Inspection on 08/11/05 for Parkcare Station Road

This inspection was carried out on 8th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 16 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 03/05/07

Parkcare Station Road 27/04/06

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 Unannounced Inspection 8th November 2005 10:30 Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 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.V262460.R01.S.doc Version 5.0 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.V262460.R01.S.doc Version 5.0 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.V262460.R01.S.doc Version 5.0 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. 18th August 2005 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 younger adults with a learning disability. Station Road provides a service for 15 younger adults, both male and female, between the ages of 18 and 65 years. The service users have a wide range of needs and require very variable levels of support. Some of the service users require support in relation to their behavioural difficulties. Station Road is a large detached building located in Winchmore Hill. Eight service users live in the main part of the home. Three service users live in a separate flat with its own kitchen and lounge and is accessed by a separate staircase from the rear garden of the home. All service users 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. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took approximately five hours with the assistance of the manager. The inspection involved discussion with four service users and three staff. Further information was obtained by a tour of the premises and inspection of documentation kept in the home. The inspector wishes to thank the manager and service users for their cooperation during the inspection. What the service does well: What has improved since the last inspection? The care plans were up to date, a requirement made at the last inspection. Care plans were more specific. The desired outcomes and staff guidelines are identified. Risk assessments are now being reviewed, a requirement made at the previous inspection. Service users meetings are taking place more consistently, a requirement made at the last inspection. The record of complaints has improved, a requirement at the last inspection. An incident not previously recorded had been rectified, a requirement made at the previous inspection. Maintenance tasks have been completed. Safety notices now contained the relevant information, a requirement made at the last inspection. The Emergency Planning Authority has been consulted, an immediate requirement at the previous inspection. The unused filing cabinet blocking the stairwell to the flat has been removed, an immediate requirement made at the Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 6 previous inspection. A fridge/freezer that was defective has been replaced, an immediate requirement at the last inspection. The glass panel has been replaced, an immediate requirement at the previous inspection. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 Service users are given the information they need to make an informed choice about whether the service is suitable for them and their needs. EVIDENCE: Since the previous inspection, there have been no new admissions to the home. The service has a service user guide, a good practice recommendation has been made in relation to this. The service has an up to date purpose and function document. The manager is in the process of updating the home’s contracts/service user agreement. It clearly specifies the terms and conditions of the home including a notice period. Service users needs are being reviewed on a regular basis. The manager and staff interviewed showed they had a good understanding of individual service users needs and could talk in detail in relation to their role. The service users spoke positively in relation to staff and the support they receive from them. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8, 9 The process to show that service users are actively involved in participation and decision making in the home and the information to show they are supported to take risks to develop independence has improved. Service user involvement needs further development e.g. service users to sign their care plans. EVIDENCE: Service users care plans were inspected. They were clear to read. The manager is endeavouring to keep them up to date. This was a requirement made at the previous inspection. The care plans are now more specific. The care plan now specifies the area in which service users make decisions about their lives with assistance. The desired outcomes of the staff guidelines are mostly identified. There is now evidence to show that staff are using the plans to guide individual care more effectively. The care plans are not being signed by service users or their representatives. This was a requirement made at the previous inspection, restated at this inspection. Care plans and risk assessments should include the actions agreed at review meetings. A good practice recommendation has been made. The risk assessments to show potential risks for some service users are now being reviewed. This was a requirement made at the previous inspection. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 10 Service users meetings are now taking place and are more consistent therefore more effective. This was a requirement made at the previous inspection. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Service users enjoy a range of appropriate activities including those within the local community. Contact with relatives is maintained and encouraged according to service users wishes. Service users rights are respected. However, food must be stored correctly to ensure that the service users health is not put at risk. EVIDENCE: Service users attend day services ranging from one day per week to five days per week. On the day of the inspection, the inspector saw a number of service users who travel independently. They are able to take part in age, peer and culturally appropriate activities such as attending church. On the day of the inspection four service users spoke with the inspector, both on a one to one basis and in groups. Service users discussed their day care, employment and family contact. Service users contact varies ranging from personal visits to telephone calls. On the day of the inspection the kitchen was clean and tidy. The inspector noted that some food stored in the fridge had passed its sell by date and was Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 12 not labelled to show the date it was opened. A requirement was made in relation to this. Staff interacted appropriately with service users and there was a warm and friendly atmosphere in the home. Service users privacy was respected. There are notices on service users doors to ensure that service users are able to choose when to be alone. Service users have keys to their rooms and on the day of the inspection service users that were out had locked their doors. There is a form which has to be completed in the event that this privacy is overridden in relation to health and safety requirements if there is a need to enter the service users bedroom. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 Service users physical and emotional needs are met. However, the wishes of service users in the event of their death need to be recorded on all service users records to ensure they are treated with respect. EVIDENCE: Service users all have access to primary and specialist healthcare appointments. The medication administration records were inspected and were adequate. Care plans were clear to read. The manager is endeavouring to ensure that all care plans are kept up to date. This was a requirement made at the previous inspection. The care plans show more identified assessed needs and aspirations. They are now reviewed on a monthly basis. They must be informed by a range of multi disciplinary reviews and risk assessments signed by the relevant parties. This was a requirement made at the previous inspection, restated t this inspection. The illness and death of service users is recorded on service users files and in some detail. However, on the day of the inspection one identified service user’s information was not available. All service users wishes must be recorded. A requirement has been made in relation to this. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 14 All service users were mobile at the time of the inspection. One service user was distressed and was supported in a very respectful and sensitive manner by the manager. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Service users can be more confident that their views are listened to and acted upon since the recording of complaints and action taken has improved. However, these must be maintained on a consistent basis to be effective. EVIDENCE: The complaints book was inspected. No new complaints had been received since the last inspection. The documents had been amended to show consistently the action taken by the responsible person. The records showed the date on which action was taken and was signed and dated. This was a requirement made at the previous inspection. On the last inspection an incident had taken place, which had not been reported to the manager. Alterations had been made to the risk assessments and care plans. This was a requirement made at the previous inspection. Staff have received training in relation to the protection of vulnerable adults with an introduction to adult protection issues. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 30 Service users benefit from the recent improvements in the environment. However, further maintenance is required to ensure the environment is homely, comfortable and safe. EVIDENCE: The home offers an appropriate domestic type environment. Service users benefit from plenty of lounge space, so they can choose which area they want to sit in. All but one of the service users bedrooms were inspected and only one was not satisfactory. A tour of the building showed a reasonable standard of cleanliness. Outstanding maintenance tasks that needed to be rectified at the previous inspection i.e. securing the spindles to the banister in the main house, replacing the cracked tile in the kitchen in line with current type, the repair of the vent in the laundry room, the replacement of the bath panel in the bathroom in the main house, the replacement of the handles on the door of Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 17 the service users wardrobe, light bulbs to be fitted into bedside lamps, the cooker in the main house to be repaired. In relation to the flat, handles had been put on the kitchen cupboards, the door of the bathroom had been replaced, the door to the boiler had been repaired, the exterior rendering to the flat in relation to the area around the door had been repaired, the en suite bathroom in the main house which had had the shower removed has a damp area behind the WC on the back wall. This still needs to be investigated, repaired and redecorated. An investigation must take place by an appropriately qualified person and the findings should be sent to the CSCI local area office. This requirement is restated from the previous inspection. The following maintenance tasks need to be rectified in relation to the current inspection: a cover needs to be placed on the tables outside the patio door of the main house near the bench to ensure service users safety. The sofa in the main house needs to be repaired or replaced, the identified service users must have the holes in her bedroom walls repaired and action taken to prevent future reoccurrence, the door of an identified service users cupboard must be reattached. The cracks that are now inside the door of the flat must be investigated along with the cracks in the en suite bathroom on the top floor. The toilet opposite the laundry room must have the flooring replaced with an appropriate alternative. The tumble dryer which is not working effectively must be replaced. The vents in the bathrooms and toilets must be cleaned. The quiet room in the main house is in need of redecoration. The lounge in the flat is in need of redecoration. The bathroom in the flat must be updated and a shower fitted. A requirement made at the previous inspection - time scale not yet met dated 01/01/06. The cracked glass at the right hand side of the door of the flat and the second panel leading up the stairs must be replaced. An immediate requirement was made in relation to this. The cooker in the flat must be replaced. An immediate requirement was made in relation to this. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34, 35 Service users can be more confident that their needs will be met by sufficient numbers of staff on duty. Staff had received training and had been recruited appropriately. EVIDENCE: On the day of the inspection there were sufficient numbers of staff to meet service users needs when compared with the identified number on the staff rota. This was a requirement made at the previous inspection. The staff rota did not show the staff members full name and the position that they held. The shift times were not clearly identified, am and pm are not acceptable. One domestic staff is employed but her hours are not identified on the rota. A good practice recommendation is made in relation to the above. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 Service users views are sought. Parkcare have failed to make sure that service users at Station Road are living in a safe environment due to a number of health and safety issues outstanding. EVIDENCE: Station Road has a service user quality assurance questionnaire. This has meant that service users and their families have the opportunity to feedback formally their views on a range of areas regarding the quality of service received. The feedback obtained from the quality assurance review must be compiled into a report and acted upon. A requirement has been made in relation to this, restated from the previous inspection time scale 01/11/05. Meetings with service users are being held and the manager is ensuring the minutes are clear and comprehensive and being used to ensure that service users views are contributing to the functioning of the home. A range of health and safety documentation was inspected and found to be in order. Adequate fire drills are taking place and point testing. A certificate of Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 20 employees liability insurance was displayed. A PAT testing certificate was in order. The fire extinguishers and fire equipment had been checked. At the previous inspection the boiler did not meet current standards regarding ventilation and placement of the flue terminal as per gas safety check 09/03/05. An immediate requirement was made in relation to this dated 01/09/05. The new boiler is being fitted on the 17/11/05. The certificate must be sent to the local CSCI area office. A requirement has been made in relation to this. All safety notices need to contain the relevant information. An immediate requirement was made in relation to this dated 20/08/05. This has now been rectified. All door closures need to be effective and recommendations outlined by UK Fire in their fire risk assessment needed to be implemented. An immediate requirement was made in relation to this – time scale 01/09/05. these requirements have not been met. However, the manager has consulted the Emergency Planning Authority in relation to the fire safety arrangements in the home. An immediate requirement was made in relation to this dated 01/09/05. This has been completed and a report must be sent to the local CSCI area office with a schedule of action with time scales for the work to be completed. The inspector spoke to the fire officer concerned who confirmed that his report had been sent to the organisation clarifying the work which needed to be completed. The unused filing cabinet blocking the passageway of the flat entrance has been removed. An immediate requirement was issued at the last inspection in relation to this. The fridge/freezer that was defective had been replaced. An immediate requirement had been made in relation to this. The glass panelling at the stairwell of the independent flat had been repaired. An immediate requirement had been made in relation to this. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 X x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X 2 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 2 3 1 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 3 2 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X 2 Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 22 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 YA6 Regulation 15(2)(a) Timescale for action The registered manager and care 20/12/05 provider must ensure that the care plans are made available to service users to be signed by themselves or their representatives. Requirement restated. Previous timescale 18/10/05 The provider and registered 01/12/05 manager must ensure that food products used are regularly date checked and that food products identified as out of date are disposed of properly. The wishes of service users in 01/01/06 the event of their death must be recorded in their file and available for inspection. The registered manager and 01/12/05 provider must ensure that the en suite bathroom in the main house (which has had the shower removed) that has a damp area behind the WC needs to be investigated by an appropriately qualified person and redecorated. Previous requirement made timescale not yet reached 01/12/05 A cover must be placed on the 01/12/05 DS0000010591.V262460.R01.S.doc Version 5.0 Page 23 Requirement 2 YA17 16(2) 3 YA21 12(4)(b) 4 YA24 23(2)(b) 5 YA24 23(2)(b) Parkcare Homes (No 2) Ltd (Station Road) 6 7 YA24 YA24 8 YA24 9 10 11 YA24 YA24 YA24 12 YA24 13 YA39 14 YA42 15 YA42 cables outside the patio door of the main house to safeguard the health and safety of the service users. 23(2)(b) The holes in the wall of the identified service users bedroom must be repaired. 23(2)(b) The cracks inside the door of the flat and the en suite bathroom on the top floor of the main house must be investigated by an appropriately qualified person and their report should be sent to the local CSCI area office. 23(2)(b) The toilet opposite the laundry room must have the flooring replaced by an appropriate alternative. 23(2)(d) The vents in the bathrooms and toilets must be cleaned. 23(2)(b) The quiet room in the main house must be redecorated. 23(2)(a) The bathroom in the main flat must be updated and a shower fitted, restated timescale not yet met. 23(2)(c) The cooker in the flat must be replaced as it poses a health and safety risk to service users. Immediate Requirement 24(1)(b) The information obtained from the quality assurance review as requested at a previous inspection must be compiled into a report and acted upon. 23(2)(c) The certificate to confirm the new boiler has been fitted and meets the required standards must be sent to the CSCI local area office. 23(4)(c)(i) All door closures need to be effective. Immediate requirement on 25/08/05. This is now subject to the Fire Officer’s report being received. This action must be completed as soon as this report has been made available. DS0000010591.V262460.R01.S.doc 25/12/05 15/01/06 30/12/05 01/12/05 01/02/06 01/01/06 16/11/05 01/02/06 18/11/05 01/01/06 Parkcare Homes (No 2) Ltd (Station Road) Version 5.0 Page 24 16 YA42 23(4)(b) All recommendations outlined in 25/12/05 the UK Fire Risk Assessment needs to be implemented subject to written advice received from the Emergency Planning Authority. This report must be sent to the CSCI local area office with a schedule of action with timescales. 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 2 3 Refer to Standard YA1 YA6 YA33 Good Practice Recommendations It is recommended that the service users guide is updated and a date is entered to show when a review of the document has taken place Care plans should include the actions agreed at review meetings. The staff rota showing the staffs full name and position held including shift times must be clearly identified on the rota. Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkcare Homes (No 2) Ltd (Station Road) DS0000010591.V262460.R01.S.doc Version 5.0 Page 26 - 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. 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