Inspection on 13/06/05 for Rosemont Road, 62

This inspection was carried out on 13th June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosemont Road, 62 19/04/06

Rosemont Road, 62 23/11/05

Rosemont Road, 62 12/01/05

Rosemont Road, 62 19/08/04

Rosemont Road, 62 15/10/03

Rosemont Road, 62 21/05/03

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Edenvale

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

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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 Rosemont Road, 62 Acton London W3 9LY Lead Inspector Sarah Middleton Unannounced 13 June 2005 12PM 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 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 Stationary 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. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 62 Rosemont Road Address Acton, London W3 9LY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 752 1165 Leigh_p32@yahoo.co.uk Ealing Consortium Limited Mr Leigh Pain Care Home 3 Category(ies) of Physical Disability (0), Learning Disability (0) registration, with number of places Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NO Date of last inspection 12/1/05 Brief Description of the Service: 62 Rosemont Road is a home registered for three service users with learning disabilities and additional physical disabilities. All three of the service users are wheelchair users. The home opened in 1994 and is situated in a quiet residential area of Acton. The shopping centres of Ealing and Acton are within easy access. The home is owned by a housing association and managed by Ealing Consortium Ltd. The house is a semi-detached property on two floors. There is a lift between the ground and first floor. A lounge, dining room, kitchen, laundry and assisted bathroom are all located on the ground floor. The first floor has three bedrooms and an office. There are wide corridors suitable for wheelchair users. The garden to the rear of the property has recently been improved for the service users to access. The staff team consists of the Registered Manager and a team of support workers. They provide twenty four hour care and support with regard to personal care and practical tasks. The home has one waking night member of staff working during the night period. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. Five hours was spent on the inspection process, 12pm – 5.05pm. The Inspector carried out a tour of the home and inspected service users plans, staff files and maintenance records. One service user and three members of staff were spoken with as part of the inspection process. It must be noted that it is sometimes difficult to ascertain the views of service users with a learning disability. Since the previous inspection the home had met several of the previous requirements. However there were a few outstanding and several made during this inspection. What the service does well: What has improved since the last inspection? The home has amended and updated the Statement of Purpose and policies and procedures. Risk assessments have been completed with regard to the withdrawal of the sleeping in member of staff and the Registered Manager is aware of reviewing staffing levels should any service users assessed needs change. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 6 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. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4 & 5 Service users are provided with information about the home, and there is now an amended version of the Statement of Purpose. Service users are assessed prior to admission to ensure the home can meet their needs. Staff, through experience and training, are able to meet the service users specialist needs. Prospective service users and their representatives are encouraged to visit the home in order to allow them to make an informed choice. Terms and conditions are provided but there are no Local Authority contracts for each service user. EVIDENCE: Service users and their representatives are provided with a Statement of Purpose, this has recently been amended. Two of the three service users have lived in the home for ten years, and one for two years. When a referral is made to the home they receive a Care Managers/Social Services assessment and complete their own assessment to ascertain if they can meet the needs of the prospective service user. The pre-admission documentation was viewed and this provides a picture of the service users needs. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 9 The home has recently altered its staffing provision at night. There is no longer a sleeping in staff member just a waking night member of staff. Risk assessments have been completed and there is an on call system in the event of an emergency. Staff were seen to communicate effectively with all the service users who have different forms of communication. Staff spoken with felt confident that they understood the service users and could meet their individual needs. The most recent admission, two years ago, had been planned and the service user and their family were encouraged to visit the home and spend time there before a final decision was made. The Registered Manager said wherever possible any prospective service user would be able to visit the home with their representatives to ensure they had made an informed choice about moving into the home. Terms and conditions are given to service users but the Local Authority has not issued a contract to the home or service users. The Registered Manager stated this was proving difficult to obtain. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9 The health and personal care needs of service users had been identified and were being met. Care plans were detailed ensuring all needs were highlighted and addressed. Where possible service users are encouraged to make decisions. However, as the lift door does not open automatically, one service users independence is limited, as they have to rely on staff responding to their request to use the lift. Risk assessments were detailed and appropriate to meet the needs of the service users. EVIDENCE: Individual service user plans were available and samples were viewed. Overall these were comprehensive and detailed how the service users identified health, personal and social care needs would be met. Monthly summaries were completed offering a view of how the service user had been over the past few weeks. Reviews are held every six months and one was seen that had taken place in March 2005. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 11 Assessments for moving and handling and nutrition were in place. The home has a lift, as all bedrooms are on the first floor. However the door does not open automatically and the staff have to open the door for the one service user who is independent. This has been an ongoing problem that has not been solved. Due to the complex needs of the service users the home does not hold service user meetings. However the staff are aware of likes and dislikes of each individual service user and work towards recognising what they do or don’t want to participate in. The Registered Manager said there were no advocates available for the service users. Risk assessments were completed with regards to using bedsides and lap straps. Service users relatives are consulted and have agreed to these precautions being used. Documentation was viewed to confirm this. In addition risk assessments were seen regarding moving and handling and falls. These were all up to date and detailed. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 & 17 Service users religious needs are met through having the opportunity to attend their religious place of worship. Each individual service user has a daily programme of activities. They have time where there is one to one with staff and they can attend local day centres. This variation promotes a stimulating environment for the benefit of the service users. Where possible leisure community facilities are accessed to engage service users with their immediate environment and to socialise and meet other local people. Family/friend contact is encouraged and staff will support and take service users to visit family members in order to maintain relationships. Mealtimes are well managed with staff knowing the likes/dislikes of each service user. This is balanced against providing a varied nutritious diet to ensure service users maintain a healthy weight. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 13 EVIDENCE: Service users have the opportunity to fulfil their spiritual needs, and one service user attends a local temple once a month, with the support of staff. The service users are not able to seek employment. They take part in activities either through attending the local day centre, activities centre or using local amenities. One service user spoken with said they enjoyed attending the day centre, where they met other people and took part in a variety of activities. Where possible the Registered Manager encourages service users and staff to use public transport. Service users access local resources, such as the shops, places of worship, swimming pool, visit local parks and cafes. Two service users have aromatherapy at the local activities centre. The Registered Manager said there is sufficient staff working to provide some one to one support, at certain times, over the weekend, which is when all three service users are at home. Service users have holidays with staff and two service users have been abroad. One service user has regular contact with their family members. They have the opportunity to go out with family members to various family occasions. Contact with family and friends is encouraged by staff and where service users need support to visit family this is arranged. The staff know service users likes and dislikes through their body language and behaviour. Where possible service users choose clothes they want to wear, the food they eat and any activities they might want to take part in. Staff spoken with could describe the individual choices the service users can make and how they promote their independence as much as possible. Staff were seen to interact fully with the service users in a positive way. One staff member devises the weekly menu, taking into consideration the food service users like and dislike. Any changes to menus are recorded. No one is on a special diet. Staff support the service users where appropriate and one staff member was seen to feed a service user in a sensitive and unhurried manner. A service user spoken with said they enjoyed going shopping and would go food shopping for the house with staff. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 standard(s) 18, 19, 20 & 21 Personal support is offered in an appropriate manner that respects the service users dignity and rights. Their health needs are monitored and addressed by the various health professionals in the local community. Medication systems were in place to safeguard the service users. The home must ensure liquid medications have a date of opening on them to protect the service user. The preferences of service users, in the event of their death, have been acknowledged. Where this has proved difficult to ascertain the home has respected the individual’s wishes. EVIDENCE: One service user, who is more independent, is encouraged to wash independently and choose their clothes. The other two service users require full personal care and support. This is carried out in a private and sensitive manner. There is equipment in the home to assist with the personal care. It is clearly recorded in care plans the level of support each service user needs. Systems are in place to record when a service user attends a health appointment. There has been a visit by the Community Nurse who talked with staff about Epilepsy, as there is one service user who has this condition. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 15 Records are in place to monitor seizures. Two service users refuse to see a Dentist and staff should monitor these service users oral health to prevent any infections or pain service users might face through not accessing this service. All have GP’s and access any other health professional as and when required. Samples of the medication administration records were viewed and these were completed correctly. The home has a policy for medication and the refusal of medication. A list of staff signatures that can administer medication was viewed. All medications were correctly present and stored appropriately. There was no date of opening on the liquid medication. The home has attempted to address the wishes of one service user’s preference in the event of their death, but this proved too stressful for them. The home is aware this is a sensitive area and recognise the need to respect service users or families wishes on this matter. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 The home has a complaints procedure and one service user said they would be able to talk to Management if they had any concerns. The complaints procedure must be freely available for all service users and their representatives. Systems were in place for the protection of vulnerable adults, but staff must have up to date training on this area, to ensure service users are fully protected by all who care for them. EVIDENCE: The home has a detailed complaints procedure, but had not ensured it was visible within the home. There had been no record of complaints and the CSCI had not directly received any complaints. One service user spoken with knew to speak to staff or the Registered Manager if they were not happy about something within the home. The home has a recently updated procedure for the protection of vulnerable adults, (POVA). Training on this area had been provided for Registered Managers but not for other care staff. Staff spoken with said they had not received recent training on this area. They were aware of the procedures in the event of a possible POVA incident and would report any POVA issues to the Management. There have been no POVA investigations at the home. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29 & 30 Service users have their own spacious bedrooms, which are individual and provide a homely environment for them. There are hoists in two of the bedrooms to assist service users from the bed to their wheelchairs. In addition the home provides other adaptations to promote independence. As highlighted earlier, the passenger lift door needs to be fixed, to fully assist the one service user who can access the lift unaccompanied. There is sufficient space within the home to provide service users time with others and time alone. The home was pleasant and clean at the time of the inspection. EVIDENCE: A tour of the home was carried out and a sample of rooms viewed. These were being satisfactorily maintained. Furnishings and fittings were of good quality. All service users have their own bedrooms, which offer them sufficient space to meet their individual needs. These are all on the first floor and accessed by the passenger lift. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 18 Service users bedrooms were personalised with adequate furniture. One service user had a chart in their bedroom to indicate the staff working in the home and what activities they would be doing each day. The home has one assisted bathroom and there is also a walk in shower in this room. This is sufficient to meet the needs of the service users. The dining room leads on to the kitchen and there is a separate lounge. Service users can choose which room they sit in and choices are respected. There are hoists in the home and staff are trained to use the specialist equipment to ensure service users health and safety is maintained. As highlighted earlier, the passenger lift door should open automatically but has been broken for some time and noted on previous inspections. The housing association is responsible for the repairs and maintenance of the building. The Registered Manager must ensure they are doing everything possible to ensure the home provides all the equipment necessary to meet their individual needs. Some of the kitchen worktops can be lowered so that the service users can use them. The home was clean and tidy at the day of the inspection. There is a separate laundry room, where staff carry out all laundry tasks. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 There are clear roles and responsibilities within the home, which provides good teamwork and ensures the service users needs are the priority of the staff team. The home aims to enable staff to develop skills and to reflect on their practice through studying the NVQ courses. Systems for the recruitment of staff are in place but the necessary records on each employee are not all held within the home. The organisation must ensure there is a system in place for employment documents to be viewed at the home at the time of the inspection. Service users welfare must be a priority and these documents are a part of ensuring this takes place. Staff receive mandatory training, however this does not include training on the protection of vulnerable adults and infection control. Staff must have the opportunity to receive training on these important areas to ensure the health and welfare of service users is maintained. EVIDENCE: Staff have job descriptions and those spoken with were clear about their roles. Staff are keyworkers to individual service users and focus on particular needs of the service user. Staff are given the General Social Care Council codes of standards and conduct. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 20 The home seeks to promote NVQ courses. The staff team has one with level 3 and another is currently completing level 3. Two others are studying level 2 and there will be another intake in October 2005. The aim is for all staff to have studied the NVQ course, level 2 or 3. The staff team are aware of the individual needs of the service users and work respecting the differences of each service user. The home has a stable staff team and had used regular agency/relief waking night staff, (these night posts have recently been advertised and filled by permanent members of staff.) Where there are staff shortages, the Registered Manager will assist and work alongside members of the care staff. The Registered Manager said they regularly review the staffing levels to ensure the home can meet the assessed needs of the service users. There is an on call system should there be an emergency, whereby managers would need to either go to the hospital or to the home to relieve staff who might be needed to accompany a service user. Staff meetings have taken place, but are overdue, one staff member said that one had not been held for some time. The Registered Manager said they are looking to hold them every fortnight and will be addressing this issue. The staff employment files viewed included references, identification and completed application forms. The Registered Manager confirmed that the Criminal Record Bureau checks had been carried out but the confirmation and documentation is held at the Head office and not within the home. In addition, a new member of staff started three weeks ago and all of their employment details are currently held at the head office. The Registered Manager is looking to obtain copies of all relevant employment documentation to hold within the home. The home records all the training staff have attended and offers a range of courses which cover the mandatory areas of care, for example, fire training, food hygiene and moving and handling. New members of staff receive a sixweek induction programme; evidence for this was not viewed at the inspection. The home also places new members of staff on the course, which is aimed for staff working with people with learning disabilities, (Learning Disability Award Framework). The home had not offered infection control or the protection of vulnerable adults training to the members of staff. One staff member said they would like further training and information on Epilepsy. Staff have one to one supervision from the Registered Manager. Samples of supervision files were viewed and they detailed topics discussed. Staff spoken confirmed they received regular supervision and they had found it supportive. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40 & 42 The home is well managed and the Registered Manager has a visible presence within the home and all staff work together to meet the needs of the service users. There is a shortfall in the home carrying out a quality assurance review, where views of service users and their representatives could be gathered. This must occur to ensure the home reflects on the service and support it offers and makes any improvements identified from the review. The servicing records need to be maintained and up to date in order to safeguard service users health and safety. The Registered Manager must constantly liaise with the Landlord to ensure essential repairs are carried out promptly. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 22 EVIDENCE: The Registered Manager has completed the Registered Managers Award and is an NVQ assessor. They have worked at the home for over two years and are aware of their role as a Manager. Staff spoken with said the Registered Manager was supportive and approachable. At the last inspection it was noted that there had not been a review of the quality of care. The Registered Manager said there had recently been a team review but that there had not been an overall review where service users and their representatives could contribute to the review. The organisation had recently updated all their policies and procedures and amended where appropriate. The home had copies of all the new editions. At the last inspection it had been noted that there were difficulties between the Registered Provider and the Landlord when essential repairs needed to be completed. Maintenance records were seen which indicated when the Landlord had been contacted to respond to repairs needing attention. As noted throughout this report, the lift door has not been fixed and the Registered Manager is seeking to address this with the Landlord. Servicing records were viewed at random and it was noted that the Gas Safety Certificate was out of date and there was no written evidence that the Portable Appliances had been tested. All other records, such as fire records, viewed were up to date. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score 3 3 3 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rosemont Road, 62 Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 x 2 x G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 24 YES 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 5 Regulation 5 (1) (b) & 5 (3) Requirement Timescale for action 3/10/05 2. 7 & 29 3. 4. 20 23 5. 34 6. 35 7. 39 A contract/terms & conditions with the Local Authority must be available to the service users. (Previous timescale 28/2/05 not met) 12 (1) (b) The Registered Provider must & 23 (2) ensure that every effort is made (n) to maintain the lift so that it can be used independantly. (Previous timescale 28/2/05 not met) 13 (2) Liquid medication must have dates of opening on them. 13 (6) The Registered Provider shall make arrangements by training staff or through other measures, on the protection of vulnerable adults. 19 (1) The Registered Person shall ensure employment records are held within the home & made available for the CSCI at the inspection. 18 (1) (c ) The Registered Manager must (i) ensure that staff receive training in areas relevant to the work they perform, for example on infection control. 24 Regular reviews of the quality of care are required to be carried out and a report of the findings G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc 3/10/05 30/6/05 1/9/05 1/8/05 1/9/05 3/10/05 Rosemont Road, 62 Version 1.30 Page 25 8. 42 13 (4) & 23 (c ) made available for service users and CSCI. (Previous timescale 31/3/05 not met) Up to date servicing records must be available in the home for inspection. These include, Gas Landlord Safety certificate and portable appliance testing. 1/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 19 22 33 Good Practice Recommendations Service users oral hygiene should be regularly checked by staff, if they do not see a Dentist, to ensure their oral care is monitored. The Complaints procedure should be displayed in communal areas of the home. Regular staff meetings should be held & minutes of these meetings should be recorded. Rosemont Road, 62 G61-G10 s27741 Rosemont Rd v214847 130605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Ground Floor 58 Uxbridge Road Ealing, London W5 2ST 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. 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