Inspection on 25/09/06 for Robinia Care (Sheringham Avenue)

This inspection was carried out on 25th September 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robinia Care (Sheringham Avenue) 30/01/06

Robinia Care (Sheringham Avenue) 06/09/05

Robinia Care (Sheringham Avenue) 06/01/05

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 Robinia Care (Sheringham Avenue) 1 Sheringham Avenue Oakwood London N14 4UB Lead Inspector Brian Bowie Key Unannounced Inspection 25th September 2006 11:00 Robinia Care (Sheringham Avenue) DS0000061218.V312702.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 (Sheringham Avenue) DS0000061218.V312702.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 (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Robinia Care (Sheringham Avenue) Address 1 Sheringham Avenue Oakwood London N14 4UB 020 8360 5075 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) The Robinia Care Group Ltd Champika Kamalinie Gallage Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (5) of places Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide care for five adults (18-65 years of age) of either gender, with a learning disability (LD) who may also have a mental disorder (MD). 30th January 2006 Date of last inspection Brief Description of the Service: This home is one of three in North London operated by Robinia Care Group Ltd, which has a number of care homes throughout the UK. The home opened in September 2004 and is situated in a quiet residential area with access to local shops and buses. This home is a specialist service for five people who have an autistic spectrum disorder. The service user guide for the home describes it as a home environment to support people with Autistic Spectrum Disorder and Aspergers Syndrome, moderate learning disability and behaviours that challenge. There are five men living at the home. Most residents do not have a learning disability but do have an autistic spectrum disorder. The home encourages people to gain independence skills with a view to living more independently in the long-term. The fees charged by the home range from £1,300-£1,504/week. Robinia Care makes available to residents and families inspection reports and information about Sheringham Avenue. Robinia Care (Sheringham Avenue) DS0000061218.V312702.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 hours. The inspector looked around the home, met with the manager, spoke to all 5 of the residents and interviewed 2 members of care staff. A variety of records, including care plans and health & safety documents, were looked at. The overall impression from the inspection was of a home that is providing a very good and improving standard of care within a friendly, homely and supportive environment. One resident commented: ‘It’s much better here than my previous home. Staff have helped me to become more independent- now I’m ready to move to my own flat.’ What the service does well: • People living at this home have a good quality of life. There is a stable staff team who care about the people living in the home and have good relationships with them. There is an experienced team of staff at the home who have the relevant skills and training to support residents to become as independent as possible. Staff work in a person-centred way which aims to respond to the individual needs and wishes of each resident. The residents themselves said they appreciated and valued the support they get from staff. The home itself is spacious with a good standard of furnishing and decoration. Bedrooms reflect the personalities and interests of the residents and there is a homely atmosphere. The home is run well with a wide range of records being kept up to date and accurate. • • • • What has improved since the last inspection? • The home has got better at finding new activities and interests for residents based on responding to things that residents say they want to do. For example most residents are now attending college classes. One resident has become much more independent and is now ready to move into his own flat. One resident has been skilfully supported by staff to cope better with his mental health difficulties. DS0000061218.V312702.R01.S.doc Version 5.2 Page 6 • • Robinia Care (Sheringham Avenue) • • • There is a full staff team with no vacancies. Thorough monthly inspections of the home are made by the area manager The manager and area manager have followed up and sorted out the areas from the last inspection that needed improving. What they could do better: 4 areas for improvement are identified at this inspection: • • • • Staff who have not attended adult protection training in the past year to have up to date training in this area All staff to have training in person-centred planning A business plan specific to the home to be produced A report to be produced annually concerning the quality of the service at the home that includes the views and comments of residents, their families and other key parties One recommendation is made to improve practice even further within the home: • Residents care plans to be put together in a more user-friendly way that is built on person-centred planning principles so that they more adequately reflect the individual needs and wishes of the residents themselves The manager at the home emphasised that she is 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 (Sheringham Avenue) DS0000061218.V312702.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 (Sheringham Avenue) DS0000061218.V312702.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 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: The statement of purpose and service user guide have been updated so that prospective residents, their families and other relevant parties have up to date and detailed information about the home. All the current group of residents moved into the home when it opened in 2004. The files indicate that residents’ needs had been carefully assessed before they moved in. Residents spoken to said the home is able to meet their needs. This was confirmed by the staff interviews and the review reports on residents. Robinia Care (Sheringham Avenue) DS0000061218.V312702.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 excellent. This judgement has been made from evidence gathered during the visit to this service. • • • Residents at this home have their individual needs recorded and reviewed regularly Staff are good at helping residents to make decisions for themselves Residents are supported to be independent and to take risks EVIDENCE: ‘It’s good here. I’ve made progress. Staff help me when I need it.’ This was the comment of one resident, but reflected the view of the residents in general. Care plans were inspected along with risk assessments, activity plans and records of reviews. The care plan for each resident consists of a number of support plans including one for each of their identified needs. The resident signs the plan as evidence that they agree to it and any restrictions placed on them. The care plans seen were comprehensive and had been regularly Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 10 reviewed and updated. It is recommended that these plans are put together in a more user-friendly way that is built on person-centred planning principles so that they more adequately reflect the individual needs and wishes of the residents themselves. ‘I can go out on my own now.’ This was the feedback of one resident who at one time had needed staff supervision when going out of the home. He now goes to the local shops by himself. Residents are encouraged to make decisions for themselves and are provided with the level of support they need. Following a risk assessment being completed, one resident was travelling independently to watch his football team play. Risk assessments clearly record the risks for each individual and the action that needs to be taken to minimise risk and protect the safety and welfare of the resident concerned. Where the level of risk causes concern the home contacts the relevant agency, such as the local mental health team. Staff have achieved a high standard of support in this area that is enabling residents to try out new experiences and take calculated risks as part of growing up and becoming more independent. One resident said: ‘the staff have helped me to get more independent- I’m ready to move to my own place now.’ Robinia Care (Sheringham Avenue) DS0000061218.V312702.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 are encouraged to live a full life, using community facilities and taking part in educational and leisure activities of their choice The home is good at promoting the rights of each resident and getting them to accept their responsibilities, as well as supporting them in their relationships with friends and families Residents benefit from having healthy food available and being able to choose what and when they eat • EVIDENCE: Residents all go out independently and make use of community facilities, such as shops, cafes and pubs. One person goes to football matches and has been enabled to see his team regularly by choosing to have a season ticket to see Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 12 them rather than a holiday with the home. Where people need support to get to college classes this is being provided by the home. As a result residents are benefiting from taking an active part in the community and the opportunity to develop their social skills. Residents follow their own interests and have a written weekly activity plan. These include independent living skills such as cooking, laundry, travel training and other activities such as drama therapy, pottery, meals out, cinema and daytrips. Feedback from residents was positive about life in the home with one person saying: ‘I much happier here than where I was before. I get the support I need.’ The home has achieved a very good balance between promoting independence whilst carefully weighing up risks and enabling residents to take more responsibility for their lives. As a result residents are gaining in confidence and becoming better prepared to move onto more independent accommodation. Residents choose the level of contact they want with family members. All have contract with family or friends outside the home. Some were going on holiday together to Spain in October. One resident had been supported by staff to go on his own holiday without the other residents. ‘I clean my room, do my shopping and cooking. I buy my own food when I need to, and am given money when I need it.’ This was the comment of one resident. Residents were seen eating different meals at different times, according to what they wanted rather than having to fit into routines set by the home. Robinia Care (Sheringham Avenue) DS0000061218.V312702.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 how they need it and when they need it The home is good at meeting the health needs of the residents The home’s practice in the area of medication has improved so that residents are properly protected EVIDENCE: ‘I get the support I need from my keyworker.’ This was the comment of one resident. Staff interviewed could point to ways in which they supported residents more effectively by breaking tasks down into small steps that the resident could manage. Feedback from families and professionals was positive about the ability of the home to support the current group of residents. As a result the residents’ experience of life at Sheringham Avenue is that they feel listened to, understood and supported by staff. Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 14 Residents’ files showed that staff are supporting residents with health issues so that they keep as well as possible. One resident has significant mental health difficulties so that at times he displays some challenging behaviours. Staff interviews and records showed that the home is responding appropriately to the situation and has liaised with the local mental health team so that a reassessment could be made. As a result the individual has been supported through a difficult period in their life and been enabled to stay on at the home, rather than, as in the past, being moved onto another placement. 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 good knowledge and understanding of the medication arrangements in the home and monitors this area closely so that any health issues are responded to quickly. All staff have had basic training in medication, and those administering medication have had more advanced training. Robinia Care (Sheringham Avenue) DS0000061218.V312702.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. • • Residents’ concerns and complaints are listened to and acted on Residents are protected by the adult protection measures the home has in place. However Robinia Care needs to ensure all staff have had refresher training in this area. EVIDENCE: Records showed that complaints by residents are taken seriously and are properly followed up and appropriate action taken. Residents themselves said they either had no complaints about their care or that if they had had to complain then staff had sorted the problem out. 2 complaints had been made since the previous inspection. In both cases they had been followed up, and the complainant sent an appropriate written response. The home has in the past trained staff in how to protect residents from abuse and has an adult protection procedure so that staff have clear guidance on what to do if they suspect a resident has been abused or if a disclosure is made to them. However an incident in the home early in 2006 had highlighted that the procedures to be followed were not fully understood by staff. This incident had been investigated and action taken, including ensuring the manager and new staff had training in adult protection procedures. However refresher training in this area has not yet been provided by Robinia Care for other members of staff. Robinia Care must ensure all staff at the home receive training in this area. Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 16 Robinia Care (Sheringham Avenue) DS0000061218.V312702.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): 24,30 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. • The home is comfortable, homely and clean making it a very pleasant place to live for the residents. EVIDENCE: One of the residents showed the inspector around his home. He took a pride in showing the inspector his bedroom pointing out how he had made it more personal and homely for himself. Other bedrooms seen had also been personalised by the residents so that they reflected their own individual tastes and preferences. The standard of furniture and decor throughout the home is good, as is the level of cleanliness. Routine maintenance and repair issues are dealt with so that the fabric of the home is kept in good repair. The area manager monitors this area when making his monthly visits and ensures issues are followed up. Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 18 There are two kitchens for the five residents. Three share one and two share the other. Each person has a cupboard and fridge space for their own food. Both kitchens are very hygienic. On the day of the inspection the home was clean and tidy. Robinia Care (Sheringham Avenue) DS0000061218.V312702.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): 32,34,35 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. • • • Staff in the home are sufficiently experienced, competent and qualified to meet the individual needs and wishes of the current group of residents Improvements have been made in recruitment practices so that residents are protected from unsuitable staff Residents benefit from a staff team that has been appropriately trained for the work and which is familiar with their particular needs EVIDENCE: ‘The staff works as a team and cover each other. The manager tries to accommodate everyone.’ This was the comment of one member of staff. On the day of the inspection there were sufficient staff to meet the needs of the residents, including providing one-to-one support for people to get to and from their college classes. There is a stable staff team at the home who benefit from a comprehensive training programme. Most staff have completed or are currently undertaking Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 20 NVQ Level 3 training in the care of adults. As a result residents get the benefit of being supported by staff who are aware of what they need and how to get these needs met. Staffing levels are adjusted according to the needs of residents. No agency staff had been used in the past year. Robinia Care was in the process of expanding its team of back up workers to ensure there was greater flexibility in staffing the home. 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. Sample staff files looked showed that all appropriate checks are being made before a new member of staff starts working at the home. 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. One member of staff commented: ‘We get training. I’m more confident now about what I do because of the training I’ve had.’ Staff had particularly benefited from specific training in working with people with an autistic spectrum disorder, and were beginning to implement best practice in how they supported the residents. This process will be further enhanced once the home gains accreditation from the National Autistic Society which Robinia Care is seeking. Some staff have undertaken training in person-centred planning. This approach enables the home to assess more accurately the individual needs and wishes of each resident. However Robinia Care must ensure that all care staff have training in person-centred planning. Robinia Care (Sheringham Avenue) DS0000061218.V312702.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): 37,39,42,43 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 Residents and families benefit by being able to comment on the service provided and how it might be improved. Robinia Care needs to make available a report to be produced annually concerning the quality of the service at the home which includes the views and comments of residents, their families and other key parties The health and safety of residents and staff is promoted and achieved Robinia Care must produce a business plan that is specific to Sheringham Avenue • • EVIDENCE: Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 22 ‘Things are running well. There’s a good team spirit. The job’s getting done.’ This comment reflected the views of the staff interviewed. The manager has worked at the home since it opened and has developed her skills in supporting people with a diagnosis of Asperger’s Syndrome. The three team leaders and the support workers have also built up their ability to provide close and skilled support which recognises and responds to the very individual needs of each resident. Feedback from both residents and staff was positive about what it is like both to live in and work at Sheringham Avenue. There is a happy atmosphere in the home as a result of the good relationships staff have developed with residents. Residents’ meetings are held regularly and give residents an opportunity to make suggestions about how the home is run, including outings to be made and activities in the home. Residents’ views on the running of the home are obtained informally on an ongoing basis, as well as from more formal methods such as surveys and questionnaires. As a result the home has an effective and inclusive process for reviewing and improving the care at the home. However the findings from these surveys have not been produced in a way that is specific to the service provided at Sheringham Avenue. Robinia Care must produce a report annually concerning the quality of the service at the home that includes the views and comments of residents, their families and other key parties. Health and safety records were inspected. These included fire safety records, accident book, health & safety checklists, water temperatures, and fridge and freezer temperatures. Records seen were up to date and accurate and indicated that the home is being run in a way that safeguards both residents and staff Robinia Care (Sheringham Avenue) DS0000061218.V312702.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 3 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 x LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 X 2 X X 3 2 Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 24 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 YA23 Regulation 13 (6) Timescale for action The registered persons must 30/11/06 ensure that all staff have had up to date training in adult protection. The registered persons must 31/12/06 ensure that all care staff have training in person-centred planning. The registered persons must 31/12/06 ensure that a report is produced annually concerning the quality of the service at the home that includes the views and comments of residents, their families and other key parties. The registered persons must 31/12/06 ensure that Sheringham Avenue has a business plan that is specific to this service. Requirement 2. YA35 18 (1) (c) 3. YA39 24 (3) 4. YA43 25 Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations The registered persons should ensure residents’ care plans are put together in a more user-friendly way that is built on person-centred planning principles so that they more adequately reflect the individual needs and wishes of the residents themselves. Robinia Care (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 26 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 (Sheringham Avenue) DS0000061218.V312702.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!