Inspection on 09/08/05 for Stanhope Gardens 109

This inspection was carried out on 9th August 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stanhope Gardens 109 20/02/07

Stanhope Gardens 109 24/01/06

Stanhope Gardens 109 09/11/04

Stanhope Gardens 109 13/07/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 109 Stanhope Gardens London N4 1HZ Lead Inspector Caroline Mitchell Unannounced 09 August 2005 @ 09.00 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. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 109 Stanhope Gardens Address London, N4 1HZ 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 8800 6343 020 8800 6343 Mr Phivos Joannides Mr Christos Joannides PC - Care Home only 3 beds Category(ies) of MD Mental Disorder registration, with number of places 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 09 November 2005 Brief Description of the Service: 109 Stanhope Gardens is a care home registered to provide personal care for a maximum of three service users between the ages of 18 to 64 years who have mental disorders. Mr Phivos Joannides and Mrs Eftychia Joannides, who also run a number of other, similar homes in the immediate vicinity, own this home.The stated aim of the home is to motivate service users to live as full a life as possible with emphasis on education, training, social skills, maintaining links with families and friends and promoting cultures and traditions of those from ethnic minority backgrounds.The home is a two storey terraced house. On the ground floor, there is a single bedroom, kitchen, lounge/ diner and a bathroom with a toilet. On the first floor, there are two single bedrooms, a bathroom, a separate toilet and the staff office. None of the bedrooms have ensuite facilities. The front of the building is paved. The back garden is partly paved and accessible to service users. It is attractive and contains a variety of fruit trees and flowers.The home is situated in a residential area of Haringey and close to a large selection of Mediterranean restaurants, shops and community facilities located along Green Lanes and in Wood Green Shopping Centre. St. Ann’s Hospital is about half a mile away. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on an unannounced basis. The inspector was aided by Mr Christos Joannides who is the registered manager, briefly met Effty Joanides, the registered provider and also met and spoke with one staff member. The inspector was able to speak with two service users in private and in some depth, and the third service user was out at the time of the inspection. A number of the records kept in the home were reviewed and the information provided to the inspector by the registered provider in a pre-inspection questionaire also contributed to this inspection. One of the service users went out of her way to make the inspector feel welcome, making tea and toast during the visit. What the service does well: What has improved since the last inspection? What they could do better: One service user needs their risk assessment to be expanded to include specific activities outside of the home. The home need to keep a better record of what service user is eating so that they can monitor if they are being provided with a balanced diet. In recent months a number of very noticeable cracks have been appearing in the inside walls of the home, and this needs to be investigated properly, 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 6 There is still a need for an application form to be devised that provides a complete history of the applicant’s employment history. This especially includes a written account of any breaks in service and, where they have been employed to work with children or vulnerable adults, an explanation of why they left these posts. Some staff started their NVQ training but unfortunately this ground to a halt due to difficulty with the college and the registered person needs to get people back on track with their NVQs again. In addition one staff member needs to successfully complete food hygiene training. It is a very small team and it is a challenge for the registered manager to get them all together for meetings. However, it is recommended that he explore more ways of doing this, as they would benefit from the opportunity to discuss issues and practice together as a team. 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. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 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 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 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) 0 No standards in this section were inspected on this occasion. EVIDENCE: 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 Service user plans and risk assessments are detailed and informative. Service users are encouraged to make decisions about their lives and supported to take risks as part of an independent lifestyle. However, to best protect one service user, this person’s risk assessment is in need of minor review. EVIDENCE: The inspector saw the written records for the three service users all contained individual service user plans. The plans were comprehensive and addressed the assessed needs of service users along with their interests and preferences and each service user had attended a multi-disciplinary review of their placement in December 2004. One service user’s individual plan was being reviewed and rewritten by the registered manager at the time of the inspection, in consultation with the service user. The registered manager discussed the risks and safeguards for one particular service user, whilst she is engaged in religious activities outside of the home and a requirement is made for a risk assesment to be undertaken regarding this. The inspector saw the minutes of the meetings that the registered manager holds with service users and these indicate that they are consulted and informed about a range of issues in the home on a regular basis. Two service 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 10 users living in the home manage their own finances, although there is an issue of one service user having a recurring tendency to get into debt. The service user and the home have received support regarding this issue from the social worker involved and the service user’s advocate. One service user has a trust fund and this is managed on her behalf by her solicitor. The home keeps a small amount of cash for her day-to-day expenses. The financial records being kept by the home for this service user are comprehensive and clear. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 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) 11, 13, 15 17 Service users do have opportunities for personal development and are making progress. They do take an active part of the local community. Staff support service users to maintain family links and friendships inside and outside the home. Service users enjoy their meals, although a better record needs to be kept to help monitor if service users are getting a balanced diet. EVIDENCE: One service users said that she is settled and happy in the home and there was other evidence that this is the case for all three service users generally in that are making personal progress in different areas of their lives. One service user has made progress in the area of her personal care and is now bathing regularly. She had been reluctant, due to unpleasant experiences in her past. One service user suffers from high levels of anxiety around going out. However, there was real evidence of her making progress in this, and she is now going out locally, unacompanied. The registered manager said that the staff are currently undertaking distance learning training around mental health awareness. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 12 Two of the service users are independent and are able to be out and about in the community. One service user regularly attends a specialist day service for people with mental health needs. Two service users are familiar with the local area and comfortable using public transport, which they do regularly. The service users are able to maintain contact with family and friends. One service user told the inspector that she had formed a relationship with someone she has met at her day centre and she sees him regularly. Another service user has made a number of friends through her religious group and spends a lot of time with them, and another has a friend who also advocates on her behalf. One service user was very clear with the inspector that she did not wish to maintain contact with a particular relative. The registered person provided copies of the menu for a two week period as part of the pre-inspection information. The menu sets out the main meals for each day and these are satisfactory balanced. One service user said that the menu very much reflect the personal choices and preferences of the people living in the home and added that the food was very good. The record of service users’ diet was seen by the inspector and wasn’t in sufficient detail to determine whether the diet is satisfactory in relation to nutrition and a requirement is made in respect of this. The minutes of the service users’ meetings also show that the service users are consulted regularly about the menu and the feedback recorded in these meetings is that they are very happy with the food. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 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) 19 & 20 The registered person generally ensures that the healthcare needs of service users are assessed and recognised and that procedures are in place to address them. However, the system of following through identified actions from individual’s reviews needs to be more robust to ensure that all service users health needs are met. The service users are protected by the arrangements and practice for the receipt, recording, storage, handling, administration and disposal of medicines. EVIDENCE: The records of one service user reflect that she has very complex health care needs and that she regularly attends appointments relating various health issues. These records indicate that she is getting the proper access to the health care that she needs. She discussed her health issues openly with the inspector and said that she is supported well around this by the home, especially the registered person. However, the inspector also noted that a need for specific health care check ups had been identified as part of another service user’s review and there was no evidence that these issues had been followed up. A requirement is made in relation to this. The inspector saw the recent records of the medication administered to service users by staff. Staff had signed the record each time they had administered the medication and the signatures were clear and distinct. The medication prescribed for service users was stored and recorded appropriately. The 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 14 registered person explained that one service user administers her own insulin, with the supervision of the staff. The staff who administer the medication have undertaken appropriate training in this area. The registered manager said that one service user had used to smoke quite heavily, and had successfully given up smoking. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 15 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 registered person ensures that there is a clear and effective complaints procedure. Service user do feel that their views are listened to. They feel safe in the home and are protected from abuse and neglect. EVIDENCE: The two service user who spoke to the inspector said that they really do feel safe and secure in their home. The home has a policy and procedure for responding to complaints including a maximum time period of 28 days and full details of the Commission. There is also information for service users, about how to complain on the notice board in the lounge. The home’s complaints book was examined. There were no new complaints since the last inspection. The inspector has been provided with a copy of the adult protection policy that is in place in the home and this is comprehensive and clear. The two service users, who were interviewed independently of staff, confirmed that they had been well cared for and not subject to any ill treatment and the inspector has received no allegations of abuse or ill treatment. The inspector also noted that the whistle blowing policy is given to staff when they start work in the home, as part of the staff handbook. The staff have received training in the protection of vulnerable adults. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 16 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, 26, 27, 28 & 30 The home’s premises are suitable for its stated purpose, accessible, safe and well maintained. There is however, a minor maintenance issue that needs to be addressed in order to safeguard service users best interests. Service users’ bedrooms are decorated to their tastes and the standard of cleanliness in the home is good and generally this is a nice, homely environment for people to live in. EVIDENCE: The home is a two storey terraced family house. On the ground floor, there is a single bedroom, kitchen, lounge/ diner and a bathroom with a toilet. On the first floor, there are two single bedrooms, a bathroom, a separate toilet and the staff office. It is situated just off Green Lanes, providing easy access to the shops, and transport and community and leisure facilities in that area. It is generally well maintained and homely. The inspector did note that there is evidence of water damage on the walls and ceiling in the sitting room. The staff member said that this had been inspected, the problem corrected and the plaster was now drying out. Throughout the home there were also cracks that have recently appeared in the plaster, in various rooms and a requirement is made in respect of this. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 17 Each person has a bedroom of their own and these are furnished and decorated to their tastes. The registered person has recently installed wash hand basins in the service users’ bedrooms. The registered manager said that an extension to the home is being considered and it is likely that this will be included in the business plan for future years. The bathroom and toilet facilities include two bathrooms, one downstairs and one on the first floor. There is also a separate toilet on the first floor. These are well decorated and properly equipped. On the day of inspection, all areas of the home were clean and tidy and no unpleasant odours were detected. The washing machine and dryer are adequate for the needs of the service users and are sited in a covered laundry area that is outside of the home so that laundry does not have to be taken through the kitchen. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 18 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) & 36 32, 33, 34, 35 The home operates quite a robust recruitment procedure. However, there is a need for some further work to ensure that service users are more fully protected. Staff are well supervised. The home has an effective staff team with sufficient numbers and complementary skills to meet service users’ needs. Generally the staff and consequently the service users benefit from access to relevant training. However, in order to best support service users, the NVQ training for staff needs to get back on track. EVIDENCE: The registered person provided copies of the staff rota for a two week period as part of the pre-inspection information. It indicated that the registered manager is available in the home in the early mornings and the late evenings from Monday to Friday, and works all day on Sundays. A senior carer works from 8am to 5pm from Monday to Friday and another carer comes in to cover the weekends. There is a waking night staff on duty each night, from 8pm. The staff member on duty at the time of the inspection was observed to have a very nice, gentle approach to the service users and had a good understanding of their needs and preferences. She proved to be popular in the service users’ feedback to the inspector. She said that she has undertaken a number of core training courses, including first aid and is currently undertaking a distance learning course in health and safety. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 19 The registered person explained that one staff member is undertaking NVQ level 2 on her own initiative. Two of the staff had started, and made some progress towards attaining the NVQ in care at level 2. However, there had been some difficulties with the college loosing their work, and it is probable that they will have to start the course again. A requirement is made in respect of this. In the light of the requirement from the previous inspection for the registered person to ensure that all personnel files include a recent photograph and to devise an application form that provides information regarding the applicants’ qualifications and employment history, the registered manager explained that he was reviewing the staff files. Only one had been completed and was available for inspection. Therefore, these requirements are restated and will be reviewed at the next inspection. It is worth noting that the the staff file that was seen by the inspector was well organised and did include all necessary information and proofs of identity. It also included evidence that the staff member was receiving formal one-to-one supervision on a regular basis. The inspector noted that one carer, who would be involved in food preparation, has not yet successfully completed food hygiene training and a requirement is made for her to do this by the end of October. The registered manager said that two staff have complete training in infection control and two are currently undertaking it, as a distance-learning course. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 41 & 42 The service users benefit from a well run home and feel the ethos and leadership are very positive. Records required by regulation for the protection of service users and for the effective and efficient running of the business are maintained, up to date and accurate. The health, safety and welfare of service users and staff are generally very well maintained. EVIDENCE: The registered manager is the son of the registered person and has been running the home since it opened in 2001. He has a City & Guilds certificate in advanced management for care. He told the inspector that he is to undertake two modules from the Registered Manager’s Award, at Barnet College, to ensure that his qualification is equivalent to NVQ level 4 in management and care. He is knowledgeable regarding the management of the home and the care of service users. The service users and the staff member spoken to expressed confidence in him. He told the inspector that he has recently undertaken a one day course in equality and diversity. The certificates for 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 21 training courses that he has attended in health and safety, medication, food hygiene and fire warden training were on display in the home. The staff member spoken to said that there is a real family atmosphere in the home that the registered persons are nice to work for and that she gets lots of support. However, the inspector noted that, because it is such a small team, staff rarely have to opportunity to meet and discuss issues or review their practice as a team, and it is recommended that the registered person explore ways to enable staff to meet as a group more regularly, to discuss issues and practice. The inspector saw a number of records relating to the maintenance of health and safety in the home. The care of substances hazzardous to health (COSHH) record listed the chemicals used in the house. These are primarily cleaning materials and are kept in locked cupboard for safety’s sake. There are a number of risk assements that the registered manager has undertaken for any hazzards around the home. The inspector reviewed the fire prevention, alarm and equipment records, the monitoring records of the water temperatures in the home, the monitoring records of the fridge and freezer temperatures. All these records were in good order. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 x 3 x 3 x 2 Standard No 31 32 33 34 35 36 Score x 3 3 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 109 Stanhope Gardens Score x 2 3 x Standard No 37 38 39 40 41 42 43 Score 3 2 x x 3 3 x G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 17 Regulation 17 Schedule 4 23 (2) (b) Requirement The registered person must ensure that a proper record is kept of what service users actually eat. The registered person must ensure that the reason for the cracks appearing in the inside walls is properly investigated by someone appropriately qualified and experienced and that action is taken to address the cause and make appropriate repair. The registered person must ensure that all personnel files include a recent photograph of the staff member concerned. (Timescale of 20/09/04 not met). The registered person must ensure that an application form is devised for use in the home that provides information regarding the applicants’ qualifications and employment history. (Timescale of 20/10/04 not met). The registered person must ensure that at least 50 of the staff team have a qualification in care at the level of NVQ 2 or equivalent. Timescale for action 31/10/05 2. 24 31/10/05 3. 34 19, 17(2) Schedules 2&4 30/12/04 4. 34 19, 17(2) Schedules 2&4 30/12/04 5. 35 18 (1) 31/12/05 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 Page 24 6. 35 18 (1) 7. 19 13 (1) 8. 9 13 (4) The registered person must ensure that one staff member has completed appropriate training in food hygiene. The registered manager must ensure that one service user is supported to make appointment for specific health checks as identified in the service users review. The registered person must ensure that a risk assesment is undertaken regarding one service user in respect of her activities outside of the home. 31/10/05 31/10/05 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 38 Good Practice Recommendations It is recommended that the registered person explore ways to enable staff to meet as a group more regularly, to discuss issues and practice. 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 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 109 Stanhope Gardens G59 S10814 Stanhope Gardens V240835 09.08.05 Stage 4.doc Version 1.40 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!