CARE HOME ADULTS 18-65
Parkcare Homes Ltd (Roseneath Avenue) 15 Roseneath Avenue Winchmore Hill London N21 3NE Lead Inspector
Tola Akinde-Hummel Announced 27 June 2005 @ 10.00 am 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 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 Stationary 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 Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION
Name of service Parkcare Homes (Roseneath Avenue Address 15 Roseneath Avenue, Winchmore Hill, London N21 3NE Telephone number Fax number Email 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 8292 2715 020 8364 0071 roseneath.ave@craegmoor.co.uk Michael Byrne for Parkcare Homes Ltd Stephen Monoghan PC Care Home only 12 Beds Category(ies) of LD Learning Disability registration, with number of places Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION
Conditions of registration: None 3 September 2004 (unannounced) and 14 March 2005 (additional visit) 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 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 located in the garden. The female service users living in the ground floor flat are supported only by female staff. All other 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 holisitic approach to care where physical, social and psychological needs are given equal importance and appropriate care plans and interventions are put into place. Date of last inspection Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an announced inspection that took approximately three and a half hours. Two inspectors Mrs Tola Akinde-Hummel and Ms Margaret Flaws, were present and undertook different areas of inspection. The Manager, Mr Steven Monaghan, assisted both inspectors during the course of the day. At the time of inspection, there were five staff on duty including the manager. The domestic member of staff was also working in the home. There were six service users in the home at the time of inspection three others had left to attend day services. The inspectors had a tour of the building, interviewed one service user as four other service users are non- verbal, the manager, the nurse on placement and two members of staff. Care plans, finance systems, policies and procedures were inspected. The inspectors also looked at the health and safety records in the home. The inspector would like to thank the service users present during the inspection, the staff and the manager for their openness and participation. The inspectors did not receive any comment cards from relatives, health care professionals or care managers. Due to some previous difficulties in the home the decision was made to leave three places vacant. Therefore only nine service users live in the home at present. As the home is becoming more settled the plan is to fill the vacancies in the near future to the homes capacity of twelve places. What the service does well: What has improved since the last inspection?
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 6 There have been many improvements following the previous inspection, which generated sixteen requirements and six recommendations. Thirteen have been fully met, one partially met and two have not been met. The outstanding electrical work has been satisfactorily completed and the certificate was sent to the commission within the specified time. The manager has now got a deputy manager, which has eased the pressure on the manager and shared some of the workload. The two training requirements although slow to be actioned, are now due to take place. Four requirements made in relation to care plans have been developed. Care plans now record individual needs of service users, their agreed goals following a social services review, detail about supporting service users to develop their independent living skills and ensuring that these plans are regularly reviewed. The risk assessment required for one service users has been comprehensively completed. The water testing has been completed and is satisfactory. The Finances of service users is still being addressed but developments in this area have been made and service users will receive outstanding payments. There are soap and hand towels available in all toilets. These improvements make a difference to the quality of care received by service users particularly the additional information included in the care plans. Service users can be confident that staff have taken their goals and aspirations seriously and are working toward improving the quality of care in the home and in the community. The recommendations relating to homely remedies have been implemented and this is signed by the GP. As seen on care plans the recommendation to record healthcare appointments and their outcomes has been implemented to allow quick reference and follow up for staff. This helps to prevent delays in following up appointments and keeping a check that health care needs are met. As recommended, the most recent inspection report was displayed on the notice board for visitors information. All staff are on NVQ training and 50 should be qualified by the end of the year. The registered manager and provider have reviewed the admissions policy to include opportunities for service users to visit the service as part of the admissions process. This will also be included in the updated statement of purpose. The manager and deputy advised that they had reviewed the job descriptions so that they reflect current working practices. This will be inspected in the future. What they could do better:
As detailed above there have been major improvements since the last inspection. There are seven requirements from this inspection. The two outstanding requirements relate to the ground floor toilet odour and the water temperature in the ground floor bathroom. The toilet is now in need of redecoration. These have been restated despite the attempts by the home to
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 7 ensure that these requirements were met. Service users must use these facilities on a daily basis and therefore they should meet their needs fully. The service user statement of terms and conditions is not user friendly and must be updated to allow service users the possibility of understanding the content. The record of weight of service users must clarify the target weight suggested by medical practitioners or dieticians. This will prevent any possibility of service users becoming underweight. The whistle blowing policy of the organisation is inadequate and does not inform staff clearly of the company’s responsibility toward staff that whistle blow. Staff must not prop open fire exits with extinguishers. This is dangerous practice and staff should be warned that this is unacceptable. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,5 Service users cannot be confident that their needs and aspirations will be met.Staff will be in a better position to understand the needs of some service users in the home following the training that has been organised. Service users have difficulty in understanding the written contract.The statement of terms and conditions must be revised and become more service user friendly. EVIDENCE: The inspector looked at the statement of purpose for the home. This is in the process of being updated so will be explored in detail at the next inspection. The previous inspection made two requirements relating to training of staff to ensure they could meet the needs of service users that live in the home. As there are four service users with varying degrees of autism it is important that staff have an understanding of this condition. At the time of the inspection the training had not taken place. The manager was able to show the inspectors that seven staff have been booked on the autism training for July. The requirement that staff train to learn Makaton has also been organised but not yet delivered. This is also due in the summer with seven staff attending. The recommendation relating to the admissions policy to include opportunities for service users to visit has been implemented. This makes clear there is an open access policy in the home.
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 10 The inspector looked at the statement of terms and conditions between the home and the service user. The format chosen is a written contract that does not take into consideration the needs of the service users. This document is not user friendly and must be revised. Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 The home is making progress in trying to meet the care needs of service users and all plans and actions are recorded in detail. Service users can expect a more sensitive approach from staff. Staff are able to monitor progress of service users and for service users have the opportunity to achieve their stated goals. EVIDENCE: The individual needs and choices of service users in Roseneath Avenue generated five requirements from the previous inspection. Four care plans were examined to assess if the requirements had been met. The care plans of all service users evaluate all aspects of living in the home from medication to anger management. The need is identified, as well as the aims to achieve and the care intervention and the evaluation. Service user assessments and plans now reflect their changing need. There is evidence that these plans are now being reviewed monthly. One care plan detailed how a service users goal was to engage in household chores, which he had not previously acheived. The plan described which activities should be suitable, how to engage him and how to respond if he becomes agitated. This is not only helpful to staff but will allow the service user to have a sense that
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 12 staff are sensitive to his needs and understand his behaviour, particularly as he is non verbal. There is also a record of whether these chores are achieved so progress can be measured. Care plans seen accurately incorporated the goals for a service user from the review carried out by the local authority. The contact between the home and the local authority in relation to three of the care plans seen is good. The requirement regarding appointees has now been met. All service users have details on the file specifying who their appointee is. There are now risk assessments on file relating to accessing community facilities for a service user. These include risks on public transport, trips, falls, restriction of liberty, lack of privacy and other useful information. The assessments state the number of staff required to assist with activities in the home and in the community. The inspector observed the level of confidentiality in the home and is satisfied that the home keeps all information of service users secure. Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 13,14,15,16,17. Service users plans include their areas for personal development. Access to the community is encouraged. Service users enjoy the freedom to make choices about their daily lives and relationships where appropriate. EVIDENCE: One requirement from the previous inspection was the need to revise care plans. This was to ensure that detail regarding how staff would support service users with personal development was recorded. The files inspected now clarify the role of staff members in order to achieve this. This requirement has been met. Most service users in the home are non-verbal. Two service users are verbal and the inspector had the opportunity to speak with one of them. The service user invited the inspector to her room. The inspector and service user talked about the service users love of music and was shown the service users own music system. The service user told the inspector that she likes the staff. The service user said that she has help from staff to have a shower in the morning; she then chooses what she will wear for the day depending on the
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 14 weather. The service user says she is able to do some things for herself she can brush her teeth, comb her hair and put her socks on. The service user also said “I like eggs, toast, tomatoes and a cup of tea for breakfast, staff make it for me”. She also dries up the dishes every day and makes her own bed, this is her choice not one imposed by staff in the home. The service user said that she goes out a lot, today she is going to the cinema in Wood Green with her boyfriend who also lives in the home. A staff member will accompany them. Staff on duty confirmed this. The service user also said, “ I use the garden a lot to sunbathe and I always use sun cream”. The service users said that she is going to Butlins for one week and named who she was going with. The care plans of non- verbal service users show that their religious and social interests are observed. At the time of the inspection three service users were out participating in community based activities. Two service users were involved in activities based in the home with a student nurse and a member of staff. One service user regularly attends church supported by staff, other service users have records of activities such as college, music, drama and gardening. These activities have been identified as interests that service users enjoy participating in. Those service users who have relatives see then regularly. This is recorded in the individual plan and evidence was seen of some family members participation in reviews. The manager confirmed that there is no restriction on service users maintaining contact with relatives and friends outside of the home. The inspectors entered the kitchen areas on the three floors of the home. All the floors have had new kitchens. There were adequate amounts of fresh produce and all opened food was properly labelled. The service user liked the food and could choose what she wished to eat. Service users benefit from a mixed staff team who bring their cultural differences to the home in terms of the food preparation. This enables service users to be adventurous with food. Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Service users are encouraged to express their wishes in relation to the personal care they receive. The medication practice in the home is clear. Targets set for any weight loss programme must be recorded and monitored carefully to ensure that service users do not fall below their healthy weight and become unwell. EVIDENCE: The service user that spoke to the inspector said that she receives support to shower and is able to do other things herself. All service users were appropriately dressed at the time of the inspection. Service user plans indicated that service users have access to GP’s Dentists, Opticians, and other health care professionals. The recommendation for homely remedies to be signed by the GP has been met. The home now has a separate sheet on individual plans to record all healthcare appointments and their outcome. This allows quick reference and follow up by staff to ensure health needs are met. The medication cabinet was inspected and all medication and doses were found to be in order. The temperature of the cabinet was satisfactory. Clear guidelines on covert medication and permission to administer were present on
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 16 all service users records that take this medication. The inspector looked at the returned medication book, which is signed by the pharmacy on collection. The inspector looked at the weight charts of service users. The inspector noted that there is no record on the weight chart that suggests there is a weight loss programme in operation or what the target weight for service users is. This must be recorded in order to measure progress and ensure that service users are not losing more than they need to. This should be done in partnership with the dietician or the GP and clearly recorded. A requirement is made in respect of this Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The complaints record is satisfactory and complaints made are investigated. The whistle blowing procedures are inadequate and require developing. EVIDENCE: The inspector looked at the complaints file and found that one complaint is outstanding. This complaint comes from a member of the community unhappy with service users access to the garden. As this is a situation that has been monitored by the neighbours, and no further complaints have been made for some months, it is not an active complaint so should therefore be concluded. The manager said he will do this. The inspector looked at the company policy on whistle blowing. This was considered to be inadequate and requires developing. There was no mention of contacting CSCI or how the company will support staff in this situation. The home has managed to secure places on Adult Abuse and Protection of Vulnerable Adult training in July. A requirement from the previous inspection related to service user finances and two claims for Disability Living Allowance (DLA). Financial records continue to show three service users with negative personal finances. The registered manager and regional manager have assured the inspector that they are continuing to work on this issue and although not available for scrutiny, the two service users have been awarded DLA and will be receiving their backdated benefits in the near future. This should be examined at the next inspection. Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 18 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 standard(s) 24,27,30 Service users bedrooms, lounges and communal areas are well maintained and homely. Service users are not consistently provided with adequate bathing and toilet facilities on the ground floor. This must be addressed to improve the experience of those service users who use these facilities on a daily basis for personal care. EVIDENCE: Roseneath Avenue is located in a quiet residential area near to local shops and public transport. There has been a programme of redecoration prior to the last inspection and the home is well maintained. During the tour of the building, the inspectors were able to look at service users bedrooms. Permission was sought before entering. These were furnished to suit service users. The bedrooms are well decorated and homely. One service user has posters on his wall of rap artists that he likes and he also has a music system in his room. The rooms have lockable draws in their room and service users can lock their bedroom doors if they wish.
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 19 The bath and toilet facilities on the first and second floors are satisfactory. However, the bath on the ground floor is too high to climb into, particularly as this bath is used for a service user with visual impairment. A shower would be better suited to service users needs particularly as they need continence management. The registered provider should seriously consider this. As discovered at the previous inspection, there is still inadequate hot water in the ground floor bathroom. A requirement for the hot water is restated. The requirement to eliminate odours from the middle floor toilet has been met, however, the ground floor toilet smells of urine and the odour is impossible to remove as it has penetrated the floor. A requirement is made to totally redecorate the toilet, replace the concrete under the sink, and replace the toilet and re tile the floor. The previous requirements to ensure that hand towels and soap is provided in all toilets has been met. Three service users showed the inspectors their bedrooms. Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35 A motivated staff team who are keen to develop themselves support Service users. This allows service users to gain a better standard of care from motivated, and trained staff. EVIDENCE: The inspectors spoke to the manager and three staff members (including a nurse on placement) about their experience of working in the home. The manager has now got a deputy to assist with the day-to-day running of the home and the supervision of staff. This requirement from the previous inspection has been met. The manager Steve Monaghan described this as being a relief because he was struggling to manage all responsibilities without support. The presence of a deputy manager has enabled him to concentrate on meeting requirements from the previous inspection, some of which are complex. The manager has carried out the recommendation that job descriptions are reviewed with assistance from the deputy. The manager advised the inspector that all staff are doing the NVQ. No staff have completed as yet. This was a recommendation from the previous inspection. Two staff members stated that they received the mandatory training on induction. Both staff members said that the service users can be aggressive and challenging but the manager is very supportive when there are difficulties working with service users. Staff member also added that supervision is now happening monthly since the arrival of the deputy. The
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 21 issues discussed in supervision cover all the relevant areas described in the standard. After reading, these are signed. Staff are able to discuss their training needs and there is currently training available following requirements from the previous inspection. Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health and safety records kept in the home are valid. This ensures that service users live in an environment where their well-being is taken seriously. Staff must ensure that the downstairs fire exit is not kept open in the home to minimise any risk to service users. EVIDENCE: During the tour of the building, the inspectors noted that one fire door on the ground floor was propped open with a fire extinguisher. This is not acceptable as this is a fire hazard. The extinguisher should remain on its bracket and the fire door closed. The manager immediately rectified this, but staff must be reminded that they cannot continue with this practice. This is a requirement of this report. The requirement to ensure that the outstanding electrical installation work was completed has been complied with and the certificate was sent to the commission prior to this inspection. The water testing has also been completed and documentation seen. The fire drill, fire alarm tests and fire alarm systems are allocated to a member of staff to test and complete records.
Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 23 This was up to date and satisfactory. There were records detailing that the fire alarms had also recently been serviced. All fire exits with the exception of the above mentioned, were clear and free from obstruction. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 3 x 1 Standard No 22 23
ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x 1 x x 1 Standard No 11
Parkcare Homes Ltd (Roseneath Avenue) 3 Standard No 31 32 33 Score 3 3 3
Version 1.20 Page 24 G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc 12 13 14 15 16 17 x 3 3 3 3 3 34 35 36 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 25 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 5 Regulation 5, (1), (c) Requirement The service users statement of terms and conditions must be written in a language that is service users have a chance of understanding. The suggested weight for service users as recommended by GPs / Dieticians must be recorded on their weight charts and regularly monitored. The Registered Provider must ensure that the whistle blowing policy is updated and circulated to all staff. The registered person must ensure that any money owing to service users in respect of DLA is calculated and paid into their accounts without delay. The Registered Provider must ensure that the bathroom on the ground floor is replaced and that installing a shower is considered to manage service users incontinence. The Registered Manager must ensure that there is adequate hot water in the ground floor bathroom. This requirement is restated. Timescales of 30/9/04 not met. Timescale for action 30/10/05 2. 19 12, (1), (a) 30/09/05 3. 23 21, (1), (2). 20, 1-3 30/09/05 4. 23 30/10/05 5. 27 16, (2) 30/11/05 6. 27 16,(2) 30/11/05 Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 26 7. 30 23 (j) 8. 42 4, (c ) The Registered Provider must totally redecorate the ground floor toilet due to odours that have penetrated the fabric of the toilet. The Registered Manager must ensure that staff do not prop open fire exits and fire extinguishers must remain on the wall brackets. 30/11/05 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Parkcare Homes Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 27 Commission for Social Care Inspection 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 Ltd (Roseneath Avenue) G59 S10592 Parkcare Roseneath Ave V221638 27.06.05 Stage 4.doc Version 1.20 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
