Inspection on 29/07/06 for Trumpington Road 130

This inspection was carried out on 29th July 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Trumpington Road 130 05/05/09

Trumpington Road 130 06/05/08

Trumpington Road 130 14/06/07

Trumpington Road 130 20/11/05

Trumpington Road 130 11/08/05

Trumpington Road 130 15/02/05

Trumpington Road 130 02/11/04

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 ADULTS 18-65 Trumpington Road 130 130 Trumpington Road Forest Gate London E7 9EQ Lead Inspector Robert Sobotka Key Unannounced Inspection 29th July 2006 12:20 Trumpington Road 130 DS0000036677.V305347.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 Trumpington Road 130 DS0000036677.V305347.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. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Trumpington Road 130 Address 130 Trumpington Road Forest Gate London E7 9EQ 0208 496 1440 0208 496 1442 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) London Borough of Waltham Forest Mrs Irene Luton Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th November 2005 Brief Description of the Service: Trumpington Road is a purpose built 15-bed respite unit managed by the London Borough of Waltham Forest. The design of the building is different from others in the locality and sets users apart from neighbours in adjacent domestic properties. The home is divided into four units. One of the units can accommodate people with physical disabilities. At present there are still some service users that have been staying in the home for an extended period whilst attempts are made to find appropriate alternative accommodation. The service caters for people with a wide range of learning disabilities and a wide range of support needs. The length of stay also varies. The establishment does not provide nursing services. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day (Saturday) and was unannounced. During the course of this visit, the inspector spoke to some of the service users staying at the respite service, some of the staff working in the home, and two of the deputy managers. The inspector also conducted a tour of the premises and viewed various records. The aim of this visit was to check the project’s compliance with the legislation. What the service does well: What has improved since the last inspection? What they could do better: There were five requirements, which remain outstanding since the last inspection. These include: Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 6 - The registered manager must ensure that all food is labelled when opened. - The responsible person must be able to demonstrate that appropriate checks ate undertaken on all staff prior to commencing employment in the home. - The registered manager must obtain relevant qualification in management. - It is required that service users are weighed on regular basis. Where it is not possible to monitor weight (due to refusals from a service user), this must also be recorded. - The registered manager must ensure that where identified that staff require training in working with service users with challenging needs, this is provided to staff without delay. In addition the following 7 requirements were made during following this inspection visit: - The responsible person must ensure that records of the food provided for service users are kept. These must be sufficient in detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition or otherwise, and any special diets prepared for service users. - The registered manager must ensure that all complaints received by the home are appropriately investigated and outcome of any investigation is recorded. - The registered manager must ensure that all parts of the home are kept clean and reasonably decorated. - The registered manager must ensure that an offensive odour in one of the rooms in Unit C is eliminated. - The registered person to ensure that no person works in the home unless a satisfactory CRB disclosure has been obtained by the Local Authority. - The responsible person must ensure that monthly unannounced visits take place and that reports from those are forwarded to the home and to the Commission without delay. - The home’s portable appliances testing certificate to be forwarded to the Commission. Non-compliance with the legislation affects the well being of service users and the Commission may consider enforcement action. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 7 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. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 8 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 Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 1, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some improvements have been made to ensure that the project meeting the needs of those using the service. EVIDENCE: There have been no changes to the home’s Statement of Purpose and the Service user’s guide since the last inspection. Both documents were previously found up-to-date. Standard 2 could not be assessed, as there have been no new admissions to the home since the last inspection visit. The inspector saw evidence on the service users file that project staff have approached the Social Services department with the request to be forwarded the most recent community care assessments and copies of care plans. Following a discussion with the service users, staff working in the home and review of the documentation kept in the home, the inspector was satisfied that sufficient progress has been made ensure that the project was meeting the needs of those using the service, however further work was required to ensure that all requirements and recommendations are met. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 10 Many of the service users using Trumpington Road are referred to the project as an emergency, which means that is some cases it may not be possible to arrange trial visits. Service user’s files showed that each person has been given a contract of terms and conditions. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 6, 7, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Good progress has been made to ensure that the service users care plans and risk assessments are kept up-to-date and under review. Confidentiality was being maintained. EVIDENCE: As part of this visit, the inspector viewed care plans of all service users accommodated in the home at the time of the inspection. Care plans viewed were up-to-date and there was evidence that they were being reviewed on a regular basis. It was noted however that not all information was recorded in care plans, such as weight of service users, where is has been agreed that this should me monitored/maintained. On one of the files the inspector noted a request from staff working in the home written to the Social Services Social Work department asking for the most recent documentation such as care assessments and care plans. Staff working in the home have also informed the inspector that a meeting has been planned with the Team Manager to discuss this issue, as staff from the project felt that the availability of relevant documentation would provide important information about service users and would greatly improve how service users could be supported in the project. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 12 Discussion with service users and members of staff confirmed that service users are encouraged to make decisions in relation to their daily living. Some service users had advocacy input from local advocacy group. As the majority of service users are primarily cared for by their families/carers, the home does not manage the resident’s finances. Those who have stayed in the project for a longer period receive support with managing their finances, when necessary. The majority of files viewed contained appropriate risk assessments and guidelines for managing identified risks. One of the risk assessments was transferred to the unit from another home, where the service user stayed, and it required reviewing/updating. Risk assessments need to be reviewed and updated and action to minimise risk needs to be included in care plans Confidentiality was being maintained. All information relating to service users is kept in the staff and/or manager’s office. Staff working in the home was sharing information on need-to-know basis. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate leisure activities were provided by the project. Storage of food and records of food offered to service users required improvement. EVIDENCE: This is a respite unit and therefore the primary responsibility for finding employment and education does not lie with the service providers. Those who have lived in the home for considerable length of time were receiving support in moving onto other projects. Service users spoken to on the day of this inspection stated that they are supported to attend any pre-arranged activities in the local community. Service users also visit cinemas, local pubs, go to shows and go out for lunch. The home has now got a recreation area. The inspector saw this area being utilised on the day of the inspection. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 14 As previously mentioned, the project is a respite unit and the majority of the service users live with their parents/relatives. The inspector spoke to one of the service users, who has been staying in the project for a prolonged period of time. The service user confirmed that the home appropriately facilitated his visits to his mother’s home. He was also seen making calls to his mother on the day of this visit. Breakfast and lunch meals are prepared in the individual units. The evening meal is prepared in the main kitchen by the cook and is take to the units in heated trolleys. There were appropriate food supplies in the home on the day of this unannounced inspection. The inspector visited kitchen premises, which were kept clean. Menus were maintained in the home, however these required improvement. The responsible person must ensure that records of the food provided for service users are kept. These must be sufficient in detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition or otherwise, and any special diets prepared for service users. Service users spoken to stated that they were happy with the food that was offered to them. Fridge/freezer temperatures were taken and recorded daily. Storage of food required improvement as some of the food in both main kitchen, as well as kitchenettes in individual units had products, which were not labelled when frozen and/or opened. This is a repeated requirement and must be met without any further delay. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 18, 19, 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some improvements were required to ensure that healthcare needs of the service users are met. Medication systems were satisfactory. EVIDENCE: The inspector was informed that female service users were supported by female staff and when required all female units were arranged. Times for getting up and going to bed were flexible. Appropriate personal care guidelines were in place. Trumpington Road is a respite unit and the primary responsibility for healthcare remains with the primary carers. Longer stay residents are registered with the local GP and are supported by staff to attend appointments and check ups. Accidents are recorded and are followed through by the manager. The inspector was satisfied that healthcare needs of service users were generally met during their stay in the home, however it is required that where it has been identified that a service user’s record of weight is maintained, this is done. This is a repeated requirement and must be met without delay. Where staff required any additional training in relation to healthcare needs of the service users, this was provided to them. Each person had a health action plan in place. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 16 The inspector viewed medication administration records and supplies on two out of four units. He was satisfied that the home’s medication systems were satisfactory. The requirement for individual protocols/guidelines to be in place for the administration of “as required” medication has now been met. Medication received by the home was recorded in the “medication brought into the home” book. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 22, 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s complaint systems required improvement. Those living in the home were protected from abuse, neglect and self-harm. EVIDENCE: As part of this visit, the inspector viewed the home’s complaints book. There has been one complaint made to the project since the last inspection. Whilst it was acknowledged by project, there was no evidence that the complaint has been appropriately dealt with. This required improvement. The registered manager must ensure that all complaints received by the home are appropriately investigated and outcome of any investigation is recorded. The home had a copy of the CSCI adult protection protocol and there was evidence that staff have received adult protection training. Record of accidents and incidents was now maintained and showed that appropriate action was taken to prevent further accidents/incidents. Records of finances kept on behalf of service users were appropriately maintained. The inspector was also satisfied that the registered manager ensured that all “notifiable” incidents have been reported to the Commission, as previously required. The requirement in relation to reporting any occurrences listed in Regulation 37 of the Care Homes Regulations is therefore met. Following the discussion with staff working in the home, service users and review of documentation, the inspector was satisfied that those living in the home were protected from abuse, neglect and self-harm. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 18 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 the following standard(s): 24, 25, 27, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises were generally meeting the needs of those using the service, however some areas required attention. EVIDENCE: The home was purpose built 14 years ago and is different in design and is not in keeping with other houses in the street. The home is close to local shops, amenities and transport. There are four separate units each with lounge, dining and small kitchen areas. The home is accessible for people with physical disabilities and one unit has specialised bathing facilities and special beds to provide accommodation to those with physical disabilities. Twelve of the bedrooms are approximately 7 sq.m in size. The three bedrooms in the unit designed for people with physical disabilities are approximately 10 sq.m. The rooms are all small and therefore the amount of furniture is limited as is the space for service users to move around their rooms. However the room sizes are now acceptable under the revised National Minimum Standards for Younger Adults. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 19 Each unit has a bathroom and a shower room and there are appropriate facilities to meet the need of people with physical disabilities. The toilet and bathing facilities are therefore adequate in numbers. As stated in the previous inspection reports, although attempts have been made to make these facilities homely, they are in general institutional and unwelcoming. During this visit, the inspector was informed that the registered manager was in the process of obtaining quotes for the bathrooms to be redecorated. The recommendation that all bathrooms and shower units are made less institutional and more in keeping with the homely environment therefore remains outstanding. Some parts of the premises required cleaning and tidying up. One of the bedrooms viewed had an unpleasant urine odour and bedding in the room required changing. Some of the carpets required cleaning/replacing. Some of the bricks in the courtyard patio became lose and required fixing. The registered manager must ensure that all parts of the home are kept clean and reasonably decorated. In addition, the registered manager must ensure that an offensive odour in one of the rooms in Unit C is eliminated. Appropriate laundry and clinical waste facilities were in place. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff recruitment and prompt response to staff training needs requires improvement. EVIDENCE: During the course of this visit, the inspector spoke to four care staff and two Deputy managers. Staff spoken to generally felt that there has been an improvement in the way the home has been run and they said that they were pleased that less agency staff were being used. Duty rosters were maintained. It showed that appropriate staffing levels were in place. This was also confirmed that staff working in the home, who stated that their workload was manageable. Examination of staff files was undertaken at the centralised Human Resources Department for the Borough. It was identified that in case of one member of staff, there was no evidence that the CRB disclosure had been obtained by the employer. This position greatly compromises the welfare of service users, is contrary to Regulations, and immediate remedial action is now required. Enforcement action will be taken for failure to comply with the stated requirement. The registered person to ensure that no person works in the Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 21 home unless a satisfactory CRB disclosure has been obtained by the Local Authority. The requirement that staff receive training in challenging behaviour remains outstanding, however it was noted that dates have been arranged for all staff to attend the training. The inspector was also presented with a list of training offered to staff over the next few months. Staff spoken to felt that they received appropriate training to help them carry out their jobs professionally. The Deputy Manager of the home stated that the majority of the staff working in the home have either achieved or were working towards achieving their NVQ qualifications. He also stated that two of the Deputy Managers were in the process of finishing their MVQ Registered Managers Qualification. Staff supervision and appraisal records were not checked during this inspection visit. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 40, 41, 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Limited progress has been made to ensure that the service users needs were being met. These shortfalls have a potential to place those use the service at risk. EVIDENCE: The inspector was unable to assess Standard 37, as the registered manager was off on the day of this inspection. The requirement that the registered manager obtains relevant qualification in management has therefore been carried forward. Frequency of the monthly unannounced visits from the responsible person required improvement, as at the time of this inspection there was no evidence that these were taking place on a regular basis. File containing “Regulation 26 visit reports” contained only three reports from this year. The home’s policies and procedures appeared to be now in place. Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 23 As mentioned in other parts of this report, some of the documentation required improvement. This included record of weight of service users, record of food offered/served to service users, record of complaints and owe they have been dealt with/resolved and staff personnel files. The majority of health and safety checks were in place, although it appeared that the home’s portable appliances have not been tested since December 2004. The inspector requested for the last portable appliances testing certificate to be forwarded to the Commission. As previously mentioned, food storage and cleanliness of the place required improvement. The project was appropriately insured for its purpose. Trumpington Road 130 DS0000036677.V305347.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. 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 x 3 2 4 x 5 3 INDIVIDUAL NEED AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 x 27 2 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 1 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x x x 2 3 2 2 x Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 YA17 Regulation 16(2) Requirement Timescale for action 29/08/06 2. YA34 3. YA37 4. YA18 5. YA32 The registered manager must ensure that all food is labelled when opened. (Previous timescales of 15/09/05 and 15/12/05 were not met.) 7, 9, 19 The responsible person must be Sch 2 able to demonstrate that appropriate checks ate undertaken on all staff prior to commencing employment in the home. (Previous timescales of 01/10/05 and 31/12/05 were not met.) 9(2)(b)(i) The registered manager must obtain relevant qualification in management. (Previous timescale of 31/12/05 was not met.) 17(2) It is required that service users are weighed on regular basis. Where it is not possible to monitor weight (due to refusals from a service user), this must also be recorded. (Previous timescale of 31/12/05 was not met.) 18(1)(c)(i) The registered manager must ensure that where identified that staff require training in working with service users with DS0000036677.V305347.R01.S.doc 29/08/06 01/10/06 29/08/06 29/08/06 Trumpington Road 130 Version 5.2 Page 26 6. YA17 17(2) Sch 4.13 7. YA22 22 8. YA30 23(2)(d) 9. YA30 23(2)(p) 10. YA34 7, 9, 19 Sch 2 11. YA39 26 12. YA42 23(2)(c) challenging needs, this is provided to staff without delay. (Previous timescale of 15/01/06 was not met.) The responsible person must ensure that records of the food provided for service users are kept. These must be sufficient in detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition or otherwise, and any special diets prepared for service users. The registered manager must ensure that all complaints received by the home are appropriately investigated and outcome of any investigation is recorded. The registered manager must ensure that all parts of the home are kept clean and reasonably decorated. The registered manager must ensure that an offensive odour in one of the rooms in Unit C is eliminated. The registered person to ensure that no person works in the home unless a satisfactory CRB disclosure has been obtained by the Local Authority. The responsible person must ensure that monthly unannounced visits take place and that reports from those are forwarded to the home and to the Commission without delay. The home’s portable appliances testing certificate to be forwarded to the Commission. 29/08/06 15/09/06 01/10/06 15/09/06 29/08/06 01/10/06 15/09/06 Trumpington Road 130 DS0000036677.V305347.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 YA27 Good Practice Recommendations It is strongly recommended that all bathrooms and shower rooms are made less institutional in keeping with the homely environment. (This is a repeated recommendation.) Trumpington Road 130 DS0000036677.V305347.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Trumpington Road 130 DS0000036677.V305347.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. 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!