Inspection on 23/10/05 for Parkview House

This inspection was carried out on 23rd October 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Parkview House 19/07/07

Parkview House 10/01/07

Parkview House 13/07/06

Parkview House 09/02/06

Parkview House 08/02/05

Parkview House 23/07/04

Parkview House 24/02/04

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

CARE HOMES FOR OLDER PEOPLE Parkview House 12 Houndsfield Road London N9 7RQ Lead Inspector Jackie Izzard Unannounced Inspection 23rd October 2005 11:10 X10015.doc Version 1.40 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 Parkview House DS0000010566.V250372.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 Older People. 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. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkview House Address 12 Houndsfield Road London N9 7RQ 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 8805 7031 020 8805 4371 2 Care Mrs Mary Rockliffe Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 Brief Description of the Service: Parkview House is operated by 2Care who operate other care homes nationally. This home is registered to care for forty five older people who have a diagnosis of dementia. The home is purpose built and opened in 1993. Residents live in five units, called clusters, which each house nine people. The units are self contained to provide a more homely environment. The home aims to provide a high level of support to residents to maintain their independence and quality of life. The home is located in Edmonton near to a public park. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced so nobody at the home knew the inspector was coming. The inspection took place on a Sunday, 23 October 2005, at 11.10am and lasted five hours. During the inspection, the inspector visited three of the five units in the home and inspected the communal areas of the building and the grounds. The inspector spoke with nine residents of the home and met with one relative. In addition, requirements made at the previous inspection of the home were checked up on and the inspector met with the manager of the home. A sample of five residents’ care plans, files and medication records were also looked at. The inspector saw residents eating their Sunday lunch and observed the way staff were looking after them. What the service does well: What has improved since the last inspection? At the last inspection of Parkview House, inspectors made fifteen requirements. These were actions that the home and 2Care needed to take to meet minimum standards for care homes. The inspector checked on these and found that eleven of the fifteen requirements were fully met which is very positive. Three matters outstanding are listed in the next section. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 6 There has been some redecoration since the last inspection. The ground floor corridors have been repainted and make a pleasant environment for residents to sit or walk around in. There has also been external painting. A sensory garden has been made so residents can walk in this garden, smell herbs and see a water feature. What they could do better: Some requirements made at the last inspection have not yet been met and have been restated in this report, with a new timescale for compliance. In the ‘Timescale for Action’ column, the date in ordinary type relates to the timescale given at the last inspection. The date in bold type relates to the new timescale. Further information about unmet requirements can be found in the relevant standard. Unmet requirements impact upon the welfare and safety of service users. Failure to comply by the revised timescale will lead to the Commission for Social Care Inspection considering enforcement action to secure compliance. The home must ensure that when a resident’s health or circumstances change, that their needs are reviewed and their written care plan updated. A requirement is made at the back of this report and is restated from the last report where a similar problem was found. The home need to ensure they send the inspector evidence that all staff have received training in giving out medication to residents. This is because a requirement was made in a previous inspection to ensure all staff had this training. They also need to keep records of any special diets or different meals served to residents other than what is on the menu, so that these meals can be inspected. Managers need to ensure they have enough time to be able to meet individually with each staff to discuss their work. A requirement is also made to ensure that ground floor windows cannot be entered from the outside. A requirement made in the last inspection report to ensure staff files contain all the required information was not checked at this inspection, but will be checked in the near future as this requirement was repeated from previous inspections. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 7 The home is reminded of its duty to meet the communication needs of residents who do not speak English. This is an area which will be assessed further at the next inspection by CSCI. 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. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 Residents’ needs are assessed before they move to the home and there was no evidence to suggest that their needs are not being met. EVIDENCE: The inspector looked at a sample of five residents’ files who live in four of the home’s five units. Each file contained a clear assessment of the resident’s individual needs, including a moving and handling assessment and falls risk assessment plus other relevant risks to that individual. The inspector followed up on a requirement made at the previous inspection regarding meeting the linguistic needs of a Greek speaking resident. There are currently two Greek speaking residents in the home, both of whom understand little English. The inspector met both residents and was able to confirm from one of them that she understood Greek. The manager said that the home has one Greek speaking staff member who divides her time between the two units where these two residents live. This arrangement needs to be regularly reviewed as it was not possible at this inspection for the inspector to confirm Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 10 that it is adequate. This will be discussed again at the next inspection of the home. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Residents’ needs are reflected in their care plans which are of a satisfactory standard. Residents can be assured that their friends/relatives are invited to review their care plan to ensure it is addressing all their needs. The home needs to ensure a prompt response to updating assessments where a resident’s health or other needs suddenly change. Staff are being trained in medication procedures so as to protect residents from risk of errors with their medication. Residents appear to be contented and treated with respect. EVIDENCE: Five residents’ care plans were inspected on this occasion. Their plans set out their needs regarding health, personal and social care needs and were of a satisfactory standard. The home has written to all residents’ next of kin to ask if they would like to be involved in the monthly review of their relative’s care plan. There was evidence that some relatives have been involved and have signed the care plan. One resident’s risk assessment and care plan had not been updated following a serious incident a few days prior to this inspection when s/he had been injured. The care plan did not reflect any extra care, support or supervision that the Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 12 home was providing for this resident. A requirement is made at the back of this report to update this person’s risk assessment and care plan. This is a restated requirement as the need to update these documents when a resident’s needs change was highlighted the last inspection. The manager reported that staff are now vigilant in ensuring residents always have a stock of their prescribed medication. The inspector checked medication in two units where problems were identified at the last inspection. Both units had a supply of each resident’s medication and the records were completed properly. Some staff will be attending training on medication run by Boots on 26 October. The manager said that all other staff have completed this training. A requirement was made on this matter at the last inspection for all staff to be trained by 30 April 2005. A requirement is now made that the manager confirm to the CSCI in writing that all staff have received this training by the end of November. Due to the communication difficulties experienced by many of the residents, it was not easy for residents to say whether they felt treated with respect and had adequate privacy. The inspector therefore spent time sitting with residents in one unit chatting to them and observing their interactions with staff. Six residents were spoken to. All indicated that they were happy at the home. The following comments were made; “I don’t mix much (with staff) but they are very helpful”, “Nothing’s too much trouble” “I was afraid coming here but I needn’t have bothered. It’s a lovely place really. They’re very helpful and everything.” The inspector observed staff in three units talking to residents in a respectful way and showing sensitivity to their needs. None of the residents spoken to was able to give comments on privacy, but the inspector observed staff respecting residents’ rights to privacy when helping them with personal care. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 15 Residents at this home are supported to maintain their independence where possible, to maintain contact with their families and friends and to lead a lifestyle where they can make choices for themselves. Recording of food needs to be improved to enable inspectors to further assess the quality of meals on offer to those with different cultural needs and those on special diets. EVIDENCE: Six residents indicated to the inspector that they were happy living at Parkview House. Five care plans indicated that residents’ wishes, interests, cultural and religious needs were being addressed. There is a shortage of Greek speaking staff but there is one who works across the two units where Greek speaking residents live. The inspector spoke to and observed four people from minority ethnic groups and asked them about the food they liked to eat. This was then compared with their care plan. The inspector was told that culturally appropriate food is offered regularly. This was not necessarily recorded and a requirement is made to do so. All four ate the English meal served at lunch time during the inspection. The inspector observed one resident enjoying the meal. This resident was not able to say whether s/he would prefer food from his/her cultural background but the care plan stated that this resident enjoyed English food. Two others were asked but were not able to say what their food Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 14 preferences were. There were no obvious unmet needs in this area on this occasion. There was a good selection of activities on offer in the home. One of the management team takes responsibility for activities. The inspector was able to meet this person and was of the view that she had a good knowledge of appropriate and interesting activities for people with dementia and great enthusiasm. Some of the activities in the home include; skittles, dominoes, painting, choir, music, reminiscence, nail care, flower arranging and parties. The inspector observed that residents are able to walk around the home as they wish and are not restricted. Some people move from unit to unit and some walk around the building for long periods if they wish to. Residents can walk around safely. The inspector met a relative of a resident who said staff at the home keep her informed and involve her in her relative’s care plan. Residents are encouraged to retain their relationships and receive visitors when they wish. There are no set visiting times. Lunch on the day of the inspection was roast beef, potatoes and vegetables followed by a hot dessert with custard. The inspector observed this being served in three units. Tables were laid appropriately and staff served the food in a relaxed atmosphere. Those residents who needed assistance with eating were given help. The inspector asked seven residents if they liked the beef. Three were unable to reply and four made negative comments about the meat. Their feedback was passed to the manager who said he would taste it and check if there was any cause for concern. Other residents were seen to be eating and enjoying the meal. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 There is a suitable written procedure for residents and their representatives to follow if they wish to make a complaint. The manager has a satisfactory understanding of procedures to follow where there is a suspicion that a resident may have been abused. This knowledge should help to ensure that proper procedures are followed in the home. Due to a current adult protection investigation, it is not possible at the time of this inspection to make a judgement as to whether residents are protected from abuse. The outcome of the investigation will be recorded in the next inspection report. EVIDENCE: The home has a satisfactory complaints procedure. The complaints record was not inspected on this occasion but will be inspected at the next inspection of the home. Staff have been trained in working with people who have dementia so know how to listen to their views. At the next inspection, relatives will be given the opportunity to give feedback on whether their and the residents’ views are listened to and acted upon. The inspector did discuss one resident with the manager and was satisfied that the manager was aware of the resident’s relatives’ views in how his life could be improved. The manager was able to say what plans were in place to address these views. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 16 There is an adult protection investigation underway at the time of this inspection as a resident sustained some injuries which the home cannot account for. The manager has suspended staff which was the appropriate course of action in these circumstances. As this is under investigation, it is not appropriate to comment at this time, but once resolved this will be commented on further at the next inspection. A requirement was made to ensure this resident’s assessment and care plans are updated following this incident. At the last inspection of the home, inspectors interviewed staff and considered they were aware of adult protection procedures. The next inspection will look at whether staff have received training in adult protection issues. The inspector was satisfied that the manager of the home does have a satisfactory understanding of proper adult protection procedures. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 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, 20, 21, 26 Residents live in a home which is designed to meet their needs, is well maintained, clean and safe and offers a choice of communal and private spaces. Bathing and washing facilities are satisfactory and the repair of a leaking bath in one unit will ensure all residents have access to a choice of bath, shower or wash on a daily basis. EVIDENCE: The inspector walked along all corridors and inspected the communal rooms in Montague, Jubilee and Pymmes units. A sample of six bedrooms were also inspected along with bathrooms and toilets. All rooms seen were clean, safe and warm. There were no health and safety concerns identified. The manager said that one resident uses furniture to barricade herself in the bedroom at night but that staff were working on this by reminding her she could lock the door and by leaving her a written note on the back of the door. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 18 The gardens are designed for the residents. There is a vegetable allotment garden with raised beds and a sensory garden with lights, water and herbs. Residents can take part in gardening, walk around safely or sit and relax. The ground floor and exterior have been repainted and look clean and attractive. The redecoration has been carefully planned to meet the needs of people who have dementia. There is a written plan for redecoration and replacement of furniture for the home. The laundry facilities are satisfactory and the standard of cleanliness in the home on the day of this inspection was very good. The clusters/units are designed so that residents can walk around without getting lost and do not have to be accompanied by staff members all the time. There is a selection of communal rooms to sit in. The bath in Montagu unit was leaking so was not available for use. A requirement is made to ensure this bath is repaired. Whilst inspecting the outside of the building, the inspector noted that the ground floor rooms had top windows which were unrestricted and through which an intruder may possibly be able to enter. A requirement is made to address this at the back of this report. A relative has requested that a resident’s bedroom be redecorated. The manager said that this would take place as soon as there is vacant room which the resident could use during the redecorating. As well as a lift, there is a sloping walkway from the ground to the first floor instead of a staircase. This is safer and also enables people who cannot use stairs to walk around the home safely. Some fire extinguishers were dated October 2004 so are due to be serviced within the next week. The manager agreed to contact the company to request a service of fire equipment if they do not attend the home in the next week. Grovelands and Durants units were not inspected on this occasion but will be inspected at the next inspection. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 30 Staffing levels are sufficient to meet residents’ needs, but a requirement is made to ensure that these are maintained at all times as there are short periods where staff supervision means less staff are available to residents. Staff are given training relevant to their job to enable them to care for residents properly. EVIDENCE: Staffing levels at the home exceed the national minimum standards. On the day of this inspection, there were two staff on duty in each unit, looking after nine people. However, from discussion with the manager, a relative and a senior member of staff, the inspector was informed that the senior staff are based on the units where previously they were supernumery to basic staffing levels. Although it was reported that senior staff have one day each month to complete their management/administrative duties, the rest of the time they work with the residents. The inspector was informed that staff supervision therefore sometimes has to take place on the unit. This may reduce time staff have to supervise and care for residents. The registered persons must ensure that staffing levels are sufficient enough at all times to allow senior staff to carryout their management duties, including staff supervision and administration without reducing staff hours available to residents. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 20 A requirement to ensure staff records are up to date is restated as it was not appropriate to inspect staff records on a Sunday. These will be checked within the next four months. The inspector was informed that, since the last inspection, all staff have received training in moving and handling, fire safety, infection control, dementia awareness and food hygiene training. All senior staff have first aid training and this is planned for other staff. The certificates for these training courses will be inspected at the next inspection when a full inspection of staff files will take place. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 The health and safety of residents and staff is promoted by good practice in training staff and attention to the safety of the building. EVIDENCE: The manager has applied to be registered by the Commission for Social Care Inspection and his application is being assessed at the time of this inspection. A requirement to ensure senior staff have sufficient time to undertake their supervision of support staff and other management duties is made in this report. A senior told the inspector that supervision is taking place as required and the records of the supervision sessions are kept. These were not inspected on this occasion as staff files are to be inspected in the near future. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 22 An inspection of three units within the home and other communal areas highlighted no health and safety concerns other than the possibility that the home could be entered through ground floor top windows. A requirement is made to take action on this risk. Staff have received training in relevant health and safety topics, eg fire safety, medication, food hygiene, moving and handling and infection control. The building is designed to be safe for older people with dementia and is well maintained. The gardens are also designed specifically for the residents of the home and are safe. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 3 3 2 X X X X 3 STAFFING Standard No Score 27 2 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x X X X X X X 3 Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? yes 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 OP8 Regulation 13(4)(c), 14(2)(a) Requirement Timescale for action 30/11/05 2 OP9 13(2) 3 OP15 17(2) Sch 4(13) The registered persons must ensure that assessment of a resident’s needs is reviewed where there is a change in their health or other circumstances. This requirement is restated (previous timescale of 30/4/05 not met). A copy of the specified resident’s updated risk assessment and care plan must be sent to the CSCI. The registered persons must 30/11/05 confirm to the CSCI in writing that all managers and care staff have attended medication training and have received certificates from the trainer which are available for inspection in the home. 30/11/05 The registered persons must ensure that any food served to residents, other than meals on the written menu plan, is recorded in the home. This must include culturally specific foods and any special diets. It is a requirement that food is recorded in sufficient detail that those inspecting the record can assess whether the diet is DS0000010566.V250372.R01.S.doc Version 5.0 Parkview House Page 25 4 OP21 23(2)(c) 5 OP38 13(4)(c) 6 OP27 18(1)(a) 7 OP29 17(2), 19, Sch 4.6 satisfactory. The registered persons must ensure that the bath in Montagu unit is repaired and available for residents to use. The registered persons must take action to ensure that unauthorised people are unable to gain access to the home. A risk assessment must be carried out regarding ground floor windows and restrictors must be fitted to them, unless the risk assessment indicates that there is no risk of anybody entering through the window. The registered persons must ensure that staffing levels are sufficient enough at all times to allow senior staff to carry out their management duties, including staff supervision and administration, without reducing staff hours available to residents. The registered persons are required to ensure that files of staff working in the home contain all the information required under schedule 4 of the Care Homes Regulations 2001. This requirement is restated from the previous four inspections. Compliance was not checked at this inspection. 30/11/05 23/12/05 01/01/06 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. x x Refer to Standard Good Practice Recommendations No recommendations were made at this inspection. Parkview House DS0000010566.V250372.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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