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Inspection on 18/04/06 for Parkcare Homes (No 2) Ltd (Roseneath Avenue)

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

This inspection was carried out on 18th April 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 11 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

Roseneath Avenue staff have a good understanding of the service user needs. The service users exercise choice in their daily lives and are encouraged to access community activities, which enriches service users lives. There is a good variety of food available, which takes into account service users specific dietary needs which benefits their health and assists to maintain their wellbeing. Service user care plans are up to date and clear to read, which is essential in relation to ensuring service users individual needs are met. Risk assessments are up- to date, which ensures that risks to service users have been identified and minimised. Service user information is handled appropriately which ensures their confidentiality is respected and safeguarded. All service users have access to primary and specialist healthcare services, which, ensures their healthcare needs are monitored. The wishes in the event of the service users death are appropriately recorded on the service user files ensuring that their individual choices have been recognised.

What has improved since the last inspection?

The Sofa in the ground floor lounge has been replaced which ensures that service users are provided with a better living environment.

What the care home could do better:

Unmet requirements impact upon the welfare and safety of service users. Failure to comply by the timescale will lead to the Commission For Social Care Inspection considering enforcement action to secure compliance. The ground floor bathroom has still not been fitted with a shower. The inspector has spoken with the area manager with regard to this and the new bath and shower have been ordered. This requirement has been met given the evidence provided and verbal confirmation from the Deputy Manager that the work has been completed. The registered provider must ensure there is adequate hot water in the ground floor bathroom. At the last inspection, the Manager informed the inspector that a new boiler was required. The manager has agreed to provide written evidence to the inspector in relation to action being taken to ensure that the health safety and wellbeing of service users is maintained. The carpet in room three has not been replaced. The kitchen lino has not been replaced in the identified flat. The kitchen lino on the middle floor needs to be replaced due to new burn marks on it since the last inspection, Failure to complete these requirements does not provide a good living environment to service users. The registered provider must ensure that staff had access to qualified assessors to enable them to continue their NVQ training, failure to do this means service users are not supported by adequately qualified staff. The provider must ensure that medication is adequately administered and recorded, as service users health and safety is put at risk when this does not take place and agreed procedures are not followed. The record of service users activities must be kept up to date to ensure that their right to take part in a broad range of activities is taking place and can be noted at the time of inspection. Food must be appropriately stored within its use by date to ensure the health and safety of service users is not put at risk.

CARE HOME ADULTS 18-65 Parkcare Homes (No 2) Ltd (Roseneath Avenue) 15 Roseneath Avenue Winchmore Hill London N21 3NE Lead Inspector Wendy Heal Key Unannounced Inspection 18th April 2006 10:30 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 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 (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 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 (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parkcare Homes (No 2) Ltd (Roseneath Avenue) Address 15 Roseneath Avenue Winchmore Hill London N21 3NE 020 8292 2715 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) Craegmoor Homes Ltd Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 Brief Description of the Service: The service provides twelve places for people with learning disability. The age range of the nine service users that live in the home is mid twenties to mid fifties. There are four female and five male service users. There is an ethnic mix of service users in the home. All service users have complex behavioural needs. Roseneath Avenue is located in a quiet residential street in Winchmore Hill. The home is a house converted into three flats each with its own bathroom, kitchen, and lounge/dining area. All service users have their own bedrooms. The home has an office and small meeting room on the ground floor. There is an enclosed garden accessed by all the flats. There is also a communal laundry external to the home within the garden area. Only female staff supports the female service users living in the ground floor flat. All staff rotate the support they provide to service users. The stated aims of the service is to treat service users as individuals and to promote independence and ensure that privacy and dignity is maintained. The service promotes a holistic approach to care where physical, social and psychological needs are given equal importance and appropriate care plans and interventions are put into place. The fees in the home range from one thousand four hundred pounds to one thousand five hundred pounds. Interested parties can access the homes Purpose and Function Document and inspection report as it is on display on the homes notice board. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 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. The inspection took approximately 5 hours. The deputy manager assisted the inspector throughout the day. The inspector undertook a tour of the building, interviewed two service users and observed the interaction between the service users and the staff. Further information was obtained by an inspection of the documentation kept in the home, including care plans and health and safety documentation. The inspector would like to thank the service users present during the inspection, the staff and manager for their openness and participation. What the service does well: What has improved since the last inspection? What they could do better: Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 6 Unmet requirements impact upon the welfare and safety of service users. Failure to comply by the timescale will lead to the Commission For Social Care Inspection considering enforcement action to secure compliance. The ground floor bathroom has still not been fitted with a shower. The inspector has spoken with the area manager with regard to this and the new bath and shower have been ordered. This requirement has been met given the evidence provided and verbal confirmation from the Deputy Manager that the work has been completed. The registered provider must ensure there is adequate hot water in the ground floor bathroom. At the last inspection, the Manager informed the inspector that a new boiler was required. The manager has agreed to provide written evidence to the inspector in relation to action being taken to ensure that the health safety and wellbeing of service users is maintained. The carpet in room three has not been replaced. The kitchen lino has not been replaced in the identified flat. The kitchen lino on the middle floor needs to be replaced due to new burn marks on it since the last inspection, Failure to complete these requirements does not provide a good living environment to service users. The registered provider must ensure that staff had access to qualified assessors to enable them to continue their NVQ training, failure to do this means service users are not supported by adequately qualified staff. The provider must ensure that medication is adequately administered and recorded, as service users health and safety is put at risk when this does not take place and agreed procedures are not followed. The record of service users activities must be kept up to date to ensure that their right to take part in a broad range of activities is taking place and can be noted at the time of inspection. Food must be appropriately stored within its use by date to ensure the health and safety of service users is not put at risk. 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. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 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 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 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): 1,2,3,5 Quality in this outcome area is adequate. Service users 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 individual service users aspirations and needs. Service users have an individual contract of terms and conditions, which means they know what the expectations are for them and vies versa. EVIDENCE: Since the previous inspection there have been no new admissions to the home. The home has an up to date purpose and function document. The service has a service user guide, which takes into consideration the needs of service users, and the document is very service user-friendly and it is in a pictorial form. The homes service user agreement clearly specifies the terms and conditions of the home and includes areas like the opportunity to furnish your own room with personal items, food heat and light will be supplied, service users will be assisted with their laundry and encouraged to cook to the best of their ability. The service user agreement contains the details of the notice period. Four service user files were inspected. They contained copies of contracts between the home and the service users; all parties in all cases had not signed these. Care plans are being reviewed on a regular basis and considered areas such as independence, rights out of the home in relation to all public amenities, and Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 9 mobility needs. The care plans of service users whose needs have changed have been amended to reflect changing need. Service user files contained assessment information and are being reviewed on a regular basis. There where clear Crisis intervention plans, which had been reviewed on a regular basis. The deputy manager and staff interviewed showed they had a good understanding of individual service users needs and could talk in detail in relation to their role. Service users spoke positively in relation to the staff and the support they receive from them. One service user said, “ Staff were really good”. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 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): 6,7,9,10 Quality in this outcome area is good. The service is good at assisting service users to make decisions about their daily lives. The service is good at supporting service users to take risks to develop an independent lifestyle. The service is good at maintaining service user confidentiality and service user information is handled and kept appropriately to protect service users. EVIDENCE: Service users case notes were inspected they were clear to read. Service users had satisfactory care plans. The care plans were based on their current and changing needs. The inspector saw evidence that they were regularly reviewed. The pans contained goals. The risk assessments to show potential risks for service users are being reviewed; the areas covered include community facilities, privacy, behaviour such as screaming shouting, selfharming, known risk of violence. Care planning meetings had taken place for service users and minutes had been received. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 11 Service user meetings to discuss issues relating to service users do take place. Two service users had requested to visit their friend in another home, the inspector saw evidence in the daily recording sheets that this had taken place. A number of service users had stated in this meeting that they enjoyed living at Roseneath Avenue this was confirmed during a private conversation with a service user who said he was happy living at the home and went on to say “I miss staff when they are away,” the relevant staff were named and this service user knew who was the next person due to go on leave. Service user information is handled appropriately. The main files are kept in the office and information stored on the computer is accessed by a password. The inspector observed the level of confidentiality in the home and is satisfied that the staff working at Roseneath Avenue keep all information regarding service users secure. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 12 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): 11,13, 14,15,16,17 Quality in this outcome area is poor. Service users are supported to develop their individual skills within the home, which assists their independence. Service users are part of the local community, which enriches their lives. Service users rights are respected. Service users are assisted to maintain appropriate relationships, which assists their emotional wellbeing. Service users are supported to choose healthy nutritious meals, however, food is not stored appropriately and is a risk to service users health. EVIDENCE: At Roseneath Avenue five service user activity records were inspected. The care plans reflect how service users are supported to develop their independent living skills, are specific to service users and are kept up to date. Service users undertake day care activities ranging from two days per week to five days per week. Service users activities were inspected and two individual service users on two separate days were due to go to the cinema and another Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 13 was due to undertake an Aromatherapy session these activities are not always accurately recorded and kept up to date which means that a consistent record of service user activities is not available to reflect their daily achievements. A requirement has been made in relation to this. The service users are however being supported to access a wide range of community based activities which appear to be linked to their needs and preferences this was evidenced by discussion with service users and observations on the day of the inspection. Roseneath Avenue has its own vehicle to assist with community activities. Service users are supported maintain contact with their friends and family. Care plans are organised and are being updated on a monthly basis. The inspector observed the interaction between staff and service users not all service users use formal language as their main form of communication but interact using gestures, body language and sign. The staff interaction was appropriate. On the day of the inspection all of the kitchens in the individual units were clean and tidy. The menu of food available was wholesome and nutritious. The fridges were inspected on all floors and food was identified in all fridges as having passed its use by date and food within the fridge was not properly labelled which could have an impact on service users health. A requirement has been made in relation to this. There was evidence that service users can choose the food they wish to eat as a menu book is kept which highlights service users choice of different meals to be included on the menu. The service users dietary needs are being met which benefits their health and wellbeing. There was guidance available in relation to the use of semi skimmed milk and half fat cheese and specific information regarding caffeine in relation to particular service users needs. Service users benefit from a mixed staff team who bring a range of different ideas to the home in terms of food preparation. This benefits service users as they have access to different types of food than they may otherwise experience. One service user spoken with on the day of the inspection said “I enjoy going out with staff to buy my food” this was part of this service users daily living skills and was highlighted on their care plan and noted as an activity which had taken place in their daily activity record. Service users privacy is respected, service users have keys to their rooms and their permission is sought before entering their bedrooms. Service users care plans record the service users rights outside the home in relation to having access to all public amenities. There is also an acknowledgement of restriction of liberty in relation to service users having restricted exit closures on doors. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 14 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): 18,19,20,21 Quality in this outcome area is poor. There is good support for service users to access healthcare appointments, which ensure the opportunity to monitor and support good health. Service users receive support in a way they prefer and require which ensures their individual wishes are respected. The process for administering medication needs to be more effectively managed, as currently the good health of service users is not being safeguarded. EVIDENCE: Service users all have access to primary and specialist health care appointments. Service users care plans and records of medical appointments inspected indicated that service users have access to General practioners, dentists, opticians and other healthcare professionals. The medication cabinets were inspected. The inspector looked at the medication recording records and on one particular date the responsible person had not signed the medication records, but had administered the medication. On the day of the inspection the member of staff responsible for administering Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 15 the medication had passed medication to another member of staff to administer, the service user would not take the medication and therefore it had been left in one of the kitchen cupboards to be administered later. The staff had received medication training to ensure that service users are protected by the homes medication procedures. The inspector discussed this area of concern with staff, the deputy manager and the area manager at the time of the inspection, as these actions do not support good practice in relation to service users health. A requirement has been made in relation to this. The inspector looked at the weight charts of service users and they had not been kept up to date a consistent approach is not in place in relation to the monitoring the process to support service users in relation to their weight and weight management. One service user is very unwell and has access to a dietician it has been advised that this service user has fruit juice every day skimmed milk reduced fat cheese and walks regularly. A requirement that the recording of service users weight is kept up to date has been made. There are clear records in terms of medical appointments. Service users were appropriately dressed at the time of the inspection. The service users case notes were inspected and included a record of service users wishes in the event of their death, which ensure their individual wishes are respected. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 16 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 adequate. Service users can be confident that their views are listened to and acted upon, since the recording of complaints and actions is adequate. Service users are protected by trained staff who have a good understanding of how to protect service users from abuse neglect and self-harm. EVIDENCE: At the time of the unannounced inspection the inspector looked at the complaints file. One new complaint exists since the previous inspection in relation to an allegation of a particular service user making noise, which the neighbour regards as excessive whilst this service user is in his own garden. The area manager is making attempts to meet with the MP who is acting on behalf of the complainant and has agreed to inform the inspector of the outcome. The company policy on whistle blowing was satisfactory and staff were familiar with how to use it. Staff at the home had attended Adult abuse and protection of vulnerable Adults training and during the discussions with them they were knowledgeable with regard to the reporting procedures. Due to the absence of the homes manager the financial records were not inspected on this occasion. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 17 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): 24,25,27,30 Quality in this outcome area is poor. Improvements need to be made to ensure the home is comfortable for service users. Service user bedrooms suit their needs and lifestyles. Service user bathrooms do not meet their individual needs. The home is clean and hygienic. EVIDENCE: Roseneath Avenue is located in a quiet residential area near to local shops and public transport. During the tour of the building the inspector was able to look at the service users bedrooms having sought permission. The service users bedrooms were furnished to suit their needs and had be personalised further since the last inspection new televisions had been obtained. Service users bedrooms have lockable drawers in their rooms. Service users have a key and can lock their doors if they wish. The bathroom on the ground floor has a bath, which is too high to climb into particularly as a service user who has a visual impairment uses the bath. An immediate requirement was made at the previous inspection that a shower should be fitted, as this would be better suited to meet the needs of the Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 18 identified service user who needs assistance in relation to continence. The inspector spoke with both the deputy manager and area manager on the day of the inspection and has been informed that the shower has been ordered. A requirement has been made at the last three inspections that adequate hot water is available in the ground floor bathroom. The manager informed the inspector that a new boiler and pump were to be fitted. This requirement has been restated and has passed the agreed timescale for action. An identified service user has moved into bedroom three. A requirement was made at the last inspection that the carpet was not acceptable and must be replaced. This requirement has passed the agreed timescale and this requirement has been restated. The lino in the top floor kitchen had not been replaced, the area manager informed the inspector that a company had been contacted and would be visiting to supply samples and the company confirmed this was the case. This requirement has been restated. The inspector noted that there is now a new burn mark on the floor lino in the kitchen in the middle floor flat. A requirement has been made in relation to this. At the last inspection a requirement was made that the sofa on the ground floor flat needed to be replaced. A sofa from one of the homes that has closed has replaced the previous sofa. This requirement has been met. The television in the lounge on the middle floor has broken and currently has a temporary small portable television in its place. A requirement has been made in relation to this. The inspector noted that four of the five light bulbs in the down stairs kitchen needed to be replaced. A new fridge needs to be obtained. A requirement has been made in relation to this. One identified service user requires his light switch to be replaced. The garden needed to be tidied and the lawn cut. The deputy manager had agreed to record these for action in the maintenance book. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 19 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): 32,34,35 Quality in this outcome area is adequate. The organisation has not ensured that qualified staff support service users. The NVQ training has not been adequately provided to staff to ensure that service users needs can be fully met and staff are adequately supported. EVIDENCE: The staff at Roseneath Avenue all started their NVQ 2 and 3. However they were not able to complete their course due to the fact that they have not had access to assessors. A requirement was made in relation to this at the last inspection and has not been met within the agreed time scale. The inspector spoke with both the area manager and the new company responsible for the NVQ and was informed that a representative would be meeting the staff on a given date. A requirement has been made in relation to this. Staff was observed to have a clear understanding of their roles and responsibilities from the conversation the inspector had with them. Supervision records and staff files were not inspected on this occasion as the manager was on annual leave and the inspector could not access the records. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 20 Staff meetings are taking place but not all records were in the staff meeting folder. The staff rota was inspected at the time of the inspection and found to be in order, with adequate staff on duty to meet the needs of the service user group. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 21 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): 37,39, 42 Quality in this outcome area is adequate. Service users can be confident that their views underpin all self-monitoring review and development within the home. All appropriate health and safety measures need to be in place to ensure the safety and welfare of service users is maintained. EVIDENCE: The home has a permanent registered manager who has the appropriate skills and experience. The record of fire alarm tests, emergency lighting and fire drills were inspected and found to be in order. During the tour of the building the inspector noted that all fire doors were closed. All fire exits were clear and free from obstruction. The fire notices contained all the necessary information. The boiler certificate for 29/04/06 was seen and the deputy manager has agreed to provide the new certificate to the CSCI. The company insurance certificate was seen and found to be in order. The water certificate was seen and found to be Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 22 in order. However at the last inspection the responsible person from the company had advised that the enclosed water tanks should be exposed to allow access and the manager needs to update the inspector in relation to this as agreed at the last inspection. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 23 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 X 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 2 25 3 26 X 27 2 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000010592.V287747.R01.S.doc 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X 2 x X Version 5.1 Page 24 Parkcare Homes (No 2) Ltd (Roseneath Avenue) 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. 2. Standard YA41 YA17 Regulation 17 16 (i) Requirement The registered provider must ensure that the service users activity record is kept up to date. The registered provider must ensure that the food stored in the fridge is stored within the use by date and appropriately labelled. The registered provider must ensure that medication is appropriately administered and recorded. The registered provider must ensure that the service users weight charts are kept up to date. The Registered Provider must ensure the fridge is replaced. The registered provider must ensure that there is adequate hot water in the ground floor bathroom. This requirement is restated. Time scale of 30/09/04 not met. The Registered Provider must ensure carpet in room three must be replaced. Time scale of 15/03/06 not met. The Registered Provider must ensure the kitchen lino in the top DS0000010592.V287747.R01.S.doc Timescale for action 20/05/06 15/05/06 3. YA20 13 (2) 20/05/06 4. YA41 13 (1) 29/05/06 5. 6 YA24 YA27 23 (b) 16 (2) 16/05/06 27/05/06 7. YA24 23 (b) 20/05/06 8. YA24 23 (b) 20/05/06 Page 25 Parkcare Homes (No 2) Ltd (Roseneath Avenue) Version 5.1 9 10 11 YA24 YA24 YA35 23 (b) 23 (b) 18 (1) floor kitchen must be replaced. Timescale 30/03/06 not met. The Registered Provider must 20/06/06 ensure the kitchen lino on the middle floor must be replaced. The registered provider must 20/07/06 ensure that a large new television is placed in the lounge. The registered provider must 20/05/06 ensure that staff are supported to commence their NVQ and evidence of this must be sent to the inspector. Timescale 30/03/06 not met. 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 (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V287747.R01.S.doc Version 5.1 Page 27 - 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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