Inspection on 04/09/06 for Robinia Care Homes Ltd (Solna Road)

This inspection was carried out on 4th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robinia Care Homes Ltd (Solna... 23/01/06

Robinia Care Homes Ltd (Solna... 13/10/05

Robinia Care Homes Ltd (Solna... 22/02/05

Robinia Care Homes Ltd (Solna... 07/09/04

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

CARE HOME ADULTS 18-65 Robinia Care Homes Ltd (Solna Road) 35-37a Solna Road London N21 2JE Lead Inspector Brian Bowie Key Unannounced Inspection 4th September 2006 8:00 Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Robinia Care Homes Ltd (Solna Road) Address 35-37a Solna Road London N21 2JE 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) 020 8360 8900 020 8360 7555 marionbaker@robinia.co.uk The Robinia Care Group Ltd Marion Lucy Baker Care Home 11 Category(ies) of Learning disability (11), Physical disability (5) registration, with number of places Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate eleven service users of either gender who have a learning disability. Five of these service users may also have a physical disability. They may only be accommodated in the rooms on the ground floor. Date of last inspection 23rd January 2006 Brief Description of the Service: 35-37a Solna Road is a care home for eleven adults between the ages of 18 and 65 years who have a learning disability. Five of the eleven people may have a physical disability as well as a learning disability. The ground floor of the home is wheelchair accessible. The home has been open for eleven years and has been run by Robinia Care Limited since 2001. The home is situated in a quiet residential area with access to local shops and buses. The home consists of two semi-detached houses joined together, with five bedrooms on the ground floor and six on the first floor. The residents attend day services and take part in activities organised by the home. All residents have a learning disability and some have additional disabilities such as epilepsy, physical disability or a mental illness. The aim of the home is to provide a warm homely environment for eleven adults that encourages their independence, their individuality, and their involvement in the community. The fees charged by the home range from £827- £1,806/week. Robinia Care makes available to residents and families inspection reports and information about Solna Road. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced so nobody at the home knew the inspector would be coming and lasted 8.5 hours. The inspector looked around the building and saw 10 of the residents. One of the residents was in hospital at the time of the inspection. The inspector spoke to the manager, deputy manager and interviewed 2 members of care staff. The area manager for the home was also interviewed. A variety of records, including care plans and health & safety documents, were looked at. Solna Road is continuing to provide a very good and improving standard of care within a friendly, homely and supportive environment. A parent of a resident had written about the home: ‘The staff at Solna Road are very caring and professional towards all the service users- I have only admiration for the way they care for residents.’ What the service does well: What has improved since the last inspection? Solna Road now has the use of an additional adapted minibus. As a result the residents, including those with physical disabilities, are getting out and about more. Following the visit by the pharmacy inspector policies and procedures in the home in relation to medication have been further improved. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 6 Robinia Care has dealt promptly with the areas that needed sorting out from the last inspection. The area manager sends detailed monthly reports on how the home is doing to CSCI. Staff at Solna Road have started to use person-centred planning in the home which means that residents get individualised support that aims to meet their wishes and needs. What they could do better: There are 10 areas that need improving: • • • • • • • • • • Each resident must have a person-centred plan Communal areas need decorating so that they give a bright and attractive appearance The hall, landing and stairs carpet has holes and needs replacing The first floor bathroom is overdue for modernisation Specified resident’s bedroom has marks on the walls and needs redecoration 2 specified residents’ bedrooms require new and more suitable flooring Specified resident needs new bedroom furniture External appearance of the building needs improvement All staff must have training in equalities and diversity The amount of feedback about the service from families of residents needs to be increased The manager and area manager emphasised that they are keen to work closely with CSCI to raise standards further at the home in order to continue to provide the best possible quality of life for the residents. 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. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. The home is good at assessing and meeting the needs and wishes of residents. EVIDENCE: No new residents have moved into the home since February 2005. 3 of the residents’ files were looked at. These showed that in each case their needs had been carefully assessed before moving into Solna Road and that their family had been fully involved. From discussion with staff and residents it is clear the home responds to and meets the changing needs of residents. This was also confirmed by social workers at residents’ annual reviews. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Residents benefit from having staff who respond to and meet their changing needs. However they do not yet have the benefit of care plans that are based on person-centred planning principles. Residents are enabled to take risks in order to promote their independence and to make decisions for themselves wherever possible. EVIDENCE: ‘This resident has complex needs, which are being met at Solna Road.’ This was the assessment made by the social worker at the annual review of one of the residents and indicates that Solna Road is able to support effectively residents with specialised needs. Nearly all of the residents have lived at the home for many years and made clear that they enjoy living at Solna Road. Several of them said: ‘I like it here- I’m happy here.’ The care plans are detailed, reviewed regularly and are beginning to reflect an approach based on person-centred planning principles. However the manager must ensure all care plans are based on person-centred planning principles that emphasise the individual needs and wishes of the resident. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 10 Throughout the inspection residents made choices for themselves. They decided when and what they would eat at mealtimes, and what activities they would take part in. Residents move freely around the home according to whether they wish to spend time in their bedroom, relax in the lounge, help out in the kitchen or pop into the office. Staff ask residents what they want to do. In one case a resident wanted to go out and buy their winter coat. Their keyworker then took them out to the shops and enabled them to choose a suitable coat. The care plans contain relevant risk assessments that are meaningful for that individual. These risk assessments are reviewed six monthly to ensure they are up to date and strike a balance between protecting the safety of the resident whilst trying to increase their independence. As a result residents live in a home where they feel safe but are confident in trying out new things. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. Residents have a good quality of life with opportunities to learn new skills, follow their own interests and develop new ones, keep in touch with their families and eat food that they like and that is suited to their needs. EVIDENCE: ‘I liked going to the greyhound racing. I went and saw Spurs play recently. Last weekend I watched TV, did some drawing and went ten-pin bowling.’ This was the comment of one of the residents interviewed. Each resident has a weekly plan of activities. The majority go to a day centre during the week either on a full or part time basis. Others follow an individual programme of activities organised by Robinia Care locally or by the staff at this home. Residents are supported to use community facilities such as restaurants, cafes, shopping centres and bowling. There is plenty of opportunity for personal development and opportunities to learn new skills and interests. There is weekly drama therapy, reflexology, cookery, community awareness activities, an art class as well as a variety of leisure activities. Residents are supported to attend their chosen place of worship. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 12 ‘I see my dad on Sundays. I’ve got friends here at Solna Road.’ This was the comment of another resident interviewed. Throughout the inspection residents were relaxed with each other and clearly enjoyed the close friendships and relationships they had with other residents. As a result the residents feel part of and enjoy a warm and homely atmosphere at Solna Road. Staff work hard at maintaining the good relationships they have with the residents’ families. Staff interviewed were aware of the rights of residents and this is reflected in the day to day running of the home which gives residents choices about what they do and when and involves them in the running of the home. As a result the residents are relaxed and feel able to help with meals and cleaning. ‘ I have honey with my bread- it’s what I like.’ This comment of one of the residents was typical and indicates that staff are aware of and respond to the individual food preferences of each resident. Residents are supported to observe dietary requirements during certain religious festivals. During the inspection several residents helped out in the kitchen by preparing and serving food and clearing up after meals. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent. This judgement has been made from evidence gathered during the visit to this service. Residents get support when they want it and how they want it. Staff are good at responding to and meeting the health needs of residents. The residents are protected by Solna Road’s medication policies and procedures. EVIDENCE: ‘I now work differently with this resident. I think more now about what they really want.’ This was the comment of one member of staff about how she was now supporting residents more effectively following her training in personcentred working. ‘I like it here- it’s very nice. The staff look after me.’ ‘My keyworker helps meshe helps when I bath and when I go out.’ This was the comment of one of the residents interviewed and reflects the way in which each resident is given the individual support they need. Staff practice has improved further with a new way of recording what each resident does each day on a form that has been individualised so that staff note more relevant and appropriate information. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 14 At the time of the inspection one resident was in hospital. They had been regularly visited by staff who had also maintained close contact with hospital staff to discuss progress. The residents’ files and staff interviews showed that residents go to health appointments and have their health needs closely monitored. The manager said: ‘We have excellent support from the community learning disabilities team.’ As a result residents benefit from having their health needs responded to and met. ‘The staff give me my tablets regularly and look after me if I’m sick.’ Residents confirmed that they get their medication as prescribed. Medication arrangements were looked at and confirmed that the necessary actions had been taken by the home in response to the pharmacy inspector’s requirements. The manager has a thorough knowledge and understanding of the medication arrangements in the home and monitors this area closely so that any health issues are responded to quickly. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. The home takes complaints seriously and investigates them thoroughly. Residents are protected by the adult protection measures the home has in place. EVIDENCE: The home has a comprehensive complaints procedure and a simpler version to help those who do not read well to understand it. There had been one complaint since the last inspection. This had been carefully and fully investigated by the area manager and a detailed response sent to the complainant. The manager and staff are good at responding to issues and concerns as they arise from residents or families. As a result residents benefit from being in a home that takes their concerns seriously and acts on them. All staff have received training in the protection of vulnerable adults. Staff are attending further training in this area in 2006. The manager and deputy are also attending specific training in this area provided by the London Borough of Enfield. There have been no adult protection concerns about any of the residents in the past year. The inspector looked at a sample of financial records and discussed residents’ finances with the manager to see if they are adequately protected against any risk of financial abuse. Robinia Care has improved the process for managing residents’ finances. Both the manager and area manager closely monitor this area so that residents’ interests and finances are fully safeguarded. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,29,30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered during the visit to this service. Residents live in a homely environment that is adapted to meet their individual needs. Residents are supported to make their own room reflect their interests. Residents benefit from their home being kept clean and hygienic. However the home needs to be better maintained and cared for. EVIDENCE: The inspector looked at the lounge, dining area, kitchen, bathrooms and three bedrooms. All rooms were safe and clean. However a number of areas need attention: • • • Communal areas need decorating so that they give a bright and attractive appearance The hall, landing and stairs carpet has holes and needs replacing The first floor bathroom is overdue for modernisation DS0000010657.V310533.R01.S.doc Version 5.2 Page 17 Robinia Care Homes Ltd (Solna Road) • • • • Specified resident’s bedroom has marks on the walls and needs redecoration 2 specified residents’ bedrooms require new and more suitable flooring Specified resident needs new bedroom furniture External appearance of the building needs improvement Robinia Care must ensure above items are dealt with so that residents have the benefit of living in an attractive and well-maintained environment. Bedrooms reflect the individual resident’s personality and interests. The ground floor bathroom has been modernised and equipped to a good standard so that it is accessible to residents with physical disabilities. There is a wellmaintained garden and sufficient communal space. On the day of the inspection the home was clean and hygienic. Staff maintain a good standard of cleanliness and hygiene in the home. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Residents are looked after by a stable staff team that benefits from a comprehensive training programme. Residents also benefit from the staff being well supported and supervised in their work. Robinia Care has improved its recruitment practices in order to protect residents. EVIDENCE: ‘The staff at Solna Road are very caring and professional towards all the service users- I have only admiration for the way they care for residents.’ This was the written comment of one of the families about the staff at Solna Road. There is a stable staff team who benefit from a comprehensive training programme. 7 staff have completed NVQ level3 training and a further six are currently undertaking this training. As a result residents benefit from having skilled staff at the home who are able to support them effectively. The deputy said: ‘We have a good, stable and reliable staff team.’ Observation during the inspection and staff interviews confirmed that there is a very experienced and skilled team of staff working well together at Solna Road. Staff meetings are held regularly to discuss the running of the home and how to improve the service further. The stability and commitment of the staff team has meant Solna Road has not had to make use of agency staff in the past Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 19 year. Staffing levels are sufficient to meet the needs of the current group of residents. A requirement was made at a previous inspection that Robinia Care must carry out a thorough check of the authenticity of staff references before a new person commences employment. Robinia Care has acted on this and revised its recruitment procedure so that it is now more rigorous. The area manager confirmed that practice in this area has improved with more safeguards in place. As a result residents are protected from having unsuitable staff working at the home. Robinia Care provides a comprehensive range of training for staff, making use of both internal and external courses. Staff interviews and files confirmed that staff have attended a range of relevant courses, including adult protection, epilepsy, first aid, challenging behaviours, moving & handling. As a result residents are being supported by skilled staff. Training in equalities and diversity is being planned by Robinia Care but has not yet been provided. Training in diversity must be provided to all staff so that the home pays full attention to equalities issues. Staff receive regular supervision by staff trained in this area. The deputy lmanager confirmed that night staff also receive regular supervision. Staff files indicate that each member of staff is having recorded supervision meetings to guide and improve their practice at least 6 times each year. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Residents benefit from a well run home, under the direction of a manager who is qualified, experienced and committed to meeting their needs. The health and safety of residents and staff is promoted. The process in the home for reviewing and improving the quality of care has improved but needs to be strengthened further. EVIDENCE: ‘Staff meetings are monthly and are well attended. People contribute their views. Key issues get discussed.’ This was the comment of one member of staff and indicates the home is being managed well. The manager has completed her Registered Managers’ Award training, and the deputy is currently doing this training. Both the manager and deputy have worked at the home for many years and have built up considerable experience and expertise in running the home well. Feedback from both residents and staff was positive about what it is like both to live in and work at Solna Road. There Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 21 is a happy atmosphere in the home as a result of the good relationships staff have developed with residents. Residents’ meetings are held two-monthly and give residents an opportunity to make suggestions about how the home is run, including outings to be made and activities in the home. The process has improved for reviewing and developiing the service. This process focuses on the views and wishes of the residents’ themselves and other key parties, such as families and professionals. The monthly reports by the area manager and the selfassessment done on the day of the inspection are now more thorough and searching and provide evidence that Robinia Care is good at judging the quality of the service provided at Solna Road. However more effort must be made in getting feedback about the service from families who have difficulty with written feedback forms. Health and safety and fire safety records confirmed that proper procedures are in place and regular checks are being made. Staff have attended training in fire safety. No health and safety issues are identified at this inspection. Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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 X 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 2 25 3 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 2 X X 3 x Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 23 No 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 YA6 Regulation 15 (1) Timescale for action The registered persons must 31/12/06 ensure all care plans are based on person-centred planning principles. (d) The registered persons must 30/11/06 ensure communal areas are redecorated. (d) The registered persons must 31/10/06 ensure the hall, landing and stairs carpet is replaced. (j) The registered persons must 30/11/06 ensure the first floor bathroom is modernised. (d) The registered persons must 31/10/06 ensure specified resident’s bedroom with marks on the walls is redecorated. (d) The registered persons must 31/10/06 ensure 2 specified residents’ bedrooms have new and more suitable flooring. (d) The registered persons must 31/10/06 ensure specified resident has new bedroom furniture. (b) The registered persons must 31/10/06 ensure external appearance of the building is well maintained. (c ) The registered persons must 31/12/06 ensure all staff have training in equalities and diversity. DS0000010657.V310533.R01.S.doc Version 5.2 Page 24 Requirement 2. 3. 4. 5. YA24 YA24 YA24 YA24 23 (2) 23 (2) 23 (2) 23 (2) 6. YA24 23 (2) 7. 8. 9. YA24 YA24 YA35 23 (2) 23 (2) 18 (1) (i) Robinia Care Homes Ltd (Solna Road) 10. YA39 24 (3) The registered persons must 31/10/06 ensure a variety of methods is used to obtain feedback about the service from families of residents. 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V310533.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. 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