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Inspection on 18/09/07 for Parkcare Homes (No 2) Ltd (Devonshire Road)

Also see our care home review for Parkcare Homes (No 2) Ltd (Devonshire Road) for more information

This inspection was carried out on 18th 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People`s care plans are up-to date and reflect their current and changing needs which ensures their needs can be met. The staff working in the home are good at supporting people to develop their independent living skills, which, increases their confidence and self-esteem. The process for ordering medication is more effectively managed, which protects people living in the home from potential abuse. The manager and staff actively encourage contact to be maintained between people and their family members, which benefits their emotional wellbeing. People living in the home enjoy good quality varied and wholesome meals, which they choose and this ensures their dietary needs, are met and benefits their health and wellbeing. The home is well maintained and comfortable which makes it a pleasant place for people to live. There is an effective complaints procedure in place which is in a pictorial form and accessible to all of the people that need to use it. Staff are adequately trained to meet people`s individual needs, which improves the quality of care provided.Health and safety is taken seriously and effective health and safety records are in place, which, ensures that the health and safety of people living and working in the home is not, compromised. A permanent experienced manager who provides professional leadership, which ensures that consistent professional practice is being followed by staff, manages the home. This ensures that people living in the home receive good quality care. The staff team are committed to the needs of the people living in the home and work effectively as a team especially in the absence of the deputy manager post being filled. Additional work is being undertaken by staff to ensure that the quality of care provided to people living in the home is not affected. Devonshire Road staff team have worked hard to meet all of the previous requirements made and are continuing to make positive progress.

What has improved since the last inspection?

Minutes from one identified person`s care planning - meeting had been obtained and the actions had been incorporated into the person`s care plan, which ensures that his changing needs were met whilst living at the home. Additional medication is no longer stored in the medication cabinet as any additional medication has been returned to the pharmacist, which ensures that professional practice is being followed. Staff are now undertaking their NVQ training which ensures they have the opportunity to develop their knowledge and skills which, improves the quality of care being provided to the people living in the home. Weekly fire bell tests are now taking place, which ensures that effective procedures are in place in the event of a fire - taking place, which minimises the risks to people living in the home if they have to evacuate the home as clear procedures are being followed. Materials are no longer left in the back garden or entrance to the home when home improvements have taken place, which means the health and safety of the people living and working in the home is not put at risk.

What the care home could do better:

The behaviour guidelines for one identified person whose behaviour has improved need to be update to ensure the guidelines give an up-to-date picture of their needs and ensure that staff can respond effectively and consistently to both positive and negative behaviours when required.

CARE HOME ADULTS 18-65 Parkcare Homes (No 2) Ltd (Devonshire Road) 43 Devonshire Road London N13 4QU Lead Inspector Wendy Heal Key Unannounced Inspection 18th September 2007 09:30 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.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 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.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. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkcare Homes (No 2) Ltd (Devonshire Road) Address 43 Devonshire Road London N13 4QU 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) 020 8882 4702 020 8882 4702 devonshire.road@craegmoor.co.uk Parkcare Homes (No2) Ltd Mr Brian Hughes Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th April 2006 Brief Description of the Service: Devonshire Road is a home for six young adults with a learning disability. The home was first registered in October 1991. Parkcare Homes Limited, which is a subsidiary of Craegmoor Healthcare Limited, manages the home. Whilst the home is registered for six young adults, one of the bedrooms could be shared but currently is occupied by one person. At the time of the inspection there were four people living at the home. The home is a terraced house located a short walk from the shops at Palmers Green. There is one bedroom on the ground floor and four bedrooms on the first floor. There is a bathroom and separate shower room on the first floor. There is a small garden at the rear of the house. The staff team consists of a manager; deputy manager, senior care staff and a team of care staff. The people living in the home access local community facilities and the home has a people carrier vehicle to support these activities. The homes fees range from eight hundred and sixty-seven pounds to one thousand one hundred and thirty nine pounds. The last inspection report is available in the office for people to view. The report is also available on the Commission for Social Care Inspection website. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place as part of the inspection programme. Compliance was checked against key standards and took approximately 7 hours. I undertook a tour of the building. I spoke with the people who live in the home and members of the staff team. I gathered further information by an inspection of the documentation kept in the home, including care plans and health and safety documentation. The manager and senior care staff offered their assistance throughout the period of the inspection. I would like to thank the people who live in the home and the manager and staff of the service for their openness and participation. What the service does well: People’s care plans are up-to date and reflect their current and changing needs which ensures their needs can be met. The staff working in the home are good at supporting people to develop their independent living skills, which, increases their confidence and self-esteem. The process for ordering medication is more effectively managed, which protects people living in the home from potential abuse. The manager and staff actively encourage contact to be maintained between people and their family members, which benefits their emotional wellbeing. People living in the home enjoy good quality varied and wholesome meals, which they choose and this ensures their dietary needs, are met and benefits their health and wellbeing. The home is well maintained and comfortable which makes it a pleasant place for people to live. There is an effective complaints procedure in place which is in a pictorial form and accessible to all of the people that need to use it. Staff are adequately trained to meet people’s individual needs, which improves the quality of care provided. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 6 Health and safety is taken seriously and effective health and safety records are in place, which, ensures that the health and safety of people living and working in the home is not, compromised. A permanent experienced manager who provides professional leadership, which ensures that consistent professional practice is being followed by staff, manages the home. This ensures that people living in the home receive good quality care. The staff team are committed to the needs of the people living in the home and work effectively as a team especially in the absence of the deputy manager post being filled. Additional work is being undertaken by staff to ensure that the quality of care provided to people living in the home is not affected. Devonshire Road staff team have worked hard to meet all of the previous requirements made and are continuing to make positive progress. What has improved since the last inspection? Minutes from one identified person’s care planning - meeting had been obtained and the actions had been incorporated into the person’s care plan, which ensures that his changing needs were met whilst living at the home. Additional medication is no longer stored in the medication cabinet as any additional medication has been returned to the pharmacist, which ensures that professional practice is being followed. Staff are now undertaking their NVQ training which ensures they have the opportunity to develop their knowledge and skills which, improves the quality of care being provided to the people living in the home. Weekly fire bell tests are now taking place, which ensures that effective procedures are in place in the event of a fire - taking place, which minimises the risks to people living in the home if they have to evacuate the home as clear procedures are being followed. Materials are no longer left in the back garden or entrance to the home when home improvements have taken place, which means the health and safety of the people living and working in the home is not put at risk. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.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 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, Quality in this outcome area is good. People who use the service are given the information they need to make an informed choice about whether the service is suitable for them and their needs. The service is good at assessing people’s aspirations and needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the previous inspection there have been no new admissions to the home. However one identified person has left the home due to their individual care needs changing, which has resulted in them requiring increased levels of support which has meant they have had to leave the home. I looked at the statement of purpose, which has been updated. The service user guide takes into consideration the needs of the people living in the home. The guide provides people with information in terms of who will assess their individual needs, who will listen to their thoughts and views, how the person will be provided with a safe therapeutic environment. There is also a section entitled what we do at Devonshire Road and information regarding the activities that can be undertaken. The document informs people how they can complain and contains a summary of the purpose and function document. This document is accessible to all of those people who wish to view it as it is in pictorial form and explains how to understand it, it states people can read it themselves using the symbols or signs provided or have the document read to them. The document can also be translated into English if it is not the person’s Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 10 first language. The document is also available on audio and video- tape on request, which ensures that the document is accessible to all and ensures people have the necessary information to decide if the service can meet their individual needs. A copy of the document is also made available to people living in the home as they are provided with their own folders and a copy is kept in this folder, which are kept in their individual bedrooms. This ensures that they are also provided with the most up-to-date information regarding the home. No new assessments have been completed with regard to any new people moving into the home. However the manager has completed up-to–date assessments on the people living in the home who have all lived there for an established period of time which, ensures peoples specific needs continue to be met which improves the quality of life provided to them. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, Quality in this outcome area is good. People’s care plans are detailed and are being kept up-to-date. One person’s behaviour guidelines need to be updated. People make decisions about their lives with assistance. The service is good at supporting people to take risks to develop an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People’s individual care plans were inspected. They were clear to read and the persons individual photograph is attached to the plan and identifies the name the person prefers to be known by, which assists to personalise the care plan as specific details are noted which are important to the person. The manager had up-dated the care plans and a new format has been developed based on person centred planning and the document is in pictorial form, which means that it is fully accessible to the people that need to use the plan. The new care plans includes information such as who the person’s key worker is, which provides anybody reading the plan with an identified staff member to speak with that knows the person well. The plans are based on individual current and changing needs. The plan identifies that the person has given their consent for Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 12 confidential information to be shared and this includes an assessment of the person’s capacity to make this decision. This ensures the person’s rights are being safeguarded with regard to who has access to their confidential information. Further information contained within the plan includes, the person’s religion, language spoken, life history, activities undertaken, financial arrangements, medication, personal care and asks questions like when bathing I need to be assisted fully. Specific information is obtained with regard to not just oral hygiene but is more detailed than this and states the type of toothbrush needed and the person’s preferred tooth-paste, which ensures the persons choices are being respected and identifies that the person is making decisions about their life. Important dates are noted for the individual person and any action that needs to be taken at this time e.g. sending a birthday card to the persons mother on their birthday, which improves the quality of life for the individual person living in the home and makes them feel valued. The minutes of one person’s care planning meeting have now been obtained which means the agreed actions have been incorporated in the care plan and this improves the quality of care provided to the person. On the day of the inspection people demonstrated that they make decisions and choices about their daily lives. Two people choose their lunch, which was their favourite take away Kentucky meal. Two people that were at the home on the day of the inspection were given the choice to go out in the homes vehicle and one person found it difficult to make a decision. The person was given one to one support and assisted to remain calm and talk through the options and this resulted in the person going out. One person was packing to go on holiday with a member of staff that day to Spain and was observed making decisions about what to take informing staff what she was going to buy and what she wanted to wear, which empowered her. The risk assessments to identify the potential risks for people are being kept up-to-date which assists to minimise the potential risks to people living in the home and the staff working with them. The risks identified included potential risks whilst out in the community, as the person has no understanding of road safety and the assessment identified that the person was to be escorted at all times. Risks had been identified with regard to ill fitting footwear e.g. the person likes open back slippers and shoes but has a tendency to trip due to this. Staff were informed to advise the person of the dangers with regard to the choices they had made and try to encourage the person to buy closed backed foot wear to minimise potential risk of falling. One identified person whose behaviour has improved needs their behaviour guidelines updated to ensure staff can meet their changing needs and accurate information is recorded. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 13 Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17, Quality in this outcome area is good. People are supported to develop their individual skills within the home. People are part of the local community and participate within that community. People are encouraged to take part in age peer and culturally appropriate activities. The service is good at assisting people to maintain their family relationships. People’s rights are respected. People are supported to choose healthy nutritious meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At Devonshire Road people are supported to develop their independent living skills. On the day of the inspection one person had attended college were she undertakes cookery and photography sessions. This person also attends college on one other day of the week to take part in pottery and jewellery sessions and has recently been involved in an exhibition of her work were many items she had made were sold. I was also informed the mayor had visited this event which makes people feel their achievements are acknowledged. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 15 One person attends college one day per week to take part in music therapy and benefits from the use of the sensory room and these particular opportunities particularly meet his individual needs and assist with social interaction and communication. Another person attends college two days per week to undertake a personal development course, which involves going shopping to buy the food to cook a meal. This person is also undertaking work experience in the canteen, which assists to improve this persons independence and makes them feel empowered. An application has been made to college to expand this person’s opportunities further to attend classes in relation to arts and crafts. On the day of the inspection this person was very excited as she was flying for the first time to Spain with an identified member of staff and was deciding what to wear and putting on her make-up with the assistance from a staff member. This opportunity will assist to widen her experiences and increase her selfesteem. One identified person chooses to spend her time developing her domestic skills and using local community facilities, which increases her independence skills. The young people living in the home had recently been involved in the organisations fun day were there were side-shows and stalls. The young people and staff at Devonshire road were responsible for the cake stall and all of the people spoken to enjoyed the day. People living in the home are encouraged to maintain contact with their relatives one person contacts her relatives using her personal mobile and it is also acknowledged by the manager that she can use the office telephone to contact her relatives once a week. One person has regular telephone calls and the person was telephoned by her mother on the day of the inspection and receives visits from her mother regularly, which benefits her emotional wellbeing. People’s privacy is respected staff were observed knocking on people’s doors before entering their rooms. People have keys to their rooms which they use as on the day of the inspection one person was already out and had locked her room, which ensures that her rights are respected as her room is not entered in her absence. At Devonshire Road people enjoy varied wholesome balanced meals, which benefits their health and wellbeing and they confirmed they choose their meals, which means their right to make choices are respected. On the day of the inspection the kitchen was clean and tidy and food was stored appropriately and within sell by date, which benefits people’s health and wellbeing. People who live in the home benefit from a mixed staff team who bring a range of different ideas to the home in terms of food preparation, Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 16 which means people have access to different types of food than they may otherwise experience. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 17 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Quality in this outcome area is good. People receive support in a way they prefer and require. There is good support provided to people to access healthcare appointments. People are protected by the homes policies and procedures for dealing with medicines. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People receive support in a way they prefer and require as in the care plan it states what support people need when bathing or showering and at what time they prefer this to take place. The care plan specifies people’s favourite type of clothes and confirms that people should be provided with choices to enable them to choose what they want to wear. The plan identifies when people wish to go to bed and when they prefer to get up in the morning. It states how people like to be assisted to shave, brush their teeth and the toothpaste they prefer to use. The record of health care appointments for each person was inspected. These showed that they are being supported to receive their individual healthcare checks. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 18 The medication and administration records were inspected. The medication had been signed for on the MAR sheets, which ensure that effective recording is taking place, which protects people from being, administered the incorrect medication. The medication cabinet was inspected and additional medication was not being stored and the cabinet was found to be in order. There was a record in relation to those staff that where able to administer medication, which included a sample of their signature which ensures that safeguards are in place to ensure that unqualified staff do not administer medication and endanger the wellbeing of people living in the home. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23, Quality in this outcome area is good. People can be confident that their views are listened to and acted upon. People are protected from abuse neglect and self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: I looked at the complaints file and was informed that one complaint had been made since the previous inspection. This was a complaint raised by a neighbour and this was being effectively responded to by the manager, who was going to record the details of the complaint and the response made in the complaints file. There is a pictorial complaints procedure, which ensures that the complaints procedure is accessible to all of those people who wish to use it. This document is also included in the service user guide. People living in the home have an individual copy kept in their own personal file in their bedroom. The staff at Devonshire Road had attended adult abuse training. The adult protection guidelines for the organisation were available and the manager was in the process of requesting up to date local authority procedures from the relevant placing authority of those people living in the home which, means that staff have the information available to them to protect people from potential abuse. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 20 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): 24,25,26,27,30, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements in the home have been made which ensures the home is homely and comfortable for the people living in it. People’s bedrooms suit their needs and lifestyles and promote their independence. The service is good at ensuring people have their own identified bathroom or shower to ensure they have sufficient privacy. The home was clean and hygienic throughout. EVIDENCE: Devonshire Road is a terraced house and is in keeping with the surrounding premises. The location of the home provides good access to local amenities, including parks, shops, pubs, and public transport which assists people to play an active part in the local community. People living in the home have their own bedroom. On the day of the inspection they were found to be appropriately furnished and this included them being personalised by people’s own furniture or personal items, which makes them feel at home. There is a bathroom and separate shower room and they have both been retiled and are located on the first floor. There is a small Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 21 lounge, which, has been redecorated, and one person spoken to said, “I like the way the lounge had been decorated”. There is also a dinning room and kitchen on the first floor. A new microwave and hob for the cooker has been obtained which ensures that there is adequate equipment to enable staff to meet people’s needs when assisting them to prepare meals. One bedroom is currently vacant and this has been decorated in neutral colours. The manger said, “anyone can then personalise the room to meet their needs” which will ensure that the bedroom is comfortable for anybody that may move in. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 22 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): 32,34,35,36, Quality in this outcome area is adequate. People are supported by competent and qualified staff. People are protected by the homes recruitment policy and procedures. People living in the home benefit from well–supported and supervised staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff rota was inspected and the rota has been amended due to there being only four people instead of the usual five people living in the home. However there were adequate numbers of staff to meet people’s needs. Previously the vacant deputy manager position was going to be advertised and this has not taken place therefore, senior care staff are undertaking additional tasks to assist the current manager who also carries out other duties when requested to do so with regard to other organisational matters. I have requested that the manager of the home updates me with regard to this situation as soon as it is discussed with his area manager at their next meeting. Staff files were inspected. All staff had criminal record bureau checks and two written references all files inspected contained a copy of the staff member’s passport and also indicated that they had received authorisation to stay in the country. One staff member who has been employed by the home for some Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 23 time requires an updated criminal records bureau check as the criminal records bureau check was transferred from her previous employer. The manager is in the process of ensuring this document is obtained to ensure that professional procedures are followed. The manager has agreed to inform me when this process has been completed. Due to the fact that this process is being undertaken a requirement has not been made. Staff have an individual training record. The manager has completed his NVQ level 4 and undertaken his registered managers award. Two staff have completed their NVQ level 2 one staff member has nearly finished their NVQ level 2 and one staff member has recently registered to undertake their NVQ level 2 and two staff have completed their NVQ level 3 which ensures that staff have the opportunity to develop their individual skills which improves the quality of care provided to people living in the home. Staff supervision records were inspected and staff are receiving regular supervision, which ensures that a professional consistent approach is undertaken by the staff members and assists with the personal development of the people living in the home. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42, Quality in this outcome area is good. People benefit from a well run home. The manager provides professional leadership. People can be confident that their views underpin all self-monitoring review and development. The health, safety and welfare of people living in the home is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People benefit from a well run home. The manager has obtained his NVQ level 4 and registered managers award and provides professional leadership to his staff team. The quality assurance audit has been implemented and the responses are sent to the organisations head office and the responses are then collated into a report. Health and safety records were inspected and the necessary certificates were available and in order in relation to the gas system, electric, water system. ALL Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 25 fire appliances had been serviced. The record of smoke detectors, fire drills and weekly fire alarm checks were inspected and found to be in order, which ensures that health and safety is taken seriously which protects the health and well being of the people living in the home. All materials resulting from home improvements and maintenance tasks had been removed from the garden area, which provides people with a pleasant area to relax in and improves their quality of life. Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 27 No 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 YA9 Regulation 15 Timescale for action The Registered Manager must 10/10/07 ensure that the behaviour guidelines in relation to one identified person are up-dated. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. Extracts may not be used or reproduced without the express permission of CSCI Parkcare Homes (No 2) Ltd (Devonshire Road) DS0000010589.V333471.R01.S.doc Version 5.2 Page 29 - 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. 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