Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/06/07 for Rela Goldhill Lodge

Also see our care home review for Rela Goldhill Lodge for more information

This inspection was carried out on 12th June 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to be very good at ensuring that service users are supported appropriately in all aspects of their day-to-day living. This includes providing the necessary support to service users that will enable them to be a part of the wider community and to have aspirations, expectations and goals. This is done within a clear ethos, which properly balances the right to freedom within acceptable risks without imposing unreasonable restrictions. The staff team are diligent in maintaining an appropriate degree of awareness to ensure that each of the service users is protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). The managing organisation also have the necessary safeguards in place to ensure that proper and diligent staff selection and recruitment occurs. The home has effective systems in place to support staff and to make sure that they have the necessary training and skills to undertake their work.

What has improved since the last inspection?

The temperature of the cupboard in which medication is stored is now monitored. When the person responsible for testing fire alarm system is absent, a suitably skilled and knowledgeable person carries out these tests in their place.

What the care home could do better:

The home must ensure that risk assessments outline the reality of the risk for the individual, if the risk exists at all, and then explains how the risk will be reduced and managed where relevant. It would also be timely for the managing organisation to review the change in staff shift patterns to ensure that there is no adverse effect on the choices for leisure and social activities that are available for service users.

CARE HOME ADULTS 18-65 Rela Goldhill Lodge Wolfson Court Limes Avenue London NW11 9TJ Lead Inspector James Pitts Key Unannounced Inspection 12th June 2007 10:45 Rela Goldhill Lodge DS0000010535.V341499.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 Rela Goldhill Lodge DS0000010535.V341499.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. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rela Goldhill Lodge Address Wolfson Court Limes Avenue London NW11 9TJ 020 8905 5229 020 8455 8250 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) Jewish Care Mr Steven Mark Wax Care Home 21 Category(ies) of Physical disability (0), Sensory impairment (0) registration, with number of places Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Limited to 21 adults with a physical disability including visual impairment. Two specified service users who are over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as either of the specified service users vacates the home. 4th October 2006 Date of last inspection Brief Description of the Service: Rela Goldhill Lodge is owned and managed by Jewish Care, who are the largest providers of health and social care services for the Jewish community in the United Kingdom. The home is registered to provide residential accommodation and care for a maximum of twenty-one young Jewish adults with physical and sensory impairment. The home provides for respite and short-term care. The staff also provide respite care for people living in their own flats, opposite the home. Staff are available on a twenty-four hour basis. The home is situated in a residential part of Golders Green, near to Golders Green and Brent Cross underground stations, local shops, and bus routes and Brent Cross Shopping Centre, all of which are a short distance from the home. The home is purpose built as part of the Wolfson Court, which was opened in 1992. The home occupies all of the first and part of the second floors. The rest of the building provides warden supported accommodation for elderly people. The home is wheelchair accessible throughout. There are twenty-one single bedrooms, each with en-suite shower and toilet facilities. The home also provides support with all aspects of personal care and daily living. There is also support for residents to enable them to be part of the local community and to develop and maintain work, education, leisure and social activities. The home adheres to the customs of the Jewish religion, taking into account religious holidays and festivals. The fees for residents living in the home range from £389.57 - £1,063.98 per week. The provider must make information available about the service, including inspection reports, to service users and other stakeholders. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over the course of one day. The registered care manager was on leave at the time, however, the care manager, deputy, one senior support worker and home administrator all provided assistance during this visit. No surveys were received from service users, relatives or other stakeholders prior to this visit. However a number of service users and the relatives of two did give their view about the home during the inspection. These comments did not indicate that there are any concerns about the standard of care at the home and indeed positive remarks were made and relaxed interactions were observed. A number of records were also examined, including care plans, assessments, management records and those which relate to medication handling and administration. A tour of the building also took place and five service users gave permission for their own rooms to be seen, which is much appreciated. What the service does well: The home continues to be very good at ensuring that service users are supported appropriately in all aspects of their day-to-day living. This includes providing the necessary support to service users that will enable them to be a part of the wider community and to have aspirations, expectations and goals. This is done within a clear ethos, which properly balances the right to freedom within acceptable risks without imposing unreasonable restrictions. The staff team are diligent in maintaining an appropriate degree of awareness to ensure that each of the service users is protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). The managing organisation also have the necessary safeguards in place to ensure that proper and diligent staff selection and recruitment occurs. The home has effective systems in place to support staff and to make sure that they have the necessary training and skills to undertake their work. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 1 & 2 were assessed at this inspection. Service users and other people are told what the home does and how it will do it. The service user guide is written in a clear way so that everyone can understand it. The service users can feel confident that the home will only care for people that the staff are trained and able to care for. The service users are told about how much it costs to live at the home and whenever this amount changes all of the people who need to know are told. EVIDENCE: The Statement of Purpose and Service User Guide contain all the necessary information and are presented in a clear and accessible way. The statement of purpose was most recently reviewed in March 2006. There has been one new service user move into the home since the previous inspection in October of last year. The admission process for this new Service user was examined at this visit and it is clearly evident that the home carried out a proper assessment and is able to provide the necessary care and support for this person. A review of the initial placement also occurred recently and it was noted that this person is settling very well into their new home. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Standards 6, 7 & 9 were assessed at this inspection. The service users can continue to feel confident that the staff know what they need. Service users can also be assured that the staff will make sure that each person who lives at the home is allowed to live the sort of life that they choose. EVIDENCE: Four of the service users individual care plans were examined in detail at this inspection. All of the service users continue to have a care plan. This tells the staff in a lot of detail about the best ways to support each person who lives here. It also tells the staff about what each service user likes to do each day, the things that they like and how the staff should do the best things to help in the right way. It was reported at the previous inspection that the format that is used to compile these plans is being amended. This work continues and a Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 10 lengthy discussion was held about how this development can proceed further. It should, however, be noted that the staff team at the home do clearly know about the care and support needs that each service user has. Each service user has an allocated key worker. This is a member of staff who especially makes sure that the service user is being supported in the right way. Each service user’s keyworker makes sure that their support plan regularly updated. The staff remain committed to making sure that all of the service users are allowed to make choices about how to live their life. Service users are asked about the things that they like, what they want and how they want things to happen. This is not only in terms of how their individual physical care needs should be met, but just as importantly how each person can live their life in a way that allows each to have aspirations, expectations and personal goals. The home writes a risk assessment for each of the service users. A risk assessment tells the staff how to make sure that each of the service users is kept safe from anything that might harm them. The home has standardised many areas of risk and fundamentally has the same risk assessment outcome and risk reduction measures in place for each person who lives here. The home needs to be mindful that although risks can be common, the consideration that is given to each area of risk has to be focused on the potential danger, or not, posed for the individual. For example, it is right to consider the risk of trips, falls, moving and handling (transfers to / from wheelchair etc) for all service users. However, for someone who is physically mobile and does not use a wheelchair, the risk reduction measure will be entirely different to that of someone whose mobility is more limited. For this reason the home must ensure that risk assessments outline the reality of the risk for the individual, if the risk exists at all, and then explains how the risk will be reduced and managed where relevant. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 11, 12, 13, 14, 15, 16 & 17 were assessed at this inspection. Service users can continue to feel confident that the staff of the home will provide opportunities for everyone to develop their personal and social skills. This includes active support for each person to participate in the community both in terms of the activities of daily life and leisure interests. This choice may, however, be undermined if the recently changed staff shift patterns impact adversely on these opportunities. The opportunity for each service user to develop and maintain personal and family relations is also encouraged and is actively supported by the staff team. EVIDENCE: Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 12 The people who come to live here stay for a very long time, although sometimes people might move somewhere else if they want or need to, although this would rarely happen. The service users are supported by the staff to be as independent as possible and to make as many choices as they knowingly can. All participate in making use of facilities in the community such as the cinema, the pub and other places of interest. One area of concern has arisen as the result of a change to the shift patterns that the home now operate. This change has resulted in staff usually doing a 12 hour shift, starting at approximately 8am in the morning and finishing at 8pm in the evening (some variation to this does occur around these times). This can mean that if individual service users may want to be out socially later in the evening this could be curtailed by staff needing to go off duty. This concern has been raised by both service users and staff and has been noted in monthly visits (known as regulation 26 visits) that are carried out on behalf of the managing organisation. It would now be timely for the managing organisation to review this change in staff shift patterns to ensure that there is no adverse effect on the choices for leisure and social activities that are available for service users. The staff at the home still keep service users up to date with what is going on in the community. The staff help the service users to be a full part of the local community. There are two vehicles that people can use to go out but the home is very close to bus stops and a tube station. The staff are very pro active with supporting each service user to keep in contact with their families and friends. Family and Friends are made very welcome when they visit the home and many of the service users go to visit their families, often staying for weekends. There are not many rules at this home. The most important one is that no one is allowed to smoke in the communal areas of the house. All of the people who live here are allowed to use the entire house, except other people’s bedrooms without being invited in or the office if a meeting is happening. Each of the people who live at this home is allowed to make choices about what they want to eat. The chef meets regularly with service users to talk about the meals that are provided and what changes people would like. If anyone puts on too much weight and this might make them unwell then the staff also help them to deal with that too so they can stay healthy. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 18, 19 & 20 were assessed at this inspection. Service users can continue to feel confident that they will get the right support to take care of their personal and healthcare needs. Anyone who needs to take medicine regularly to help them stay well will receive the proper support from staff to make sure that this happens, EVIDENCE: The staff showed that they are very aware of what each service user needs and they are sensitive about how they should meet those needs. Most of the service users need technical aids or equipment to help them to be as independent as possible. Each service user has a care plan that tells the staff in great detail the way that each service users wants to be physically cared for and supported, this also includes details of personal preferences. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 14 All of the people who live at the home usually go to see a local GP if they are not feeling well. The service users can see any local GP but most see the same one that the staff know very well and get along with. The staff are still very good at writing down anything that happens if anyone becomes unwell. If any of the service users have an illness or something else is wrong with them then the staff do know what this is and how to help them to get the treatment that they need. Most of the service users need to take medicine every day and the staff are very good at making sure that this happens so that they can stay well. The staff are also good at making sure that no one can get hold of any medicine that they should not have and for this reason they keep medicines locked away. A local pharmacy provide medication each week, which helps the home to ensure that large stocks on not unnecessarily kept at the home. The pharmascist also provides regular reviews of medication handling and procedures as well as providing advice should this be necessary. It was recommended at the previous inspection that the temperature of the medication cupboard be monitored on a daily basis. This now occurs. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 22 & 23 were assessed at this inspection. The service users can continue to feel confident that the staff team at the home know what to do if there are complaints or concerns about abuse. The home has clear guidance for staff about the procedures to be followed in either of these circumstances. EVIDENCE: The service users are given clear information about how to complain and what happens when they make a complaint. Two complaints have been made by service users since the previous inspection. One was against a member of staff that was not upheld and the other was a disagreement between service users that was resolved through discussion between those involved. The home’s complaints procedure contains all of the necessary information and guidance, including the contact details of the local Commission area office. There is also clear written information for staff about what to do if they think that a service user is being hurt or abused by another person, or if an allegation is made. One concern has been reported recently and the necessary authorities were informed. This matter was investigated by the local geographical authority, under protection of vulnerable adults procedures. An action plan was agreed and this is being implemented by the home and relevant social care agencies. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 24 & 30 were assessed at this inspection. The service users can continue to feel confident that they are living in a well maintained, clean and pleasant home. EVIDENCE: Each of the service users have some form of physical or mobility difficulty. The managing organisation has ensured that environmental adaptations are in place, are maintained properly, and that all areas of the home are wheelchair accessible. There are two lifts to all floors, and service users are provided with whatever equipment and devices that are necessary in order to maximise their independence. Staff were observed supporting service users in a dignified way and there is also freedom of access to enable people to move about the home independently, without any restrictions. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 17 The house continues to be kept in a very good state of repair and is a clean, well furnished and pleasant environment for the people who live here. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 32, 34 & 35 were assessed at this inspection. Service users can feel confident that the home carries out the proper preemployment background checks on new staff. They can also feel confidant that there is an ongoing commitment to staff training and development that helps to ensure that staff have the necessary skills to provide an effective service. EVIDENCE: The home does carry out the necessary background checks on staff. These checks include things like asking the Criminal Records Bureaux if a new member of staff has ever been found guilty of a crime or is unsuitable to work with vulnerable adults, and asking people who used to employ them if their work was good and if they are the right sort of person to work with the service users and to support them. The home keeps records that say what training courses staff have done, and when they did them. Staff attend regular training updates, and over 50 have achieved the NVQ level 2 qualification or higher. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 19 The home does carry out the necessary background checks on staff. These checks include things like asking the Criminal Records Bureaux if a new member of staff has ever been found guilty of a crime or is unsuitable to work with vulnerable adults, and asking people who used to employ them if their work was good and if they are the right sort of person to work with the service users and to support them. There is a clear organisational commitment to ensuring that staff not only achieve qualifications, but also the ongoing training that is necessary to keep their knowledge and skills up to date with current practise. The registered persons were required as a result of the previous inspection to ensure that all new staff receive structured induction training (within six weeks of appointment). Only one new member of staff has been recruited since and this person was, at the time of this inspection, engaged in the organisational induction and has yet to commence working directly at the home. As the home have not yet had the opportunity to show that this requirement has been achieved it will remain in this report for reference purposes and will be reviewed again at the next inspection. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 37, 39 & 42 were assessed at this inspection. The service users can feel confident that they are living in a home that has good internal management, is run with their best interests at heart and that their views are sought. EVIDENCE: Previous inspection reports have noted that the home’s registered manager is more than suitably qualified and experienced to run the home. The home continues to be subject to Jewish Care’s quality audit system; this system is service user centred and fully meets the requirements of this standard. This audit is subject to regular reviews. Junior members of staff are also given designated responsibilities, their achievement of which is monitored Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 21 through the supervision system. A representative of the managing organisation carries out monthly visits to the home; detailed reports are then written. The managing organisation should note that the monthly visits reports are now no longer required to be submitted to the Commission unless these are specifically requested. The following health and safety checks have been carried out within the last year: Fire Alarm System: 06/05/07 Gas Safety Check: 06/06/ 07 Portable electrical appliances: November 2006 Legionellosis: 30/01/06 The home is good at making sure that the people who live and work here are kept safe from fire and other hazards. Fire alarms are tested regularly and fire drills also occur. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 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. Standard YA9 Regulation 13 (4) (b) Requirement Timescale for action 12/09/07 2. YA35 18 (c) The home must ensure that risk assessments outline the reality of the risk for the individual, if the risk exists at all, and then explains how the risk will be reduced and managed where relevant. 12/09/07 The registered persons must ensure that all new staff receive structured induction training (within six weeks of appointment). NB the home has not as yet had the opportunity to induct any new staff and this requirement remains for reference purposes and review at the next inspection. 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 Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 24 1. YA12 It would now be timely for the managing organisation to review the change in staff shift patterns to ensure that there is no adverse effect on the choices for leisure and social activities that are available for service users. Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Harrow Area Office 4th Floor, Aspect Gate 166 College Road Harrow London 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 © 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 Rela Goldhill Lodge DS0000010535.V341499.R01.S.doc Version 5.2 Page 26 - 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!