Inspection on 28/02/07 for Queen Elizabeth Walk (64)

This inspection was carried out on 28th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Queen Elizabeth Walk (64) 01/08/07

Queen Elizabeth Walk (64) 21/09/06

Queen Elizabeth Walk (64) 27/02/06

Queen Elizabeth Walk (64) 30/11/05

Queen Elizabeth Walk (64) 28/03/05

Queen Elizabeth Walk (64) 17/11/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Queen Elizabeth Walk (64) 64 Queen Elizabeth Walk Hackney London N16 5UX Lead Inspector Robert Sobotka Unannounced Inspection 28th February 2007 09:00 Queen Elizabeth Walk (64) DS0000010282.V326158.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 Queen Elizabeth Walk (64) DS0000010282.V326158.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. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Queen Elizabeth Walk (64) Address 64 Queen Elizabeth Walk Hackney London N16 5UX 020 8880 2674 0208 809 5420 yadvoezer@btconnect.com 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) Yad Voezer Mr Anthony Marcus Care Home 10 Category(ies) of Learning disability (9), Mental Disorder, registration, with number excluding learning disability or dementia - over of places 65 years of age (1) Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One registered place may be used for the accommodation and care of a service user over the age of 65 in the category MD. 21st September 2006 Date of last inspection Brief Description of the Service: 64 Queen Elizabeth Walk is a care home for orthodox Jewish males with learning disabilities including some with mental health issues. The home focuses on Jewish education and practice and is situated in the heart of Stoke Newington, which has a very large orthodox Jewish community. There is easy access to transport facilities and a number of local parks. The home focuses on ensuring that each service users participates in activities of their choice, and the required support is available. Strong family links are encouraged and maintained. Service users are encouraged to be independent and where possible are enabled to manage their own finances and medication and to make decisions regarding their preferred activities and daily routines. Information on the service at 64 Queen Elizabeth Walk is available in the Statement of Purpose, which is available on request. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day and was unannounced. During the visit, the inspector spoke to those who live in the home and staff employed by Yad Voezer. He also conducted a tour of the premises and checked various records. The aim of this unannounced inspection was to check the home’s progress towards full compliance with the Care Homes Regulations and the National Minimum Standards for Care Homes for Adults (18-65). At the end of this visit, a verbal feedback was provided to the Registered Manager. The inspector would like to thank the staff and service users for contributing to this unannounced inspection. What the service does well: What has improved since the last inspection? There home has made a good progress in ensuring that previous requirements and recommendations have been met. Since the last inspection, the organisation has introduced the post of the service manager, whose role is to overlook all residential projects run by Yad Voezer. This provided additional support to the registered manager. The home has recently appointed a deputy manager. The organisation has also appointed 4 team leaders, each of whom is responsible for one of the following areas: activities, service users’ cultural needs, care and the home’s administration. Good improvement has been made in ensuring that care plans and risk assessments are improved. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 6 Since the last inspection, the home has applied for the minor variation so that those who fall outside the registration category of the home are accommodated with the Commission’s permission. The registered manager has also ensured that service users attend healthcare appointments when required. He also liaises with relevant healthcare professionals when there is concern raised in relation to service users healthcare. Since the last inspection, the registered manager has ensured that the service user’s Disability Living Allowance is managed appropriately. He has also ensured that all financial issues are accurately maintained at all times. Staff spoken to felt that there has been an overall improvement in the way the home is run and there were appropriate staffing levels in place at all times. The organisation has undertaken a training needs analysis of all staff and used this to develop an individual training and development plan to equip staff with the skills and knowledge to meet service users needs appropriately. Staff now receive regular supervisions in line with the National Minimum Standards. There has been an improvement in the home’s quality assurance systems. The registered manager has ensured that the Commission is informed of any notifications without delay. What they could do better: There were two requirements, which have been repeated from the previous inspection. These were: - The registered manager must ensure that medications are administered, recorded and disposed of appropriately. - The registered manager must forward a copy of the new procedure regarding the management of Disability Living Allowances. In addition the following three new requirements were made during this inspection visit: - The registered manager must ensure that individual service users care plans are further developed. - It is required that copies of Criminal Records Bureau checks are available for inspection and can be destroyed once they have been seen by the Inspector. - The registered manager must ensure that all documents required by law (in line with the Care Home’s Regulations) are maintained. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 7 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. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was appropriately meeting the assessed needs of those living in the home. Each service user had a written contract in place. EVIDENCE: The registered manager stated that there have been no changes to the home’s statement of purpose and the service users guide since the last inspection. There have been no new admissions to the home since the last inspection visit. Standard relating to the home’s admission systems was therefore not assessed on this occasion. The home had an admission policy in place, which covers initial enquiries, emergency admissions and assisting new residents to settle in addition to the assessments required prior to admission. Based on review of the documentation, discussion with the service users and staff working in the home, direct and indirect observation, the inspector was satisfied that the assessed needs of those living in the home were generally met. One of the service users who spoke to the inspector said that he would like to move to more independent environment. It was noted that the home was working with the service user and relevant professionals to enable him to move to more independent accommodation. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 10 The home provides accommodation for Jewish orthodox males and enables service uses to continue their religious studies and religious/cultural observance. Each service user had a written contract/statement of terms and conditions in place. Contracts covered such aspects as conditions, trial periods, fees, conditions, visitors, health and complaints. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Good improvement has been made in ensuring that care plans and risk assessments are improved, however further work is required to improve care plans. Service users are involved in making decisions relating to their care planning process and as to how the home is run. Confidentiality was maintained. EVIDENCE: As part of the visit, the inspector viewed care plans of 4 service users, which were chosen at random. It was noted that good progress has been made to ensure individual care plans are improved and brought up-to-date. There was evidence that service users were actively involved in their care planning process and their views/wishes/preferences were taken into account. The registered manager informed the inspector that new care plan format has been introduced and the home was in the process of transferring all information onto the new format. The registered manager must ensure that individual service users care plans are further developed. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 12 Service users were encouraged to attend regular house meetings, during which they were asked to complete a questionnaire about their views as to how the home should be run. There was evidence that service users are involved in the day-to-day running of the home, participation of daily living and involvement in choice of daily activities. Those who live in the home are encouraged and supported to take part in the daily routines, such as cleaning their rooms, making snacks and beverages. Both service users and staff working in the home confirmed that residents of the home have choice and control over their daily lives. Service users are free to come and go from the home as they choose. As previously required appropriate assessments has been undertaken in relation to one service user and as a result, the organisation has applied to the Commission for a minor variation to the home’s registration, which has already been approved. Appropriate risk assessments were in place and there was evidence that these were being reviewed on regular basis. Confidentiality was maintained. All confidential documents were kept in the staff office on the ground floor and the manager’s room in the attic, both of which were kept locked when not in use. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a wide range of age and culturally appropriate activities. Those who lived in the home are encouraged and supported to become part of the local community and develop and maintain friendships and family links. Service users enjoyed food served in the home. EVIDENCE: The home provides care for Jewish orthodox males and all service users come from orthodox Jewish families. The home is culturally appropriate to the needs of those accommodated there. Service users attend the local synagogue and are supported by staff with undertaking daily prayers in accordance with the religious tradition. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 14 As previously mentioned, since the last inspection the home appointed a team leader, who is responsible for ensuring that the service users’ cultural needs are met. In addition, there is also a team leader responsible for activities. The home maintained an activity folder/diaries, where activities attended by the service users were recorded. Some of the activities on offer included: visit to a farm, swimming, horse riding, visits to cinema etc. Some service users attended local Jewish day centres. Based on the discussion with the service users and staff working in the home, the inspector was satisfied that service users are enabled and supported to take part on fulfilling activities according to their abilities. It was noted however, that one member of staff felt that activities could still be improved. Some service users attended activities with the support of staff, whilst others accessed community independently. Holidays are arranged on a regular basis for those service users who wish to spend a week away from home. Some of the service users have recently went on a break to Bournemouth. Those service users who spoke to the inspector felt that there was a good range of activities on offer. The inspector was informed that the majority of the service users maintain contact with their relatives. Photographs in individual service users bedrooms showed that relatives are welcome in the home. This was also confirmed by the service users. The home maintained the visitors’ book. Service users are offered three meals a day, as well as drinks and snacks between main meals. The preparation and serving of food respects service users’ cultural and religious requirements. All food offered to service users is kosher. The home employs an outside catering company to provide prepared evening meals for the service users between Mondays and Thursdays Food for Friday and Saturday nights is prepared by staff working in the home. There was evidence that views of the service users like the food is obtained by the registered manager and any comments are passed on to the catering company. In preparation for more independent living one service user purchases some food products himself and he prepares some meals with the support of staff. Where required staff use food-monitoring charts to monitor and evaluate service users’ nutritional intake. Some of the service users were seen making drinks for themselves. Service users spoken to said that they liked the food offered by the home. There were appropriate food supplies in the home during this unannounced inspection. All food products were appropriately stored and labelled once opened. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 15 Milk and meat sections of the kitchen were clearly separated, in accordance with the religious requirements. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There has been an improvement made in the way the home manages service users’ healthcare needs. Limited progress has been made in ensuring that medication systems are satisfactory. This requires urgent improvement. EVIDENCE: Service users required different levels of assistance with personal care, from full assistance with personal care to verbal prompting. All personal care is provided by male care staff. Each care plan viewed by the inspector contained an up-to-date Health Action Plan, which provided a very clear picture in relation to each service user’s health needs, as well as what appointments have been attended and any issues that needed to be followed up. There was evidence that this form has been updated since the last inspection, as previously required. Following the review of the documentation, the inspector was satisfied that the service users attended their healthcare appointments when required. The requirement from the last inspection has therefore been met. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 17 There was also evidence that the registered manager has sought advice regarding some of the service users nutritional intake, as required following the last inspection visit. All service users were registered with the local General Practitioner and there was evidence that other healthcare professionals were involved in providing adequate care to the service users when needed. At the time of this visit, the inspector met an Occupation Therapist, who was doing some work with the service user in relation to moving on to a more independent project. As part of this inspection, the inspector checked medication systems in the home. The home had a medication policy in place, which covers receipt, storage, handling and disposal of medication. Medication is supplied in the “Monitored Dosage Systems”. All service users files contained medical profiles, which listed medication they were receiving and any possible side effects. The inspector was informed that only authorised staff are allowed to administer medication to the service users. One of the nose spray bottles was not labelled and it was unclear as to whom this medication belonged to and when it was first opened. In addition, in one case the record of medication received by the home did not accurately reflect the actual number of tablets received. The requirement in relation to the medication remains unmet and has therefore been repeated and it must be met without any further delay. Further non-compliance with the regulation may result in the Commission considering enforcement action against the provider. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home had appropriate complaints system in place. Although staff appeared to be aware of adult protection issues, the requirement relating to the home’s policy on how service users’ Disability Living Allowance is spent remains outstanding. EVIDENCE: The home had a complaints procedure/policy in place. Service users are encouraged to record any concerns in the complaints book. There have been no complaints made to the home since the last inspection. The home had an adult protection procedure in place. Staff spoken to during this inspection demonstrated their awareness of the adult protection issues. All staff working in the home, including agency staff have received adult protection training. The inspector checked a random sample of service users’ money. Money kept in individual tins tallied with the service users’ financial records. Receipt and bank statements were also available for inspection. The requirement for the registered manager to forward a copy of the new procedure regarding the management of Disability Living Allowances to the Commission remains unmet and must be met without any further delay. Accidents and incidents records were appropriately maintained. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users living in the home benefit from a comfortable, homely and clean environment. EVIDENCE: The home is situated in a residential area of Stoke Newington and is in keeping with the local community. It offers easy access to local amenities. The premises were well maintained, attractively decorated and suitable for its stated purpose. There is no lift in the home, which means that only the ground floor part of the building is wheelchair accessible. The service users’ bedrooms were of adequate size and personalised by each service user. The premises were sufficiently lit and heated. The main lounge/dining room is bright and the dining area is also used to religious study. There is a conservatory adjoining the lounge, which opens out onto the garden. The garden was well maintained. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 20 The home has ramps leading to the entrance of the home and at the rear of the building leading to the garden. Service users had specialist equipment needed to maximise their independence. The home employs a domestic member of staff. There were no offensive odours detected. The premises were found to be clean and hygienic at the time of this unannounced inspection. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although improvements have been made to ensure that service users are supported by experienced and appropriately trained staff, further improvements are required to ensure that all information required by law in respect of each member of staff employed in the home is maintained. EVIDENCE: The inspector viewed duty rosters as part of this inspection. There are usually five staff working in the morning and three staff working in the afternoon. There is a sleep-over cover, as well as a waking night. Duty rosters indicated to staff when Shabbos begins and ends. The registered manager informed the inspector that since the last inspection visit, the staffing levels during Shabbos have been reviewed and there were now three staff on duty. The inspector was satisfied that there were sufficient numbers of staff on duty throughout the day to meet the needs of those accommodated in the home. Staff who spoke to the inspector felt that the workload was manageable. Staff spoken to felt that there have been some positive changes in the home since the last inspection. Members of staff who spoke to the inspector were Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 22 aware of the adult protection issues. They also felt well supported by the manager. Staff spoken to felt that there has been an overall improvement in the way the home is run and there were appropriate staffing levels in place at all times. The organisation has undertaken a training needs analysis of all staff and used this to develop an individual training and development plan to equip staff with the skills and knowledge to meet service users needs appropriately. At the time of this inspection 6 out of 12 members of staff have obtained NVQ Level 2 or above and some other staff were in the process of obtaining the qualification. One member of staff was a qualified nurse and another person was studying to be a nurse. New members of staff receive Learning Disabilities Awards Framework induction training. Since the last inspection, Yad Voezer have appointed a Service Manager, who is also responsible for organising and overlooking training. Some of the training recently attended by staff working in the home includes: Fire Safety, Protection of Vulnerable Adults, LDAF Induction training, Understanding Autism, Supervision training, and Health and Safety. As previously mentioned, the organisation has recently appointed a Deputy Manager. Staff personnel files were also viewed during this inspection visit. They have been brought up-to-date since the last inspection, however the inspector was informed that Criminal Record Bureau checks are not provided by the CRB umbrella body used by the organisation. At the time of this visit, the actual copies of staff Criminal Bureau Checks were not available for inspection. It is required that copies of Criminal Records Bureau checks are available for inspection and they can be destroyed once they have been seen by the Inspector. It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years. Staff now receive regular supervisions in line with the National Minimum Standards. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 43. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Good progress has been made to ensure that the previous requirements and recommendations are met, however further work is required to ensure that the National Minimum Standards are achieved. EVIDENCE: Throughout the inspection the registered manager demonstrated a good knowledge of the National Minimum Standards and Care Homes Regulations 2001. Appropriate quality assurance systems were now in place. The inspector was satisfied that the registered manager has ensured that the Commission is informed of any notifiable incident in the home, as required by law. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 24 As previously mentioned, there has been an improvement in the record keeping within the home, however further work is required to ensure that all documents required by law are maintained in line with the Care Home’s Regulations. Health and safety files were not checked during this inspection visit, however all appropriate health and safety checks were in place at the time of the last inspection visit. Since the last inspection, the registered manager has ensured that the service user’s Disability Living Allowance in managed appropriately. He has also ensured that all financial issues are accurately maintained at all times. The home was appropriately insured for its purpose. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 25 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 x 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 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 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x 2 x 3 Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 26 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 YA20 Regulation 13.2 Requirement The registered manager must ensure that medications are administered, recorded and disposed of appropriately. (Previous timescales of 31/03/06 and 30/11/06 were not met.) The registered manager must forward a copy of the new procedure regarding the management of Disability Living Allowances. (Previous timescale of 30/11/06 was not met.) The registered manager must ensure that individual service users care plans are further developed. It is required that copies of Criminal Records Bureau checks are available for inspection and they can be destroyed once they have been seen by the Inspector. The registered manager must ensure that all documents required by law are maintained in line with the Care Home’s Regulations. DS0000010282.V326158.R01.S.doc Timescale for action 01/05/07 2. YA23 25.3(c) 01/05/07 3. YA6 15 01/05/07 4. YA34 7, 9, 19 Sch 2.7 01/05/07 5. YA41 17 01/05/07 Queen Elizabeth Walk (64) Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA34 Good Practice Recommendations It is also recommended that the Criminal Records Bureau checks be undertaken every 3 years. Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Queen Elizabeth Walk (64) DS0000010282.V326158.R01.S.doc Version 5.2 Page 29 - 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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