Inspection on 22/09/05 for Queens Road, 14

This inspection was carried out on 22nd September 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

Queens Road, 14 14/08/06

Queens Road, 14 22/02/06

Queens Road, 14 06/01/05

Queens Road, 14 25/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Queens Road 14 14 Queens Road Cowley Uxbridge Middlesex UB8 2NN Lead Inspector Pauline Griffin Unannounced 22 , 23 , 29 September 2005 nd rd th 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. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Queens Road 14 Address Cowley, Uxbridge, Middlesex, UB8 2NN 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) 01895 254925 Ealing Consortium Ltd. Ms Charlotte Dawson CRH 5 Category(ies) of Learning Disability registration, with number of places Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: n/a Date of last inspection 6/1/05 Brief Description of the Service: 14 Queens Road is a large detached two storey house situated in a quiet residential road in Cowley which is close to Uxbridge town centre. There are local shops and access to public transport closeby. There is a front driveway with parking for several cars and a spacious enclosed garden at the rear which is attractively laid to lawn with patio seating. The ground floor has a large communal lounge/dining room with doors leading to the garden. There is one bedroom on the ground floor which has ensuite facilities. The kitchen, laundry, offices and cloakroom are also on the ground floor. There are four bedrooms on the first floor and two of these have en suite facilities. There is a further bedroom for staff to sleep-over and there is also an assisted bathroom and a further toilet on the first floor. The Registered Manager is supported by a team of one Senior and 7 ½ Careworkers. There are 12 vacant hours for flexibility. The staff team comprises two male and 5 ½ female Careworkers and the Service User group consists of 3 males and 2 females. The home is registered to care for five adults with learning disabilities whose ages vary from 19-55. There are currently three male and two female Service Users. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over three days for a total duration of 8 hours. The Inspector made a tour of the premises and garden and spoke to two service users and four members of staff. One staff file was examined and three service users’ personal files. Recording systems and logs were checked including maintenance records for the home. The building is fairly well maintained with the exception of a few areas highlighted in the report. The interior decorative order of the home is satisfactory but, again, a few areas that need to be addressed are highlighted in the report. The storage areas in the home including the garage, ‘snoozalem’ and laundry area were in need of attention due to an accumulation of clutter that represented a health and safety risk. There were areas in the home that required thorough cleaning to hygienic levels, particularly the kitchen. What the service does well: What has improved since the last inspection? Work has commenced on updating the personal files of the Service Users and the ones completed were satisfactory. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 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. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 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 Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 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) 2,3,4 &5 The home has a satisfactory Statement of Purpose and Service User’s Guide and all Service Users have a contract /agreement. The Service Users’ Guide and Statement of Purpose includes comprehensive information about the home to enable prospective Service Users and their representatives to make informed choices regarding the facilities and whether the service can meet assessed needs. EVIDENCE: Records of the most recent Service User to the home show that all the necessary assessments were carried out and that the Service User had participated in the assessment and review processes. The ‘settling’ in period is for 6 months with interim assessments at 6 weeks and three months. The home does not accept emergency placements. The three Service Users’ files examined showed that detailed records are kept on specialist health issues and general health needs. The Care Plans included the needs and preferences of the Service Users and ‘charted’ progress. The home uses the Makaton and Widget forms of communication or a combination of both. Service Users have individual pictorial communication boards in their bedrooms and a smaller version in ‘key ring’ form that can be Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 9 carried around to act as a reminder is also used. The Registered Manager said that most of the Staff have received training in Makaton and other communication systems appropriate for the Service User group. The contract of one of the Service Users was examined from the file and included the agreement with Notting Hill Housing Association for the details of the room, furnishing, rent and other conditions of tenancy. The contract with Ealing Consortium gives details of the services provided, the costs and responsibilities of the respective parties. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 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) 8,9 & 10. Service Users should be supported to make decisions affecting their individual lifestyle and consulted on the day to day running of the home to enable them to live an independent lifestyle with freedom of choice limited only by assessed risks. EVIDENCE: The Registered Manager said that Service User meetings had not resulted in much enthusiasm from the group. The use of ‘menu building’ meetings were to be introduced as this had been successfully used in another home with much more interest from the Service Users. Each Service User has their own keyworker and their knowledge of the Service User’s wishes and needs are used as well as other forms of communication to ensure their involvement and participation in all aspects of their lifestyle. Risk assessments examined were comprehensive and up to date. The home is registered under the Data Protection Act 1998. The home has a policy on confidentiality produced by Ealing Consortium and that is regularly reviewed. The subject of confidentiality is not included in the Statement of Purpose for the home or in the Service Users Guide. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14 & 17. Service Users are provided with opportunities and are supported to make choices to optimise their potential and personal development. The food offered in the home is in compliance with a healthy low fat diet and complies with the strict dietary needs of one of the Service Users. There must, however, be evidence that the food selections in the menus are more influenced by the preferences of Service Users than they are at present. EVIDENCE: Three of the five Service Users attend a Day Centre. One of the Service Users has completed a ‘life skills’ course and enquiries have been made to secure a place in a locally based Centre that provides employment opportunities that are at an appropriate level to match his/her level of skills. The two Service Users who do not attend Day Centre have been assessed as being more appropriately catered for within the home due to their anxieties that are exacerbated by unfamiliar staff and surroundings. The home has a daily programme for these Service Users of shopping trips and leisure activities designed to appeal to them and provide stimulation. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 12 Each of the five Service Users has a daily activities programme that is kept on a board in the office and updated appropriately. The Registered Manager said that particular favourites are local restaurants, the local theatre and cinema and various shopping trips. Staff are available to escort the Service Users on trips on most days. The bus into Uxbridge has wheelchair access and all five of the Service Users have been risk assessed as needing one escort unless there are special circumstances. The home shares social activities with two other associated local homes and this gives the Service Users more choice when forming friendships or arranging special interest excursions. The Registered Manager said that she had organised bar be cues at the home and invited other groups from Ealing Consortium homes to enable further social interaction. The food menu described a good selection of food that included fresh vegetables and low fat foods. There was a separate chart for one Service User who has a strict dietary needs. The food being prepared for the evening meal on the evening of the first inspection was mixed vegetables that included things like carrots, courgettes and sweet potatoes. The menu stated ‘mixed grill’ but there was no meat in the fridge or freezer and the Staff member was not able to say what the mixed grill was to consist of. Another member of Staff purchased burgers and sausages from a local shop and these were grilled to add to the vegetables that had been prepared. The selection of vegetables were in accordance with the special dietary needs of one of the Service Users. However, the meal of burgers, sausages and mixed vegetables, did not blend into a meal that might be readily chosen by the Service Users even taking into account dietary needs. On the second day of the inspection, two Service Users were having a lunch of pasta in sauce and toast and this, again, did not blend into a meal that might be readily chosen. The Registered Manager said that the meal was in accordance with the strict dietary needs of one of the Service Users but not of the other. The desserts described in the daily menu, still consist solely of yoghurt and fruit despite this being the subject of a recommendation in the previous inspection with the Registered Manager’s agreement that other forms of dessert could be ‘better reflected’ in the menus. The Registered Manager said that this was because of dietary needs and that occasional treats were provided and could also be purchased by Service Users from their personal allowances if appropriate. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 13 The Registered Manager said that the strict dietary needs of one Service User did not overshadow the needs and preferences of others. The Registered Manager said that ‘menu meetings’ would be held in the future so that the Service Users could have input into the food selected. Food purchased on Wednesday for the forthcoming Sunday bar be cue were in the fridge and this included two gateau cakes. One of the cakes would have reached it’s ‘sell by’ date prior to the Sunday bar be cue and this was then offered as a dessert on the day of the inspection. Four large tubs of savoury ‘dips’ were in the garage with the dry goods and these, too, had been purchased for the forthcoming bar be cue but had not been appropriately stored in the refrigerator with the rest of the food and the Registered Manager destroyed them. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 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) 20 None of the Service Users are able to manage their own medication. Staff receive training in administration of medication and in the home’s policies and procedures. The Service Users’ health care needs are monitored and their individual preferences are respected. EVIDENCE: Medication is stored in two locked wall cabinets in a small room adjacent to the kitchen. The records, individual dosage systems and stocks of ‘as and when’ medication was checked and found satisfactory, although there was a little overstocking of things like toothpaste. Boots Pharmacy provide training in their monitored dosage system and check the medication three times a year. Ealing Consortium provide training in administration of medication under their own policies and guidance and only Staff who have received training administer the medication. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The home should make sure that service users’ views are actively sought, listened to and acted upon to ensure that the service is responsive to complaints and concerns. EVIDENCE: The updated Statement of Purpose includes a paragraph concerning complaints and does not include details of the Commission for Social Care Inspection or include the re-assurance that making a complaint will not result in any form of reprisal. Complaints are covered in the Service Users Guide in an easy to understand ‘pictorial’ form and the policy is displayed on the notice board in the home to ensure that it is easily available to Service Users and their representatives. However, this does not include full and updated details of the Commission for Social Care Inspection or include the re-assurance that making a complaint will not result in any form of reprisal. The Registered Manager said that no complaints had been received by the home in the past 12 months. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 29 & 30 The Service Users live in a comfortable, homely environment, with pleasant well tended gardens at the rear. The home’s position and ambience provide a good quality of life for the Service Users who reside there. The quality of cleaning in some areas of the home needs to be improved and monitored. EVIDENCE: The home is pleasantly appointed and within easy reach of the Uxbridge Town Centre. The Service Users’ bedrooms were comfortable and were furnished with plenty of personal items. The decorative order of the home was generally satisfactory and there were no unpleasant odours. The kitchen floor, surfaces and splash areas were in need of cleaning. The floors in the adjoining medication area and cloakroom also showed a build up of grime at the edges and dirt on the floor itself. The large stainless steel rubbish bin in the kitchen was full to overflowing and the exterior of it had food splashes and water runs. Individual bins in the bedrooms and the bin in the upstairs bathroom had items in them and the Registered Manager agreed that Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 17 they had not been emptied recently. The bathroom in one of the Service Users’ bedrooms was not cleaned properly, particularly the flooring which had a build up of dirt in the corners and edges. Mirrors throughout the home were smeared. The laundry room is sited in part of the garage/store area and there were adequate facilities for sluicing and laundering at hot temperatures. Protective clothing, handwashing facilities and COSSH (Control of Substances Hazardous to Health Regulations 1999) instructions are posted and available for Staff. However, the area is also used to store a large quantity of miscellaneous items of equipment that were piled up against the wall and on the floor and this made the arrangements in the laundry unsatisfactory from a health and safety viewpoint. The Registered Manager said that the local LDFPA Fire Station Officer had assessed the proposed removal of the outside fire escape on 24th September 2003 and made requirements in a letter of the 30th September 2003 to ensure the safety of the building. No work has been carried out to date to remove the fire escape. The broken ventilator in the outside kitchen wall had been removed and temporarily sealed from the outside. The patio area outside the kitchen and laundry room had not been made good to enable to wheelchair access. The flooring in the ground floor bathroom adjoining the Service User’s bedroom was stained and rising up at the edges. The Registered Manager said that maintenance issues were reported to Notting Hill Housing Association via Ealing Consortium for both urgent and routine repairs/refurbishment but often failed to receive a response. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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 Service Users benefit from clarity of Staff roles and responsibilities and are supported by an effective well trained Staff team. The home has no cook, cleaner or gardener and these duties are shared by the Staff team. Inconsistencies in cleaning and arrangements for shopping were apparent in this inspection. EVIDENCE: Although the Staff spoken to were clear of their roles as keyworkers to the individual Service Users, the domestic arrangements and responsibilities were less clear. The Registered Manager said that there were currently only two drivers (excluding herself) in the team and this caused difficulties with some routine escorting and shopping for the home in general. Four of the Staff team have completed or are completing NVQ Level 2 and 3. The home is, therefore, on target to achieve 50 Staff are NVQ trained in 2005. The Staff benefit from training courses arranged by Ealing Consortium who also have a comprehensive induction training scheme for new recruits. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 19 . The Registered Manager confirmed that mandatory training was provided for Staff by Ealing Consortium and was able to provide records of this. Short Moving and Handling training sessions were provided each year for Staff with a day long course every 3 years. Training from the Epilepsy Association is provided for Staff and this includes the use of rectal diazepam. All staff received fire training in May or August 2005. The home has recently recruited to 270 care hours per week with 12 hours spare to use as relief or overtime and this is above the assessed hours for the home. The Service User group are all white British. The group comprises three men and two women. One Service User is considerably younger than the rest by at least 10 to 15 years and the Registered Manager said that this was taken into account and the Staff team comprises a mix of male and females of different ages to suit needs and wishes. Male Staff did not provide personal care for females unless it was a preference. Ealing Consortium provide a thorough recruiting service and all Staff were vetted and received induction training. The Staff file of one member was examined and included all the information required in Schedule 2 of the Regulations including references and declarations. Ealing Consortium Human Resources Department keep the CRB records centrally but the home is provided with the clearance code numbers. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 20 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) 37,38,39,41 & 42 Staff are supported through regular supervision and identification of training opportunities. Service Users must benefit from good management practices that ensures that Staff work together as a team in all aspects of home life. Service Users best interests must be safeguarded through evidence that their views and the views of their representatives are sought out and acted upon. EVIDENCE: The Registered Manager has undertaken accredited training in Moving and Handling and Risk Assessment. She has also achieved the D32/33 in NVQ assessment. She has also achieved the RMA (Registered Managers Award and will add the Care modules to this from the NVQ level 4 in due course. The Registered Manager is aware of the need to achieve the qualification in 2005. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 21 The Registered Manager agreed that the Staff were not always working as a team and she would address this. The home has an annual audit designed to assess satisfaction from the Service Users and their representatives and the last one was carried out in November 2004. The Registered Manager agreed that more could be done to obtain input from other sources. The information obtained must be collated and used as performance indicators to improve the service in accordance with Standard 39 of the National Minimum Standards, Care Home Regulations. The Registered Manager said that work had begun on the Service Users care files because they had become too full to work with. One file had been completed and was satisfactory. In general record keeping in the home was satisfactory but some documents seen were undated. The Registered Manager produced evidence that checks for the water, gas, electrical equipment, weekly fire alarm tests, regular fire drills (last in June 2005) , fridge/freezer and water temperature checks had been carried out. The accident book was examined and it was noted that the log was Ealing Consortium’s own format and not obtained by the Health and Safety Executive. The Registered Manager said she would check that this was in compliance with the RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences) Regulations. Regulation 37 notifications of incidents/accidents are received by the CSCI and the Registered Manager was able to provide evidence that risk assessments had been carried out and measures taken to eliminate or reduce any risks identified. The garage area has a is used to store dry goods. The garage has an accumulation of items strewn on the floor and stacked up on top of each other. The garage and adjoining laundry room must be made safe for Staff to use and a review made of the appropriateness of the garage to store foodstuffs like packets of sugar. The concrete area outside the kitchen door is strewn with equipment like mops and brooms. These present a hazard and more suitable arrangements must be made for the storage of these items. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 22 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 x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x 3 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x x x 3 2 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 2 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Queens Road 14 Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 3 2 2 x 3 2 x G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 23 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. 4. 5. Standard 17 17 24 24 24 Regulation 16(2)(i) 13(4)16(2 )(g) 23(2)(p) 23(2)(b)( d) 23(2)(b)( o) Requirement Service Users must be given the opportunity to help plan menus. Food must be stored appropriately and sell by dates checked. A kitchen ventilator must be installed. Flooring in the downstairs en suite bathroom must be renewed The patio area outside the kitchen must be made good to enable wheelchair use and general safety.This is re-stated from the previous two inspections. The standard of cleaning in the home must be monitored to ensure that food is prepared in hygienic surroundings and the general standard of cleanliness is improved. This is re-stated from the p-revious inspection. The management of the home must ensure staff work as a team for the health and welfare of the Service Users. A system of quality monitoring must be devised that includes feedback from a variety of relevant sources and uses the information to produce an Timescale for action 1/11/05 5/10/05 6/1/06 6/1/06 6/1/06 6. 30 13(4)(c)1 6(2)(j)(k) 23(2)(d) 5/10/05 7. 38 18(2) 5/10/05 8. 39 24 1/11/05 Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 24 9. 42 13(4)23(2 )(l) overview with performance indicators. A copy of these outcomes must be sent to the CSCI. This is re-stated from the August 2004 inspection. The areas outside the kitchen door, the laundry area and garage must be made safe from the hazards presented by the items lying on the floor and/or stacked up on top of each other. 5/10/05 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. Refer to Standard 10 22 42 Good Practice Recommendations The subject of confidentiality should be included in the Statement of Purpose for the home or in the Service Users Guide. The complaints procedure should include the re-assurance that making a complaint or query will not result in any form of reprisal. Accidents should be recorded in accordance with the RIDDOR Regulations.The current logging system should be checked to ensure it complies with the Health and Safety Regulations. Queens Road 14 G61-G10 S27067 Queens Road V214339 220905 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Ground Floor 58 Uxbridge Road Ealing London W5 2ST National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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