Inspection on 08/06/06 for Weka House

This inspection was carried out on 8th June 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 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Weka House 25/06/07

Weka House 04/01/06

Weka House 30/08/05

Weka House 11/09/04

Weka House 06/05/04

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 MIXED CATEGORY MAJORITY ADULTS 18-65 Weka House 4 Elsden Road London N17 6RY Lead Inspector Mr Teferi Degeneh Key Unannounced Inspection 8th June 2006 11:00 Weka House DS0000010794.V299415.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 Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Weka House Address 4 Elsden Road London N17 6RY 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) 020 8808 8428 020 8808 3748 akwahouseltd@aol.com Mr Alexio Kadira Mr Alexio Kadira Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Weka House is a care home located in a residential area of Tottenham, near Bruce Grove and near a park. It is registered to provide a service for up to four people with a mental disorder. Mr Alexio Kadira is the proprietor and has been the registered manager of the home. Mr Kadira has a similar care home close to this home. He has recently opened another home for which he is registered to be the manager. This means that Weka House has effectively no registered manager. The home is an ordinary terraced house, on a domestic scale and fits in well with the surrounding area. Each service user has a single bedroom and one of these has en suite facilities. The communal facilities in the home include a bathroom with a shower, two toilets, a lounge, a dining area, a kitchen and a rear garden. Information about the home including service users’ guide and the CSCI inspection reports are available from the home by contacting the providers. The weekly fees of the home range between £750.00 to £1300.00 per week. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted over a period of 5 hours, commencing at 11.00 am and concluding at approximately 4.00 pm. Mr Terence Muzamhindo, who was on shift and responsible at the time of the visit, was present throughout the inspection. The inspection activity undertaken included a tour of the building, the examination of service users’ files including care records, the examination of health and safety records, the viewing of staff rotas and an examination of the menus and medication administration records. Discussions were also held with one of the people who lives at the home and a member of care staff. What the service does well: What has improved since the last inspection? What they could do better: The registered person needs to ensure that all medicines received for service users are appropriately administered and recorded. There is a need for the registered person to ensure that fire doors are kept shut at all times. Service users must be encouraged not to pile up washed clothes to dry on the radiators. The registered person must ensure that two satisfactory written references are obtained before new staff are employed and start work at the home. A manager must be employed and an application must be made for them to be registered by the Commission for Social Inspection. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 6 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. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New service users are confident that their admission to the home is dependent on the outcome of their needs assessment and the ability of the home to meet their needs. EVIDENCE: The files of two new service users, who have been admitted since the last inspection, were assessed. It was evident from these files that service users’ needs have been assessed by professionals and by the home. Letters seen in the files showed that the home has liaised with the placing authorities regarding the outcome of the assessments and how the needs of the people can be met. A service user spoken to said they are happy living at the home. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good system of updating and reviewing care plans and risk assessments. EVIDENCE: Four service users’ files were assessed. All these files contained up to date care plans. In their response to the home’s quality assurance exercise, relatives of service users said the home is suitable for the people. The care plans are detail and it was evident that service users and professional have been involved. The home also regularly reviews the care plans. Risk assessments have been completed for all service users. Discussions with the staff and a service user, and the assessment of the home’s records showed that service users are able to travel independently. The home encourages Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 10 service users to take responsible risks. There are no bedtime restrictions. Service users are also able to go out and return to the home as they wish. Service users can make hot drinks, snacks or meals with minimum support. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The quality and the process of consultation and recording of the food provided at the home can be improved. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 12 EVIDENCE: There is an activities co-ordinator who visits the home twice a week to talk to the people and support them with accessing community-based activities. The responsible person said most of the service users are able to go out and engage in the community. Discussions with the responsible person revealed that they are able to manage their finances. The home gives each service user a pocket money, which they are able to spend on items of their choice. Records seen in service users’ files indicated that they go out with friends and relatives. All service users are registered on the electoral roll. On the day of the inspection one person was seen going out while the others were staying at the home. A service user, who was happy to share their views about the home, said they are happy living at the home. They said they spend most of their time watching television programmes or listening to the music. It was evident from records and discussions with the responsible person and a service user that there are no bedtime or mealtime restrictions. Records in the people’s files contained entries where service users were able to prepare meals at various times indicating that they have choices of when to cook. However, there have been no menus for three of the people who live at the home. Only a week’s menu has been developed for one person. There was no written evidence to indicate that the people who live at the home have been consulted about the quality and type of food they eat. Most of the food seen in the freezers was pre-pre-prepared meals which can be reheated in the microwave ovens. From discussions with the responsible person and assessments of service users’ files it was evident that service users have an opportunity to visit and to be visited by friends and relatives. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Even though arrangements for supporting service users with their personal care and ongoing health needs are satisfactory, there are requirements for the registered person to ensure that medication is appropriately administered and recorded. EVIDENCE: All service users are registered with their general practitioners and psychiatrists. A district nurse visits the home regularly. Service users are supported and encouraged to see opticians and dentists. Two staff have first aid training. The responsible person said all service users are able to attend to their personal care. The staff also prompt service users with their personal care. Medication is administered by staff who have appropriate training. The temperature of the area where medicines are kept is monitored and recorded Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 14 daily. The inspection of the medicines and the records revealed discrepancies in that the number of tablets kept was different from the number of tablets seen in the container. Also it was noted that one service user did not have their medication on the day of the inspection. There was no record as to why the service user missed their medication. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory systems in place to ensure that service users are protected from abuse. The complaints procedures are clear and service users are reassured that they can make complaints to the responsible person. EVIDENCE: At the last inspection the registered person was required to ensure that any complaint made under the home’s complaint procedure is recorded in a complaints book and is fully investigated. Following this requirement a service user’s complaint has been investigated and the issue has been resolved. The person who lives at the home and who was spoken to said they know how to speak to if they have concerns. The home has a policy and procedures on the protection of vulnerable adults from abuse. A copy of the placing authority’s adult protection procedures have been obtained by the registered person. Staff records contained evidence that they have attended training on adult protection. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The location of the home and cleanliness of the rooms are good. However, the practice of keeping fire doors wedged open and piling up washed clothes on the radiators have compromised the standard of safety and comfort available in the home. EVIDENCE: The home was clean and tidy and had good ventilation. The location of the home is convenient for transport and accessing amenities. Each person has a Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 17 single bedroom and there is a lounge on the first floor. On the day of the inspection piles of washed clothes were left on the radiators for drying. The responsible person said one of the people who lives in the home chose to dry their clothes in such a way. The fire door to the kitchen was kept wedged open. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have benefited from the home’s experienced, trained and committed staff. But the recruitment processes can be improved by ensuring that two written references are taken before new staff start work at the home. This will reassure service users that they are supported by staff who are appropriately vetted and are fit to work at the home. EVIDENCE: A new member of staff has been employed since the last inspection. The file of the new member of staff showed that they have undergone a CRB check and have attended training on the protection of vulnerable adults from abuse. However, there was no evidence to suggest that the home has received or Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 19 sought a written reference from the previous employers in respect of the new member of staff. The rota showed that the new employee has been working at the home for the last three weeks but there was no evidence that the member of staff has been given the terms and conditions of employment. The home’s recruitment procedure states, “all candidates will be expected to provide two references, one should be from the previous employer”. The home has a named person with a responsibility to organise and provide training for the staff. It was evident from the files that the staff have attended a number of relevant training programmes including the administration of medication, first aid, basic food hygiene, health and safety, moving and handling, equal opportunities, manual handling and management of aggression. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 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 in terms of the home’s quality assurance. Lack of a registered manager can have a negative impact on the outcome of services and facilities provided for the people who live at the home. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 21 EVIDENCE: At the last inspection the registered person was required to ensure that a manager is appointed and an application made to the CSCI for registration. The person in charge of the shift said he had been offered the manager’s post and he is about to apply to the CSCI to be a registered manager. However, there was no written document, for example, completed application forms or employment contracts for the person, to show that a manager has been appointed. In a previous email to the CSCI, the registered provider stated that he had begun the process of seeking fulltime manager for Weka House. The home’s certificate of registration is now prominently displayed as required at the previous inspection. Quality assurance questionnaires have been prepared for service users as part of the home’s consultation process. The responsible person said the service users were not too keen to complete the questionnaires. Questionnaires have been prepared and distributed to visitors and service users’ families. The response, which is yet to be collated and analysed by the registered person, was positive about the services of the home. For example, a professional who visits the home wrote: “excellent performance and good support from all staff….” A relative also confirmed in writing by saying, “[their son] seems to be very happy” while living at the home. It has been mentioned above that the home was clean, tidy and naturally ventilated. An environmental health officer who visited the home on 12 July 2005 stated that there were no outstanding actions from the areas inspected. A certificate dated 13/1/2006 indicated that the home’s gas appliances such as the boiler and the cooker met the safety standards. One incident has been recorded since the last inspection. Records showed that the home has taken appropriate actions in dealing with the incident. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 2 38 X 39 3 40 X 41 X 42 3 43 X 3 3 X 3 X 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 Weka House Score X 3 2 X DS0000010794.V299415.R01.S.doc Version 5.2 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 YA17 Regulation 16(2)(f); 17(2) Requirement Timescale for action 15/07/06 2 YA20 13(2) 3 YA20 13(20 4 YA24 23(4) The registered person must provide, in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may reasonably be required by service users. The registered person must, in consultation with service users, develop menus and keep an accurate record of the food provided. The registered person must keep 15/07/06 records of all medicines received, administered, disposed of, and returned to the pharmacist. The balance of medicines kept at the home must be updated regularly. The registered person must 15/07/06 investigate why medicines were not administered and recorded for one service user. An action plan must be developed to prevent a similar incident from happening again. The registered person must 15/07/06 ensure that the fire doors are kept closed at all times. DS0000010794.V299415.R01.S.doc Version 5.2 Weka House Page 24 5 YA24 23(2)(3) 6 YA34 Sch 2 & Sch 4 (6); 19(1)(a)( b)(i) and (c) 7 YA37 9(1)(2) The registered person must provide service users with appropriate facilities to dry their clothes. The registered person must ensure that two references (one of which is from the most recent employer) are obtained for each member of staff and are available for inspection. The registered person must satisfy herself that the references are verifiable. The registered person must ensure that a manager is appointed to run the home and that an application for registration is submitted to the CSCI by this individual. (Timescale of 31/03/06 not met.) 15/07/06 31/07/06 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Weka House DS0000010794.V299415.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Weka House DS0000010794.V299415.R01.S.doc Version 5.2 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. 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