Inspection on 21/06/07 for St Christopher`s House

This inspection was carried out on 21st June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

St Christopher`s House 18/09/06

St Christopher`s House 12/12/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 St Christopher`s House 6 Mays Lane Barnet Hertfordshire EN5 2EE Lead Inspector Wendy Heal Key Unannounced Inspection 21st June 2007 10:00 St Christopher`s House DS0000063893.V336598.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 St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Christopher`s House Address 6 Mays Lane Barnet Hertfordshire EN5 2EE 020 8364 8085 F/P 020 8364 8085 platinumltd@btinternet.com 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) Platinum Health Resources Ltd Jane Sally Ingram Care Home 6 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th September 2006 Brief Description of the Service: St Christopher’s House is a care home registered to provide personal care for a maximum of six adults who may have either a mental disorder or learning disabilities. The home was opened in June 2005. It is owned by Platinum Health Resources Limited, a private company based in London. This is the only home owned by the company. The aim of the home is to provide individualised care for all people by working in partnership with people and other relevant agencies and to encourage people to lead as independent a life as possible and attain their full potential. The home is an end of terrace two-storey house with a loft conversion. There are a total of six single bedrooms, a large lounge on the ground floor and a smaller one on the first floor. On the ground floor there is one bedroom, a kitchen/diner, a lounge, a bathroom with a toilet, a small toilet and an office. The first floor has a bathroom and three bedrooms. The attic is converted into a further two bedrooms. There is a small parking area at the front of the house and a garden at the back. The home is set in a residential area and overlooks a primary school. It is within walking distance of Barnet General Hospital, local shops, restaurants, underground station and community facilities located along the High Street in High Barnet. The home’s inspection report and statement of purpose are available in the staff office for prospective service users to view. The fees range from £850.00 - £950.00 per week. The home has the Purpose and Function Document and Inspection Report on their notice board for interested parties to view. This report is also accessible on the CSCI website. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 5 St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place as part of the inspection programme. Compliance was checked against key standards. The inspection took approximately 8 hours. The manager and proprietor assisted me throughout the day. I undertook a tour of the building, interviewed people living in the home and observed the interaction that took place between people and staff working in the home. Further information was obtained by an inspection of the documentation kept in the home including care plans and health and safety documentation. I would like to thank all of those present for their openness and participation. What the service does well: What has improved since the last inspection? St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 7 People’s risk assessments are identified in their files, which ensures that risks to those working and living in the home are minimised. Self- administration assessment forms are being used when people administer their own medication, which ensures they have the ability to administer medication safely. Maintenance tasks have been undertaken for example, the landing carpet has been replaced which protects the health and safety of people living and working in the home as they are not at risk from slips trips and falls. Blinds have been put up in the bathrooms, which ensures that people’s privacy is respected. A Risk Assessment is in place in relation to the washing machine that is in the kitchen, which provides instructions to staff to minimise the risk of cross infection and protects people’s wellbeing. The quality assurance questionnaire has been completed and compiled into a report, which ensures that the quality of care provided to people within the home is being monitored and taken seriously. Staff have undertaken training in relation to challenging behaviour, which develops their skills and improves the quality of care provided within the home. All requirements made in the previous inspection have been met. What they could do better: The health care needs of the people living in the home must be fully documented on their health care record and note the outcome of appointments to ensure that people’s health care needs are being fully monitored. The rota must be reviewed and identify when the proprietor is working in the home and when he is taking responsibility for the independence flats. This will ensure that an accurate staffing ratio is recorded. Staff must undertake training in relation to Manual Handling, Adult Protection and Challenging Behaviour to ensure staff have the necessary skills to meet the needs of the people living in the home. The top floor hall carpet needs to be replaced as it is worn. This will ensure that the health and safety of the people living in the home is safeguarded. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 8 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. The summary of this inspection report can be made available in other formats on request. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4, Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People do have the information they need to make an informed choice about were they want to live as a service user guide is available. Assessments are appropriately undertaken prior to people moving into the home to ensure peoples needs can be met. People do have the opportunity to “test drive” the home to make a decision as to whether they like the home or not. EVIDENCE: The service user guide is currently in the process of being updated this was last updated on the 4/11/06 and covers the following areas, accommodation terms of residency, confidentiality, social contacts, people’s rights and complaints. People are provided with adequate information in relation to the service to enable them to make an informed decision in relation to whether the service can meet their individual needs. The Purpose and Function Document is also in the process of being updated, as it does not currently reflect all of the opportunities available to the people living in the home as the service has expanded in relation to what is available since its conception. The manager has agreed to send copies of these documents to the inspector on their completion. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 11 The assessment process is adequate and incorporates visits to the service and overnight stays which, means people feel confident that their needs can be met. On the day of the visit I spoke with a person who was moving from the home as he had progressed to such a point that this person was able to move into one of the homes associated independence flats, which ensures that a full package of care is available to the people living in the home and assists them reach their full potential. One the day of the inspection the identified person was spending their first overnight stay at their new flat and the relevant professionals were also meeting with him that day. This ensured that they had full involvement in the process and could monitor the situation. The person said, “I am very excited about my move into the flat.” St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 12 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. 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. People’s care plans are being kept up to date and they contain accurate information in relation to their assessed and changing needs. The service is good at assisting people to make decisions about their daily lives. The service supports people to take risks as part of an independent lifestyle. EVIDENCE: People’s care plans were inspected and were clear to read. The care plans in people’s files evaluate all aspects of living in the home, which ensures a holistic approach to their care is undertaken. Their needs are identified as well as the aims to achieve a care intervention. The care plans are being evaluated on a regular basis, which ensures people that their changing needs are reflected in their plan. People make decisions about their lives with assistance, which empowers them and makes them feel valued. The risk assessments for people living in the home have been completed and are being kept up-to date, which, ensures that the potential risks for people St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 13 are being identified, and the risks are being minimised which safeguards people living in the home. Service user meetings to discuss issues relating to people living in the home do take place, which ensures that information is provided to people and they are provided with a forum to express their views. I saw evidence on the day of the inspection of people’s involvement in the running of the home. One identified person was in the process of asking for the money from the petty cash system to enable him to by the list of items he required to cook that evening’s meal for the other people living in the home. There is also a cleaning rota in place as people have responsibility for cleaning their own bedrooms, which encourages people to take responsibility for daily living, which empowers them. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16,17, Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged and supported to take part in activities both within and outside the home to promote their personal development. Contact with their family is promoted which assists their emotional wellbeing. People’s rights are recognised and respected which empowers them. People are supported to cook healthy balanced meals, which safeguards their health and wellbeing. EVIDENCE: People’s daily lives are flexible as some people attend day services. One person undertakes unpaid work with an organisation called The British Heart Foundation. The home has a weekly programme of activities such as pool group discussions and a games night. People living in the home also have the opportunity to order a take away meal once a month. People are encouraged to interact with others to improve their social skills. On the day of the inspection, at the time of my arrival one identified person was using his freedom pass to use public transport to attend the Gym, which aids his independence and social skills. The same person was also going shopping St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 15 to by identified items to cook that evening’s meal. I observed the interaction between this person and identified staff washing up the evening’s dishes. The interaction between the two people was positive and it was evident that good relationships exist within the home between those who live and work there which improves the quality of care for those living in the home. People living in the home confirmed they visit their family when they wish to which benefits their emotional well- being. People’s privacy is respected as they have been provided with keys to their bedrooms and permission is sought before staff or I entered their room, which ensures their rights are respected. The kitchen was clean and tidy on the day of the inspection, which benefits the health safety and wellbeing of those living and in the home. The menu of food available was wholesome and nutritious which ensures that people’s dietary needs are being met. The menu had be amended on certain days when the weather was good and an identified person living in the home had requested a BBQ rather than a roast dinner. This ensures his wishes are being respected and indicates people’s full involvement in the home. The people living in the home prepare their own lunch- time meal and make an independent choice of the food they would like from the second freezer, which is stocked with items for this purpose. On the day of the inspection the fridge and two fridge freezers were inspected all food was of good quality and was identified as being within its use by date, which safeguards the health of people living within the home. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People receive support in a way they prefer and require which ensures their wishes are respected. People’s physical and emotional needs are not being fully met due to insufficient recording. The ageing illness and death of people are recorded in the event of their death, which means their wishes are respected. EVIDENCE: The care plans did identify how people prefer their health care needs to be met, which, ensures their wishes are respected. People did have access to primary and specialist health care appointments. However medical appointments had not been appropriately recorded which does not indicate how people’s health care needs are being monitored which is not in the interests of people living in the home. The medication cupboard was inspected and medication was found to be stored appropriately. The medication records had been signed appropriately to indicate when medication had been administered which ensures people’s health is protected. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 17 People living in the home do not administer their medication. One person who used to live at the home had a completed self-administration assessment form and this had been agreed by the relevant professional which means that professional practice is being followed to ensure people’s wellbeing is safeguarded. This was a request made by myself at the last inspection. Peoples wishes are recorded on their file in the event of their death, which ensures their rights, are respected. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 18 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. 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. Arrangements are in place to ensure people are listened to and protected from abuse and neglect. EVIDENCE: The complaints folder was examined and the manager informed me that no complaints had been made since the home had opened. The home has an adult protection policy and the local authority guidelines were available in the home. This provides staff with the necessary information to protect people from potential abuse. The staff were knowledgeable regarding the procedure to be followed when responding to allegations of abuse, which further safeguards people living in the home. One person who has only recently moved to the home said “I m happy and my views are listened to.” St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 19 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. 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. People live in a homely comfortable environment, which is clean and hygienic. EVIDENCE: The home is very comfortable which benefits the people living in the home as they are being provided with a pleasant place to live. The home is bright, airy and clean, which will make them feel valued. The home is well maintained. The downstairs hall carpet has been replaced which safeguards the health and safety of the people living in the home from slips trips and falls. However the upstairs carpet is starting to show signs of wear and needs to be replaced in the near future to ensure that people’s health and safety is guaranteed. A good practice recommendation has been made in relation to this. Blinds have now been made available in the bathrooms. This ensures people’s privacy is respected. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 20 The bedrooms are spacious personalised and comfortable. The people living in the home have a cleaning rota, as they are responsible for cleaning their bedrooms, which provides them with a sense of responsibility. Two bedrooms on the top floor are going to be decorated and the flooring and beds are to be replaced before the new people who will be moving into the home occupy them the proprietor informed myself. People living in the home have been provided with the opportunity to be able to use their computers in their bedrooms via wireless Internet, which assists them to develop their skills. The proprietor has informed me that the room on the top floor is going to be a computer room which will provided access to the computer for those people who do not own a computer themselves, which will increase their opportunities for personal development and empower them. The people living in the home have access to a nice garden that has garden chairs and a table and a BBQ, which ensures people, have an opportunity to relax and socialise in the garden. The proprietor of the home informed me that he is going to improve the garden by adding additional plants and has made contact with an identified garden service that can undertake the necessary improvements. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff support people living in the home although not all are trained sufficiently to ensure that the needs of the people living in the home are fully met. People are not fully protected by the homes recruitment procedures. Staff supervision records are detailed but are not being recorded regularly enough to be effective in relation to supporting staff with their personal development. EVIDENCE: The staff rota was examined and there are two staff on duty at all times, which ensures that there are adequate staff on duty to meet people’s individual needs. However the proprietor is noted on the rota as doing a day shift on the day of the inspection. He did not remain at the home for all of this allocated period of the shift. The proprietor leaves the home when necessary to manage the independence flats. The rota must be reviewed to ensure that these shifts are not identified as periods of time worked within the home as this does not accurately reflect staffing level within the home and would not ensure professional practice is being followed. Staff are not working continuously without a break or working a day shift after a night shift. This ensures that health and safety requirements are being met within the home. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 22 Staff training records were examined and staff had been provided with some of the essential training, which included medication training, first aid, safety at work, fire safety training. All staff accept one person had undertaken challenging behaviour training as requested at the previous inspection. Staff are also undertaking there NVQ level 3 which assist there professional development and improves the quality of care available to people living in the home. Staff need to undertake training in relation to manual handling, adult protection policy and procedures, and challenging behaviour, which will ensure staff have been provided with all of the necessary skills to meet people’s individual needs. People are not fully protected by the homes recruitment policies and procedures, as all of the relevant documentation was not available at the time of the inspection. One new staff member had a Criminal records bureau check, which had been supplied by a previous employer and this document cannot be transported from one place to another as this would not protect people living in the home from potential abuse taking place. The manager had applied for a current CRB but this had been delayed due to a misprint on the utility bill documents supplied to the CRB office and new information had been requested. Therefore a protection of vulnerable adults request could not be made. I discussed this issue, which was taken very seriously by both the manager and proprietor of the home and the member of staff concerned was removed from all shifts to ensure that professional practice was followed and people living in the home are fully protected. Due to the fact that the management team took all issues raised seriously and have met all previous requirements I have put the rating as adequate. Staff supervision is taking place and is recorded in some detail. However it is not taking place frequently enough to be effective to support staff to work in a consistent way and support their professional development. The manager’s supervision records are not kept at the home and therefore could not be inspected. The mangers supervision records must be available at the home at all times and a signed copy must be provided to the manager which will ensure that adequate professional support is being provided to her which will ensure that professional practice is followed and her personal development is being taken seriously. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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. People benefits from living in a well run home were an open management style exists. The health and safety of people living in the home is protected. People can be confident that their views underpin all self-monitoring within the home. EVIDENCE: The Registered Manager was managing the home on the day of the inspection. The manager has obtained the NVQ Level 3 and is currently attempting to gain access as a priority to training for her Registered manager’s award, which will ensure that a professional qualification is obtained. This will develop her knowledge and skills, which will improve the quality of care provided in the home. The manager has carried out a quality assurance audit and compiled the outcomes into a report, which identify both the strengths, and weakness which St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 24 are being acted on were appropriate. This ensures that the quality of care being provided to people living in the home is being adequately monitored. All health and safety checks had been completed which protects the health and safety of the people living and working in the home. During a tour of the building, I noted all fire doors were closed and were clear from obstruction. The fire alarm system had been tested and the fire point system and emergency lighting had been checked. Adequate fire drills had taken place. The gas and electrical certificate were seen and found to be in order which ensures that the wellbeing of people living and working in the home have been protected. The companies employees liability insurance was seen and found to be in order, which ensures that staff are adequately safeguarded if an injury or incident takes place whilst they are working within the home. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 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 3 33 2 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 3 3 X 3 X X 3 X St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 26 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 YA19 Regulation 13 Timescale for action The Registered Person must 15/07/07 ensure that all of the people living in the home have full access to all health care professions and appointments are effectively recorded and the outcomes of health care appointments are also recorded. The Registered Person must 12/07/07 ensure that the staff rota is reviewed to ensure that it identifies when the proprietor is working in the home and when he is taking responsibility for the independence flats. The Registered Person must 10/09/07 ensure that staff undertake all statutory training including manual handling, adult protection, and challenging behaviour. The Registered Person must 04/07/07 ensure that all the required documentation including Criminal record Bureau checks have been received before a person is appointed to work in the home. Requirement 2. YA33 18 (1) 3. YA35 18 1 4. YA34 19 St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 27 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 YA24 Good Practice Recommendations The upstairs hall carpet should be replaced as it is showing signs of wear and tear. St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 St Christopher`s House DS0000063893.V336598.R01.S.doc Version 5.2 Page 29 - 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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