CARE HOME ADULTS 18-65
Rainbow Homes (London) Limited 23 Hoop Lane Golders Green London NW11 8JN Lead Inspector
Tom McKervey Key Unannounced Inspection 28th August 2007 09:00 Rainbow Homes (London) Limited DS0000067643.V350505.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 Rainbow Homes (London) Limited DS0000067643.V350505.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. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Rainbow Homes (London) Limited Address 23 Hoop Lane Golders Green London NW11 8JN 0208 458 8288 0208 458 8288 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) Rainbow Homes (London) Limited Florence Nneamaka Abimbola Saweh Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 8th January 2007 Brief Description of the Service: This home is owned by Rainbow Homes London Ltd., which is a private company. The home opened in July 2006, following a major refurbishment of the property, which was previously owned by the local authority and accommodated homeless people. This is the company’s only care home, but the proprietors intend to open other care homes in the future. The home is located in the Golders Green area of North London, near to a large shopping area, and is well serviced by public transport. The home is registered to provide care and personal support for six people between 18 and 65 years of age who have mental health problems that may be associated with drugs and/or alcohol. The service aims to promote and develop service users’ independence through community living. The semi-detached building has three storeys, with one bedroom on the ground floor, three on the first floor and two located on the third floor. There is no lift in the building, which restricts the ability to accommodate people with mobility problems in upstairs bedrooms. All the bedrooms have en-suite facilities, and at the time of this inspection, the bedrooms also contained kitchenettes, which had been for the use of the previous occupants. However, it is intended to remove these and in the meantime, the cookers have been disconnected from the mains. There is only one communal area for the residents, located on the ground floor, which contains the kitchen and a dining table, and also the lounge. A washer/drier is integrated with the kitchen units. In addition, there is a staff office and an area for storing medication on the ground floor and there is a small area for parking at the front of the building and a large garden and patio at the rear of the property. The fees for the service are £960 per week, which may be higher, depending on the dependency level of the service users. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 5 Following Inspecting for Better Lives, the provider must make information available about the service, including inspection reports. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection, was carried out as part of the Commission’s inspection programme to check compliance with the key standards and the requirements made at the last inspection. The inspection took place over a period of four hours and ten minutes, during which the registered manager and two members of staff were present, all of whom offered every assistance with the process. The inspection consisted of a tour of the home, discussions with the manager and staff, and five of the people currently living in the home. The process also entailed examining residents’ and staffs’ records, policies and procedures, and other documents pertaining to the management of the home. There were no visitors to the home during the inspection. What the service does well:
There is good information provided about the service for potential service users and no-one is admitted until a thorough assessment of their needs is carried out to ensure that their needs can be met appropriately. Residents have written service agreements that detail their rights and responsibilities and they are involved in the planning of their care. Risk assessments about smoking and self-harm help to tailor the care, and written consent has been obtained from residents about the reasonable restrictions that can be imposed for breaches of house rules. Residents are able to discuss all aspects of living in the home at regular meetings with their key worker and at residents’ meetings and they are involved in planning the routines in the home. The people who live in the home are encouraged to maintain contact with relatives and friends. The food provided is wholesome and varied and the residents are able to choose and shop for, their own meals. Residents’ healthcare needs are met by appointments with the full range of healthcare professionals and medication is safely administered. The home has an open culture where individuals feel safe and supported to share any concerns in relation to their protection and safety. Policies and procedures regarding Safeguarding Adults are available to staff and they are clear about what action should be taken regarding issues of abuse. People who use this service can personalise their rooms and the home is clean and tidy and smells fresh. The residents say there are always staff around to talk to and feel they are appropriately supported.
Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 7 The staff receive job descriptions describe their roles well and their training is focussed on delivering good care. There is a good recruitment procedure that screens new staff and ensures the protection of people who live in the home. The manager is well qualified and very experienced at managing the service and the residents and staff have confidence in her abilities. There is a homely atmosphere and there is a good team spirit among the staff. There are good health and safety procedures in place to safeguard the welfare of the residents, staff and visitors to the home. What has improved since the last inspection? What they could do better:
Five requirements have been made in this report, two of which are restated from the previous inspection. A separate area for the communal lounge must be provided for the residents away from the kitchen and dining areas. This will increase the amount of communal space available and improve the comfort and wellbeing of the people who live in the home. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 8 The kitchenette units in residents’ bedrooms are inappropriate and unsightly and must be removed. All windows in the home must be cleaned to improve the appearance of the home for residents and visitors. The registered person must send to the Commission, copies of the reports of their monthly unannounced visits to the home to assure the Commission that the quality of the service is being monitored and that residents and staff are consulted about all issues pertaining to the service and there is continuous improvement. A business plan and budget must be made available to ensure that there is commitment to developing the service and sufficient funds are available for the day-to-day running of the home. 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. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 9 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 Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 10 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): 1, 2 & 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides good information about the service to enable prospective users of the service to decide if it is appropriate to meet their needs, and people are not admitted until a full assessment of their needs has been carried out. The people who live in the home have written service agreements that inform them about their rights and responsibilities as residents. EVIDENCE: Since the last inspection, six people are now living in the home, though one was currently in hospital. There were no vacancies. The home’s Statement of Purpose and Service User Guide provides comprehensive information about the service. A new certificate of registration will be issued to the home to state that people with a history of drug or alcohol related problems are eligible to be admitted, which more accurately describes the service. These changes were discussed and agreed with the manager. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 11 I examined four residents’ case files, which showed that full assessments of their needs had been carried out by the referring mental health teams and the manager of the home. This were further assessments done at the time the person was admitted. Regular care reviews are carried out by the Community Mental Health Team to ensure that the home continues to meet residents’ needs appropriately. The residents I spoke to, said that they were glad they were living there and the home was meeting their needs and expectations. One resident told me; “This is the best place I’ve been. There is so much more support here. The staff listen to me”. The residents were also very satisfied with their rooms, two of which I visited with their permission. All the people in the home have their care funded by the local authority, and they have written service agreements, which the residents have signed, that detail the fees that are paid on their behalf. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 12 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, 8 & 9 People who use this service experience good outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. The service involves individuals in the planning of their care that affects their lifestyle, and this is reviewed regularly involving the person and their representatives if agreed. There are appropriate risk assessments in place, and residents have given their written consent to reasonable restrictions being imposed if they contravene house rules. EVIDENCE: I examined three residents’ care plans which were comprehensive in identifying the person’s needs and setting reasonable goals for their rehabilitation. The plans provide the staff with clear guidance about how to support the person in their preferred manner.
Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 13 Each resident is allocated a key worker who is especially responsible for them and for reviewing their care plan each month. I noted that the residents sign their care plan, which is evidence that they are involved in, and agree to, this process. The plans cover all aspects of need; for example, mental and physical health, medication, relationships and daily living skills. There are comprehensive and appropriate risk assessments recorded about smoking habits, self-harm and challenging behaviour. Sanctions can be imposed when residents breach their conditions of residence; for example, by taking illicit substances. This usually results in restricting their “social leave” in the community. The residents have signed to confirm that they are aware of, and accept these sanctions as integral to their programme of rehabilitation. Meetings are held each month between the manager, staff and residents. These meetings are chaired by the residents, which is good practice. The minutes of these meetings confirm that residents are able to put forward their views about the service and the running of the home. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 14 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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using evidence from a range of areas including a visit to this service. Residents are able to discuss all aspects of living in the home at their regular meetings with their key worker and at residents’ meetings. The routines are very flexible and people who live in the home say they can make choices in major areas of their life. The residents have frequent contact with relatives and friends, and they say they are treated with respect by the staff. Residents are supported to choose and shop for their own meals. EVIDENCE: The residents can generally come and go as they please as long as they inform the staff of their whereabouts and the time of return to the home. They also choose their own meals and their bedtimes.
Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 15 They are responsible for cleaning their rooms, cooking and cleaning, and doing their personal laundry. These daily tasks are part of the person’s rehabilitation and are intended to prepare them for more independent living in the community. Regular meetings are held with the residents to discuss all aspects of life in the home and they are encouraged to fully participate in these discussions. Residents have their own televisions and music centres in their rooms and there is a large television and some board games in the lounge. There is a large garden and patio available for barbecues etc in good weather. A book is used to record residents’ activities, which are mainly visits to Brent Cross and other shopping areas. The home has a policy about sexuality and there is a book to record all visitors to the home. There were records of residents visiting their families and staying overnight and weekends. The menus showed a good variety of meals and the residents said they enjoyed the food and were able to choose what to eat. Hot and cold drinks are available at all times. Rainbow Homes (London) Limited DS0000067643.V350505.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 People who use this service experience good outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. The people who live in the home are able to provide their own personal support and they describe the staff as respectful and supportive. Residents’ healthcare needs are met through appointments with the full range of healthcare professionals and medication is safely administered. EVIDENCE: All residents are registered with a G.P, and there is a book for recording appointments with other healthcare agencies, for example; dentists. A community psychiatric nurse visits a resident to administer depot medication. The manager is endeavouring to access a smoking cessation clinic for residents who wish to give up smoking. All the people who live in the home are quite independent and are able to provide for their own personal care needs. The residents said they were happy
Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 17 and felt safe and the staff were very supportive. They also stated that staff do not enter their rooms without knocking. None of the residents were self-medicating at the time of the inspection. I checked the administration of medicines records and found them satisfactory, with no gaps in signatures. The medication was stored securely. The residents have signed a consent form for the administration of medicines and staff have attended medication training. Rainbow Homes (London) Limited DS0000067643.V350505.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 People who use this service experience good outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. The home has an open culture where individuals feel safe and supported to share any concerns in relation to their protection and safety. Policies and procedures regarding Safeguarding Adults are available to staff and give them clear guidance about what action should be taken if abuse is suspected. EVIDENCE: There is an appropriate complaints procedure in place and there is a book for logging complaints. One complaint was recorded, which was appropriately addressed by the manager and the complainant was satisfied with the outcome. The residents to whom I spoke, said they were satisfied with the service and had no major concerns. The home has a copy of the local authority’s adult protection procedures and a policy about “whistle-blowing”. I spoke to the staff who were on duty about adult protection issues. They were able to demonstrate a sound knowledge of the procedures to follow if they suspected abuse of any kind. Staff records showed that they had been trained in this subject and that they had been properly screened when they were recruited.
Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 19 Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 20 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, 25, 26, 28 & 30 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The residents are happy with their environment, but their comfort and wellbeing is compromised by not having enough communal space for relaxation and socialising with fellow residents. People who use this service can personalise their rooms, but the old kitchenettes are inappropriate in residents’ bedrooms. The home is well lit, clean and tidy and smells fresh. EVIDENCE: I visited all areas of the home, including two bedrooms with the residents’ permission. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 21 This three-storey building is in a residential area with good transport links and excellent shopping facilities nearby. At the last inspection, I was concerned about the lack of communal space inside the home. The only communal space available is a room that accommodates the kitchen, dining area and lounge. The kitchen also contains a built-in washer/drier. Following the requirements I made at the last inspection about this matter, the proprietor agreed to extend the property and at this visit, I was informed that plans had been submitted for approval with the local authority planning department. In the meantime, this requirement is restated in this report. The standard of interior and exterior decoration and maintenance of the property was satisfactory. The garden was well maintained. All residents have keys to the front door and their bedrooms. There are no communal bathrooms or toilets because each resident has ensuite facilities. There are toilets for visitors and staff. The bedrooms are spacious, bright and well decorated with comfortable furniture. However, at the time of this inspection, the bedrooms still contained old kitchenettes from the previous occupants of the house. The plumbing and electrics had been disconnected. I had previously been informed that the kitchenettes would be removed. I am making a requirement for this now to happen as they are unsightly and inappropriate in residents’ bedrooms. Both residents that I visited in their bedrooms had several items of personal possessions and they were very happy with the overall accommodation. One resident has moderate mobility problems and has a wheelchair for when they go on outings, otherwise, they have no difficulty accessing all downstairs areas of the home, including the garden. The property appeared well maintained internally and externally at the time of the inspection. However, the windows were in need of cleaning and a requirement is made about this; otherwise, the home was clean and tidy and free of offensive odours. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 22 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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using evidence from records and discussion with residents and staff. The home is staffed efficiently, and the residents feel they are appropriately supported. There are accurate job descriptions that clearly define the roles and responsibilities of staff, and staff receive relevant training that is focussed on delivering improved outcomes for people using the service. There is a thoruogh recruitment procedure that clearly defines the process to be followed for the protection of people who live in the home. EVIDENCE: There are clear job descriptions in place for the staff, who in addition to their roles as carers, are responsible for cleaning and cooking. The staff to whom I spoke, said that their job descriptions accurately reflected what was required of them in their roles as carers and key workers. Both staff had previous experience of caring for people with mental health problems and said they enjoyed their job.
Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 23 There is a mix of male and female staff, to ensure that there is a female staff on duty at all times. Residents told me that staff are always available to talk to and they felt safe. From my observation and discussions with residents and staff, they appeared to have a good relationship. The staff rota accurately recorded the staff actually on duty on the day of the inspection. There are normally two staff on duty during the day and there is a waking night staff. The manager generally works office hours. I examined the records of two new staff and found that they all had undergone a written induction and training in the administration of medicines, health and safety, first aid and food hygiene. Other courses included mental health, breakaway techniques, and diabetes. The records also showed that all staff had undergone an appropriate recruitment procedure, including application forms, interviews and health screening. They had also been screened by the Criminal Records Bureau before starting work at the home. Two staff had attained National Vocational Qualification level 2 and another two were currently on this course. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 24 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): Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 25 37, 38, 39, 41, 42 & 43. People who use this service experience good outcomes in this area. This judgement has been made using evidence from documents and discussion with the manager, staff and residents. The registered manager has the required qualifications and experience and is highly competent to run the home. She provides clear leadership and guidance to the staff about the standard of care to be provided to the residents. The residents are consulted about how the home is run and they are able to suggest improvements. The Responsible Person carries out monthly unannounced visits to the home, but records of these visits must be sent to the Commission to show what aspects of the service are being monitored. The records and documents pertaining to running of the home are clear and well structured, but there is no business plan for the home, which should identify the budget for the day to day management of the service The home works to a clear health and safety policy. EVIDENCE: The registered manager has previous experience of managing services for people with mental health problems. She holds the Registered Manager Award qualification and NVQ level 4. Through observation and discussion with the manager, staff and residents, I was satisfied that she was competent to run the service efficiently. The manager informed me that she was about to go on holiday and she has ensured that adequate arrangements are in place for the management of the home in her absence. At the time of the inspection, there was a relaxed and friendly atmosphere in the home. The staff and residents said the manager set high standards, was very approachable and dealt with issues in a sensitive manner. A survey of the residents’ views about the service had been carried out. The audit confirmed a high level of satisfaction with the service. People who live in the home are also consulted about how the home is run through monthly meetings with the manager and staff, at which they are able to put forward their views. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 26 I was informed that the proprietor conducts monthly monitoring visits at the home. The reports of these visits are not being sent to the Commission and a requirement is made to address this issue. The manager informed me that sufficient funds are provided for buying food for the residents. However, there is no overall budget for the day to day running of the home. A requirement is also made to address this matter. I examined financial records pertaining to three residents. The records showed the amount of cash held on the residents’ behalf and I checked that these correctly balanced with the recorded amounts. All records and important documents pertaining to residents, staff and the management of the home are well structured, accessible, and easy to follow. A fire risk assessment of the property has been carried out, and a fire safety officer has given a talk to the residents about the risk of smoking in the home. Fire alarms are tested weekly and drills carried out. Certificates of safety were seen for gas, fire and electrical installations and portable electrical appliances had been tested. There are no cold water storage tanks in the home, which is direct mains-fed. A current certificate of employers liability insurance was on display. Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 27 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 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 2 27 X 28 2 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X 3 3 X Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 28 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA28 Regulation 23(2) 9(g) Timescale for action The registered person must 30/09/07 provide a separate lounge for the residents that meets the National Minimum Standards. The timescale for this requirement has not been reached. All windows in the home must be 30/10/07 cleaned. The old kitchenettes must be 31/12/07 removed from residents’ bedrooms. The registered person must 31/10/07 send to the Commission, the reports of findings of their monthly unannounced visits to the home. This requirement has been amended and restated from the last inspection. The previous timescale was 28/02/07. Adequate accounts must be 31/10/07 made available that reflect the running costs of the home. Requirement 2. 3. 4. YA30 YA25 YA39 23(2)(d) 23(2)(f) 26(2) 5. YA43 25(3) Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 29 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rainbow Homes (London) Limited DS0000067643.V350505.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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
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