Inspection on 03/05/07 for Parkcare Station Road

This inspection was carried out on 3rd May 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkcare Station Road 11/04/08

Parkcare Station Road 27/04/06

Parkcare Station Road 08/11/05

Parkcare Station Road 18/08/05

Parkcare Station Road 05/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Parkcare Homes (No 2) Ltd (Station Road) 8 & 8a Station Road London N21 3RB Lead Inspector Wendy Heal Key Unannounced Inspection 3rd May 2007 11:00 Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.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 (Station Road) DS0000010591.V333156.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 (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkcare Homes (No 2) Ltd (Station Road) Address 8 & 8a Station Road London N21 3RB Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8360 2274 020 8360 6565 station.road@craegmoor.co.uk Craegmoor Homes Ltd Mrs Tunay Arslan Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users Limited to 15 adults of either gender with a learning disability (LD) not to exceed 12 accommodated at 8 Station Road, London N21 3RB and 3 accommodated at 8a Station Road, London N21 3RB One specified service user who is over 65 years of age may remain accommodated in the home. The home must advise the regulating authority at such times as the specified service user vacates the home. 27th April 2006 2. 3. Date of last inspection Brief Description of the Service: 8 & 8a Station Road is managed by Craegmoor Healthcare Services. It is a service for young people with a learning disability. Station Road provides a service for 15 young people, both male and female, between the ages of 18 and 65 years. The people have a wide range of needs and require very variable levels of support. Some of the people require support in relation to their behavioural difficulties. Station Road is a large detached building located in Winchmore Hill. Eight people live in the main part of the home. Three people live in a separate flat with its own kitchen and lounge and are accessed by a separate staircase from the rear garden of the home. All of the people living in the home have a single bedroom. The bedrooms are located across three floors of the house. There is no lift in the home. Two of the bedrooms have their own en suite shower room but the rest access four shared bathrooms/shower rooms. On the ground floor there is a large lounge, dining room and kitchen. On the first floor there is a small, quiet sitting room. At the rear of the home there is an enclosed garden. The fees at the home range from six hundred pounds to thirteen hundred pounds approximately. The home has the purpose and function document and inspection report on their notice board for interested parties to view. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place as part of the inspection programme. Compliance was checked against key standards and took approximately 6 hours. I undertook a tour of the building spoke with the people who live in the home and members of the staff team. I gained further information by an inspection of the documentation kept in the home, including care plans and health and safety documentation. The manager offered her assistance throughout the period of the inspection. I would like to thank the people who use the service and the manager and staff for their openness and participation. What the service does well: What has improved since the last inspection? The service user guide has been updated and it is now more accessible for the people who live in the home as it is in a pictorial form. People are now being offered individual key worker meetings which ensures people have the opportunity to discuss topics and assist staff to identify triggers that may cause friction and result in incidents taking place which benefits the wellbeing of people living in the home. Two risk assessments have been updated which means the potential risks identified for these people can be minimised which safeguards their wellbeing. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 6 There are now PRN guidelines in place, which are signed by medical professionals, which safeguards people’s health and safety as effective procedures are in place. A number of environmental improvements have taken place for example, the laundry room has now been redecorated and the leak found in the laundry room roof has now been investigated and the necessary action taken which ensures that people’s health and safety is not put at risk as people are living in a safer environment. One identified persons bedroom has had the flooring and bedroom sink replaced, bedroom furniture has also been obtained which improves the quality of life for this person. The damp areas identified in a person’s bedroom has been investigated and appropriate action has been taken to rectify the problem and the bedroom has been decorated which ensures that the person is living in a pleasant environment. The kitchen in the flat has been redecorated and the bathroom has been refurbished and a shower has been fitted which ensures that the people living in the flat who requested a shower to be fitted have had their wishes and needs met. Adult protection procedures in relation to the local placing authorities are now available at the home, which ensures that staff have the information available to them to protect people from potential abuse. What they could do better: The statement of purpose needs to be updated to ensure that accurate information is available in relation to the service . Food must be stored appropriately within its use by date and labelled to protect the health and wellbeing of the people living in the home . The garden must be effectively maintained to ensure people living in the home have a pleasant place to relax in summer. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 7 Staff training must be fully up-to-date including health and safety, manual handling, cosHH, adult protection, to ensure that all staff has the necessary skills to meet people’s needs. A Deputy Manager must be appointed as a matter of urgency to ensure that the manager of the home has the necessary support to ensure the home can be managed consistently. The supervision notes of the manager must be signed and dated by all parties and provide the opportunity for the needs of the people living in the home and any concerns in relation to the home to be discussed as well as the organisations business matters. 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 (Station Road) DS0000010591.V333156.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 (Station Road) DS0000010591.V333156.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 good. People who use the service are given the information they need to make an informed choice about whether the service is suitable for them and their needs. The service is good at assessing individual service users aspirations and needs. The people have an individual contract of terms and conditions, which assists people to have an understanding of what they can expect from the organisation and vies versa. 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. I looked at the statement of purpose, which needs to be updated. A requirement has been made in relation to this. The service users guide, which has recently been updated, takes into consideration the needs of people living in the home. The document is very accessible as it is in pictorial form. Individual assessments have been completed by the homes manager to cover aspects of the individual’s needs, which ensures peoples specific needs can be met. The homes service users agreement clearly specifies the terms and conditions of the home and includes areas like the opportunity for people to furnish their room with personal items, confirms that food heat and light will be supplied, it states that people will be assisted with their laundry and Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 10 encouraged to cook to the best of their ability. The service user agreement contains details of the notice period. People’s case files were inspected. They contained copies of contracts between the home and people living in the home these contracts had been signed by them or their representative, which ensures their rights are respected. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.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): 6,7,9,10 Quality in this outcome area is adequate. Not all of the people’s care plans are being kept-up-to-date, evidence could not be provided in relation to one person to show how staff were supporting one person to ensure their needs are met. People make decisions about their lives with assistance, which empowers them. People are supported to take risks, which assists them to develop their independence. People’s information is handled appropriately which means peoples confidentiality is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Peoples care plans were inspected. They were clear to read. The manager is in the process of updating people’s care plans as a new format has been developed based on person centred planning which is in a pictorial form which means it is fully accessible to people who need to use it. The new care plans will include information such as important dates for individuals living in the home, peoples preferred name, things that people should not do as this would Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 12 be damaging to their health. This new document means that the quality of care is more focused on the individual, which benefits their wellbeing. The care plans specify the areas in which people make decisions about their lives with assistance, which increases their independence and empowers them. One identified service users care plan needs to be updated because it makes reference to a book were information is recorded and this document is no longer in use. The care plan also makes reference to anger management meetings, which are no longer taking place. A requirement has been made in relation to this. The manager is in the process of consulting with other professionals to ensure that this person is referred for further anger management meetings along with a referral to the psychologist to ensure that essential support continues to be provided to this person to guarantee their individual needs can be met. The risk assessments to show potential risks for individual people are being reviewed, the risks include emotional health in terms of personal relationships, making racist comments and challenging behaviour. One person’s disclaimer agreement has now been updated in relation to this particular person refusing to leave the home in the event of a fire taking place which means that this document is now fully up-to date and agreed by all parties. People are now being offered individual key worker meetings as stated in their care plans which provides people the opportunity to discuss topics and assist staff to identify triggers that may cause friction and result in incidents taking place. People’s information is handled appropriately. The main files are kept in the office and the information stored on the computer is accessed by a password. I observed the level of confidentiality in the home and I am satisfied that the staff at Station Road keep peoples information secure which protects their confidentiality. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.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 adequate. People are being supported to broaden the activities they participate in within the community. People are part of the community and are encouraged to take part in age peer and culturally appropriate activities. People are supported to choose healthy nutritious meals. However food was not stored properly and was not within its use by date, which will impact on people’s health. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At Station Road people attend day services ranging from one day a week to five days per week. A number of people travel independently which increases their self-esteem. On the day of the inspection I spoke with a number of people several discussed their day care arrangements with me and were happy with them. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 14 People’s contact varies ranging from personal visits, which includes weekend stays at the family home for one person. People also receive telephone calls, which benefits their emotional wellbeing. Two service users who are involved in a relationship meet regularly on a set day of the week to spend some time together, which assists their emotional wellbeing and makes them, feel valued. People living at Station Road use the local pubs and shops, which allows for social interaction. One person attends church regularly on a Sunday, which promotes his spiritual wellbeing. One the day of the inspection a number of people were on their rest day at home they were watching television in the lounge and listening to television in their bedrooms. One person was going shopping with a member of staff, which increases their independence and selfesteem. I also saw a number of people get ready and go to their social club that evening which provides them with the opportunity for social- integration. There is a polite notice on people’s bedroom doors to ensure that staff know when people want to be alone or in the company of others. People do have keys to their rooms and on the day of the inspection these had been used by the people living at the home to lock their bedroom doors when they went out which, ensures their privacy and personal space is respected. Staff were aware of peoples preferences in relation to meals. The menu of food available, which was inspected, was wholesome and nutritious. One the day of the inspection both of the kitchens were clean and tidy. The fridges were inspected and open food stored in the fridge was not labelled properly and was not within its use by date. A requirement has been made in relation to this. I saw evidence of colour coded chopping boards being used to prevent cross infection. One person has been referred to an obesity clinic and has attended courses to explain the importance of what they eat and how it impacts on people’s health to assist this person to manage their dietary needs. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.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 good. People receive personal support in a way they prefer and require, which ensures their individual rights and choices are respected. People’s physical and emotional health care needs are being met. The process for administering medication is effective and promotes the good health of people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The record of health care appointments for each person were inspected. They indicated that people are being supported to receive their individual healthcare checks, which ensures their health is being monitored. People’s preferences in relation to how peoples person care is provided is highlighted in their individual care plans. The medication and administration records were inspected and all medication had been signed for on the MAR sheets, which supports good practice in terms of safeguarding people’s health. The medication - cupboard was inspected and Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 16 found to be in order which further safeguards peoples health. Peoples PRN guidelines are in place and have been signed by a medical professional. When people go home and need to have their medication administered by their relatives there is a book which records the dates the person is staying at home the medication given the dosage, time given, potential side effects of the medication, the return date of the medication any missing medication is noted along with a person’s refusal to take their medication which ensures that effective recording is in place to safeguard peoples health. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.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. People who are living in the home can be confident that their views are listened to and acted upon since the recording and action taken in relation to complaints was found to be in order. Adult protection procedures were available which ensures staff have the information available to protect people living in the home 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 inspection I looked at the complaints book. Two new complaints had been made since the previous inspection, which had been appropriately responded to and the person concerned had been advised to raise these issues in the residents meetings. The adult protection guidelines for the organisation were available along with those in relation to their relevant placing authority, which means that staff have the information available to them to protect service users from potential abuse. Service users finances were not inspected on this occasion. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30, Quality in this outcome area is adequate. People living in the home benefit from improvements that have been made to the environment. However further maintenance is required to ensure that people live in a homely environment. The home is clean and hygienic which benefits the people living in the home as their health is protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: I saw that a number of environmental improvements had taken place. The laundry room has been decorated. The roof of the laundry room has now been inspected and there is no longer a water leak into the laundry room from the faulty roof, which ensures the home is a safe place to live. One identified persons bedroom, which had indicators that it may be damp as mould was forming has now been decorated and is no longer detrimental to the person’s health. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 19 The kitchen in the flat has now been decorated due to the boiler being replaced, which, ensures the flat is safe and a more pleasant place to live. The bathroom in the flat has now been completely refurbished and a new shower has been fitted which benefits the people living in the home as their personal care needs are more suitably met. Further work required at this inspection is that the lounge needs to be redecorated and the light that is no longer being used must be removed from the wall. Requirements have been made in relation to this. One identified person has had new furniture purchased for his bedroom with the involvement of the family. A new sink has also been obtained along with new flooring. However this bedroom needs to be redecorated. A requirement has been restated in relation to this. The garden needs to be maintained the grass needs cutting and attention needs to be made to ensure people are provided with a pleasant place to live. A requirement has been made in relation to this. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 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 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 staff need to undertake training in a number of areas to ensure that they can fully met the needs of the people who live in the home. People are protected by the home’s recruitment policies and procedures. People living in the home benefit from supervision being up-to date as this ensures staff are consistently working together which benefits people’s wellbeing. However managers would benefit from the opportunity of discussing the needs and concerns of the people living in the home the current supervision form focuses on the business tasks in terms of the format to a large extent which does not ensure all care issues are included in detail. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff have not all been fully trained some staff still need to be trained in relation to health and safety, fire safety, manual handling, cosHH and adult protection training to ensure they are fully qualified to meet people’s needs. Requirements have been made in relation to this. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 21 Supervision records were inspected and staff are receiving regular supervision, which ensures that a professional and consistent approach is undertaken by all staff and assists the development of people living in the home. On the day of the inspection the homes manager was having her supervision with her line manager this information must be fully recorded provide the opportunity to discuss the needs and any concerns in relation to the people living in the home as well as business arrangements signed and dated by all parties to ensure that accurate recording takes place. A good practice recommendation has been made in relation to this. The staff files were inspected and contained all of the criminal records bureau checks, staff references and the required staff identification records, which assists to protect people from potential abuse. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 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 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 adequate. The home does not have a deputy manager appointed which impacts on the management of the home, as the manager is not provided with all of the necessary staffing to ensure the home is managed in the most effective way. People can be confident that their views underpin all self-monitoring - review and development within the home. The people’s health safety and welfare is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home does not have a deputy manager in post and this post has been vacant for a considerable time, the manager does not have the necessary support to ensure the service can be managed consistently, which does not Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 23 benefit people living in the home. A requirement has been made in relation to this. The registered manager has completed the Registered Managers award and undertaken an advanced management qualification, which benefits the people living in the home as it ensures she has the necessary experience and knowledge to manage the home. During a tour of the home I noticed that all fire doors were closed which protects people who live in the home in the event of a fire-taking place. The fire drills fire alarm tests and fire systems were found to be in order. Fire exits were clear and free from obstruction. All fire safety notices contained the relevant information. Emergency lighting checks were found to be in order. The gas certificate was seen and found to be in order. The portable appliancetesting certificate was seen and found to be in order. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 24 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 2 2 3 3 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 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. 2. Standard YA1 YA6 Regulation 4 15 Timescale for action The Registered Provider must 20/07/07 ensure the purpose and function document is up-to-date. The registered Manager must 20/06/07 ensure that care plans are up-to date and that all information recorded is accurate. The Registered Manager must 04/05/07 ensure that food products used are regularly date checked and that food products identified as out of date are disposed of properly. The Registered Manager must 10/07/07 ensure that the lounge is decorated and the wall light, which, is not being used, that has the cable wrapped around it is removed. The Registered Manager must 10/07/07 ensure the identified persons bedroom is decorated. This requirement is partly met and has been restated from the previous two inspections. Timescale of 20/01/07 not met. The Registered Manager must 25/05/07 ensure that the garden is maintained. DS0000010591.V333156.R01.S.doc Version 5.2 Page 26 Requirement 3. YA17 16 (2) 4. YA24 23 (2) 5. YA24 23 (2) (b) 6. YA24 23 (2) (b) Parkcare Homes (No 2) Ltd (Station Road) 7. 8. YA37 YA35 18 (1) (a) 23 The Registered Provider must 15/08/07 ensure that a deputy manager is appointed. The Registered Provider must 10/09/07 ensure that all staff undertakes training in health and safety, manual handling, cosHH, adult protection. 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 YA36 Good Practice Recommendations The supervision notes of the manager must be signed and dated and provide the opportunity to discuss the needs of people living in the home and related issues in relation to the management of the home as well as the organisations business matters. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V333156.R01.S.doc Version 5.2 Page 27 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. 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