Inspection on 01/11/06 for Wakeling Court

This inspection was carried out on 1st November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wakeling Court 09/01/06

Wakeling Court 18/07/05

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 Wakeling Court 96A Halley Road Forest Gate London E7 8DU Lead Inspector Anne Chamberlain Unannounced Inspection 1st November 2006 09:45 Wakeling Court DS0000063897.V318149.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 Wakeling Court DS0000063897.V318149.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. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wakeling Court Address 96A Halley Road Forest Gate London E7 8DU 020 8472 9648 020 8471 8839 jose.deighton@east-living.co.uk 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) East Living Limited Susan Budd Care Home 22 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (22), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (10) Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow the home to provide continuous care for seven named service users over the age of 65 years. 9th January 2006 Date of last inspection Brief Description of the Service: Wakeling Court is a 22 bedded residential home which provides personal care and support to residents with mental health issues. Placements are funded by Social Services and East London City Health Authority (ELCHA). Fees range from £334.43 per week to £491.38. The home is situated in Forest Gate close to local amenities and with public transport links. It is purpose built and modern. As of 1st July 2005 the home is managed by East Living. There are 16 studio flats and six bedrooms. The six bedrooms are divided between two rehabilitation units. The rehabilitation programme offers intensive support towards independence and currently three people are participating. In addition to the manager there are seventeen permanent support staff including an adminstrator, two cooks, cleaner and general assistant. The home is staffed twenty four hours with one senior and two support staff on duty during the day and one waking senior and one support staff at night. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two short days. The aim was to inspect the key standards and to measure compliance with requirements from the previous inspection. Since the last inspection a new manager has been appointed and has now been in post some eight months. The inspector was assisted in the inspection by the manager. She viewed three residents files and files for their key workers, as well as key documentation and some policies. The inspector spoke with a resident, a relative, and two care staff. She toured the house and garden, including with their permission, the flats of some of the residents. The inspector would like to take this opportunity to thank all who assisted with the inspection for their co-operation. What the service does well: The staff and residents have coped well with the change in management and the refurbishment programme. The new manager has taken an energetic approach to every aspect of running the home. She and the staff are building upon the work which has been done previously towards making the home environment more dynamic, and encouraging residents to develop their skills. The ethos is empowering for residents and staff. One staff member told the inspector she had been given more responsibility and lots of training and found this very developmental. Staff understand the needs of residents and there is a professional approach towards the management of medication and multi-disciplinary working. The home is well organised and effective systems underpin its running. Wakeling Court has some pleasant communal areas which benefit from a really sunny aspect. The general atmosphere in the home is relaxed and supportive. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The inspection resulted in 8 legal requirements and 2 good practice recommendations. The home needs to get more permanent staff in post to replace agency bank staff. The residents of the home are a diverse group and there is scope to better meet their sensory and communication needs. Residents need to have opportunities to express their afterlife wishes and have them recorded. The home has a number of rehabilitation beds and a programme for the residents who occupy them. However the scheme needs to be evaluated and the progress of individuals reviewed, to ascertain whether they are best placed. Please contact the provider for advice of actions taken in response to this Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 7 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. Wakeling Court DS0000063897.V318149.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 Wakeling Court DS0000063897.V318149.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is plenty of information for prospective residents but two key documents need amendment. EVIDENCE: The inspector viewed the statement of purpose and service user guide. These documents are combined as the statement of purpose fits into the service user guide. As stand alone documents there are deficiencies but taken together the two documents cover all items listed in the regulations. There is a need for amendment to the statement of purpose, as follows: Terms and conditions are not included. These are set out in a license agreement and the statement of purpose should state this. There have been staff changes and staff details need to be updated. The arrangements for smoking have changed. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 10 The Commission for Social Care Inspection (CSCI) local office has moved (see Requirements). The service user guide also needs to be amended to show the new arrangements for smoking and the new address of the local office of CSCI (see Requirements). . Wakeling Court DS0000063897.V318149.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment of needs and risks is good. Decision making is supported and encouraged. A requirement has been made to ensure that cultural needs are met. EVIDENCE: The manager explained that the files are undergoing major change with new forms. She stated that staff have had training on the new paperwork and it is being rolled out across all residents. The inspector viewed the files of three residents which were updated with new standard, stand alone forms for referral, assessment, care planning, risk assessment and review of care plan. She felt that the files and paperwork evidenced a robust approach to the basics of care planning. The Care Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 12 Programme Approach (CPA) which guides care for several residents is incorporated. There was evidence that residents as well as keyworkers are signing and dating documents and the plans reflected individual needs. However there are sensory and communication needs among the residents which are not well addressed. One resident speaks a mixture of Swahili and Gujarati and is not understgood even by his family. He needs an interpreter who can work with this. Another resident needs an Urdu interpreter. The home is specifically recruiting for an Urdu speaking carer. A third resident uses British Sign Language (BSL) but has no-one with whom he can communicate in this. The manager stated that she hopes to secure direct payments to fund weekly access to a BSL signer for him. Another resident is deaf. The manager must do all she can to ensure that the diverse sensory and communication needs of residents are met (see requirements). The inspector suggests that in addition to basic needs, leisure opportunities are explored i.e. clubs, TV programmes and videos with BSL or subtitles, etc. (see recommendations). The manager said she finds residents need help and encouragement to make decisions. The frequency of house meetings has been changed from weekly to monthly and quarterly menu meetings have been incorporated. The manager said that the minutes from these meetings are posted on a notice board. The inspector viewed evidence which showed that risk assessment is well developed in the home. There is a generic risk assessment screening tool, and a positive risk management form. This latter deals with developmental activities which residents might wish to undertake, considering attached risks. The manager undertakes an annual audit of risks assessment, looking at each one and updating where necessary. Wakeling Court DS0000063897.V318149.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to interact in the community, with family, and peers. Their rights are respected and they enjoy sociable mealtimes. EVIDENCE: The manager said she believes that residents benefit from accessing services in the community. For this reason she has suggested that rather than the priest calling at the home, residents could attend church. Deliveries of fresh foodstuffs have been cancelled in favour of residents going shopping with staff. A positive diversity statement is posted on the door of reception. A staff member told the inspector that home has hosted a celebration of African culture week including a visit by African dancers which was much enjoyed. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 14 Residents take part in a range of culturally appropriate community activities. A number of which were listed by the manager including visiting banks and the post office, going shopping with staff for fresh foods, attending a clinic, going to the local shop, Asian womens group, leisure centre (including gym), and deaf club, Thursday club and rehabilitation team social group. Most residents have contact with close family members, receiving visits and visiting home. The inspector spoke to one resident who had her daughter and grandson visiting that day. One resident has a boyfriend with whom she exchanges overnight visits. The manager was able to explain how the home had been able to support a consensual sexual relationship which developed between two residents at the home. The manager explained how the privacy and dignity of residents is maintained. Staff always knock on doors and mail is handed over unopened, although support is offered for example to record an appointment. The manager explained that the system for safekeeping of bank books and cash has changed to be more empowering to residents and this is reported under standard 23. Meals are served in the café style dining room three times a day. Residents review the menu quarterly. The inspector noted that residents sit in conversational groups to eat. She also noted that the manager ate there herself on the second day of the inspection. The manager has terminated the afternoon tea trolley and given residents kettles for their rooms instead, encouraging their independence. Residents have the amenities to make snacks and drinks. There is a programme running to encourage residents to help in the kitchen one day a week. The manager said that levels of enthusiasm for this vary. She stated that all residents who work in the kitchen have been appropriately risk assessed for this activity. Wakeling Court DS0000063897.V318149.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal, physical and emotional support is tailored to need, Medication is safely administered. Afterlife arrangements are not yet fully addressed. EVIDENCE: The inspector noted that the service user plans are very detailed. They incorporate a daily task sheet for key workers and residents to undertake. The inspector felt that the needs of residents are understood and well documented. One resident told the inspector the home was alright and O.K.. She likes her keyworker and is comfortable. The inspector discussed with the manager the meeting of emotional needs. It was agreed that tactile support touching is necessarily limited between staff and residents. The manager felt that emotional support is expressed by staff in the giving of time and attention to residents. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 16 The inspector viewed the arrangements for the administration of medication. There are currently no residents on controlled drugs. Almost all the residents have their medication stored in locked cupboards in their flats or rooms. The pharmacist provides the medication a week at a time in dossette boxes. Recording is made of medication coming into the home and being returned to the pharmacy. When medication is due staff unlock the cupboard and hand the medication to the resident who self administers. The inspector viewed Medication Administration Record (MAR) sheets and balanced two (non dossette) medications without discrepancy. The inspector felt that the administration of medication was well managed and supported the independence of residents. The inspector asked the manager if afterlife arrangements assessment is offered to all residents. The manager stated that one resident has asked to make her will and purchase a funeral plan. The manager is facilitating this. She has also asked a funeral director to give a talk at the home. Residents will be offered the opportunity to purchase a funeral plan for themselves. Along with this will be offered the opportunity to record all their preferences regarding arrangements. This is yet to happen and in the meantime and a requirement has been made (see requirements). Wakeling Court DS0000063897.V318149.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents views are considered and residents are protected and safeguarded. EVIDENCE: The complaints procedure is reproduced in a user friendly format in the service user guide, and every resident has a copy in their room. The inspector viewed the complaints recording and was pleased to see that two complaints had been received, investigated and resolved, with the outcome recorded. Informal complaints when resolved are signed off by the manager. The manager stated that she has to make a three monthly return to senior managers on complaints received. The inspector viewed the adult protection policy. The policy refers to the local authority policy but the manager did not have a copy of this available in the office. She must acquire a copy or a summary, or evidence that the local authority are not prepared to supply either (see requirements). It would also be helpful to get a flow chart which will show staff the basic steps which social services will take. The policy needs to be amended to show the new local office address of CSCI (see requirements). Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 18 The manager advised that staff are trained in adult protection but if a referral needed to be made she or in her absence an on call manager, would undertake this. The inspector discussed with the manager the arrangements for the safeguarding of residents monies. Residents are supported to visit their banks, building societies and the post office. One resident has grown in independence and visits the post office on her own. Residents usually go inside to transact business as this avoids the use of PIN numbers. PIN numbers are securely locked away and cannot be accessed by staff. In the majority of cases residents have a safe in their rooms where their bank books etc. are stored. Staff have keys to these safes, but inside the safe is a cash box to which the resident holds the key. Records of spending are kept in the residents room and residents do not have to come to the office any more to ask for their money. Keyworkers check balances each time cash is spent. The inspector recommends that the manager undertakes an audit of these accounts from time to time (see recommendations). Wakeling Court DS0000063897.V318149.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, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality environment at Wakeling Court is mixed. It is generally of a high standard but due to negative treatment from some of the residents, the cleanliness and hygiene is compromised. EVIDENCE: The inspector toured the premises, including some flats and bedrooms. Wakeling Court has undergone a major refurbishment including structural changes. The general office has relocated and now divides the communal area into a resource area and a main lounge. The resource area has music and information leaflets. The lounge has TV. There has been extensive redecoration and most areas, including stairwells are clean, bright and welcoming. The dining room which adjoins the training kitchen in one of the Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 20 rehabilitation houses is especially nice. Furniture and flooring have been renewed. The premises are better heated than previously but the heaters are in many cases old with shabby cages over them. The manager stated that these are being replaced one by one. The inspector noted that two bathrooms one in each of the independence units need refurbishment (see requirements). Alongside the refurbishment the house has been declared a No Smoking area and a smoking den has been provided just outside the main lounge. Unfortunately there is much evidence that the new rule is not complied with and residents continue to damage furnishings and flooring with cigarettes. At the previous inspection the inspector was advised of the plan for the garden pond be filled with decorative pebbles. This has been done and looks very nice. The garden was well tended and looked attractive. As mentioned above some residents have damaged new furniture and flooring with cigarettes. There are also major problems with certain residents urinating in inappropriate places, like on the bathroom floor rather than in the toilet. There are parts of the home which could not be said to be clean and hygienic. The manager is doing all she can to encourage residents to respect their home and the inspector supports her in this. The inspector viewed the contents of the kitchen refrigerator and noted that no all food open had been dated (see requirements). Wakeling Court DS0000063897.V318149.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 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment practice is sound and staff are well trained and supported. EVIDENCE: 32 There is a good level of qualification and experience among the staff at Wakeling Court. The manager has been quick to spot the personal qualities of one staff member and has recruited her from the cleaning staff to the care staff. This person told the inspector she felt the residents were happier now and really trying to develop their skills. She said East Living is a good employer and staff get pushed to achieve more. The inspector is aware that recruitment information is kept with the human rescources department. However all three staff files contained a recruitment checklist and the manager stated that no new staff have been recruited recently. She also stated that the home is currently understaffed and East Living bank staff are being used. The home is advertising for carers. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 22 As previously mentioned the inspector viewed three staff files. These were neatly divided into categories and the information was readily accessible. The inspector checked the training records of three staff, noting what training they had had in the current year. All three had undertaken several relevant courses during the year. The manager stated that she has a system for ensuring that staff renew their core training regularly. The inspector noted the East Living learning calendar on the office wall. Staff interviewed spoke enthusiastically about the training opportunities they are offered. The inspector checked the supervision records for three staff for the current year, one staff member had had a gap in supervision when she was away on sick leave, otherwise the evidence was of regular one to one supervision with good content and recording. Wakeling Court DS0000063897.V318149.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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to own the development of the home. Their safety and welfare are prioritised. EVIDENCE: During the course of the inspection the inspector formed the view that the home is well organised and run. There are sound systems in place to support the work and the manager has a thorough approach. She is clear that poor staff performance impacts on residents, and is keen to support staff to achieve a good overall standard. Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 24 A number of statements made by the manager indicated to the inspector that she wishes to involve residents in the running of their home as much as possible. Residents are encouraged to take on tasks for therapeutic earnings. One woman shreds documents in the office and the inspector observed a resident sweeping the dining room after lunch. Quality assurance is undertaken in a number of ways at the home. As previously mentioned regular residents meetings are held. Residents are encouraged to become involved in quality assurance, undertaking the health and safety checks with staff and participating in generic risk assessments. Keyworkers undertake health and safety checks in residents flats with them. Residents have had a tenants survey to complete and have the opportunity to access the East Living user forums. Senior managers undertake person in charge visits at the home. The manager noted the business plan for 2005 - 2009 pinned up in the office. The home is a safer and cleaner place as a result of becoming a non-smoking environment. The inspector attended at the home on 11th July to observe residents having a talk from the London Fire Brigade on fire protection. Staff and residents have had fire training this year. The manager stated that fire drills are generally three monthly but have been more frequent recently. Fire alarms are tested weekly. An outside contract maintains the fire equipment and there was evidence that they called in July and October of this year to make their checks. Wakeling Court DS0000063897.V318149.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 2 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 3 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 2 3 x 3 x x 3 x Wakeling Court DS0000063897.V318149.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 YA1 Regulation 4 Requirement The manager must ensure that the statement of purpose is amended as follows: to state that terms and conditions are set out separately in a licence agreement staff details to be updated new arrangements for smoking the new address of the local office of CSCI. The service user guide also needs to be amended to show the new arrangements for smoking and the new address of the local office of CSCI. The manager must do all she can to ensure that the diverse sensory and communication needs of residents are met. The manager must ensure that all residents are offered afterlife needs assessment. The manager must acquire a copy of the local authority adult protection policy, or a summary, or evidence that the local DS0000063897.V318149.R01.S.doc Timescale for action 01/01/07 2. YA1 5 01/01/07 3. YA6 12 01/02/07 4. 5. YA21 YA23 14 13 01/02/07 01/01/07 Wakeling Court Version 5.2 Page 27 6. 7. YA23 YA24 13 16 8. YA30 13 authority are not prepared to supply either. The adult protection policy needs to be amended to show the new local office address of CSCI. The manager must ensure that the two bathrooms one in each of the independence units in need of refurbishment are refurbished. The manager must ensure that all opened food in the refrigerator is labelled with the date of opening. 01/01/07 01/03/07 01/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations The inspector recommends that in addition to basic cultural needs, leisure opportunities are explored i.e. clubs, TV programmes and videos with BSL or subtitles, etc. The inspector recommends that the manager undertakes an audit of the residents cash accounts from time to time. 2. YA23 Wakeling Court DS0000063897.V318149.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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. 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