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Inspection on 19/04/07 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 19th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 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

Rosneath Avenue staff have a good understanding of service users needs. The service users exercise choice in their daily lives and are encouraged to access community activities, which enriches service users lives. The manager is in the process of developing person centred plans for all of the service users, which will improve their quality of life. There is a good variety of food available, which takes into account service users specific needs, which benefits their health and wellbeing. All service users have access to primary and specialist healthcare services, which ensure service users health care needs, are being monitored.

What has improved since the last inspection?

Service users activity records are more accurately recorded to show the activities that service users actually undertake which means their individual achievements are being recorded. The quality of the food provided has been reviewed and is now more varied and nutritious which ensures that service users dietary needs are being met.There is now a record in the service users case notes in relation to all of the health appointments that they have attended and the outcomes are noted which means that their individual health needs are being monitored. Service users weight charts are now being kept up-to-date which means that a consistent approach is now in place in relation to the monitoring of service users weight management, which, ensures that their health needs are being met. The PRN guidelines are now in place in relation to one identified service users medication, which safeguards his health and wellbeing. Complaints are now accurately recorded in the complaints book which means that complaints are taken seriously by the organisation, which improves the quality of care provided to service users. Staff had undertaken adult protection training, which ensures staff are fully equipped to protect service users from potential abuse. Staff have now undergone training in relation to medication, food hygiene, health and safety infection control, cosHH, fire training and training in relation to communicating with service users with limited speech which means staff are being provided with the skills to meet service users needs. Staff are now undertaking NVQ`s which means service users are being supported by qualified staff which assists service users individual needs to be met. The floor tiles in the store- room are now securely fixed to the floor, which prevents staff and service users falling on loose tiles. The manager has now recruited a deputy manager, which assists with the effective running of the service.

What the care home could do better:

The purpose and function document and service user guide is in the process of being updated to ensure that accurate information is available regarding the service. Service users contracts need to be updated and signed by all parties to ensure service users rights are respected. Service users care plans that have actions identified within them for example, one identified service users care plan identifies how the service users day will be structured and states how this information will be discussed with him but this evidence is currently not being recorded to show that the actions agreed in the care plan are being undertaken and the service users needs are being met. One identified service users individual behavioural guidelines need to be in place and identified in their risk assessment to ensure their needs can be met.The carpet needs to be replaced in two identified service users bedrooms to ensure they are living in a pleasant environment. One identified service users bedroom chair needs to be replaced, as it is worn and dirty. The light switches are broken and need to be replaced to ensure that service users can turn their lights on and off with ease. The garden needs to be maintained to ensure that service users have a pleasant place were they could sit and relax which will improve their quality of life. The managers supervision needs to be recorded and available for inspection at all times to ensure that she is being offered professional support which will ensure that service users and staff are supported in a consistent way.

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 19th April 2007 11:00 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.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 (Roseneath Avenue) DS0000010592.V333154.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 (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 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 ** Post Vacant *** Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2006 Brief Description of the Service: The service provides twelve places for people with a 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.V333154.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. The inspection took approximately 5 hours. The manager assisted the inspector throughout the day. The inspector undertook a tour of the building, interviewed service users and observed the interaction between service users and 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 manager and staff for their openness and participation. What the service does well: What has improved since the last inspection? Service users activity records are more accurately recorded to show the activities that service users actually undertake which means their individual achievements are being recorded. The quality of the food provided has been reviewed and is now more varied and nutritious which ensures that service users dietary needs are being met. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 6 There is now a record in the service users case notes in relation to all of the health appointments that they have attended and the outcomes are noted which means that their individual health needs are being monitored. Service users weight charts are now being kept up-to-date which means that a consistent approach is now in place in relation to the monitoring of service users weight management, which, ensures that their health needs are being met. The PRN guidelines are now in place in relation to one identified service users medication, which safeguards his health and wellbeing. Complaints are now accurately recorded in the complaints book which means that complaints are taken seriously by the organisation, which improves the quality of care provided to service users. Staff had undertaken adult protection training, which ensures staff are fully equipped to protect service users from potential abuse. Staff have now undergone training in relation to medication, food hygiene, health and safety infection control, cosHH, fire training and training in relation to communicating with service users with limited speech which means staff are being provided with the skills to meet service users needs. Staff are now undertaking NVQ’s which means service users are being supported by qualified staff which assists service users individual needs to be met. The floor tiles in the store- room are now securely fixed to the floor, which prevents staff and service users falling on loose tiles. The manager has now recruited a deputy manager, which assists with the effective running of the service. What they could do better: The purpose and function document and service user guide is in the process of being updated to ensure that accurate information is available regarding the service. Service users contracts need to be updated and signed by all parties to ensure service users rights are respected. Service users care plans that have actions identified within them for example, one identified service users care plan identifies how the service users day will be structured and states how this information will be discussed with him but this evidence is currently not being recorded to show that the actions agreed in the care plan are being undertaken and the service users needs are being met. One identified service users individual behavioural guidelines need to be in place and identified in their risk assessment to ensure their needs can be met. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 7 The carpet needs to be replaced in two identified service users bedrooms to ensure they are living in a pleasant environment. One identified service users bedroom chair needs to be replaced, as it is worn and dirty. The light switches are broken and need to be replaced to ensure that service users can turn their lights on and off with ease. The garden needs to be maintained to ensure that service users have a pleasant place were they could sit and relax which will improve their quality of life. The managers supervision needs to be recorded and available for inspection at all times to ensure that she is being offered professional support which will ensure that service users and staff are supported in a consistent way. 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 (Roseneath Avenue) DS0000010592.V333154.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 (Roseneath Avenue) DS0000010592.V333154.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): 1,2,5, Quality in this outcome area is adequate. The manager of the service is in the process of updating the service user guide and purpose and function document, which, ensures 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 service users aspirations and needs. Service users have individual contracts, which need to be updated and signed to ensure their rights are respected. 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. The new manager is in the process of updating the service user guide, which takes into consideration the needs of service users as the document is very service user friendly and it is in a pictorial form which makes it easier to access but staff information needs to be updated. The homes purpose and function document is in the process of being updated by the manager and area manager to ensure that all of the information within it is up to date which will ensure accurate information is available in relation to the service. Service users are assessed before they receive a service, which ensures the service users and staff can meet their individual needs. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 10 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, it specifies that food heat and light will be supplied, service users will be assisted with their own laundry and encouraged to cook to the best of their ability which increases service users skills. The service user agreement contains the details of the notice period, which means the service users know what is expected of them and vice versa. The service users files did not all contain copies of contracts between the home and service users and were not all signed by the service users, their representative and the manager which, means that the service users rights are not fully safeguarded. A requirement has been made in relation to this. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.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 adequate. Service users changing needs were not always reflected in all care plans. Service users make decisions about their daily lives, which empowers them. Service users are supported to take risks as part of an independent lifestyle, which assists their personal development. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users care plans were inspected and one identified service users care plan which was identified at the previous inspection now has a clear structure to follow in relation to the service users day as it is essential this service user knows the plan for the day as it provides him with security and consistency. The plan did highlight how this information would be recorded to ensure he is fully involved in the process and his needs were met but there was no documented evidence that this had taken place in service users meetings as agreed. A requirement has been made in relation to this. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 12 The same service user is involved in a relationship with another service user living at the home, however the information recorded in the care plan does not accurately reflect this relationship and the care plan does not demonstrate how the service user is supported in explaining sexual health the importance of related issues such as consent, the service users right to privacy and dignity which must be discussed with both service users and included in their individual care plans. The new manager was in the process of addressing the matter with clinical governance. A requirement has been restated in relation to this. This service user can exhibit challenging behaviour. The inspector saw no clear documented procedures in place in the service users care plan in relation to how many staff are required to assist the service user or other staff members if challenging behaviour is exhibited by the identified service user, which will not ensure the safety of the service user and staff involved in an incident. The manager contacted clinical governance on the day of the inspection to act on this matter. This document has now been updated with the assistance of clinical governance. The manager is in the process of updating all of the service users care plans as a new format has been developed based on person centred planning which is in a pictorial form which means it is now fully accessible to all service users. The plan includes areas like important people in the service users life, service users preferred name, dates that are important to the person, things I should not do because of my health, which will ensure that the quality of care provided is more focused on the service user as an individual. Service users risk assessments are being regularly updated by the manager and are being included in the person centred plans, which ensures service users individual needs are being met. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17, Quality in this outcome area is good. 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 supported to maintain appropriate relationships, which assists their emotional wellbeing. Service users are supported to choose healthy nutritious meals and food is stored appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At Rosneath Avenue the service users activity records were inspected service users undertake day care activities ranging from two days per week to five days per week. Service users undertake aromatherapy sessions and the manager has contacted a reflexologist who also undertakes sessions with service users which has expanded the opportunities available to service users. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 14 The manager has developed a new system, which consists of two separate forms one for community- based activities and one based on activities within the home. These activities are linked to service users individual needs and preferences examples of this are going to the toy shop, taking part in a Easter egg hunt or going out for lunch, which ensures service users social needs are met. The activities are now more frequently recorded but there are occasions when staff are using the form identified as activities taking place in the community to record information in relation to activities, which take place within the home. The manager confirmed that she will discuss the new method of recording activities with staff to ensure information is effectively recorded which ensures that a consistent record is available to reflect service users daily achievements. The inspector was happy with this response as it was felt this was a new system staff were getting used to. Rosneath Avenue has its own vehicle to assist with community activities which is beneficial to service users in relation to service users not being limited with regard to the distance they can travel to access activities of their choice which assists their integration within the community. Service users are supported to maintain contact with family and friends in the form of visits to the family home and telephone calls, which benefit their emotional wellbeing. One the day of the inspection all of the kitchens in the individual units were clean and tidy. The quality of the food available has been reviewed and the quality of the food purchased was wholesome, nutritious and varied and the dietary needs of service users are fully met. There was evidence available that service users can choose the food they wish to eat as a menu book is kept which highlights service users choices of different food to be included on the menu, which ensures service users are able to make choices with regard to the food eaten which means their wishes are respected. The fridges and freezers were inspected and all of the food was within its use by date and had been clearly labelled which means that the service users health is safeguarded. 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. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Quality in this outcome area is adequate. There is good support for service users to access healthcare appointments, however one identified service user needs to have a meeting with all relevant professionals to ensure the opportunity to monitor and support the service user in relation to their health is maintained. Service users receive support in a way they prefer and require which ensures their individual wishes are respected. The process for administering medication is effectively managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users have access to primary and specialist health care appointments. The service users records of medical appointments inspected indicated that service users have access to general Practioners, dentists, opticians and other healthcare professionals. The weight charts of service users are now being kept up-to-date which means that a consistent is now in place in relation to monitoring of service users weight, which supports them with regard to their individual weight management, which assists service users health needs to be fully met. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 16 The medication cabinets were inspected which were found to be in order. The inspector looked at the medication administration records, which had also been correctly signed and dated by staff, which means that service users are safeguarded as effective recording is in place with regard to medication and its administration. Medication is being stored effectively, which protects the wellbeing of service users, as they cannot access medication freely. The identified service user who receives PRN medication now has guidelines in place to ensure that staff are provided with sufficient information with regard to the use of the medication, which means that the welfare of this service user is now fully protected. One identified service user who currently has a medical condition, which means that the personal support that is required to maintain this persons quality of life is going to increase and to ensure that staff have the necessary information and support systems in place to make sure that this service users individual needs can be met a meeting needs to take place with all relevant professionals present to plan for this service users current and future needs. A requirement has been made in relation to this. Service users were appropriately dressed at the time of the inspection, which improves their self- esteem and self-image. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 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 action taken is adequate. Service users are protected by trained staff that have a good understanding of how to protect service users from abuse neglect and self harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the unannounced inspection the inspector looked at the complaints book a complaint that, had been recorded and had been discussed with the area manager at the previous inspection, which was in relation to a service user making noise in his own garden and the manager has attempted to meet with the complaint who had declined to meet with the area manager and the action taken has now been recorded in the complaints book, which provides evidence that complaints are being taken seriously. There are no other outstanding complaints recorded. The policy on whistle blowing was satisfactory and staff know how to use it which means they know how to report potential poor practice in the home to protect the wellbeing of service users. Staff at the home have a date booked to attend protection of vulnerable adults training which ensure that staff are fully equipped to protect service users from potential abuse. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 18 Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 Quality in this outcome area is adequate. Improvements need to be made to ensure the home is comfortable for service users. Service users bedrooms do not fully meet their needs. The home is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Rosneath Avenue is located in a quiet residential area near to local shops and public transport. During a tour of the home the inspector was able to look at the service users bedrooms having sought permission. The inspector noted that a number of environmental improvements had taken place. The manager has obtained new quilts and pillows for the service users beds, which will ensure they are warm and comfortable in the winter months. The room were the towels are stored has had the tiles replaced and they are now securely fitted to the floor to ensure they are safe which means staff and service users are not at risk of falling due to loose tiles. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 20 New improvements that must be made with regard to the environment are that the bedroom carpet of two identified service users must be replaced to ensure that they are living in a comfortable environment. A requirement has been made in relation to this. One identified service user needs their bedroom chair replaced as it is looking old worn and dirty which does not ensure that they are living in a pleasant environment. A requirement has been made in relation to this. Two of the identified service users bedrooms that were inspected had the light switches broken which made it difficult to turn the lights on and off. A requirement has been made in relation to this. On the day of the inspection the inspector noted that the water temperatures within the home were excessively high and the company responsible for maintaining the water valve controls had not responded even though the manager had brought the problem to the notice of the organisation via her line manager in March which meant that the service users and staff were not protected from being scalded. The inspector contacted the area manager on the day of the inspection and all safety valves have now been put in place and are working effectively, which safeguards the wellbeing of service users. The back garden needs to be maintained as currently the grass is overgrown the garden needs weeding and the dead plants need to be replaced to provide the service users with a pleasant place to sit and relax in the summer, which will improve the quality of service users lives. A requirement has been restated in relation to this. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is adequate. The service users are supported by staff that are undertaking their NVQ training, which increases their competence and improves the quality of care provided. The staff team are appropriately trained to meet service users needs. Service users are protected by the homes recruitment procedures from potential abuse. The staff team are being supervised which assists their personal development and improves the quality of care provided to service users. However the manager of the home had no supervision notes at the home to evidence that she is adequately supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff at Rosneath Avenue have started their NVQ level 2 and 3, which ensures that they are more skilled to meet the needs of service users. The inspector spoke with the area manager as some staff are still awaiting their NVQ certificates, which, does not make staff, feel their achievements are being fully acknowledged, the area manager is going to ensure the certificates are obtained for staff and keep the inspector informed about the situation. The inspector was provided with evidence that staff had undertaken training in relation to medication, food hygiene, health and safety, infection control, Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 22 epilepsy, fire training, cosHH, manual handling, and makaton in relation to communicating with service users who have limited speech, which ensures that staff are provided with the skills to fully meet service users needs. The staff had all the necessary documentation and identification records on file to ensure that adequate recruitment procedures are followed to ensure that service users are adequately protected from potential abuse. The inspector could not be provided with any documented evidence that the manager had received regular supervision, which does not ensure that the manager is being supported in a professional consistent way. A requirement has been made in relation to this. Staff members are receiving regular supervision, which assists their personal development. The manager has now recruited a deputy manager, which assists with the effective running of the service, which will ensure that the manager is provided with professional support and service users will receive a better quality of service. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. Service users can be confident that their views underpin all self-monitoring in the home. The health and safety of service users and staff are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a permanent manager who has the necessary skills and experience. The manager is currently making an application for registration. The inspector examined health and safety records. The gas and electrical certificate was seen and found to be in order. The certificate in relation to the testing of the fire alarm was seen and found to be in order. The weekly fire drills and fire bell tests were correctly recorded. The fire exits were clear and free from obstruction. The fire notices contained all the necessary information in relation to the action to be taken in the event of a fire. The water- testing Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 24 certificate in relation to the testing for legionella was seen and found to be in order, which means that the health and safety of service users and staff is protected. Parkcare Homes (No 2) Ltd (Roseneath Avenue) DS0000010592.V333154.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 2 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 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000010592.V333154.R01.S.doc 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X Version 5.2 Page 26 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 Standard YA5 Regulation 5 (1) Timescale for action The Registered Person must 10/07/07 ensure that service users contracts are up-to-date and signed. The Registered Person must 20/05/07 ensure that the service user who’s care plan has been updated to identify how the identified service users day will be structured and highlights how this information will be discussed with him and how it will be recorded in his service users meeting must ensure that these meetings take place and that this information is recorded. The Registered Person must 01/06/07 ensure that the service users care plan is updated and evidences how the identified service user is supported with regard to safeguarding his sexual health, issues in relation to consent, dignity and privacy must be identified and emotional needs. This requirement has been restated. The previous timescale of 20/01/07 was not met. DS0000010592.V333154.R01.S.doc Version 5.2 Page 27 Requirement 2 YA6 15 (1) 3. YA6 15(1) Parkcare Homes (No 2) Ltd (Roseneath Avenue) 4 YA19 1 (3) 5 YA24 23 (b) 6 YA24 23 (b) The Registered Person must 02/06/07 ensure that the identified service user who has a medical condition which means that increased support will be required to ensure their quality of life is maintained must have a meeting with all relevant professionals to agree methods of support and plan for the future. 20/06/07 The Registered Person must ensure that the carpet in both of the identified service users bedrooms is replaced. The Registered Person must 20/06/07 ensure that the identified service users easy chair is replaced. The Registered person must 15/05/07 ensure that the identified broken light switches are replaced. The Registered Person must 20/05/07 ensure that the garden is maintained. The Registered Person must 15/05/07 ensure that the manager receives supervision that is recoded and available in the home at all times. 7 8 9 YA24 YA24 YA36 23 (b) 23 (b) 18 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.V333154.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 (Roseneath Avenue) DS0000010592.V333154.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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