Inspection on 01/08/05 for Prudential Care Home Ltd

This inspection was carried out on 1st August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Prudential Care Home Ltd 13/10/08

Prudential Care Home Ltd 16/10/06

Prudential Care Home Ltd 27/02/06

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

CARE HOME ADULTS 18-65 Prudential Care Home Ltd 7a Grant Terrace Castle Town Road London N16 6DS Lead Inspector Glen Baker Announced Inspection 1 August 2005 at 10:00am st The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Prudential Care Home Ltd Address 7a Grant Castle Town Road, London, N16 6DS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 07904 010 863 020 8351 2842 michealpatel@blueyonder.co.uk Prudential Care Home Ltd Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Residents with enduring mental health needs with a forensic history. Date of last inspection Not applicable Brief Description of the Service: 7a Grant Terrace is an end of terrace building situated in a quiet residential area near to Manner House and Seven Sisters Underground stations. The home has easy access to a wide range of local facilities and amenities. The home is registered to provide services for four adults with a forensic mental health history those who are not assessed is ready to be able to live independently. Staff at the home support residents to regain and retain independent living skills that will enable them to move into the supported accommodation. All referrals to the home are as a result of the Care Programme Approach meetings recommendations and the home does not accept emergency referrals. The home offers both short-term and long-term placements. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 01/08/05 and was announced. The home’s proprietor and prospective manager were the present throughout the inspection. The inspector also had the opportunity of speaking with residents and members of the staff team. To assist in the inspection of the home a number of policies, procedures and other documents were inspected. The home has been open for a relatively short period of time and this inspection was the first announced inspection after the registration process was completed. Unfortunately soon after registration process was completed both the responsible individual and the registered manager left the organisation without an opportunity for transition arrangements to be made. The proprietor has now become a responsible individual and has worked with the Commission for Social Care Inspection to ensure the safety of the two current residents and to move the home back to a position where it can operate in a professional way. The proprietor is in the process of registering a new manager and recruiting new staff. The proprietor has employed the services of a consultant to advise him on mental health, social work and management issues. Despite the problems and disruption that the home has experienced residents speak highly of the services that are offered and speak positively of the proprietor and staff. In recent weeks there have been significant improvements in the quality of recording and to this needs to continue. What the service does well: What has improved since the last inspection? This is the first inspection since the home was registered. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 6 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. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5. The home has a Statement of Purpose and Service User Guide that were agreed as part of the homes recent registration. The home has an admissions policy that was agreed as part of the homes recent registration. Assessment documentation and care planning processes need to be improved. Current residents were able to visit the home as part of the assessment process. Each resident has a contract/statement of terms and conditions. EVIDENCE: The home is newly registered and all documentation was agreed and approved as part of registration process. As stated earlier in the report there have been a number of difficulties in respect of the Responsible Individual and the registered manager of the home who were both involved in the registration process must have both since left the organisation. The current Responsible Individual, who is also the proprietor, is in the process of registering a new manager. Both the Statement of Purpose and Service User Guide need to be updated to reflect this. The documentation available for inspection required additional information to be added this included in organisational structure for the home and a record of staff working at the homeand their qualifications and experience. The responsible individual advised that this information will be added as appendices to the Statement of Purpose and Service User Guide. The responsible individual also advised that the intended to improve the description of individual accommodation and communal space provided at the home as part of the updating of the documents. In addition, the proprietor agreed to Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 9 develop the Statement of Purpose in the following areas; the arrangements for residents to engage in social activities, hobbies and leisure interests, the arrangements made for residents to attend religious services of their choice, the arrangements made for contact between residents and their relatives friends and representatives, the arrangements made for dealing with complaints and the arrangements made for dealing with reviews of the residents care plan. Since this was the first inspection of the home since registration a copy of the most recent inspection report was not available. Records of residents currently living at the home were inspected. Each admission was as a result of a Care Programme Approach meeting that identified that residents needed a placement offering higher staffing levels and a small unit. Risk assessments had been undertaken as part of the Care Programme Approach assessment. Adequate care plans had not been developed from assessment documentation. The responsible individual is aware of this and staff at the home are currently working hard to rectify this problem. Restrictions on choice, freedom, services or facilities are contained within the Care Programme Approach assessments. Care plans do not fully identify how the assessed needs of residents are to be met and work to rectify this is being undertaken. Records showed, and residents confirmed, that visits to the home had been undertaken prior to placements being made. This requirement is part of the admissions policy and process for the home. Documentation in respect of both residents confirmed the appointment of the Local Medical Officer and Responsible Medical Officer. The home does not accept emergency admissions. Each resident had a contract/statement of terms and conditions. The contract/statement of terms and conditions referred to the use of the bedroom and communal areas. The contract/statement ifof terms and conditions refers to the Care Programme Approach plan but not to the care plan. This will be amended. The policy of the home is that residents can be supported by family, friends and or an advocate whilst negotiating their contracts. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10. Care plans do not meet current requirements, work has already been undertaken to rectify this problem. Residents are encouraged to regain and retain control over their lives. Residents are encouraged to attend community meetings and to contribute to the day-to-day running of the home. Risk assessments have been undertaken as part of the Care Programme Approach process. Staff understand that all information gained as part of the work is confidential and must be treated as such. EVIDENCE: Care plans dating back to the opening of the home did not meet current requirements. The newly appointed manager has already had a significant impact on the quality of care planning and recording. Staff confirmed that the manager is working with staff and residents to improve the quality of care planning and recording. Care Programme Approach meeting minutes were up to date and included risk assessments and a relapse plan. A thorough inspection of care planning processes will form a significant part of the next inspection. Each resident has a keyworker. Currently there are no restrictions upon any of the residents. Risk assessment form part of the Care Programme Approach assessment. Each plan contains a relapse plan taking eventualities such as non-compliance of medication or Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 11 unwillingness to return to the home. Care plans should be developed to show how individual choices have been made by residents and when and why decisions are made on behalf of residents. Interim financial arrangements have been made for one resident prior to an account being opened which a relative will manage. The other resident manages all financial affairs himself. Community meetings are now taking place on a regular basis and are minuted. Records show that residents are consulted and are involved in the day-to-day running of the home. This has been particularly important following the recent disruption. Whilst a number of risk assessments are undertaken as part of the Care Programme Approach assessment the manager must ensure that appropriate risk assessments undertaken within the home and action taken to minimise any identified risks and hazards. Staff are aware of their responsibilities in respect of the confidentiality of the information that they have concerning residents. There is a statement at the start of each care plan stating who can have access to the file and this is signed by the resident themselves. The organisation should register under the data protection act. Residents records are securely kept within the main office which is locked when not in use. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17. Current residents spend a considerable part of each day in the community, either at day centres, relatives or friends. Currently neither resident is engaged in paid employment. Both residents have regular daily contact with family members. Residents have unrestricted access to the home and grounds. Residents have a choice of menus. EVIDENCE: Both current residents spend a good deal of each day away from the home and in the company of family members or at local day centres. Residents are involved in accessing local shops, pubs and cafes. As part of the Care Programme Approach meetings there are agreed objectives/goals around independence, both social and financial. Currently there are no residents in paid employment. One resident currently purchases and prepares his own food as part of the process of achieving independence. Currently residents are not on the electoral roll this process will be undertaken now that placement reviews have been undertaken. The there is no daily routine in the home as such, individual arrangements were made by and for each resident. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 13 The home operates a knock-on wait policy in respect of residents bedrooms and residents mail is given directly to them unopened. As part of the admissions process residents are offered keys to give access to the building and to their bedrooms. Residents have unrestricted access to the home and the grounds. Residents friends and relatives are welcomed and encouraged to visit the home. Residents are encouraged to maintain hygiene and tiredness standards in their own bedrooms, support is offered if required. The current resident group have agreed that smoking the permitted in the lounge and grounds. Residents agree menus at community meetings. Each day there is a choice between a freshly prepared meal and a number of frozen alternatives. Residents are supported and cooking their own meals as part of the agreed objectives in their care plans. Residents are encouraged to eat in the dining room or they can choose to eat elsewhere in the building if they so wish. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20, 21. Personal care is not currently offered at the home. Residents are registered with the local GP and of being registered with other members of primary health are team as applicable. Currently no residents manage their own medication. EVIDENCE: Personal care is not offered at the home. Residents are able to maintain their own personal care. Residents are able to determine the time at which they rise and retire. The home has sufficient shower/bath facilities for residents to be able to choose when they wish to use these. Residents manage their own finances and purchase their own clothing and grooming requirements. Each resident has a Community Psychiatric Nurse allocated to them. Each resident has a keyworker. Currently residents are supported by family members but have access to advocacy services should they desire. Residents health care needs are monitored through the Care Programme Approach meeting. Both residents are registered with local GPs. Since residents placement reviews have confirmed that placements the manager is making arrangements for residents to be registered with a dentist and optician. Currently neither of the residents manages their own medication. Both residents attend a day centre were specialised medication can be administered by the appropriate medical professionals. A telephone call is made by the home to the day centre to confirm that the specialised medication has been Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 15 administered in this recorded in the care plan and medical administration record. The home is moving over to the Boots medication system within the next month. Staff have been trained in its use. As part of the contract for the provision of medication a pharmacist will undertake routine inspections at the home to advise the manager on medicine administration and management. Current medication records were inspected were found to be satisfactory. As part of the Care Programme Approach risk assessments a relapse plan is in place in respect of residents refusal to take medication. Care plan documentation exists for residents to express their wishes around ageing, illness and death. The Inspector was informed that this will be completed the appropriate time. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23. No complaints have been received directly by the home. A number of related complaints have been received by the Commission for Social Care Inspection. The home has a complaints procedure which must be developed to include the role of the Mental Health Commission and the placing authorities. The home has adult protection policy and procedure that includes a whistleblowing policy. EVIDENCE: The Commission for Social Care Inspection has been involved in the investigation of a number of related anonymous complaints. The complaints relate to a period following the departure of the previous manager and previous Responsible Individual. Investigations undertaken by the Commission for Social Care Inspection have also identified a number of areas of concern that predated the departure of the previous manager and previous responsible individual. The Commission for Social Care Inspection is satisfied that the proprietor, who has now become Responsible Individual, has managed the issues arising from the complaints in an appropriate way. The home has a complaints procedure that allows for complaints from residents, their families, professionals and members of the public. The complaints procedure must be further developed to inform residents, and their families, that complaints can, and may more appropriately, be made to the Mental Health Commission or the placing authority. The home has an adult protection policy and procedure that includes a whistle blowing procedure. The policy and procedure should link to the adult protection policy of the London Borough of Hackney who have responsibility for the investigation of all adult abuse in the Borough. The home should also be aware of the adult protection policies and procedures of all placing authorities. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 17 A copy of the guidance no secrets was available the home. There were no recorded incidents of abuse of the home. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30. The home has recently been registered and meets current registration standards. The homes premises have been developed to a high standard. Residents expressed their satisfaction with the standard of accommodation. EVIDENCE: The home has recently been registered to the current National Minimum Standards. The accommodation has been developed and is maintained to a high standard. Each resident has a single bedroom one of which has ensuite shower facilities. Each bedroom is appropriately equipped with the facilities detailed in 26.2 of the National Minimum Standards, with the exception that one comfortable chair is provided. Additional comfortable chairs are available on request. The home has communal dining and lounge areas and a kitchen. The dining and lounge areas have an interconnecting double door and allows the areas to be used flexibly. The lounge area is a designated smoking area. Furnishings throughout the home or domestic in nature. The front door is monitored by CCTV security reasons. Communal toilet and bathroom facilities were inspected and found to be satisfactory. Currently no service users require the provision of environmental adaptations or disability equipment. On the day of inspection the home was found to be clean, tidy, hygienic and free Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 19 from offensive odours throughout. The home has an infection control policy. Grounds to the rear and side of the building have been set out as a patio area with seating and tables. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36. The home has had an unsettled start to its operations in respect of staffing. Since being registered earlier in the year both the registered manager and registered Responsible Individual have left the company. This has impacted on the services offered. The proprietor has registered as the Responsible Individual and is in the process of registering a new manager. Significant improvements in the running of the home has been noted in recent weeks. The home has recently been registered and its employment policies and procedures were approved at that time. Staff are involved with appropriate training. Staff are now receiving regular supervision and to the regular staff meetings. The proprietor has employed a training consultancy who advised on and provide appropriate training for staff. EVIDENCE: Since the registration of the home of the original responsible individual and manager have left the organisation. This resulted in a period of time when neither staff nor residents were appropriately supervised and managed. The proprietor has now been registered as the Responsible Individual and is in the process of registering a new manager for the home. The proposed registered manager is currently working within the home and is a qualified Registered Mental Nurse. The proposed registered manager has initiated weekly staff Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 21 meetings and staff supervision. Staff spoken to on the day of inspection confirmed that they now felt more supported. The proprietor has employed a training consultancy to undertake a training needs assessment and arrange induction training for all staff members. This task is now been completed. Of the current staff training to staff members are undertaking NVQ level 3 training, two are starting level 2 training and 2, including the manager, are starting the Registered Managers Award. Staff have recently completed medication administration training provided by Boots the Chemist who are to provide medication to the establishment. The proposed registered manager is working with staff to develop their understanding and awareness of mental health issues and practice. The proprietor has recently recruited new staff to the home. Personnel records were inspected and they showed that all appropriate references and checks are being undertaken prior to contracts of employment being issued and staff beginning work at the home. Staff who are currently employed at the home had Criminal Records Bureau disclosures on file that had been undertaken by previous employers. Whilst the disclosures were undertaken recently it is a requirement that new disclosures are undertaken by the current employer. The proprietor had identified this error and has moved rectify it by submitting new disclosure requests. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 40, 41, 42, 43. The proprietor is in the process of registering a new manager for the home. The proposed registered manager is currently working in the home. The proprietor is the registered Responsible Individual. He is currently in the home on a day-to-day basis. The home’s written policies and procedures were approved a strong registration process. Records required by regulation for the protection of residents are now being maintained. The home has a health and safety policy and staff are aware of their responsibilities in this area. EVIDENCE: The proprietor is currently in the process of registering a new registered manager for the home. The manager is appropriately qualified in mental health and is registered to undertake the Registered Managers Award. He has previously experience as a registered manager. The proposed registered manager is currently working within the home and undertaking the responsibilities of manager. There have been improvements in the care planning and recording process and staff are now being supervised. Staff were Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 23 complimentary about the proposed registered manager and feel supported by him. The proprietor has employed the services of a consultant to advise him on professional, quality and management issues. Residents indicated that they were very happy with the services offered at the home and feel supported by the proprietor of staff. The home has a health and safety policy that staff are aware of. As part of inspection of the building small bolts were noticed on 2 of the fire doors these were removed before the end of the inspection. The home is in its first year of operation and is still working towards a business plan submitted as part of registration process. Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 2 3 2 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 2 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Prudential Care Home Ltd Score N/A 3 3 2 Standard No 37 38 39 40 41 42 43 Score 2 x 3 3 2 3 3 G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 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. 2. 3. Standard 1 1 2 Regulation 4 5 14 Requirement The Statement of Purpose must be updated as detailed in the report. The Service User Guide must be updated as detailed in the report. Each resident must have a comprehensive care plan derived from comprehensive needs assessment. The manager must be able to show how the needs of each resident are going to be met. The contract/statement terms and conditions must refer to and include the individual care plan. Each resident must have a full and detailed individual care plan as specified in a standard 6 of the National Minimum Standards. The manager must ensure that appropriate risk assessments undertaken within the home and action taken to minimise any identified risks and hazards. The complaints procedure must be further developed to inform residents, and their families, that complaints can, and may more appropriately, be made to the G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Timescale for action 31/12/05 31/12/05 31/12/05 4. 5. 6. 3 5 6 14 5 15 31/12/05 31/12/05 31/12/05 7. 9 12 31/12/05 8. 22 22 31/12/05 Prudential Care Home Ltd Version 1.40 Page 26 9. 34 18 10. 11. 31 41 9 17 Mental Health Commission or the placing authority. The registered persons must ensure that all staff have satisfaction criminal records bureau disclosures undertaken on behalf of the organisation. The manager must be registered Care records must be fully and appropriately maintained. 31/12/05 31/12/05 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 9 10 21 23 Good Practice Recommendations Care plan should be developed to show how individual choices have been made by residents and where and why decisions are made on behalf of residents The home should register under the Data Protection Act. A record of residents wishes in respect of ageing, illness and death should be recorded on care plan. The adult protection policy and procedure should link to the adult protection policy of the London Borough of Hackney Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 Prudential Care Home Ltd G56 G06 S61208 Prudential Care Home Ltd V236395 010805 Stage 4.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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