Inspection on 16/05/06 for Park View (Streatham)

This inspection was carried out on 16th May 2006.

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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park View (Streatham) 22/08/07

Park View (Streatham) 03/11/05

Park View (Streatham) 19/05/05

Park View (Streatham) 13/01/05

Park View (Streatham) 13/10/04

Park View (Streatham) 11/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Park View (Streatham) 17 Streatham Common South Streatham London SW16 3BU Lead Inspector Sonia McKay Unannounced Inspection 16th May 2006 08:30 Park View (Streatham) DS0000022747.V295502.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 View (Streatham) DS0000022747.V295502.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 View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View (Streatham) Address 17 Streatham Common South Streatham London SW16 3BU 0208-679-2364 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) crownwise@yahoo.com Crown Wise Limited Mr Allen Amuaku Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (0) Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three named persons over the age of 65 years of age. This condition will apply until the named persons leave the home. 3rd November 2005 Date of last inspection Brief Description of the Service: Parkview is a private residential home for seventeen adults with mental health needs. It is one of three homes in the locality owned by the same proprietor. The large detached home is in a residential street overlooking Streatham Common, within walking distance of transport links, shops and leisure facilities. The majority of service users have been at the home for many years and the home aims to provide them with the various degrees of support. Where appropriate, the home also helps to prepare service users for independent living. Prospective service users are provided with an information pack about the home that includes a copy of the Service Users Guide and Statement of Purpose. The CSCI inspection report is available on request at the home and a copy is available in the communal lounge. Fees range between £270.00 per week and £1219.31 per week and vary in accordance with the level of support required for an individual. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out in ten hours over one day. It involved talking with seven of the service users, the registered provider, the registered manager, the deputy manager, the director of care and two members of the staff team. Records relating to care, support and health and the safety of the premises were examined and there was a tour of the building. Health professionals involved in the care of some of the service users were contacted by telephone for feedback about the ability of the staff team to work with other professionals. The registered manager also provided information in a pre-inspection questionnaire. What the service does well: What has improved since the last inspection? Written information about the ways that service users like to be supported is much more detailed and the records that staff keep about healthcare appointments has also improved. Service users are consulted more often about how the home runs and what they think about activities, staff and meals. Staff now have the input of a professional speech and language therapist to assist them to develop tools to communicate with a service user who is nonverbal. There are more staff with a vocational qualification in care and all staff are now trained in first aid. There is also time for staff to discuss important issues with staff coming on duty for the next shift. Areas of the home have been redecorated and there is continued improvement of the garden areas. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 6 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 View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Quality in this outcome area is poor. This judgement is made using the available evidence including a visit to this service. There is insufficient evidence that the needs of prospective service users are adequately assessed prior to admission and the registered provider is in breach of the conditions of registration of the home as a result of a recent admission. EVIDENCE: Prospective service users have an opportunity to visit the home and test drive the service before moving in. There are several visits to the home and a chance to have a meal with other service users and staff. A service user has been admitted to the home without adequate assessment of needs or risks. There is no clear risk management plan and there is no care plan available. The registered provider did not obtain sufficient information from the placing health team prior to offering the service user a trial placement in the home. This is unsafe. An immediate requirement was issued on the day of the inspection. The registered manager and the director of care contacted the placing health team to develop a risk management/contingency plan on the day of the inspection. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 9 The registered provider sent a copy of the homes own care plan to the CSCI the day after the inspection and copies of care programme approach (CPA) meeting minutes will be obtained at the next CPA meeting. (See requirements 1 & 2) During the previous inspection it was noted that a service user had been admitted who was over the age of 65. The home was not registered to accommodate the person and the placement was provided without appropriate assessment and without the agreement of the placing authority. The registered provider subsequently applied for, and was granted, a minor variation to accommodate this individual in March 2006. The home is currently registered to accommodate three named individuals over the age of 65. The service user admitted recently is 66 years old. This admission is a further breach of the conditions of registration. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is adequate. This judgement is made using the available evidence including a visit to this service. The assessed and changing needs of service users and their personal goals are reflected in their individual plans. Service users are able to make decisions about their lives but would benefit from information about and contact with local advocacy groups. More must be done to support service users to take risks as part of developing a more independent lifestyle and staff must have adequate information about any new service user admitted to the home. EVIDENCE: Each service user has an allocated key worker, responsible for meeting with the service user on a regular basis and updating the care plan. Care plans are reviewed regularly and are in accordance with decisions made in the care programme approach (CPA) meetings also held for the majority of service users. Failure to ensure that the care plan for a recently admitted service user was available to staff means that staff had no information on the service users Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 11 support needs. The registered provider took swift action to meet the immediate requirement and the detailed care plan is now in place. (See requirement 1) Some service users need considerable support with communication. There is progress in providing staff with sufficient written information about these issues as a result of input from a speech and language therapist. Staff respect service users rights to make decisions, and that right is limited only through the assessment process, involving the service user and as recorded in the individual service user plan. Service users choose when to get up and went to go to bed and how to spend their time. They are involved in making decisions about daily menus, activities and house issues. None of the service users are involved in local independent advocacy/self advocacy groups. It is recommended that information about these resources and support to contact them be made available to service users if they wish. (See recommendation 1) The registered provider is the state benefit appointee for six of the service users. Ten of the service users are able to manage their own finances and staff support service users with a budgeting and to keep their money safe. A spot check of money held in safekeeping showed that detailed and accurate records are maintained. The provider sends each service user a questionnaire every month. This consultation relates to a wide range of user satisfaction topics and provides service users with an opportunity to inform decisions about activities provided and ways in which service users can be involved in the running of the home. The issues raised in the questionnaires and the results of the prior questionnaires are also discussed in house meetings. As a result of these consultations, service users have decided that they do not want student nurses to be offered training placements in the home. This decision has been honoured. Alternatives to spicy chicken dinners are now provided and the home is no longer used for communal social gatherings for service users from other homes also owned by the registered provider. The registered provider has introduced new formats for the assessment of risk. Each service user has detailed risk assessments that reflect the risks identified in care needs assessments and CPA review notes. Risk assessments are reviewed along with care plans or when new risks are identified. Failure to adequately risk assess potential challenging behaviour during a recent resettlement placed the service users and staff in danger. The registered provider took swift action to meet the immediate requirement and a detailed risk management plan is now in place. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 12 (See requirement 1) There is a need for a general risk assessment audit tool that will enable staff to make assessments and then safely develop programmes for increasing independence (for example, using kitchen equipment and self-medication). This will enable rehabilitation. (See recommendation 2) Missing persons procedures are in place and the home responds promptly to unexplained absences by service users. Park View (Streatham) DS0000022747.V295502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is adequate. This judgement is made using the available evidence including a visit to this service. Service users are able to take part in a range of activities but opportunities for skills development should be better promoted and supported by staff. Service users are offered a healthy diet and their privacy is respected. EVIDENCE: Service users maintain their relationships and friendships themselves. Family and friends are welcomed, and with the service users agreement are involved in meetings and activities. Service users choose whom they see and can see visitors in the privacy of their bedrooms (although, as two of the bedrooms are shared bedrooms this reduces the opportunity for privacy). (See recommendation 5) A range of the recreational activities is available and has increased since the last inspection. A range of leisure activities, including art classes, social Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 14 evenings and day trips to the seaside are available. There is a vehicle available to take staff and service users out during the daytime and evening. Recent trips include Dulwich Park, Richmond Park, bowling and the London Eye. However, annual holidays are not part of the package of care provided by the home. The registered provider and home manager are in discussion with placing authorities about this, as there are funding implications. (See recommendation 3) Some service users are involved in employment and college courses. Service users have an opportunity to attend a social gathering each week in the home, and the home manager has purchased a movie projector and screen for regular movie nights. A service user said that he enjoyed the activities. Service users have individual choice and freedom of movement, subject to restrictions agreed in the individual plan. A service user confirmed that staff always knock his bedroom door before entering and he receives his post unopened. Times for getting up and going to bed are not fixed. Service users are offered a key to the front door and to their own bedroom and all bedrooms and bathrooms can be locked from the inside. Staff were observed to talk to and interact with service users, although service users can choose to be alone if they wish. Records are kept of all main meals served in the home. Meals are prepared by a cook and served in the communal dining room at reasonably set times, although service users wishing to have a meal later can do so. A reasonably varied range of meals is provided, including culturally appropriate meal options. All service users spoken with said that the meals are good. The bulk of the food provisions are stored in a locked pantry in the basement. Provisions available include fresh produce and food is stored hygienically. Fresh fruit and snack items are stored in the kitchen and service users request them of staff. There are facilities for making hot drinks in the communal dining room. Although each service user has an individual daily programme of household activity and community participation, there is a need for staff to support and encourage increased service user participation in the areas of menu planning, budgeting, cooking and shopping. This will enable service users to develop their independent living skills and confidence. (See recommendation 4) Park View (Streatham) DS0000022747.V295502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is adequate. This judgement is made using the available evidence including a visit to this service. Service users receive personal support in the way they prefer and require and their physical and emotional needs are met. The homes policies for dealing with medicines provide service users with protection although staff have failed to record the use of prescribed creams. EVIDENCE: Service users are able to get up and go to bed at times of their own choosing. They have their own clothes and their appearances reflect their personality. Twelve of the service users are male and five are female and the supporting staff team is comprised of both males and females. Five of the service users require assistance with their personal care. The nature of the assistance required is now adequately documented in individual care plans (as required in the previous inspection report). Service users were enjoying a weekly manicure/pedicure and beauty session and were very pleased with the results. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 16 Records of health care have improved since the last inspection. Each service user has a brief written account of the health-care appointments they have attended and of any medical advise or treatment provided. The records of health-care appointments attended indicates that service users have access to an appropriate range of health care in keeping with their individual health needs. If a service user refuses to attend a healthcare appointment appropriate records are kept and staff advise the multidisciplinary teams involved. These issues can then be discussed with the service user to ensure that they are making an informed decision. A health professional from the community mental health team said that home staff are communicating with the team on a regular basis. Accidents are recorded in an accident book that is in accordance with Data Protection legislation. Medication is stored in a secure medicine cabinet in the office and is administered by staff. Medication policy and procedures are in place and are adequate. Staff training includes the safe administration of medicines. Medicines are supplied by a local pharmacy in blister packs. The supplying pharmacist inspected the handling of medication in January 2006 and the report of this inspection indicates that medications are being handled properly. Medication administration records are kept appropriately, other than a failure to record the use of topical products, which are stored in one of the service users bedrooms. (See requirement 3) Park View (Streatham) DS0000022747.V295502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement is made using the available evidence including a visit to this service. Service users feel their views are listened to and acted on and they are protected from abuse. EVIDENCE: There is a complaints procedure, which includes timescales for investigation and feedback. The complaints procedure is given to service users in their service users guide and includes contact information for the CSCI. The record of complaints shows that three complaints have been made since the last inspection. One service user complained about his medication, a medication review was arranged and two service users complained about the behaviour of other service users. The actions taken and the outcomes are recorded as required. Three service users said that they felt confidant to make a complaint. Procedures are in place for responding to suspicion or evidence of abuse or neglect (including whistle-blowing) and for referring staff that may be unsuitable to work with vulnerable adults for inclusion on the protection of vulnerable adults register. Staff demonstrate an understanding of the occasional verbal aggression by service users and deal with it appropriately. Physical intervention is not used. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 18 The homes policies and practices regarding service users money and financial affairs ensure their protection from financial abuse. Staff have received training in the protection of vulnerable adults and the recently appointed director of care regularly poses situational scenarios to staff to identify further training needs. Park View (Streatham) DS0000022747.V295502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 Quality in this outcome area is good. This judgement is made using the available evidence including a visit to this service. Service users live in a clean, comfortable and safe environment with sufficient communal space and toilets and bathrooms that provide sufficient privacy. Use of two shared bedrooms should be phased out. EVIDENCE: The home is clean, well furnished and decorated. There is a ground floor communal dining room that is also used for social activities. There are two communal lounges, both with roof terraces. One lounge is a dedicated no smoking area. There are front and back garden paved areas with shrub planting, hanging baskets and seating. The home manager said that the programme of cyclical redecoration is ongoing. There is good access to local amenities, services and transport links. The home overlooks Streatham common. Service users said that they enjoy the close access to this open space in good weather. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 20 There are 13 single bedrooms and two double bedrooms. (See recommendation 5) Service users said that they were satisfied with their bedroom accommodation. Eight bedrooms have en-suite facilities. There are twelve shower facilities, two bathrooms, and fifteen toilets. There is a communal laundry in the basement. Although there are four bedrooms situated on the ground floor the home is not suitable for service users with a physical mobility need as the only accessible communal area is the ground floor dining room. A service user said, The transport links are very good from here, trains or buses run locally. Park View (Streatham) DS0000022747.V295502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36. Quality in this outcome area is adequate. This judgement is made using the available evidence including a visit to this service. Service users benefit from clarity of staff roles and they are being supported by an increasing number of qualified staff. Staff numbers are adequate. Recruitment procedures are not followed properly and this does not provide service user with adequate protection. Staff are appropriately supervised. A staff-training programme for 2006 and 2007 is being developed and must be supplied to the CSCI. EVIDENCE: Roles and responsibilities are clearly defined in job descriptions for support staff. Staff are able to get to know and develop relationships with the service users as there is a core team of seventeen care staff (excluding the manager). There are six full time staff, eleven part-time staff, two cooks and a driver. An adequate number of staff are on duty in the home. Excluding the manager there are: Two staff are on duty between 8 am and 12 pm. Four staff are duty between 12 pm and 4 pm. Two staff are on duty between 4 pm and 8 pm. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 22 One member of staff is asleep on premises at night and another member of staff is on night waking duty. One service has additional one to one support for eleven hours per day. Two members of staff also provide support for activities in the community (one driver and one support worker) The managers provide out of hours on-call emergency cover and advice. Five members of staff have obtained a national vocational qualification (NVQ) at level 3. Two members of staff have obtained an NVQ 2 and two staff are currently undertaking the course. (See requirement 4) Staff duty rosters show the registered provider has introduced sufficient time for staff on one shift to verbally hand over information to staff coming on duty on the next shift. Staff recruitment records examined are incomplete in some cases (second references for one person could not be located) although all staff have an enhanced criminal records bureau check in place. (See requirement 5) Three service users have recently assisted with staff recruitment by helping to devise interview questions. The recently appointed Director of Care is undertaking a staff training needs analysis. The resulting staff-training programme must be supplied to the CSCI as required in previous inspection reports. (See requirement 6) Training in the safe handling of medication, health and safety, manual handling, the protection of vulnerable adults and diabetes has been provided since the last inspection visit and training in equality and diversity is scheduled. The registered manager has supervision meetings with each member of staff on a regular basis and staff team meetings are held regularly. A service user said, There are no problems with the staff, they knock on the door before they come into my room. Another said, Staff are very good, I am quite happy here. All staff have recently completed a first aid training course (as required in the previous inspection report). Park View (Streatham) DS0000022747.V295502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, & 42. Quality in this outcome area is adequate. This judgement is made using the available evidence including a visit to this service. The home manager is experienced but must obtain a relevant care and management qualification. A quality assurance system is being developed and progress has been made with service user consultation since the previous inspection. Record keeping must be improved. EVIDENCE: The registered manager has a medical qualification and is competent and experienced. He has not completed a care or management qualification. (See requirement 7) A deputy manager assists the home manager and has taken over a number of key management areas. The deputy manager is experienced and works in a full-time capacity. She has obtained an NVQ level 3 and intends to complete an NVQ level 4 and RMA (Registered Managers Award). Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 24 The registered provider has a development plan for 2005 2006 in place. The plan reviews the achievements of the past year and sets targets for this year. Targets include: • Service user empowerment • Enhancing staff understanding of mental health needs and better training • Health and Safety improvement • A review of documentation in use • Refurbishment of the physical environment There are quality-monitoring systems in place that are based on seeking the views of service users and regular visits by the registered provider. The results of service user surveys are published and made available to service users. The views of other stakeholders (for example health professionals, families and advocates) in regard to how the home is achieving goals for service users are not sought. (See recommendation 6) Policies and procedures are reviewed regularly and up-to-date copies of current procedures and codes of practice are available in the home. Appropriate records are kept and confidential information is stored securely in the staff office. Policies and procedures are reviewed regularly and up-to-date copies of current procedures and codes of practice are available in the home. Confidential information is stored securely in the staff office and although records are well organised a number of requirements are made in this report in regard to retaining appropriate records (See requirements 1, 2, 3 & 5). Health and safety records available include: • Annual small electrical appliances safety test certificate (November 2005) • Electrical fixed wiring certificate, valid for three years (October 2004) • Annual gas appliance safety test certificate (February 2006) • L.F.E.P.A (Fire Authority) satisfactory inspection report (February 2006) • Food Hygiene inspection report (April 2006) • Pharmacy inspection report (January 2006) • In-house health and safety checks that include hot water temperatures and fridge and freezer temperatures. • Fire evacuation drills records showing drills are held with the required frequency • Professional fire equipment tests were last carried out in March 2006. • Weekly tests of fire alarm call points Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 25 Records of incidents and accidents are kept appropriately and social workers, mental health professionals and the CSCI are notified as required. Employers Liability Insurance is in place and the certificate displayed in the staff office. The registration certificate is displayed in the office. Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 26 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 X 2 1 3 X 4 3 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 2 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 3 1 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 3 2 3 2 3 X Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 27 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 YA2 Regulation 12 14 15 Requirement Immediate requirement. The registered persons must ensure that the care home is conducted so as to make proper provision for the care and supervision of service users; care needs and risks must be adequately assessed and a service user care plan must be developed. With regard to a service user currently on trial placement, the registered persons must: • Develop a detailed risk management/contingency plan by 16/05/06 (Met) • Ensure that a written care plan is in place by 17/05/06 (Met) • Obtain a copy of the placing authority care plan and a copy of the most recent care programme approach (CPA) meeting minutes by 18/05/06 The registered person must ensure that new service users are admitted only on the basis of a full assessment undertaken by DS0000022747.V295502.R01.S.doc Timescale for action 18/05/06 2. YA2 14(1) 12 30/06/06 Park View (Streatham) Version 5.2 Page 28 3 YA20 13(2) 17Sch 3(3) 4. YA32 18(1) 5. YA34 19(4) 6. YA35 18(1) 7. YA37 10(3) people competent to do so, involving the prospective service user, using an appropriate communication method and with an independent advocate as appropriate. Previous timescale of 30/11/05 not met The registered persons must ensure that the administration of prescribed topical medications is recorded appropriately and that items are stored safely (creams and bath additives in a service users bedroom). The registered person must ensure that plans are in place to ensure that an appropriate number of care staff are working towards a Care N.V.Q at level 2 or 3. Previous timescale of 31/12/05 not met. The registered person must ensure that staff are not employed in the home before recruitment checks are completed. Previous timescale of 30/11/05 not met. A training and development plan formulated on conclusion of a training needs analysis of the staff team as a whole must be supplied to the CSCI Southwark office. The registered person must ensure that the registered home manager undertakes appropriate training in NVQ level 4 and the Registered Managers Award, or equivalent courses. 30/06/06 31/08/06 30/06/06 31/07/06 31/08/06 Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 29 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. 3. Refer to Standard YA7 YA9 YA14 Good Practice Recommendations The registered persons should assist service users to find out about and participate in local independent advocacy/self advocacy groups. The registered persons should develop a risk audit tool in relation to daily living skills and self-medication to enable rehabilitation. The registered person should ensure that service users have access to, and choose from a range of, appropriate leisure activities including an annual seven-day holiday. The registered persons should ensure that service users are supported and actively encouraged to develop their independent living skills, for example, shopping, cooking and budgeting. The registered person should ensure that service users who are currently sharing a bedroom are offered the option of a single bedroom when a room becomes available. The registered persons should seek the views of family, friends and health and social care professionals in regard to how the home is achieving goals for service users as part of the quality assurance programme. 4. YA17 YA11 5. YA25 6. YA39 Park View (Streatham) DS0000022747.V295502.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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. 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