Inspection on 05/10/05 for Roland Care Home (Compton Road)

This inspection was carried out on 5th October 2005.

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

Other inspections for this house

Roland Care Home (Compton Road) 20/09/06

Roland Care Home (Compton Road) 01/12/04

Roland Care Home (Compton Road) 22/06/04

Roland Care Home (Compton Road) 03/02/04

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

CARE HOME ADULTS 18-65 Roland Care Home (Compton Road) 4 Compton Road London N21 3NX Lead Inspector Julie Schofield Unannounced Inspection 5th October 2005 1:10 Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Roland Care Home (Compton Road) Address 4 Compton Road London N21 3NX 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 3713 020 8211 4539 amalyoland@aol.com Mrs N Ranetunge Mr Dushmanthe Srikanthe Ranetunge Mr Amal B.D. Nawarathna Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. You may only accommodate service users in the two bedrooms located in the loft extension when they have been subject to an assessment by a competent person representing the service user and nominated by the placing agency. In the case of a service user who is self funding, the assessment must be undertaken by a competent person who is independent of the home e.g. Consultant Psychiatrist, C.P.N., Care Manager. This assessment must state clearly that the service user is able to escape from their room in the event of a fire, without the assistance of staff. A copy of this assessment must be retained in the home and be available for inspection. Any such assessments held by the home, must be subject to regular external review in accordance with the changing needs, abilities or condition of the service user. The home may accommodate one specified service user over the age of 65 years. The specified service user cannot remain in the home if she suffers from dementia. The specified service user`s physical and mental health must be reviewed on a six monthly basis and documented in her case records. The specified service user. The specified service user cannot remain in the home if her health deteriorates and she requires a high level of care or she is not independently mobile and not able to transfer on her own. 1st December 2004 2. 3. 4. 5. Date of last inspection Brief Description of the Service: 4 Compton Road is a home registered to provide accommodation and personal care for a maximum of seven younger adults with mental disorders. At the time of the inspection there were seven service users accommodated in the home. The home was first registered on 4th April 2000. It is one of three residential care homes owned by Mr and Mrs Ranetunge. The home is a twostorey terrace house with a loft extension. On the ground floor, there are two bedrooms, a toilet, a kitchen and lounge/dining room. On the first floor, there are three bedrooms and a bathroom. There are two bedrooms, an office and a bathroom on the second floor (loft extension). There is a small parking space at the front of the building and a garden at the back. The garden is paved and accessible to users. The home is located in a residential area near to Winchmore Hill. There is a bus service passing near the house. Local shops and other community facilities are within a short walking distance of the home. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a Wednesday afternoon in October 2005. It started at 1.10pm and finished at 6.40pm. When the inspection started the Inspector met the member of staff on duty and 2 of the residents. During the inspection the manager and the proprietor came to the home and the other 5 residents returned. A partial site inspection took place and records were inspected. The inspection confirmed that the conditions of registration were being met. The Inspector would like to thank the proprietor, manager, staff and residents for their comments. What the service does well: The care plan assessment is thorough and comprehensive and the O.T department, which has been working with the home, has acknowledged this in a letter where the department is proposing to use the home’s care plan format for learning purposes. Some residents spoke positively about their plans for the future and were able to link the support given by staff in working towards goals and moving forward in their lives. Developing domestic skills is an important part of preparing for independent living and residents were pleased with their progress. One resident would prefer to be living independently rather than living in the care home and the manager has made referrals on the resident’s behalf, as appropriate. There are separate menus for both vegetarian and non-vegetarian residents and since the last inspection the number of residents who are being supported to cook their food has increased. Residents are also supported, if necessary, to shop for the ingredients. The established managers of the company’s care homes support the acting managers and they work together as a team. Within the home the carers work well together and the manager and proprietors spend time with staff and residents. The door to the office is open when the manager is on duty and residents regularly call in to talk to staff. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 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 Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 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): EVIDENCE: No new residents have been admitted to the home since the last announced inspection. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 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, 9 The needs of the resident are identified and addressed in the care plan assessment. Regular reviews of the placement confirm that the care home continues to be able to meet the individual needs of the resident. Staff support residents to take responsible risks so that residents can develop an independent lifestyle. EVIDENCE: Three case files were inspected. Each contained a care plan assessment. An O.T Department sent a letter to the home proposing to use the home’s care plan format for learning purposes. The format includes an assessment of social, personal and health care needs and sets goals and records the action to be taken. The care plan assessment is signed by the resident, key worker and manager of the home. There was evidence of regular review meetings being held. On a six monthly basis a review meeting is held, which includes family members, the consultant psychiatrist and social worker. In between these meetings the home holds an internal review meeting. Although there was a record on file of the content of the most recent CPA meeting held with one Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 10 resident the minutes of the meeting were not on file. It is recommended that the home requests a copy of the minutes if these have not been sent to the home within 4 weeks of the meeting taking place. One file contained a letter where the external review meeting was being postponed to a later date. (The date for the next external review meeting is agreed at the end of the previous external review meeting). Case files contained risk assessments, which are tailored to the individual needs of residents. The risk assessment included risk management strategies. Risk assessments included the resident going out on their own, smoking, withholding the combination of the keypad attached to the front door and using the kitchen. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 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): 11, 12, 13, 14, 15, 17 With support, residents are developing their skills and preparing for more independent living. Residents have access to day centres and cultural centres, which provide an opportunity to develop their social and communication skills. Taking part in activities and using community facilities gives residents the opportunity to become more independent and to develop a more interesting and stimulating lifestyle. The support of staff enables residents to maintain family contact. Residents have a balanced and varied diet, with dishes to satisfy cultural needs. EVIDENCE: One of the residents talked with the Inspector about the changes that had happened to the resident since the last time that she had spoken to the Inspector. The resident was proud of their progress and said that they were now able to do their own shopping and cooking and that they kept their room clean and tidy. The resident’s face lit up as they spoke of how much better they felt and of feeling positive. Another resident spoke of the long-term plan to leave the home and to move into more independent living and of how staff were supporting them in working towards this goal. The resident was Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 12 developing their domestic skills and was being helped to cook and to iron. Two of the residents are being helped to learn English by their key worker. None of the residents are in employment. At the start of the inspection 4 of the residents were at a day centre and the member of staff said that these residents attended day centre on 2 days per week. Two of the other residents attend a cultural centre once a week. The manager confirmed that assistance is provided with benefit problems, if residents wish. The home is only yards away from shops and transport routes and is within walking distance of a large supermarket. Residents confirmed that they used community facilities including restaurants, shops, library and leisure centres. Residents’ names are entered on the electoral roll although residents choose whether they wish to vote at elections. Residents said that they used public transport. Residents said that staff support them both inside and outside the home and the manager said that this was a recognised part of the duties of staff. The television in the home is able to receive channels where Gujarati and Hindi are spoken. When the inspection started 2 Asian residents were watching one of these channels. The proprietor said that the home had a video recorder and the local libraries have Gujarati speaking videos for borrowing. Residents have the opportunity of a swimming session once a week and a visit to the library once a week, or more often if they wish. Activities taking place within the home included knitting, crosswords, games and reading. The record book, which is used to record additional activities arranged by the home, listed trips to Wood Green shopping centre, the cinema, Kenwood House, Enfield etc. A resident confirmed that a member of staff accompanied them to the Temple on a monthly basis and said that they went out shopping with a member of staff. Two residents said that they liked to go out walking, for some exercise. Four residents spoke about the holiday (a long weekend) to Bognor Regis that took place in September. They said they enjoyed the holiday. Five of the residents enjoy contact with their family and one resident has contact with a close friend. They confirmed that if a friend or member of the family visited the home the visitor was made welcome. The records in the activities book included details of family members being invited to or attending social events in the home or a birthday meal at a local restaurant. Meals are taken in the open plan lounge and dining room and during the inspection one of the residents was a having a meal, which consisted of sausages, mashed potatoes, peas and gravy. One resident, who cooked for themselves, said that they had cooked the same meal. Another resident said that they had eaten a curry. Menus were available. The home has a vegetarian menu and a non-vegetarian menu. The vegetarian menu is for 2 Asian service users and the key worker draws up the menu, during a discussion with the service users. The 2 service users take it in turns to cook Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 13 the meal for themselves and the other service user. Food records are kept of the meals consumed by individual service users. Menus respect cultural, religious and dietary needs. These needs are assessed in the care plan and are subject to review. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 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 Residents receive assistance with or prompting with personal care in a manner, which respects their dignity. Residents’ health care needs are met through access to health care services in the community. Residents are supported by staff to take their medication, at the times directed and in the doses prescribed by their GP, in order to promote their general health. EVIDENCE: The level of personal support given varies according to the individual needs of the resident. The manager said that it varies from prompting, supporting or encouraging to direct assistance. Advice may be given about wearing appropriate clothing for the weather. A member of staff of the same gender gives assistance with personal care. Residents are able to choose the time that they get up or go to bed, have a bath and have meals. However they are encouraged to develop regular routines during the day e.g. getting up, washing and dressing and having breakfast in the morning so that their day has structure and purpose. One of the residents has a Zimmer frame with wheels to assist her mobility outside the home and has a call bell to summon assistance at night, if needed. The home has a system of key workers and Asian residents have a key worker form the same cultural background. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 15 Case files were inspected and included evidence that residents had access to routine health screening e.g. blood tests and to preventative health care services e.g. flu jabs. Residents have access to health care facilities in the community including the optician, dentist and the chiropodist. There is access to specialist health care services including the dietician. One of the residents attends a mental health resource centre. Staff escort residents to outpatient appointments e.g. reviews held by the psychiatrist. Records of the administration of medication to service users were up to date and complete. Medication is stored securely in a lockable facility. This was inspected and it was noted that the storage was safe and orderly. The blister packs were inspected and had been appropriately administered prior to the inspection. One resident is self-medicating from a dosette box. A member of staff fills the box. There was a recent risk assessment for the resident selfmedicating, which recorded that the CPN and the consultant were in agreement. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 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, 23 Residents are aware of their right to complain if the care that they receive is not satisfactory and said that they were confident to do so, if the need arose. An adult protection policy, familiarity with the interagency guidelines and protection of vulnerable adults training for staff contribute towards the safety of residents. EVIDENCE: The complaints book was available for inspection. It was noted that 2 complaints had been recorded. The complaints had been made by one resident about another resident. They had been investigated. A copy of the complaints procedure is available in the office and there is a copy, on the ground floor, for residents to refer to. The manager confirmed that residents are provided with a copy during the admission process. The complaints procedure includes timescales for each stage of the process and details of the complainants right to contact other agencies e.g. the regulatory authority. Residents said that if they had any concerns or complaints they would be able to talk to some one in the home. The home has a Protection of Vulnerable Adults policy in the event of an allegation or incident of abuse. The manager said that no allegations or incidents of abuse have been recorded since the last inspection. The home has a copy of local authority’s interagency guidelines in the event of abuse. Ms Ranetunge has previously said that she has undertaken training in the role of investigating officer. The manager said that staff have received training in respect of the protection of vulnerable adults. A strategy meeting has been held in respect of a resident who has gone missing from the home on a number of occasions and where there has been concern about the resident’s personal safety when absent. There is a policy in respect of staff supporting Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 17 service users with challenging behaviour and a policy on restraint and these are discussed as part of the induction training process. The manager said that restraint is not practiced in the home. There is a policy in respect of the handling of service users’ monies etc. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 18 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): 25, 27, 28, 30 The provision of single rooms ensures that the resident’s right to privacy is respected and the furnishings need to be in accordance with the wishes of the resident and according to their needs. Residents have access to a comfortable communal area in which they can relax, socialise or take part in activities. Residents have the use of sufficient toilet and bathing facilities in the home but each door of these must be lockable. Residents enjoy a home, which is clean and tidy, and free of any odours although some staff need training in infection control. EVIDENCE: All residents have their own single bedroom. Three residents spoke to the Inspector in their rooms. On the whole they were satisfied with the size of the room and with the layout, furniture and furnishings although one resident said that they would like a carpet in their room. This was not provided. The manager spoke with the Inspector after the inspection and said that there were problems with continence and it was agreed that this would be monitored and recorded so that a decision would be made according to the current needs of the resident. Each bedroom has a wash hand basin. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 19 Bathing and toilet facilities in the home consist of a toilet on the ground floor, a bathroom (including a toilet) on the first floor and a bathroom (including a toilet) on the second floor. A resident said that there was no working lock on the bathroom door nearest to their bedroom. This was confirmed and discussed during the inspection. The communal space in the home consists of an open plan kitchen/dining/lounge area on the ground floor. Residents also use the garden and patio area outside the home in fine weather or when they wish to smoke. The lounge is comfortably furnished although it was noted that there were marks on the lounge carpet and scuffing on the walls. There was also a crack on the ledge behind one of the chairs. A partial site inspection took place and the areas inspected were clean and tidy and free from offensive odours. The manager said that most staff have received training in respect of infection control as part of an ongoing training course, which also includes medication training. Previously the home has shown a letter from the Environmental Health Officer dated 28/3/04, which confirmed that a wash hand basin was not required in the laundry. Laundry facilities are sited in a shed in the garden. They consist of a domestic washer and drier. The manager said that the home does not service incontinent laundry. Residents are encouraged to assist with their own laundry and they have a laundry crate in their room. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 20 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 The home continues to support staff undertaking NVQ training and to provide mental health training. The rota demonstrated that there were sufficient staff on duty to support the residents and to meet their needs. EVIDENCE: A discussion took place with the manager regarding the progress being made by the home in respect of NVQ training. Of the 9 names on the rota, one member of staff has completed their level 3 training. Four staff are undertaking level 3 training and of these 2 of the members of staff are nearing completion. Another member of staff has a medical background. Residents said that the staff are supportive and will listen to them. They described staff as “good” and “nice”. The manager said that in June staff had received training in personality disorders and schizophrenia. A training course on epilepsy had taken place the day prior to the inspection and a member of staff confirmed that they had already undertaken training in safe working practices e.g. manual handling, food hygiene and fire safety but had not done first aid training yet. A copy of the rota was available for inspection. The manager’s hours are recorded as 9am to 5pm on a Monday to Friday, although he works occasional evening or weekend shifts in the home. It is recommended that these be recorded on the rota. He also is part of the out of hours on call rota for managers. During the day there are 2 staff on duty and on 2 days per week Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 21 there is a 3rd person for a 4 hour session to assist a resident on a 1 to 1 basis. In the evenings, during the night and in the early morning there is 1 member of staff on duty. At night this person sleeps in but is on call. The manager said that no new members of staff have been employed to work in the home during the last 12 months. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 22 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, 42 The registered manager has continued to develop his knowledge and skills through NVQ training and this contributes towards a comprehensive understanding of the needs of residents and management of staff. Health and safety practices in the home promote a safe environment for both residents and staff although some staff need first aid training. EVIDENCE: The manager has been studying for their NVQ level 4 and he said that he has now completed his studies and is waiting for his portfolio to be assessed. He said that he has continued to undertake training courses to update and to refresh his knowledge and skills and these have included training in mental health issues, medication, infection control and moving and handling. He has previously confirmed that he was provided with a job description, as part of the recruitment process. A member of staff confirmed that they had already undertaken training in safe working practices e.g. manual handling, food hygiene, infection control and fire safety but had not done first aid training yet. Items subject to COSHH Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 23 requirements are kept in a locked cupboard in the kitchen area. Safety data sheets were available for the products stored. There is a keypad system attached to the front door, although the manager said that residents would be given an “open door” to leave the building, with the knowledge of the staff on duty. In the event of the fire alarm being activated this will override the keypad system. For reasons of health and safety residents who wish to smoke are asked to smoke outside in the garden. During the inspection this residents observed this rule. The accident book was examined. A system of recording on the counterfoil is needed that includes the initials of the person who has had an accident and it was noted that not each counterfoil had been completed. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X 2 X 2 2 X 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Roland Care Home (Compton Road) Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 2 X DS0000010635.V255394.R01.S.doc Version 5.0 Page 25 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 YA25 Regulation 16.2 Requirement That staff monitor and record any episodes of incontinence so that when the provision of a carpet in the resident’s bedroom is reviewed the decision will be made taking into account the current needs of the resident. That the locks on toilet or bathroom doors are in working order. That the carpet in the lounge is cleaned, that the scuffing on the walls is redecorated and that the crack on the ledge is made good and redecorated. That all staff complete training in infection control. That 50 of carers achieve an NVQ level 2 or 3 qualification. That the manager forwards a copy of the certificate for the satisfactory completion of their NVQ level 4 training. That staff undertake training in first aid. That the counterfoil in the accident book is completed each time an accident is recorded and that the initials of the person forms is included for easy cross DS0000010635.V255394.R01.S.doc Timescale for action 01/10/06 2 3 YA27 YA28 23.2 23.2 01/02/06 01/04/06 4 5 6 YA30 YA32 YA37 13.3 18.1 9.2 01/05/06 01/07/06 01/04/06 7 8 YA42 YA42 13.4 17.1S3.3 01/05/06 01/02/06 Roland Care Home (Compton Road) Version 5.0 Page 26 reference. 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 2 Refer to Standard YA6 YA33 Good Practice Recommendations That the home requests a copy of the minutes of the CPA meeting if these are not received within 4 weeks of the date of the meeting. That the manager records on the rota when he works occasional evening and weekend shifts in the home. Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Roland Care Home (Compton Road) DS0000010635.V255394.R01.S.doc Version 5.0 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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