Inspection on 14/12/05 for Ridgewood Drive (1)

This inspection was carried out on 14th December 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ridgewood Drive (1) 29/10/07

Ridgewood Drive (1) 04/12/06

Ridgewood Drive (1) 30/08/05

Ridgewood Drive (1) 10/11/04

Ridgewood Drive (1) 03/08/04

Ridgewood Drive (1) 19/02/04

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Ridgewood Drive (1) 1 Ridgewood Drive Old Bisley Road Frimley Surrey GU16 5QE Lead Inspector Suzanne Magnier Unannounced Inspection 14th December 2005 07:45 Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 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 Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 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 Older People and 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. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ridgewood Drive (1) Address 1 Ridgewood Drive Old Bisley Road Frimley Surrey GU16 5QE 01276 62668 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) New Support Options Limited Ms Regina Meakings Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1), Physical disability (4), of places Physical disability over 65 years of age (1) Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Of the 5 residents accommodated, up to 4 may fall within the category PD in addition to the category LD Of the 5 residents accommodated, up to 1 may fall within the category PD(E) in addition to the category LD(E) For those residents within the category LD or PD, the age range will be 31-64 Years. For those residents within categories LD(E) and PD(E) the age range will be 65 Years and over. 10th November 2004 Date of last inspection Brief Description of the Service: 1 Ridgewood Drive is a purpose built, detached bungalow set in a private residential area, located in Frimley, close to the town of Camberley. The home is owned and managed by New Support Options Limited and provides accommodation and care for up to five people with learning disabilities and/or physical disabilities. All areas of the home are easily accessible and the doors and hallways are wide enough for wheelchair access. Communal areas are arranged and furnished in a comfortable, homely way and there are ample toilet and bathing facilities. All bedrooms are single occupancy and of a good size, and all have a wash basin. No rooms have en-suite facilities. There is a garden to the rear of the property that is fully accessible to the service users and parking for several cars to the front of the building. The home has its own vehicle for accessing activities in the local community, trips out and attending day centres. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 4 hours. For the purpose of the report the Registered Manager advised the inspectors that the people who live in the home are referred to as ‘supported people’. The home supports five people who have complex needs, some of whom do not use formal speech to communicate. Due to the complexity of the lifestyles and needs for the people supported the inspector observed staff interaction with the people being supported noting communication through tone, eye contact, support interactions and other body language. The focus of the inspection was to meet with the supported people and staff. In addition person centred plans care plans, health and safety records, several policies were sampled and a full tour of the premises undertaken. The standards not assessed in the last inspection in August 2005 were assessed on this occasion. The inspector wishes to thank the people being supported, staff and Registered Manager for their cooperation during the inspection. What the service does well: The commitment and enthusiasm of the Registered Manager and staff was evident during the inspection. The management style of the home is open and inclusive. The home has a calm and homely atmosphere and people are free to move around their home. The person centred plans sampled were commendable in promoting the individual’s lifestyle and preferences. The home continues to strive and develop opportunities for the supported people and support was observed to be offered in a discreet and respectful way. It was observed that people’s views and opinions are sought by staff and acted upon The supported people are actively encouraged, by a committed staff team, to engage and promote peoples rights to make decisions and have opportunities. One person told the inspector I’ve got money and that makes me feel happy’. Individual peoples rooms reflect their taste and the shared areas of the home including the bathrooms meet the current needs of the supported people. One person told the inspector ‘I like my room, Annie helped me with my room’. The home is clean and pleasantly decorated. The staff team work cohesively and have received mandatory training. One comment received by a health care professional included that ‘the staff are always helpful, knowledgeable and caring. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 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. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4. The home offers a full assessment and opportunity for a prospective supported person to visit the home. EVIDENCE: One person had been recently admitted to the home from another New Support Options home. The assessment detail for the support needs and lifestyle of the supported person was noted as being very thorough and included photos, guidelines and aspirations of the person. The home has also started to develop a person centred plan with the person in their new home. The manager explained that the person has changed some aspects of their life and developed different opportunities. The inspector met with the newly supported person who moved confidently around the home and had positive interaction with other supported people and staff. The manager Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 9 told the inspector that the person had visited the home over several weeks, sharing meals and meeting with all the other supported people. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. The home has commendable person centred plans for each supported person. The home maintains professional links with health care professionals and supported peoples rights to confidentiality is observed. The supported people are actively encouraged, by a committed staff team, to engage and promote peoples rights to make decisions and have opportunities. EVIDENCE: The person centred plans sampled by the inspector demonstrated that the supported people are encouraged by staff to make decisions about their lives and their preferred lifestyles. The person centred plans included clear risk assessments in order to ensure the safety of the supported person as much as possible. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 11 The person centred plans also include photographs of the person through their lives and incorporates a guide of the home in assisting supported people to know the home and their surroundings. It was noted that the person centred plans seen by the inspector showed commitment by staff in getting to know the people they are supporting in order that they lead fulfilling lives and their lifestyles are promoted. It was observed during the inspection that all staff were actively supporting people with their routines of getting up, having breakfast and doing their activities which included going out with additional support workers to hydrotherapy, leisure activities and seasonal festivities for example a pantomime. During the inspector a specialist health care professional visited the home. The person informed the inspector that they had been working with the home for several years and spoke favourably of the care provided by the homes staff. The home has a confidentiality policy and the inspector observed that all files were stored in a numbered system and all the supported peoples files and related documentation were individually stored in their own files, which were kept in the homes office. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14,15,16,17. The home continues to be proactive in promoting and assisting supported people to lead fulfilling lives with new opportunities, maintaining friendships with their friends and family and developing new skills through leisure and Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 13 other activities. At breakfast people staff were available to support people dependant on their need and a wholesome breakfast was available. EVIDENCE: On arrival at the inspection one supported person was making their breakfast in the kitchen with discreet and encouraging support from staff. The person also had their radio with them and was enjoying the music whilst having their breakfast. Another supported person while having their breakfast talked to the inspector and later was observed doing their painting. The home continues to offer a variety of activities, which include bowling, private aromatherapy sessions and hydrotherapy. It was noted by the inspector that the staff team are enthusiastic in supporting people to the hydrotherapy sessions. The home is looking into arranging an art therapist to visit the home and work with people doing crafts and textiles. Other activities include cookery and the inspector was shown by a supported person photos of them making the Christmas cake; going to the local pub, visits to the garden centre and Karaoke. One person told the inspector I’ve got money and that makes me feel happy’ One person showed the inspector their photos of their holiday in Pembrokeshire and told the inspector that their hobby was collecting postcards. In addition the inspector was told that the fire brigade had visited the home in an engine and a trip to Portsmouth had been really good fun. The home has a snoozelum room, which was out of order on the day of inspection due to a leaking radiator and subsequent floor damage. It has been required that the room is rendered back in use as soon as possible in order that people can use it. The room was well decorated and had a variety of sensory equipment. The manager told the inspector that the room had been decorated and the equipment supplied by staff, which demonstrated the commitment of staff in providing a person centred service. Where possible the manager advised that people are supported to keep in touch with relatives and friends. The staff team had worked hard on the behalf of one person in reconnecting them with some old friends from their childhood, which had been a moving and exciting experience for all concerned. Photos were taken of the reunion and kept in the person’s personal folder. The inspector did not observe a full meal being prepared and served however it was observed that staff supported people to make their breakfast where able and also to sensitively support people whilst they were having their breakfast. The home had adequate supplies of fresh fruit, cereals and vegetables. The menu was attached to the freezer door and on several kitchen cabinet doors Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 14 pictures had been put on the doors to help people know what was in the cupboards. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19. The home continues to provide personal, emotional support and ensures that each person’s health care needs are met. EVIDENCE: It was evident through sampling the person centred plans that the home supports each person in the home in an individual way and takes into account their wishes, feelings and needs to their routines of daily living. The inspector sampled clear written guidelines in the person centred files seen which assisted staff in knowing how the person wished to be supported. The inspector noted the engagement by staff to the people they were supporting in order that their emotional and physical needs were met in a caring and sensitive manner. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 16 During the inspection the Area Manager arrived and in discussion, the inspector was shown a new health care book which will be supplied and implemented in the home, which documents all the health care needs of the supported person in a friendly and easy to read format. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. The home has a complaints procedure and it was observed that people’s views and opinions are sought by staff and acted upon. EVIDENCE: The home has a complaints procedure, which has been developed by New Support Options. The procedure is clear and contains pictures which could assist people in understanding the how to complain. The manager told the inspector that she was thinking of revising the procedure for the home in order to include more pictures or photos in order that the people currently supported would have a better idea of how to complain or let someone know if they were unhappy. It was noted during the inspection that staff actively asked supported people their views and opinions and answers from people were forthcoming and listened to. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25,27,28,29,30. The home is clean and pleasantly decorated. Individual peoples rooms reflect their taste and the shared areas of the home including the bathrooms meet the current needs of the supported people. EVIDENCE: The bedrooms viewed by the inspector were clean well decorated and reflected each person’s lifestyle and personality through their belongings, ornaments and décor. One person told the inspector ‘I like my room, Annie helped me with my room’. Several people had profiling beds, which assist them in their Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 19 posture and mobility whilst in bed and also promotes safe moving and handling for staff. The lounge area of the home was well decorated and included soft furnishings, and leisure items. The home has wide corridors and is purpose built to assist people who use wheelchairs The homes bathrooms/toilets are spacious and include overhead hoists and specialised baths to assist people in a comfortable and safe way. Call bells were noted in each of the bathrooms and in the single toilet. The bathroom and toilet facilities were observed as meeting the current needs of the supported people. The home continues to be clean and hygienic throughout. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32. The staff team work cohesively and have received mandatory training. EVIDENCE: The home operates a link worker process that means that each supported person has a named person who oversees his or her care and support needs. It was evident during the inspection that the manager and staff have clear roles and responsibilities in the provision of care. The inspector was advised that the staff team are stable and permanent, and the inspector observed team work and open communication between staff members. The inspector sampled staff training records, which were all current however staff recruitment files were not sampled as the manager did not have the key to access the files and will be sampled at the next inspection. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 21 One comment received by a health care professional included that ‘the staff are always helpful, knowledgeable and caring. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42,43. The management style of the home is open and inclusive. Several requirements have been made regarding some aspects for the improvement of health and safety in the home. EVIDENCE: Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 23 Throughout the inspection the inspector observed that the supported people needs and lifestyles were central to the running of the home. The manager demonstrated a sound knowledge of the supported persons needs and abilities and also an open and inclusive management approach. Several staff told the inspector that the home is run well and the manager is held in high regard. During the course of the tour of the premises the inspector identified several health and safety requirements, which are as follows and require attention within the timescales set. 1. Within the homes refrigerator the inspector found articles, which were not being stored in compliance with food safety regulations. Additionally records of temperatures of hot meals served were not up to date. 2. The cupboard in the laundry where chemicals are stored was left open and it is required that all chemicals are stored in compliance with the Control of Substances Hazardous to Health (COSHH) guidelines. 3. The inspector noted in the laundry that washing powder and softener had been left on the side. It is required that the home undertakes a documented risk assessment to support why the chemicals are not stored in compliance with the Control of Substances Hazardous to Health (COSHH) guidelines in order to safeguard the people. 4. The home is currently storing combustible items in the boiler room and another cupboard by the front door. It is required that a risk assessment is completed regarding the safe storage of these items in order to identify the risks and ensure the safety of all persons in the home. 5. The inspector observed the records of the water temperatures prior to people being supported in the bath. The records indicated that weekly checks were maintained and thermostatic valves were in place to control the water temperatures. A water thermometer could not be located in the home and it is required that the home purchase a thermometer for each of the bathrooms in order to monitor the water temperatures and ensure the safety of people being supported prior to bathing. The inspector sampled health and safety records which included servicing of equipment and fire records, which were current and in order. The manager explained the current financial status of the home, which was sampled by looking at the homes budget of which the manager had a comprehensive understanding. Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 x 25 3 26 x 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT 37 3 38 3 39 x 40 x 41 x 42 2 43 3 Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 4 3 3 3 3 x x x 2 3 3 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA.14 Regulation 13.4 (a) 16.(2)(n) Requirement The Registered Person must ensure that the snoozelum room is rendered back in use as soon as possible in order that people can use it. The Registered Person must ensure that all food items are stored and served in compliance with the basic food hygiene standards to prevent people being harmed. The Registered Person must monitor the safe practice of the Control of Substances Hazardous to Health (COSHH) guidelines and storage Regulations. The Registered Person must monitor the safe practice of not storing substances in compliance with the Control of Substances Hazardous to Health (COSHH) guidelines and storage Regulations and a documented risk assessment must be implemented. The Registered Person must ensure that a risk assessment is completed in order to identify DS0000013440.V265205.R01.S.doc Timescale for action 01/01/06 2 YA.42 13.3 15/12/05 3 YA.42 13.(4)(a) 15/12/05 4 YA. 42 13.(4)(a) 21/12/05 5 YA.42 13.(4)(a) 21/12/05 Ridgewood Drive (1) Version 5.0 Page 26 6 YA.42 13.(4)(a) the risks and ensure the safety of all persons in the home regarding the storage of combustible items in the boiler room and another cupboard by the front door. The Registered Person must purchase a thermometer for each of the bathrooms in order to monitor the water temperatures and ensure the safety of people being supported prior to bathing. 21/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ridgewood Drive (1) DS0000013440.V265205.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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