Inspection on 13/06/05 for Roseview Home

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 Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Roseview Home 12/07/07

Roseview Home 27/07/06

Roseview Home 09/01/06

Roseview Home 11/11/04

Roseview Home 12/07/04

Roseview Home 23/02/04

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

CARE HOME ADULTS 18-65 ROSEVIEW HOME 26 Bounds Green Road London N11 2QH Lead Inspector Karen Malcolm Unannounced 13 June 2005 @ 11.35 am 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. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Roseview Home Address 26 Bounds Green Road, London, N11 2QH 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) 020 8368 9195 Mrs Agatha Annin-Adjei Mrs Angelina Otoo PC Care Home 6 Category(ies) of MD registration, with number of places ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11th November 2004 Brief Description of the Service: Roseview is a care home registered to provide accommodation and personal care for a maximum of six younger adults with mental disorders. The Home’s aims and objectives state that the home:· Encourages service users to take part in decision-making processes. Ensures service users have privacy and dignity. Maintains service users’ personal identity and choice. Involves service users in policy reviews. Ensures service users and staff work together to achieve these goals. The home is a semi - detached, two-storey house that was opened in May 2001. It has six single bedrooms. None of the bedrooms have en-suite facilities. On the ground floor, there are two bedrooms, an office, a kitchen, lounge/diner, a smoking area, a shower room with a toilet and a separate toilet. On the first floor, there are four bedrooms, a phone room and a bathroom with a toilet. There is a small front garden and an attractive larger back garden, which is partly paved and accessible to service user.The home is situated along the busy Bounds Green Road and close to a large selection of restaurants, shops and community facilities. Wood Green Shopping Centre is about a mile away. Bounds Green underground station is within a short walking distance. At the time of the inspection the home was fully occupied with six service users living at Roseview. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 11.35 and 18.15. In the home were one care staff, three service users, two service users were at the local shop and one service user was at the day centre. The care co-ordinator arrived about forty-five minutes after the inspection started. The inspector was informed that the care co-ordinator was at the chemist collecting the home’s monthly supply of medication and the registered manager was off sick. One service user asked to speak to the inspector as soon as the inspector arrived. The service user raised a number of issues and these were addressed with the care co-ordinator. During the course of the day all the service users spoke to the inspector, all were positive and open about living at Roseview. One service user shared their lunch in the garden with the inspector and spoke in detail about living at the home, their birthday and activities. All seemed very positive and supportive. All the service users have their own bedrooms and share the communal facilities, such as the lounge/dining room and the kitchen area. All the service users smoke and the designated smoking areas are the garden and a small smoking room, which is off the lounge/dining room. All service users know the designated areas, however, some service users from time to time do smoke in their rooms and this has been addressed with the individuals concern. All the service users have lived at the home for a number of years. A majority of the service users are independent and are able to come and go as they please with no support from the care staff. The inspection involved speaking to the service users, who stated that they are very happy with the care provided, sampling a number of care plans, records and a tour of the building. Interaction observed between staff and service users was friendly, respectful and caring. The manager and all staff the inspector met were very open and helpful throughout the inspection. What the service does well: All the service users have lived at the home for a number of years. All the service users have their own bedrooms, but share the communal areas. The garden is large with a patio and grassed area, which is beautifully maintained. The home is a family business and all the family members are involved in the running of the home. The care co-ordinator ensures that the home is run according to the Care Homes Regulations 2001 and National Minimum Standards for Adult 18-65 (NMS) and this was evident in the record keeping seen. The care staff are caring and have a good knowledge of the service users care and support needs. Majority of service users are independent and are supported appropriately by the staff when needed. The service users spoken to stated that like living in the home. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 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 ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 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 The home’s Statement of Purpose and service user guide are good providing service users and prospective service users with details of the services the home provides enabling an informed decision about admission to the home. Service users aspirations and needs are addressed. Service users can be confident that all care staff employed are and of sufficient age to do so. EVIDENCE: ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 9 All six-service users have been at the home since it opened in 2001. Service user plans sampled indicated that community care assessments had been completed by placing authorities prior to each individual’s placement in the home. Appropriate assessments had also been completed when one service user was readmitted to the home after a period of detention under the Mental Health Act. At the previous inspection it was required that the registered person has in place a service user guide that covers all the elements as stated in Regulation 5 of The Care Homes Regulation 2001. A copy of the Statement of Purpose was submitted to the CSCI prior to this inspection. The new amended document now covers all the areas as required. Another requirement related to the registered person having in place specific guidelines for care staff on how to manage and monitor the specific service user whose behaviour is challenging at times. The guidelines were to be drawn up with the service user, social worker and key worker and reviewed monthly within the home and six monthly with the social worker. A recommendation made relate to the registered person considering employing full time, male care staff to ensure that the gender balance within the staff team is reflected within the current service user group. Guidelines have been drawn with the Clinical Psychiatric Nurse (CPN). Records of the meeting held dated 20th May 2005 for the specific service users was on file. The rota on display indicated a male worker has now been employed. The care co-ordinator stated that the male worker has developed a bond with this specific male service user. However the care co-ordinator remains the male service user’s key worker. Upon examining this specific male worker’s personnel records. There were two references, an enhanced CRB check and application form. Upon reading the application it was evident that the male carer was 17 years of age. This was discussed with the care co-ordinator and it was stated that in accordance with the National Minimum Standards for Adults 18-65 any care worker employed in the home must be at least 18 years of age. The care co-ordinator was not happy with this in view of the inspector advised that the care co-coordinator should write to the Commission outlining her reasons why the young person may remain in employment. Prior to the completion of this report a letter was submitted to the CSCI, in respect of this and a response has been sent. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 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 Service users are consulted, assessed about any decision regarding their life and this is recorded, therefore service users know that their needs will be supported appropriately by the home. EVIDENCE: All service users have care plans. The plans were generally comprehensive and addressed the assessed needs of service users. Service users confirmed that they had been consulted regarding their plans. The minutes of regular care reviews also indicated that service users and their relatives took part in their care planning. There was evidence that service user plans were being reviewed and updated monthly. The service users spoken to all knew who their key workers were by name and were happy with the support given. The manager and the Care Co-ordinator stated that one service user is subject to Power of Attorney and the individual’s social worker acts on the service user’s behalf regarding finance and being the user’s next of kin. Service user care plans were sampled and examined. Each service user has in place a risk assessment, which was satisfactory. Risk assessments had been prepared for service users and all have been reviewed six monthly. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 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 standard(s) 12, 13, 15, 16 & 17 Links with the community are good and the supports provided enrich service users social and educational opportunities. Service users maintain family contact and their views are sought and any changes are reflected in the home’s care practise. Service users dietary needs are addressed by the home, however, not consistently. Therefore service users can be confident that their appropriate diet needs will be addressed sensibly. EVIDENCE: All the service users were present in the home. However, during the course of the day a number of service users went out to various activities and one service user was at a day centre, but came back for lunch later. The home provides a number of in-house activities such as bingo etc. The inspector was able to speak to all service users in the garden at different times during the day. One service user brought some specialist foods and shared this with the inspector. The service users are able to advocate for themselves. All service users stated they were happy in the home. However, ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 12 one service user expressed their unhappiness having to complete a forty-five minute walk daily as part of a healthy living programme. This was discussed with the service user and the care co-ordinator and it was evident that this routine was part of the service user’s healthy living programme, which was agreed with the service user, the care co-ordinator and the social worker. It was advised that this programme should be reviewed, monitored and feedback given to the social worker with regards progress. All service users have on their care plans a named person as their next of kin. The records indicate that service users lead quite independent lifestyles. They have keys to the front door and their bedrooms. There are few restrictions imposed, and a service user stated that they were always treated in a dignified manner and staff respected their privacy. Service users said they were happy with the meals served. They confirmed that their preferences regarding meals served had been responded to, this was observed. One service user has been diagnosed with diabetes recently. The care co-ordinator stated that this specific service user does not always stick to a healthy eating programme and sometimes binges on other snacks, which are deemed unhealthy. Upon reading this specific service user care plan it was evident that no information was recorded on file with regards to what foods the individual should be eating. The same service user was given, two steak pies for lunch, at the user’s request. The inspector asked the care staff why the service user was given this for lunch, taking into account the service user health needs. The member of staff stated that it was the service user’s choice. The care staff also stated that she is aware of what the service user dietary needs are. The inspector interviewed the specific service user and it was clear that the specific service user is aware of their health needs, but has tended to ignore it from time to time. In the kitchen cupboards food products found contained a large amounts of sugar and salt. This was discussed with the care co-ordinator and care staff during the handover. It was advised that a healthy eating plan should be in place and the home should obtain advice and guidance from either a dietician or a district nurse. The kitchen area was found to be clean, well equipped and meets the environmental standards. A record of fridge and freezer temperatures had been kept. These were satisfactory. The menu was examined and advice given on healthy eating. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 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 standard(s) 18, 19 & 20 Service users healthcare and personal support needs are addressed by the home. The medication at this home is well managed promoting good health. EVIDENCE: Individuals are treated with the respect, privacy and dignity in the home. All staff members were observed knocking on individual doors before they entered. The service users spoken to stated that the support and care given by the care staff was good and that they were respected in the home. However, one service user stated that they are ‘half and half’ happy living in the home. This was pursued further and it was evident that the service user did not like participating in the daily walk programme, although the service user did complete this activity during the inspection, but was still unhappy about the whole task. Care plans examined indicated that service users healthcare needs are met by the home. However one service user showed the inspector their feet and it was evident that their toenails need attention. This was discussed with the care co-ordinator. Regulation 37 reports have been submitted to the CSCI. Medication records and medication cabinet were examined and all were in good order. The local pharmacist provides blister packs and a list of all care staff trained to administer medication is on file. A weekly temperature chart is maintained by the home. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 14 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 satisfactory complaints system with some evidence that service users feel that their views are listened to. The home has failed to ensure that care staff are trained in adult protection procedures, therefore putting service users at risk. EVIDENCE: At the previous inspection it was required the registered person ensures all care staff undertake further training in adult protection procedures which includes the local authority procedures. Evidence of satisfactory completion of such training must be retained on each staff members training records. The care co-ordinator stated that she has been trying to obtain training for care staff with the local authority without success. Training has been offered by Consultancy Company, by this is some distant for staff to travel to. The home has in place a complaints policy and procedures. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 15 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) 24,27 & 30 The home is reasonably maintained, therefore providing the service users with a comfortable home. However, the registered person has some minor maintenance areas that need addressing. EVIDENCE: During the tour of the building a number of areas from the previous inspection report have been addressed. These were: • The washing machine – new one has been brought • A new bed for one of the service users – a new has been brought • Risk assessments with regards to the radiators in the home – copies of the risk assessments amendments were submitted to the CSCI prior to this inspection. A number of other areas were found to be in need of maintenance, repair, cleaning or replacing. These include the following: Bedroom 6 Armchair needs replacing, this was found to be in a state of disrepair, this was also requested by the service user. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 16 D’s bedroom The rug needed replacing, it was found to be dirty with a number of cigarette burns on it. Toilet 2 No hand paper towels or toilet tissues in either dispenser provided. A number of fire doors were found wedged open – This was discussed with the care co-ordinator during the tour of the building. E’s Bedroom Carpet and rug need to be cleaned or replaced New bed and mattress needed as the mattress springs were showing. Toilet 1 No hand towels found in the dispenser The carpet in the lounge area was lifting and uneven in places this could be a potential hazard to service users, staff, visitors and family and friends. The carpet in the lounge must be replaced. The care co-ordinator is to write in the home’s business plan as to when the carpet in the lounge is going to be replaced. This requirement is restated. Apart from the above environmental issues above the home was found to be reasonably. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 17 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) 33 & 35 The home has ensured that the skills mix of staff meets service users needs. The manager has failed to ensure that care staff sleeping-in are adequately supported and safe during their shift. EVIDENCE: There are two care staff on each shift. This was indicated on the rota shown. However, when the inspector arrived at the home, only one care staff was on duty, the other staff member who was the care co-ordinator was at the chemist collecting the medication supply for the following month. The manager was also rota’d on shift the inspector was informed that the manager was off sick. Care staff completes day, night and sleeping-in shift. The inspector asked the care co-ordinator where the sleeping-in area for staff was. It was advised that the care staff sleep on the sofa in the lounge/dining area. It was advised that this was deemed inadequate, as under Regulation 23(3)(b), it is required that the registered provider must provide for staff sleeping in accommodation where the provision of such accommodation is needed. The other area of concern was that the breaks staff receive between shifts was found to be inadequate and contravenes the ‘Working Time Directive.’ Care staff that complete sleeping-in duties, complete an early shift the next day until 3pm. It was advised that the registered person must cease the practise of care staff sleeping on the sofa in the lounge/dining room at night. The registered person must inform the Commission as soon as possible ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 18 of what action will be taken with regards to the sleeping-in arrangements for care staff in the home. Staff interviewed stated that they are happy working at the home and they are offered training and supervision regularly. The issue regarding sleeping-in duties was also discussed. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 19 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) 39 & 42 The registered person runs the home in the best interest of the service users, therefore ensuring that they are safeguarded by the policies and procedures in place with regard to their care and support needs. EVIDENCE: The registered manager was not present at the inspection, due to being off sick. However this was not indicated on the rota shown to the inspector. It was advised at the previous inspection that the rota must accurately reflect who is on duty at any given time in the home of that this is to include sickness. At the previous inspection it was required that the home’s Regulation 26 reports are to be amended and guidance was given. Prior to this inspection copies of provider’s reports had been submitted to the Commission in the new format style. The information submitted is now much clearer. All health and safety certificates were in place. The health and safety risk assessments regarding all the fire doors were submitted to the Commission prior to this inspection. Records of weekly water temperature were checked. ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 x x 3 Standard No 11 12 13 ROSEVIEW HOME x 3 3 Standard No 31 32 33 34 35 Score x x 3 x 2 Version 1.20 Page 21 G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc 14 15 16 17 x 3 3 2 36 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 3 ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 22 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 3 Regulation 18(1)(a) Requirement The registered person must reconsider the employment of the young person who at the present is working as a full time carer. Care staff providing initimate personal care for service users must be at least age 18, before employment is considered in a care establishment. The registered person must ensure that there is a range of healthy foods that can be offered to a diabetic. Choices of food offered at mealtimes to the specific service user, a record kept and this must be reviewed regularly. Records of blood tests results are to be recorded separately and reviewed with the specific service user. The registered person must have on the specific service user care plan under health, first aid information regarding What to do in the event if an service user becomes Hypoglycaemic. This is to include clear step-by-step instruction for staff. The registered person must address all six areas that are Timescale for action 30th July 2005 2. 17 12(1)(b) 16th August 2005 3. 17 12(1)(b) 30th July 2005 4. 24 23 30th August 2005 Page 23 ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 5. 6. 24 & 43 24 25(3)(b) 23 (3)(b) 7. 23 13(6) 8. 35 17(2) Schedule 4.7 9. 19 12(1)(b) highlighted under Enivorment section in this report. the action plan submitted to the CSCI is to include how the registered person intends to meet these areas of work. The registered person must replace the carpet in the lounge/dinning area. The registered person must cease the practise of care staff sleeping-in on the sofa in the lounge at night immediately. The registered person must submit to the Commission an action plan on how they plan to address the issue relating to arrangements for sleeping-in duties in the home. The registered person must ensure all care staff undertake further training in adult protection procedures which includes the local authority procedures. Evidence of satisfactory completion of such training must be retained on each staff members training records. It is required that the rota is an accurate reflection of who is actually on duty at any given time in the home. This is to include sickness, time on duty if different from other days, annual leave and training. (Previous timescale of 30th December 2004 and from then on not met.) The registered person must ensure that the specific service user who requires a chiropodist has an appointment made. A record of the appointment is to kept the on specific service users care plan. The registered person must ensure that all service users 30th August 2005 30th August 2005 16th August 2005 30th July 2005 And from then on 16 August 2005 ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 24 healthcare needs are addressed and monitored. 10. 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 Good Practice Recommendations ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection 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 ROSEVIEW HOME G59 S10752 Roseview Bounds Green V 13.06.05 Stage 4.doc Version 1.20 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!