Inspection on 16/02/07 for Sherrick House

This inspection was carried out on 16th February 2007.

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

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

Other inspections for this house

Sherrick House 20/01/06

Sherrick House 09/09/05

Sherrick House 24/12/04

Sherrick House 07/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Sherrick House 30 Church End Hendon London NW4 4JX Lead Inspector Tola Akinde-Hummel Key Unannounced Inspection 16th February 2007 03:00 Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and 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. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sherrick House Address 30 Church End Hendon London NW4 4JX 020 8203 4860 020 8202 6603 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) Barnet Mencap Mrs Lesley Elizabeth Snow Care Home 3 Category(ies) of Learning disability (4) registration, with number of places Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 Service User aged 17 years can be accommodated in the home. Date of last inspection 20th January 2006 Brief Description of the Service: Sherrick House is a small care home run by Barnet Mencap. It provides, at any one time, a respite service for up to three younger adults who have a learning disability. There are 36 service users registered to receive the service at times throughout the year. The majority of service users live with their parents and some with other relatives. It offers them a chance to learn what it is like to live away from the family home as well as providing a break from caring for family members. There are three bedrooms at Sherrick House. On the ground floor is a large lounge, a kitchen/dining room, one bedroom and a shower room and toilet. There is a patio area and garden to the rear. On the first floor there are two bedrooms and a bathroom as well as the office and staff room. The home is close to the shops, transport links and services in Hendon. The cost of overnight respite at Sherrick House is £196.00. The service users meet a percentage of this cost. Following “Inspecting for Better Lives” the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took approximately five hours to complete this included talking to service users, the manager and residential care worker. The manager, Mr Ademola Adedoyin, assisted the inspector throughout the day. At the time of inspection three service users were at the home on their planned respite break and one service user was staying for dinner then returning home. Four members of staff were present in the hone including the manager who was sleeping in that evening. The inspector looked at some of the agencies key policies and procedures, such as adult protection, medication and health and safety. The inspector looked at evidence of the agency’s the training and recruitment of staff, sampled personnel files, care plans, examined the recording of complaints and compliments and had a tour of the building. The inspector would like to thank service users, and staff for their assistance throughout the inspection. What the service does well: Sherrick House provides a warm, friendly and calm environment for service users to have their respite break. Staff promotes the independence of service users and encourage them to improve and develop independent living skills. Service users are supported by staff that are familiar with their needs and preferences and meet these. Sherrick house is thoughtful about ensuring service users get the most out of their respite break and plan activities that suit service users tastes. Staff are appropriately trained to provide care to service users. Staff ensure that service users rights are protected and are trained in the protection of vulnerable adults. Following the homes quality assurance, returned surveys indicate that relatives are please with the service provided by the home and the open way in which members of staff communicate. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 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. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users needs and aspirations are clearly recorded and understood by staff at Sherrick House. Service users are well supported and encouraged to develop friendships with others during their stay. EVIDENCE: Sherrick House provides respite to 36 service users. Most service users live in Barnet and are funded by Barnet Learning Disabilities Teams. The inspector was able to see evidence on three service user files that the Local authority, prior to respite being offered assesses their needs. This is then followed up with an assessment by the home. The assessments provide Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 9 adequate information to enable staff to understand the needs of service users prior to their respite stay. Service users are encouraged to attend the home for tea visits prior to any overnight stays. This enables service users to familiarise themselves with the environment and staff. The manager advised the inspector that when planning respite, the home tries to match all service users with others who have similar interests and abilities and that individuals know or would get on with. The manager said that this usually works well. The mix of service users in the home on the day of inspection reflected this. The three service users files each had a written contract, which outlines how many days respite they would receive for the year. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users can be confident that Sherrick House are aware of their changing needs and how to support them. Service users are encouraged to exercise choice. Sherick House must ensure that all risk assessments follow a consistent format to enable staff to easily identify any risks associated with service users. EVIDENCE: The inspector saw evidence in care plans of amendments when service users needs change. This often occurs during a Social services review or if parents have advised the staff of any changes prior to respite taking place. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 11 The information contained in the three files inspected varied in terms of the amount of information provided although all had basic information about levels of support required. The inspector was not able to identify on all plans the methods by which service users communicate with staff. The inspector could not find evidence that service users preferences are recorded in relation to the gender of staff providing personal care. The home would benefit from the review of care plans and in some cases adding information relating to the above and expanding on service users known interests and abilities. The care plans outlined any hazards and risks that staff should be alert to when dealing with service users whilst balancing their need for independence and respect. The format for recording this varied from file to file and a more uniform approach to risk assessment is advisable. One staff member interviewed was able to explain how service users in the home at the time of inspection require support. The staff member was also aware of their abilities and limitations in relation to aspects of independent living tasks such as preparing meals and setting the table for dinner. Where possible service users are able to exercise choice. The inspector observed that service users are always offered choice even of their understanding is limited. The home uses pictorial methods of communication to promote understanding between themselves and service users especially when assisting with personal care. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 13 Service users are encouraged to express their preferences in relation to social and leisure activities. Service users are supported to make decisions during their stay in the home and enjoy nutritious meals EVIDENCE: Service users stay for planned respite during the week and at weekends. The manager informed the inspector that the placing authority decides how many respite nights individuals are allocated. Some families take these breaks for longer periods of time and others spread them throughout the year. When organising respite the home tries to ensure that activities suit all service users. Activities include cinema, bowling, going to the local pub or shopping. The home managed to take a group of service users on holiday for four days last year. This was successful and similar holidays are being planned for this year. Care plans sampled reflect the lifestyle of service users outlining some of their likes and dislikes and hobbies. Service users religion and cultural needs are recorded in their plans and met during their stay in respite including any food that should not be eaten. The inspector looked at the contents of the fridges and freezers in the home. There was a variety of fresh and frozen food available. The manager stated that specific meals are not planned in advance as service users choose what they wish to eat on a daily basis and this is prepared for them. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users receive personal support in a dignified and sensitive manner. Staff in the home when supporting service users considers physical and personal health needs. The storage, recording and administration of medication are satisfactory. EVIDENCE: The inspector looked at the care plans of service users and found that these were on the whole sensitive to the needs of service users and written in a positive manner. The inspector saw evidence of external agency input into the care of service users who use Sherrick House for respite. There is limited Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 15 health information available in the home as the service only provides respite. However information available was relevant and useful for staff to properly support service users. Details of personal care are clear enabling staff to be confident about the support they offer and what service users are able to achieve for themselves. The care plans outline when prompting is required or when service users require full assistance. On the day of inspection two service users were assisted with baths and both appeared comfortable following this. The inspector examined the medication storage in the home and the record keeping. The system in place for recording and storing medication is good. Two members of staff sign for all medication given and the temperature of the medication cupboard is maintained. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users and their relatives have an accessible complaints procedure. This ensures that any complaints will be taken seriously and dealt with appropriately. Staff are properly trained on the homes policy and procedure on protecting service users from abuse. Sherrick house must improve it’s recording of service users monies spent and returned during respite. EVIDENCE: Sherrick House have not received any complaints since the previous inspection. The home has complaints information in an accessible leaflet in pictorial and text formats. Sherrick House have an adult protection policy and procedure that outlines the homes duties and responsibilities when allegations of abuse have been made. The policy and procedure also highlights whom to alert within the local Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 17 authority. The policy is due for review in April 2007. All staff completed adult protection training in December 2006. All service users bring a specific amount of money with them for the duration of their stay as a contribution towards the activities. This is recorded in their files. On closer examination, the inspector found that on more than one occasion the money brought in was entered but it was not clear if this money was spent or returned home with the service user. Staff must ensure that this information is properly recorded. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from a home that is comfortable, clean and hygienic. EVIDENCE: Sherrick House is has three bedrooms available for service users to access respite. There is one shower room on the ground floor and one bathroom on Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 19 the first floor. The home also has two separate toilets, a utility room, kitchen and large lounge/ dining area. The inspection found that the home would benefit from new units in the kitchen as the present units are showing signs of wear and tear. The manager advised that funding has been approved to redecorate some communal areas of the home including the kitchen. The ground floor bedroom is used for service users with mobility difficulties and has a hoist and adjustable bed. All rooms are adequately furnished and the home does not encourage service users to become attached to specific rooms unless they have mobility needs. The home is intending to convert one room into an extra bedroom and is in the process of submitting a variation to the central registration team. At the time of inspection, the home was clean and comfortable. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are supported by staff that are properly trained and supervised to carry out their roles within the home. The staff team is stable and sensitive to the individual needs of service users. EVIDENCE: Since the previous inspection the deputy manager has now been promoted to manager. The new manager Mr Ademola Adedoyin has completed the registered managers award and is in the process of completing his registration as manager with the Commission. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 21 The home has one waking night and one sleep in staff member on duty at all times. The home always has three members of staff during waking hours. This can be increased depending on the needs of service users. The home presently has one vacancy this is the deputy manager post. This post has been vacant for some time and it is essential that this post be filled permanently to ensure the continued development of the service. The inspector looked at the personnel records of four members of staff. This demonstrated that all staff has been properly recruited with up to date criminal records bureau checks two references and photographic identification. Agency staff have been properly recruited and provide support to service users where necessary. The previous requirement highlighted the need for staff to access statutory training. Evidence of training was found in staff files and the up to date records showed that between April 2006 to November 2006, staff have attended training in epilepsy awareness, medication administration, food hygiene, manual handling, risk assessment, control of substances hazardous to health, infection control and safe eating and drinking. This training has been provided to bank staff as well as permanent staff. This requirement is assessed as met. Records show that staff have been receiving regular supervision. The manager and a staff member interviewed confirmed this. This previous requirement is also assessed as met. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A dedicated manager and a staff team who are clear of their role and responsibilities manage Sherrick House effectively. This has a positive impact on service users. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 23 Some assistance is required to ensure effective monitoring and further development of the service. EVIDENCE: During observation and discussion with a member of staff on duty, it was evident that the home is well managed. Discussions with the newly appointed manager demonstrated that there are plans to further develop the service. New leaflets have been produced for service users and their carers outlining what support they offer. A quality assurance survey was carried out which was positive. The manager is yet to collate the results and send the analysis to relatives and carers. The manager is also intending to extend this survey to all other stakeholders such as the Barnet learning disabilities team and day centres that service users attend. As mentioned earlier, the manager will be organising further holidays for service users and plans to offer an emergency bed to service users who are already receiving respite to prevent them going into a home that they are unfamiliar with. This is dependent on the home meeting any requirements highlighted by the Commissions central registration team. The inspector saw evidence that the staff meet regularly for team meetings and discuss issues that arise within the service with a view to improvement. Additional support provided by a permanent deputy manager will assist in the development of the team and it’s operational responsibilities. This will ensure that consistent monitoring is taking place in the areas of recording and review. The home has all health and safety checks up to date and any evidence was seen of gas, electrical and portable appliance safety testing. All fridge and freezer temperatures are regularly recorded and staff have been trained in first aid. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 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. 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 Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sherrick House Score 3 3 3 X DS0000010464.V299549.R01.S.doc Version 5.2 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. 2. Standard YA6 Regulation 15 (2) b 17(1) a 13 (c) Requirement The registered person must review care plans to ensure all relevant information is recorded. The registered person must ensure that service users risk assessments are recorded in a consistent format. The registered person must ensure that the record of service users monies entering and leaving the home is kept up to date. The registered provider must review the present management arrangements in the home. Timescale for action 01/06/07 01/06/07 YA9 3. YA23 17(3) schedule 4(9) a. b. 18 (1) a 02/04/07 4. YA33 02/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Sherrick House DS0000010464.V299549.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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