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Inspection on 27/01/07 for Prince of Wales Respite - Emergency Unit

Also see our care home review for Prince of Wales Respite - Emergency Unit for more information

This inspection was carried out on 27th January 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Both the relative and the care manager said that they were satisfied with the overall standard of care in the home. The inspection process supported these views. The service ensures that whilst service users are away from their normal home, that there is little disruption to the way they live their life. They are supported to continue their attendance at day care facilities, colleges and social clubs. The staff enable service users to be independent, encourage choices and ensure that a risk a management system will minimise danger but promote the rights of service users. The service has a robust recruitment and selection process for staff. The care service ensures equality and diversity, which reflects the cultural diversity of the service users.

What has improved since the last inspection?

There is now a formal way in which service users are asked about how they feel about the service they receive and has it met their expectations. The paving to the front of the home has been levelled which ensures a safer access to the building.

What the care home could do better:

The monthly reports about the conduct of the home need to be sent to the home on a regular basis.

CARE HOME ADULTS 18-65 Prince of Wales Respite/Emergency Unit 174 Prince of Wales Road Kentish Town London NW5 3QB Lead Inspector Ms Pippa Canter Unannounced Inspection 26th January 2007 13.45 Prince of Wales Respite/Emergency Unit DS0000037258.V287340.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 Prince of Wales Respite/Emergency Unit DS0000037258.V287340.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. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prince of Wales Respite/Emergency Unit Address 174 Prince of Wales Road Kentish Town London NW5 3QB 020 7485 5606 020 7284 2410 andy.lorentson@camden.gov.uk 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) London Borough of Camden Ms Anderson Lorentson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Not Applicable Date of last inspection 27th February 2006 Brief Description of the Service: Prince of Wales is a care home providing a short stay service (respite) for people over the age of 18 years with a learning disability. Although the primary need of the service users is a learning disability some service users may have a physical and/or sensory impairment. Generally all service users who use the service are living at home with a parent or carer. The cost of the service is £9.24 per night. In addition to the planned respite care service, the unit has two places designated for emergency admissions. The unit also provides transitional stays for service users who are moving from one service to another and require a period of assessment prior to a suitable placement being identified. The service is operated and managed by the London Borough of Camden. The ethos is to enable and support people with a learning disability to independence, to access community services and to socialise with their peer groups. Access to the property is both private and secure. Parking is limited, however the home is close to all public transport, shopping areas and leisure facilities. The nearest underground station is Chalk Farm. The home has been purpose built and can accommodate six people at any one time all in single bedrooms. There is shaft lift and further aids and adaptations have been installed in toilets, bathrooms and bedrooms to assist service users with physical disabilities. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the course of one afternoon by one inspector. The visit lasted a total of 4 hours from mid-afternoon to early evening. The Manager was available and assisted with the inspection along with additional input from the staff on duty and the service users present at the time. Records such as care plans, daily logs as well as accident reports and medication charts were examined. A partial tour of the building was made with attention to the rooms of two service users being case tracked. Some service users were asked for their views of the running of the service and talked about their experiences of staying in the home. Staff were observed carrying out their duties and were involved in general discussion with the inspector. Prior to the inspection we looked at all the information we had about the home, including notifications and previous inspection reports. The Manager had returned a pre-inspection questionnaire, which confirmed some useful information about the service. Five service users, a relative and a Care Manager returned surveys. Their comments are reflected in this summary as the main body of the report. We reviewed all this information and used it to develop and inspection plan to enable us to focus on the important outcomes for service users. At the end of the visit feedback was given to the manager. A feedback form was sent to the manager following the visit so she could let us know how she felt about the inspection process. What the service does well: Both the relative and the care manager said that they were satisfied with the overall standard of care in the home. The inspection process supported these views. The service ensures that whilst service users are away from their normal home, that there is little disruption to the way they live their life. They are supported to continue their attendance at day care facilities, colleges and social clubs. The staff enable service users to be independent, encourage choices and ensure that a risk a management system will minimise danger but promote the rights of service users. The service has a robust recruitment and selection process for staff. The care service ensures equality and diversity, which reflects the cultural diversity of the service users. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 6 What has improved since the last 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. The summary of this inspection report can be made available in other formats on request. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 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 Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear, referral and assessment process in place, which is sufficient to provide staff with the relevant information they need to look after the service user. This service supports both the service user and informal carer. EVIDENCE: As a short stay service the “service users” are both the people with learning disabilities and their informal carers. The service also offers emergency placements. Four service users were case tracked, two were new referrals and two had been using the service for some time. Service users are referred to and assessed through the Care Management Approach. A copy of this assessment is forwarded to the service. Copies of these assessments were seen on the care files, which were examined. The assessments clearly identified the needs of the service users and these were also known by staff. Where emergency admissions are made, as much information as possible is collected together with any risk assessments. Service users who returned questionnaires confirmed that they had sufficient knowledge about the service before having their first stay. The admission process is designed to support the service user with learning disability to get used to the service and staff before regular stays are planned. This includes visiting for meals and an over night stay. This process not only supports the service user but also enables Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 9 staff to make an ongoing assessment. So they are able to plan how to meet the person’s needs and aspirations. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 10 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): Standards 6, 7 & 9 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff know the assessed needs of the service users and how these are to be met. All risks are assessed and managed through a risk management system to enable service users to be independent. EVIDENCE: Four case files were looked at in detail. In two cases the service users were in the home during the visit. Both were very complimentary about the service. Comments received were “The staff are great, they always ask me what I want and are very helpful”. “I like being here, I go to the pub and the staff are good”. Each service user has an allocated key worker. One service user commented, “My key worker is really good”. The home provides a planned short stay service to adults with a diverse range of needs. Care records reflect the diversity of needs of the service users, which are well known to staff. There is recorded and anecdotal evidence that shows the clear involvement of relatives Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 11 and taking into consideration of cultural issues. In one instance, the staff team are working very closely with the informal carer and recording the outcomes of their interventions in order to find the most effective ones. All the surveys returned confirmed that service users felt that they had choice and able to make their own decisions. Where possible the service tries to ensure that service users with similar needs and interests are admitted especially at weekends. This enables them to make similar decisions about what activities they want to do. Throughout the visit, the inspector observed staff enabling service users to make informed choices. The ethos of the service is to ensure that service users are able to retain as much independence as possible. All activities are risk assessed through a risk management system. The risk assessments continue to be of a good standard, showing areas where the service user is at risk, how the risk should be managed and the minimisation of any danger. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 15, 16 & 17 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to follow their chosen lifestyle whilst on a short stay placement. EVIDENCE: When on short-term care, service users are still able to follow their usual lifestyle; this means attending day care facilities, colleges and social clubs. Discussions with service users showed that they are able to do what they want during the day and in the evenings. All the service users who spend time in the home come from the local borough. The length of stay will determine how often they will go into the community e.g. if it is an overnight stay then unless an outing is pre-arranged, the service users may not go out but will socialise within the home. There is a variety of things to do, television, hi-fi unit, games and puzzles or service users may bring in their own entertainment. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 13 The service has been set up to offer short breaks for informal carers. The staff team at the unit continues to foster a good rapport and relationships with families so as to avoid a breakdown in service. One relative commented that they are always made to feel welcome when they visit the service. They find that they are kept informed about important issues affecting the service user. The service still operates a carer’s forum although attendance can be sparse but relatives confirmed that a member of staff is always available if they want to discuss anything. The pre-inspection information recorded that meal times are not rigid. Usually when choices have been made by the service users, the shopping has been done and service users says they are ready to eat. Each service user has an individual meal monitoring form. These cover all main meals. They clearly identify that each service user can choose what they want to eat at each meal. This may mean that staff will provide two or three different meals. Although choice is given a high priority, healthy eating options are included. One service user confirmed that staff are supporting her to make such choices. Religious and cultural observances are not always recorded in sufficient detail. A new form has been introduced that should lead staff to record these needs in more detail. Likes, dislikes and special requirements are well documented. Specialised utensils are also available for service users who need them. The mealtime observed was a happy and social occasion. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 14 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): Standards 18, 19 & 20 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive health and personal care support in accordance with their wishes and preferences. Their general well being is maintained by a competent staff team. EVIDENCE: Both relatives and care professional that returned questionnaires were satisfied with the overall standard of care. The care manager commented that staff had a clear understanding of the service user’s needs and incorporated specialist advice into the care plan. The service provides gender specific care for female service users. A male support worker has all male key users, whereas female staff have a mixture of both. Personal preferences of service users are clearly both documented and known to staff. The team are in the process of ensuring that they receive updated community care programmes. Service users continue to retain their own GP whilst on short-term placement. Where necessary for longer placements, service users are temporarily registered with a local GP. Service users and their informal carers are clear that if service users are unwell prior to their stay, then it is cancelled. Since Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 15 the last inspection the service has submitted one notification of an accident to a service user. This showed that staff had responded appropriately in this emergency, with first aid and contacting emergency services. It is the informal carers responsibility to ensure that service users have access to health care professionals. Staff will accommodate visits by other health care professionals e.g. to administer insulin injections. The administration of medication is supported by sound policies and procedures. The pre-inspection information identified the staff, who are shift leaders, and who have responsibility for recording and handing out medication. There is a rolling programme of medication training and certificates of attendance were available. The service is clear that they will not accept poorly labelled or badly presented medication from informal carers. The policy is to accept medication in blister packs or in their original containers. There is a medication received and return form. Medication is appropriately stored within a locked cupboard, within a secure room. Staff also receive training in how to administer rectal diazepam. Each service user prescribed this medication has a protocol specific to them on their case file and this is backed up by the GP who must confirm the dosage and the criteria for administration. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 16 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): Standard 22 & 23 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relative can feel confident that they can express their views and these will be taken seriously. Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: The pre-inspection information provided by the home recorded that there had been one complaint, which had been responded to and resolved with in the required timescales. Given the nature of the service, this is unusually low. Reasons for this was looked at as part of the inspection process. The majority of the service users who responded using questionnaires confirmed that they knew who to go to if they are unhappy with any aspect of their stay. They can record this on survey at the end of their stay. They said that staff are approachable and will listen and act on what they say. The informal carer confirmed that they had made a complaint. The complaint’s log was examined and it showed detailed information about a complaint and the action taken and the eventual resolution. Parents and relatives are able to feed back at the carers’ forum although the manager confirmed that they encourage informal contact with the service. An example of this was seen during the inspection when the manager spoke at length with a relative. Service users said that they felt safe being in the unit and said that the staff treated them well. The service operates under the London Borough of Camden Adult Protection policies and procedures. A copy of which is on the premises and known by staff. Our records show that there has been one adult Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 17 protection investigation since the last inspection. The matter was reported correctly to the Camden Learning Disability Team and the investigation was both thorough and sensitive with both the service user and the staff member being appropriately supported. The manager had not reported the incident directly to the Commission using a Regulation 37 form. This was discussed with the manager and as the service has sent in previous notifications the Commission is satisfied that there was no deliberate breach of regulations. The service has systems in place to ensure the protection of service users. These include a thorough and robust recruitment process, training for staff which matches the job they do, external auditing of financial accounts and service users feel confident to speak to staff about any concerns. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.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): Standard 24 & 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises provide an environment that meets the varied needs of the people who use the service. EVIDENCE: The pre-inspection information identified areas of improvements. These included interior decoration, a new shower unit to be installed, release bars on two fire exits and lights to be installed in rooms as fire warnings. There has been some internal decoration but the remainder of the work has yet to be done, although the front paving has been levelled and the bars removed from the French doors. 174 Prince of Wales has been purpose built and is a detached property that is surrounded by its’ own garden. The building stands well back from the main road and reflects the other private, residential accommodation, which surrounds it. Nothing marks it out as a care service. Access to the premises is secure via intercom. All six bedrooms are single occupancy and contain Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 19 essential items of furniture as well aids and adaptations for service users who may have physical disabilities. Service users have access to all parts of the building although the kitchen is not large enough for wheelchair users. The welfare and safety of service users is assured with a shaft lift, assisted bathrooms and toilets, low surface temperature radiators and thermostatic control valves to hot water outlets. A call bell system is installed and an integrated fire alarm system. Service users who are spending longer periods in the home said that their rooms were warm, comfortable and big enough. All the users who returned questionnaires confirmed that the house was always clean, fresh and tidy. A partial inspection of the building showed that it was in reasonable condition but would benefit from the planned improvements as listed above. It had a clean and hygienic appearance; there were no obstacles or trip hazards. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.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): Standards 32, 34 & 35 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a committed and effective staff team. EVIDENCE: The pre-inspection information confirmed that the current staff team consists of a manager, deputy and seven senior residential care workers. The service relies on agency workers as one post is open, one support worker is on long term sick and there is a 28-hour post, which is vacant. The manager confirmed that she has been in discussions with the Human Resources department in order to recruit to fill vacancies. Only one relative returned a survey but confirmed that they were satisfied with the standard of care provided by the service. Staffing levels vary according to the dependency levels of the service users. Where it is assessed as part of a community care need, extra staffing is allocated. This is usually on a one to one basis with service users who have complex needs. The relative confirmed that there is always a senior person to talk to on each shift and there is sufficient staff on duty. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 21 Staff were observed indirectly during the inspection visit. It was observed that all staff had a positive relationship with the service users, who showed that there, were enjoying themselves and having fun. Discussions with staff and a look at the daily logs show that staff have a clear understanding of service users’ needs. We visited Camden Social Services Department to look at a sample of staff personnel files. The files showed that there is a robust and thorough recruitment and selection process in place, with all the relevant checks being carried out. This is underpinned by equal opportunities and reflects equality and diversity. Copies of CRB checks are available. For agency staff, there is a form to send out to the agency to verify the fitness of the workers. Staff said that there was no training calendar on the employers website. Statutory training was still available but developmental training was being resourced from other training providers. Staff confirmed that training needs are identified through supervision and appraisal as well as being based on the needs of the service users. Training certificates were available to show the range of training that staff have attended. The pre-inspection information confirms that 60 of the staff are trained to NVQ standard. Prince of Wales Respite/Emergency Unit DS0000037258.V287340.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): Standard 37, 39 & 42 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run service. EVIDENCE: There is an established management structure in place with lines of communication and accountability clearly identified. The manager continues to make headway with the registered Manager’s Award although there have been hold ups. The Deputy confirmed her place on the same management course. Following a requirement on the last inspection report the service have introduced a “Have your say about your stay” questionnaires. This is in its’ infancy and only one service user has taken part. There are formal systems for quality assurance, although an inspection of the monthly regulation 26 reports showed that there are significant gaps and these have not been sent to Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 23 the home systematically. Please see requirement 1. A carer’s forum is available but a limited amount of people attend. The manager said that the informal carers prefer informal systems and will contact the service with any feedback; similarly the service users will talk to their key workers or the managers. The pre-inspection information confirmed the dates of servicing of vital systems e.g. fire detection as well as servicing of the passenger lift and the hoists. A sample of records were looked at and these were found to show that the service is being run responsibly Prince of Wales Respite/Emergency Unit DS0000037258.V287340.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 X 2 3 3 X 4 X 5 X 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 3 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 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 25 No 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 YA39 Regulation 26 Requirement Regulation 26 reports must be sent to the home after each monthly visit. Timescale for action 31/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Prince of Wales Respite/Emergency Unit DS0000037258.V287340.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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