom on the ground floor. Upstairs there are 4 further bedrooms, a shower room and a laundry room. The house is situated near to local bus routes and is conveniently situated for access to Romford town centre where there are shops, cinemas and other amenities. All bedrooms are suitable for the needs of the residents. The rooms were very individual and were filled with ornaments and other personal possessions. One Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 20 resident knits and had made some cushion covers and other things for her room. She said that she was making her room look nice. None of the residents require any specialist adaptations. At the time of the last key inspection there were some requirements with regard to the shower room and the bathroom. Some work was carried out on the bathroom but the proprietors have now decided that they will completely refurbish this bathroom and were in the process of getting quotes for the work. They hope that the work will be carried out in the near future. Therefore the requirement with regard to tiling the bathroom has been removed. They also said that once this has been done they will look at the refurbishment of the upstairs shower room. Therefore the timescale for completion of these works has been extended. The remainder of the house was well maintained. The garden was well maintained with garden furniture available. During the course of the visits residents were observed to sit in the garden chatting to staff. At the time of the visit the home appeared to be clean and was free from offensive odours. A relative said that the home was always clean and tidy. Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, & 36. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. Staffing levels are sufficient, and staff receive the necessary training, supervision and support, in order to meet residents’ current needs and provide an appropriate service for them. Staff are properly recruited and the necessary checks carried out. This helps to protect residents and keep them safe. EVIDENCE: There are two staff on duty during the daytime shifts and one waking staff on duty at night. In case of emergency staff can get support from the manager/proprietor or from the sister home. Feedback from residents and their relatives was that the staff are nice. Staffing levels are sufficient to meet residents’ needs. The home has a recruitment and selection policy and procedure. Several of the staff employed are now long standing and offer continuity of care to residents. Files of staff that have been employed for a longer period show that Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 22 some started work before the necessary checks were received. This issue was raised at a previous inspection and the manager/proprietor said that this was no longer the case. The file of the newest member of staff contained the necessary documentation and evidence that the necessary checks had been carried out. The member of staff commenced employment after their CRB (Criminal Records Bureau) check and references had been received. The manager/proprietor therefore now operates a satisfactory recruitment procedure to help to safeguard residents. It was a requirement at the last key inspection that basic first aid, challenging behaviour and POVA (Protection of Vulnerable Adults) training take place. This has happened. Of the current staff team (14) 9 staff hold NVQ level 2 or above qualifications. From talking to staff and examining records staff do receive appropriate training to meet residents’ needs. Staff also said that they receive supervision from the manager/proprietor. Staff meetings are held periodically. The proprietor spends her time between the two homes and staff will often work at both of the homes. Staff feedback was that communication is good. Staff get the support that they need to carry out their duties. Park House DS0000027870.V351475.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, 38, 39, 41 & 42. People using the service experience good quality outcomes in this area. We have made the judgement using a range of evidence including a visit to this service. The home is satisfactorily managed and provides a safe environment for the residents. EVIDENCE: The manager/proprietor has completed NVQ level 4 and is suitably qualified. She has extensive experience of running service for people with learning disabilities. She is registered to manage both of the homes that she is proprietor to and spends her time between the two services. The staff are aware of the lines of accountability within the home and were clear about their roles and responsibilities for the day. Feedback from staff was that there were good relationships between residents, staff and the manager. Both relatives spoken to said that they were satisfied with the standards of care and one said Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 24 that the family had ‘a lot of peace of mind’ as a result of their daughter being settled in the home. The manager monitors the quality of the service provided. She has devised quality assurance forms but has not sent these out yet. The manager/proprietor was reminded that she does need to do this. This will be monitored during the course of future inspections. However there was evidence that she regularly seeks the views of the residents. In addition she carries out regular spot-checks at the home both during the day and at night. Most of the necessary health & safety checks are carried out regularly For example fire call points are tested weekly. However hot water temperatures were not being checked. This was discussed and at the time of the second visit a thermometer had been purchased and temperatures checked. Therefore a requirement has not been made and this will be monitored during future inspections. Appropriate servicing is carried out on the fire system and fire equipment. A fire drill was held in April 2007 but according to records the one previous to that was in 2005. The manager/proprietor said that other drills had been held but appeared not to have been recorded. At the time of the second visit another fire drill had taken place and a new fire drill book had been started. Therefore a requirement has not been made and this will be monitored during future inspections. Appropriate service and checks are also carried out on equipment and services. For example gas safety and portable appliance testing. A safe environment is provided for the residents Although all of the required paperwork was eventually available for inspection it was not always readily available and some information was brought from the sister home. This was discussed and the manager/proprietor was advised that she must put systems in place to ensure that all of the necessary records and paperwork was available at the home. This is not only to be available for inspection but also to ensure that staff have access to all of the information that they require to carry out their duties. Park House DS0000027870.V351475.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 3 2 3 3 3 4 3 5 3 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 3 26 3 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X 2 3 X Park House DS0000027870.V351475.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 YA20 Regulation 13 Requirement Timescale for action 30/11/07 2. YA20 13 3. YA27 23 4. YA41 17 For accountability hand written entries on MAR charts must be signed and dated by the person making the entry. The entry must also include the source of the information. e.g. GP, registered nurse. Guidance on the action to be 30/11/07 taken in an event of an error occurring when administering medication must be developed to ensure that the correct action is taken should an error occur.. The upstairs shower room needs 31/03/08 refurbishment. (Previous timescales of 30/09/06 & 30/07/07 not met). All of the necessary records and 31/12/07 paperwork must be available at the home. Park House DS0000027870.V351475.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 YA1 Good Practice Recommendations It is recommended that the Service User Guide be simplified and made into a more user-friendly version to help residents to understand it. Park House DS0000027870.V351475.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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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