Inspection on 20/05/05 for Real Life Options 96 Harrowdene Road

This inspection was carried out on 20th May 2005.

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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Real Life Options 96 Harrowdene... 03/09/07

Real Life Options 96 Harrowdene... 23/03/07

Real Life Options 96 Harrowdene... 18/11/05

Real Life Options 96 Harrowdene... 08/12/04

Real Life Options 96 Harrowdene... 09/09/04

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

CARE HOME ADULTS 18-65 96 Harrowdene Road 96 Harrowdene Road Wembley Middlesex HA0 2JF Lead Inspector Julie Schofield Unannounced 20 May 2005 2.30pm 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. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 96 Harrowdene Road Address 96 Harrowdene Road Wembley Middlesex HA0 2JF 020 8904 3543 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) Real Life Options Ms Kylie Miles CRH PC 6 Category(ies) of LD 4 registration, with number PD 2 of places 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 08 December 2004 Brief Description of the Service: 96 Harrowdene Road is a care home providing personal care for 6 adults with learning disabilities, including up to two service users who may also have physical disabilities and who are accommodated on the ground floor. At the time of the unannounced inspection there were 2 vacancies in the home. The home is situated on a busy road that links East Lane with the Harrow Road. The nearest underground tube station is North Wembley. There are also bus routes along the two main roads. The property has off street parking and there is a separate entrance and exit. However there is also parking available in the street outside the house. The house consists of two floors. There is a seating area in the very large entrance hall, a lounge, conservatory, dining room, kitchen, laundry and two service users bedrooms on the ground floor. One bedroom has an ensuite shower and toilet and the other bedroom is adjacent to a bathroom and there is a door between the bedroom and the bathroom and a door between the bathroom and the hallway. This enables the bathroom to be used either as a communal facility or as an ensuite facility. There is a bathroom, separate toilet, office and 4 service users bedrooms on the first floor. It has been agreed that while there is a vacancy in the home (on the first floor) the vacant room can be used as the office/sleeping in facility as it is a larger room than the designated office. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on an afternoon in May 2005 and lasted a total of 3 hrs and 15 minutes. During the inspection the Inspector had discussions with the manager and with 3 members of staff on duty. During the inspection 1 of the residents living in the home returned and gave their view of the service. Overall the resident was satisfied with the care received. The other residents were not able to communicate verbally. An observation of body language and facial expressions etc was undertaken to gauge the rapport between staff and residents. The Inspector would like to thank the members of staff and resident for taking part in the inspection. What the service does well: The pre-admission procedure confirms whether the home is able to meet the needs of the prospective resident. The home has a system of building up a comprehensive assessment of the needs of the resident. This is based on information obtained from the placing authority, an assessment carried out by the manager and by a programme for the prospective resident of weekly visits to the home. By taking part in activities in the home e.g. a birthday party, the prospective resident and the current residents are able to get to know each other before the admission. Residents have individual day care programmes, which were stimulating and varied. They include attendance at day centre or college and time based around the home. This time can be spent, with a member of staff, enjoying community facilities. A resident said that they enjoyed their day centre and college activities. Staff were familiar with the individual needs of each resident and were able to communicate with residents although most residents could not speak. Staff said that they used the information in the case files e.g. care plans, guidelines, risk assessments etc to help them understand and meet the needs of the residents. Staff benefit from the opportunities for training and there is an NVQ training programme in operation in the home, training in respect of the needs of the particular client group and training in safe working practice topics. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Although the manager said that quotes have been obtained for carrying out the work, the making good and painting of the exterior porch area is an outstanding requirement from a previous inspection. It detracts from the appearance of the front of the building. Similarly the overgrown lawn and weeds between the patio slabs in the garden at the back of the house spoil an otherwise pleasant feature of the home. It is recommended that the home encourage attendance by a representative of the placing authority at the residents’ review meetings. It is also recommended that the date on which a bottle of medication is opened be recorded on the label. Please contact the provider for advice of actions taken in response to this 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4 Prior to admission information is received about the prospective resident and the manager carries out an assessment to ensure that the needs of the resident can be met within the home. Residents are involved in the process of choosing a care home that can meet their needs by having the opportunity to visit the new home and to sample its facilities. EVIDENCE: One resident has been recently admitted to the home after transferring from another care home within Wembley. Information from the placing authority had been provided prior to the admission of the resident and had included an initial assessment of need. The previous home had supplied risk assessments, guidelines and review meeting minutes. The manager of Harrowdene Road had visited the prospective resident in the care home where they were living and had completed an assessment form. A member of staff confirmed that they used the information on the resident’s file to get to know the resident and to understand their needs. A record of the pre-admission process was on file. It was noted that the prospective resident had visited the home and the minutes of a transition meeting reviewed the progress of “the weekly visits”. There had also been a visit to the home by a relative of the prospective resident. The visits had taken place during the day and at times when the other residents would be at home. Meals had been taken in the home and the resident had an opportunity to view their new room. A member of staff confirmed that the prospective 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 10 resident had visited the home “many times” and had been invited to the birthday party of one of the existing residents. Another member of staff said that the team had been busy helping the new resident get to know the home and to settle in. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 9 Reviewing care plans on a regular basis ensures that changes in the needs of residents are identified and can be addressed. Staff support residents to take responsible risks so that residents can enjoy an independent lifestyle. EVIDENCE: Three case files were examined. Care plans were in place. Review meetings were convened by the home on a six monthly basis and were up to date. However although family members attended the review meeting, where possible, no representative from the placing authority (the health authority) attended. Guidelines for managing aspects of the resident’s care and care practice statements were contained on file to assist staff in supporting residents on a day-to-day basis. A member of staff said that they had looked at the care plans and guidelines and that the needs of residents were reviewed on a regular basis. There were risk assessments on file, which were tailored to the individual needs of residents. These included risk assessments for eating a meal, choking, running up the road, bathing, falling etc. The risk assessment included risk management strategies. Risk assessments in respect of residents 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 12 not being provided with a key to their bedroom door were kept together. A member of staff said that risk assessments are reviewed and issues discussed at meetings and the resident’s key worker prepared the report. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 17 Residents have access to day centres and college, which provide an opportunity to develop their social and communication skills. Taking part in activities and holidays gives residents the opportunity to become more independent and to enjoy an interesting and stimulating lifestyle. The support of staff enables residents to maintain family contact. Residents have a varied and balanced diet, with dishes to satisfy the principles of healthy eating. EVIDENCE: Residents have a weekly programme of activities, which includes attendance at day centre (and perhaps attendance at college) and time based “around” the home as the time could include activities taking part in the community. The programme of activities gives the resident the opportunity to develop their social and communication skills through meeting other people. The development of emotional skills has been encouraged through counselling sessions and independent living skills are encouraged on a daily basis in terms of taking part in basic household duties e.g. clearing away after a meal etc. One of the residents attends church. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 14 One of the residents attends a pottery class at college and returned to the home with a vase, which he had made. He confirmed that he enjoyed making things. The day centre arranged activities such as music sessions and horse riding and 1 resident named and described the horse that they rode. Staff confirmed that residents made use of community facilities e.g. shops, parks, restaurants, cinema leisure centres etc. One resident named films that they had seen recently. Two residents have their birthdays in the same month and had a joint party in a pub. Residents use public transport to travel to activities or they are able to use the home’ s minibus. The deputy manager said that residents had enjoyed holidays or short breaks in 2004 and that staff had accompanied them. One resident had holidayed in Eastbourne, 1 in a hotel in central London and 2 in a holiday park. In addition 1 resident had been on a holiday where they were able to meet up with a family member. Residents have enjoyed days out and one of these days out was to Windsor Castle. One resident said that they have regular visits from a family member. Another resident who has visits from a member of their family went out for the day with them, the previous weekend. One resident’s family live some distance away from the home and they keep in touch by telephone. When families visit staff confirmed that the visits could take place in the lounge areas or in the privacy of the resident’ s room. They said that it was important to make family members welcome. There was evidence on file that family members had attended review meetings. A basic menu sheet was on display for a resident, which was for 1500 calories a day. A dietician had supplied the menu sheet. The manager said that the resident was being encouraged to follow a healthy eating plan. The home has a four-week menu cycle and it demonstrated a varied and balanced diet, with the inclusion of lots of fresh vegetables. Generous supplies of fresh fruit are kept in the kitchen and residents are able to help themselves to these. One resident has pureed food and the member of staff on duty in the kitchen confirmed that they were going to puree each item of food cooked, separately. They said that residents varied in the time that they took to eat their meal and that staff respected this. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 15 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) 19, 20 Residents’ health care needs are met through access to health care services in the community. Residents are supported by staff to take their medication, at the times directed and in the doses prescribed by their GP, in order to promote their general health. EVIDENCE: There was evidence on file of access to community health services. A record was kept of appointments with the GP and of out patient appointments at the hospital and an escort is provided for these. Minutes of review meetings at Kingsbury Hospital were kept on file. There was also a record of regular appointments with the optician, the dentist and the chiropodist. Referrals had been made to the physiotherapist and to the speech and language therapist, as required and reports of their assessments were kept on file. A member of staff said that as a key worker they kept an eye on the need for appointments to be made with health care professionals. The records of the administration of medication to residents were examined and were up to date and complete. They included care practice statements and information about any allergies that the residents might have. The storage of medication was in a locked facility. The home uses a system of blister packs for the administration of medication and these were inspected. Prior to the inspection they had been appropriately administered. Bottles of 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 16 medication, which were in use, did not have a record of the date that they were first opened. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Residents communicate displeasure in a number of ways and staff are able to respond to verbal and non-verbal cues. An adult protection policy, familiarity with the interagency guidelines and protection of vulnerable adults training for staff contribute towards the safety of residents. EVIDENCE: A complaints procedure is in place. The manager said that no complaints have been recorded since the last announced inspection. However as only 1 resident is able to communicate verbally the manager said that staff use their observational skills to detect any signs of displeasure on the part of the resident and respond to this. There is an adult protection policy in place and the home has a copy of the local authority’s interagency guidelines. Staff were aware of the adult protection procedure and said that they had received protection of vulnerable adults training. They were aware of the whistle blowing procedure and knew the company’s policy in respect of disclosures being made. A member of staff confirmed that they had received escape and personal intervention training. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28, 30 The poor condition of the paintwork on the porch area detracts from the external appearance of the home. Residents have a number of communal areas to relax in although work is needed in the garden before residents can enjoy pleasing views. Residents live in a home where standards of cleanliness are good. EVIDENCE: The paintwork on the exterior of the porch area is in a poor condition and the requirement to make good this area is outstanding from a previous inspection. Illumination has been installed for the ramp at the front of the house. Communal space in the home gives residents the opportunity to sit with each other or to find space to be on their own. There is a lounge, dining area, conservatory and seating area in the entrance hall. New patio furniture has been purchased for the garden area and there was a set of table and chairs for the open area and a set for a shaded area. The lawn needs cutting as the grass is high and the weeds between the patio tiles need removing. (These have been treated with weed killer and are dying back). 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 19 The laundry facilities are in a room that is off the lounge. Access to this does not involve walking through an area that is used for the preparation or consumption of food. The washing machine and dryer are commercial machines. The room includes hand-washing facilities. Staff on duty confirmed that they had received infection control training. Areas that were inspected were clean and odour free. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 36 Staff have had training to support residents with learning disabilities and there is an on going programme of NVQ training to ensure that staff have the skills and knowledge to meet the needs of the residents. The rota demonstrated that there were always sufficient members of staff on duty to support the residents. The recruitment process protects the welfare of the residents. Individual supervision sessions enhances the overall support available to staff and is an opportunity to encourage personal development. EVIDENCE: A senior support worker is continuing with their NVQ level 3 studies and while other staff continue with their level 2 studies a further 2 staff have commenced LDAF training. A member of staff on duty said that they were registering for NVQ level 3 training. The 2 staff files examined contained a record of the staff having undertaken training in respect of residents with special needs. At the start of the inspection the manager, deputy and a carer were on duty in the home and another carer was accompanying a resident who was attending college. One resident was in the home at the start of the inspection and the remaining 3 residents returned later in the afternoon. The rota was examined 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 21 and there were sufficient staff to meet the needs of residents and support residents wishing to take part in different activities. There were 3 staff on duty in the morning, as 1 resident needed chest physiotherapy, and 3 staff on duty in the afternoon/evening. At night 1 member of staff performs waking night duties and another member of staff is asleep but on call. The designated person in charge for each shift is highlighted and the rota includes post titles for staff and their weekly hours. A member of staff said that the third member of staff on shift “made all the difference”. The staff files of 2 newly recruited members of staff were examined. Both files contained a satisfactory CRB disclosure, 2 satisfactory references, passport details providing proof of identity and a statement of terms and conditions. Staff meetings take place on a monthly basis and the minutes of the last 2 meetings were examined. Staff confirmed that individual supervision sessions take place on a monthly basis. The manager supervises the deputies who in turn supervise the carers. A member of staff said that the managers were approachable and that in between supervision sessions they were able to raise any issues or seek advice. There was evidence of annual appraisals being undertaken and within the appraisal the training needs of the member of staff are identified. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42, 43 Continuing development of knowledge and skills contributes towards an effective manager and the manager is committed to completing her NVQ studies. The training that staff receive in safe working practice topics enables them to safeguard the health, safety and welfare of the residents. The home has a business plan that demonstrates the home’s financial viability and sound management. EVIDENCE: The manager has completed her NVQ Assessor’s Award and is currently studying for her Registered Manager’s Award. She already holds a caring qualification and is an experienced manager of a care home for adults with learning disabilities. Staff confirmed that they had received training in safe working practice topics including infection control, food hygiene, manual handling, fire safety and first 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 23 aid. Recorded risk assessments for certain safe working practice topics were available including a risk assessment for fire, for handling products governed by COSHH guidelines, for the preparation of food etc. There was a risk assessment for making drinks and one for inducting new or agency staff was on display in the kitchen. There was evidence of testing the fire alarm system on a weekly basis and of carrying out fire drills on a 3 monthly basis. A valid certificate of insurance cover for public liability was on display in the entrance hall and provided cover to a minimum of £5 million. A financial and business plan has previously been made available for inspection. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x 2 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 2 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 96 Harrowdene Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 3 G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 25 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 YA24 Regulation 23.2 Requirement That the paintwork on the exterior of the porch area surrounding the front door is made good. (Previous timescale of 01 April 2005 not met). That the lawn is mowed and that the dead weeds are removed from the between the patio tiles. That 50 of carers achieve an NVQ level 2 or 3 qualification. That the registered manager achieves an NVQ level 4 qualification in management and care. Timescale for action 01 October 2005 2. 3. 4. YA28 YA32 YA37 23.2 18.1 9.2 08 August 2005 31 December 2005 31 December 2005 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 YA6 YA20 YA42 Good Practice Recommendations That the home encourages a representative of the placing authority to attend review meetings held in the home at least on an annual basis. That when a bottle of medication is opened the date of opening is recorded on the label. That there are recorded risk assessments for the safe G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 26 96 Harrowdene Road working practices listed in 42.2 of the National Minimum Standards. 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection 4th Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 96 Harrowdene Road G62-G11 S17454 96 Harrowdene Rd v213692 200505 Stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!