Inspection on 22/05/06 for Roanu House

This inspection was carried out on 22nd May 2006.

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

Other inspections for this house

Roanu House 21/08/07

Roanu House 01/12/05

Roanu House 06/09/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Roanu House Roanu House 2 Grosvenor Avenue Carshalton Beeches Surrey SM5 3EW Lead Inspector Mohammad Peerbux Key Unannounced Inspection 22nd and 23rd May 2006 9:00am Roanu House DS0000063202.V295205.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 Roanu House DS0000063202.V295205.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. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roanu House Address Roanu House 2 Grosvenor Avenue Carshalton Beeches Surrey SM5 3EW 020 8647 6366 020 8669 1766 tordarrach@yahoo.com 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) Rashot Ltd Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Of the six service users, all six may have dual diagnosis of mental illness and learning disability. Of the six service users, two may also have a physical disability but must not be wheel-chair bound. Of the six service users, two may also have a sensory impairment. Only one service user at any one time may have a high level of care needs. The two bedrooms that are less than twelve square meters and do not have en-suite facilities may only be used for placements of up to six month’s duration. Within one year of this registration, the undersized, en-suite rooms must cease to be used. 1st December 2005 Date of last inspection Brief Description of the Service: Roanu House provides a service to adults with a learning disability who may also have a dual diagnosis (of mental illness and learning disability). The home is currently registered with the Commission for Social Care and Inspection (CSCI) to provide personal care and accommodation for up to six adults between the ages of 18-65. Situated in a suburban area of Carshalton Beeches, the home is within easy walking distance of a variety of local amenities, including shops, cafes, pubs and public transport links. Wallington and Carshalton Beeches train stations with their links to central London and the surrounding areas are both within walking distance of the home. The house comprises of six single occupancy bedrooms, a dinning/living space, a kitchen, laundry room, and a small office. There is a pleasant garden at the rear of the property, which has a patio area. The range of weekly fees is between £1000 and £1800. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection for the year 2006/07. It took place over two days .The first day of the inspection was unannounced. The manager was on study leave. The inspection was carried out with the support of the registered provider. Some times were spent looking at the policies and procedures, talking to staff and to service users. A tour of the building was also carried out. Requirements and recommendations from the previous inspection were also discussed. Service users spoken to stated that they were happy with the care being provided. The second day was pre-arranged with the manager to check on staffs’ files, staffs’ training and supervision and to discuss health and safety issues. They are all thanked for their time and assistance What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose needs to be updated to reflect the change in the registered manager’s details and to include staff qualifications. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 6 Service users’ care plans must be made available in a language and format that they can understand and must be held by the service user unless there are clear and recorded reasons not to do so. Service users’ care plans would have far greater authority if they were involved where possible in their development. The registered manager must ensure that all staff are up to date with their mandatory training. Staff supervisions at the home were not up to date on the day of the inspection. Annual appraisals had not been completed either. The home manager must ensure that each member of staff receives an annual appraisal. The homeowner should also ensure that “Regulation 26” visits take place. A record of the visits and their findings must be sent to the Commission for Social Care Inspection. The registered person needs to ensure so far as is reasonably practicable the health, safety and welfare of service users and staff are promoted and protected. 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. Roanu House DS0000063202.V295205.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 Roanu House DS0000063202.V295205.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is able to demonstrate that service users needs are being properly assessed, and that the range of needs presented is being appropriately met. Generally the necessary information and opportunity to visit the home is being made available to service users, enabling an informed choice regarding the suitability of the home to be made. EVIDENCE: The registered provider has compiled a statement of purpose outlining the aims and objectives of the home, and the facilities and services it provides. However the statement of purpose needs to be updated to reflect the change in the registered manager’s details and to include staff qualifications. It was previously recommended that the service users guide should be put into a format suitable for the service users at the home. The registered provider stated that this recommendation had been met however the service users guide was not available at the times of inspection. This will be checked at the next inspection. Service users are only admitted to the home after a full assessment of their needs has been carried out by the home and the Placing Authority for Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 9 individuals referred through Care Management, involving the prospective service user/recognised representative. It was noted that the home also carries out a comprehensive needs assessment. It was clear that service users’ needs are being met given that needs assessments and care plans are in place. Records revealed that service users are in regular contact with other health and social care professionals who regularly visit the home to check that assessed needs are being met. The registered provider confirmed that all prospective service users are encouraged to visit the home as often as practical, to encourage a familiarisation process with the premises, its location and the other service users and staff. The registered provider stated that all service users or their recognised representatives are provided with a costed contract/statement of terms and conditions of occupancy which are agreed between each prospective service user and/or representative and the home. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service user’s care plans are comprehensive and include detailed information about their needs and personal goals. However these care plans will have far greater authority if service users were involved where possible in their development. EVIDENCE: The service users at the home each have an individual plan, which are based on Person Centred Plan principles. The Plans follow on from the initial needs assessments completed by their care manager. Care plans also include medical information. However it was noted that none of the care plans were drawn up with the involvement of the service user together with their family, friends and/or advocate as appropriate, and relevant other agencies/specialists. The registered provider must ensure that service users care plans are drawn up after consultation with the service user, family, friends and an advocate where appropriate. The care plan must also be made available in a language and format that the service user can understand and is held by the service user unless there are clear and recorded reasons not to do so. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 11 Staff provide service users with the information, assistance and communication support they need to make decisions about their own lives. The registered provider stated that none of the service users manage their own finances. Service users’ financial records were in the main clear, accurate and appropriately maintained. Risk assessments for service users were examined and it was noted that they were not comprehensive nor clear about what actions need to be taken by staff to minimize identified risks and hazards. The registered provider must ensure that service users’ risk assessments identify potential risks covering all aspects of their daily living both inside and outside the home. The risk assessments must give details to what action is required to minimise identified risks and hazards. The registered provider must also ensure that staff enable service users to take responsible risks, ensuring they have good information on which to base decisions, within the context of the service user’s individual plan and of the home’s risk assessment and risk management strategies. The registered provider stated that she is in the process of updating the risk assessments. The home has a confidentiality policy in respect of personal information held in relation to service users. General service user’s documentations (i.e. service user plan, medical appointments and reviews) are kept locked in the office. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are encouraged to explore opportunities to enhance their quality of life as well as maintain and participate with friends and the local community, with the aim of maximum integration. Generally dietary needs are well catered for and a well balanced diet is provided, to ensure a nutritious diet based on personal preferences. EVIDENCE: Throughout the course of the inspection it was observed that staff actively encouraged service users to maintain and develop their independent living skills. Activities are wide ranging, stimulating and fulfilling. It was previously required that the spiritual and cultural care needs of the service users need to be assessed, recorded and give details of how the home plans to meet those needs. The assessments have been updated since the last inspection. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 13 The home is very well situated for local shops and public transport - which enables participation and integration into the local community. The staff reported that they accompany and support service users in undertaking a wide range of facilities. Service users are actively encouraged to maintain links with their families and friends. The registered provider stated that the home has an ‘open’ visitors policy and simply recommends that visitor’s telephone to say they are coming to ensure there loved ones will be available. Service users, who were at home at the time of this inspection, appeared to enjoy some level of independence. Routines can be very flexible and are well observed to take into account all the service users individual needs. The home did not have a planned menu in place from the 12th of May 2006. The staff on duty were unable to comment why a menu was not in place from that date. The registered provider must ensure that there is a planned menu is in place at all times, which meet the service user’s dietary and cultural needs, and which respect their individual preferences. The staff advised that the home is putting a picture booklet in place of different food to help service users choose what they would like to eat. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Overall the arrangements for health care needs of the service users is good and they receive personal support in the way they prefer. However the system for administration of medications is poor and potentially place service users at risk. EVIDENCE: Staff provide sensitive and flexible personal support to maximise service users’ privacy, dignity, independence and control over their lives. The registered provider stated that where needed, guidance and support regarding personal hygiene is provided. Times for getting up/going to bed, baths, meals and other activities are flexible. The service users are all registered with a local General Practitioner. Records checked indicate that GP’s and other community based medical/health care professionals are contacted on an as needed basis. It was evident that records of all medical/health appointment/visits were being maintained. The medication administration records were audited. There were several instances where prescribed medication had been omitted or administered but Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 15 not signed for. While it transpired that there were acceptable explanations for this, these explanations had not been recorded. In all cases where medication is not given as prescribed, staff must ensure that they record the reason for this. The registered person must ensure that medication administration records are accurately completed at all times. It was previously recommended that the homeowner must ascertain service users wishes with regards to death and dying and ensure a record is placed on their files. These are now in place. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home has appropriate complaints procedure in place. The home has suitable vulnerable adult protection and abuse prevention measures in place to ensure the service users are so far as reasonable practicable, protected from abuse, neglect or harm. EVIDENCE: The current complaints procedure is good and gives clear step-by-step guide of how to make a complaint. The procedure is also available in symbol format. There has not been any complaints since the last inspection. The home has a copy of London Borough of Sutton adult protection procedures. The registered provider stated that all staff have had abuse awareness training. The home has an appropriate whistle blowing procedure. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 24,25,27,28 and 30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is generally hygienic, clean, homely and comfortable however fire safety issues still need to be addressed as these potentially place service users and staff at risk. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet service users’ individual and collective needs in a comfortable and homely way. Overall the home was decorated to a good standard throughout and appeared to be very comfortable, bright and warm. However the home is still not complying with fire regulations (see standard 42). The home has an undersized room that is not being used at present in line with the home’s conditions of registration. Some of the bedrooms were checked. They were decorated to a good standard. The rooms contained a variety of personal furniture and fittings that reflected the individual’s personality. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 18 The home has sufficient bathroom and toilet facilities to meet the number of service users within the home. The bathrooms are lockable from the inside to ensure privacy. Toilets are located within reach of the communal facilities. The home has more than sufficient communal space that is both freely accessible to service users and is pleasantly decorated and furnished. There is ample space for all the homes service users to sit together in and receive visitors in private in either the lounge or the dinning room as they wish. The home is kept very clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. The home has separate laundry facilities away from the kitchen and the food preparation area. The washing machine in the home is capable of washing at high temperatures, which helps in the control of infection. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34,35 and 36 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Generally staff are recruited appropriately and employed in sufficient numbers to meet the health and social needs of their service users. Care staff are not receiving supervision on a regular basis, which could have an impact on the standards of care being provided to service users. EVIDENCE: As part of the inspection process staff records were sampled for references, criminal record checks, application forms and copies of identification. All relevant documents were in place in line with requirement made at the last inspection. The manager was able to produce documentary evidence of staff attendance of a variety of different training courses that were relevant to the work staff were expected to perform. However the registered provider must ensure that all staff are up to date with their mandatory training. The staff supervision records were not sampled as the manager advised that they were not up to date. The registered person must ensure that staff have regular, recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on day to day practice, and that Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 20 these sessions are recorded and signed by both the supervisor and supervisee. The registered person must also ensure that the staff have an annual appraisal with their line manager to review performance against job description and agree career development plan. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home is generally managed well however the health, safety and welfare of service users and staff are not being promoted/protected and this potentially places them at risk. EVIDENCE: It was previously required that the homeowner must ensure a suitably qualified person applies to register with the Commission for Social Care Inspection as the homes manager. This remains outstanding and would therefore be repeated. The registered provider stated that the manager was waiting for her work permit, and then she would put her application in to be the registered manager. It was previously required that the registered provider must ensure that all significant events are reported to the Commission for Social Care Inspection Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 22 Croydon Office. Since the last inspection there has not been any significant events however this would monitored on a continual basis. The homeowner was required to ensure copies of Regulation 26 visits are forwarded to the Commission for Social Care Inspection Croydon Office. This remains outstanding and would therefore be repeated. All service users bedrooms doors have locks on them however it was noted that these locks could not be opened from outside in an emergency if the service user has locked himself/herself in. The registered provider must ensure that the locks are replaced by one that can be open from outside. It was previously required that the homeowner must ensure regular fire drill are undertaken and recorded. There was evidence of regular fire drills being carried out. However the manager must update the house fire risks assessment. During the inspection it was noted one of the service users bedroom door was wedged open. The registered person must ensure that fire doors are not wedged open unless held open by a magnetic door holder that responds to the fire warning system. Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 23 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 2 2 3 3 3 4 3 5 3 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 2 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 2 X 2 X X 2 X Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 4(1) Requirement The statement of purpose needs to be updated to reflect the change in the registered manager’s details and to include staff qualifications. The registered provider must ensure that service users care plans are drawn up after consultation with the service user, family, friends and an advocate where appropriate. Care plan must be made available in a language and format that the service user can understand and is held by the service user unless there are clear and recorded reasons not to do so. The registered provider must ensure that service users’ risk assessments identify potential risks covering all aspects of their daily living both inside and outside the home. The registered provider must ensure that staff enable service DS0000063202.V295205.R01.S.doc Timescale for action 31/08/06 2. YA6 15(1) 31/08/06 3. YA6 15(2) 31/08/06 4. YA9 13(4) 31/08/06 5. YA9 13(4) 31/08/06 Roanu House Version 5.2 Page 25 users to take responsible risks, ensuring they have good information on which to base decisions, within the context of the service user’s individual plan and of the home’s risk assessment and risk management strategies. 6. YA17 16(2) (I) (h) The registered provider must ensure that there is a planned menu is in place at all times, which meet the service user’s dietary and cultural needs, and which respect their individual preferences. The registered person must ensure that medication administration records are accurately completed at all times. The registered provider must ensure that all staff are up to date with their mandatory training. 22/05/06 7. YA20 13(2) 22/05/06 8. YA35 18(1)(C) 31/08/06 9. YA36 18(2) The registered person must 22/05/06 ensure that staff have regular, recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on day to day practice, and that these sessions are recorded and signed by both the supervisor and supervisee. The registered person must 31/08/06 ensure that the staff have an annual appraisal with their line manager to review performance against job description and agree career development plan. The homeowner must ensure a suitably qualified person applies to register with the Commission DS0000063202.V295205.R01.S.doc 10. YA36 18(2) 11. YA37 8. -(1)(a) 30/06/06 Roanu House Version 5.2 Page 26 for Social Care Inspection as the homes manager. Previous timescale for action of 01/12/05 not met. 12. YA39 26. (1)(5) The homeowner must ensure copies of Regulation 26 visits are forwarded to the Commission for Social Care Inspection Croydon Office. Previous timescale for action of 01/12/05 not met. The registered provider must ensure that the locks on the service users’ bedroom doors are replaced by one that can be open from outside. The manager must update the house fire risks assessment. The registered person must ensure that fire doors are not wedged open unless held open by a magnetic door holder that responds to the fire warning system. 22/05/06 13. YA42 13(4) 07/06/06 14. 15. YA42 YA42 13(4) 13(4) 30/06/06 22/05/06 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 Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Roanu House DS0000063202.V295205.R01.S.doc Version 5.2 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. 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