Inspection on 18/08/05 for Wick Road ( 302, Flat 1 & 2)

This inspection was carried out on 18th August 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Wick Road ( 302, Flat 1 & 2) 02/07/07

Wick Road ( 302, Flat 1 & 2) 15/06/06

Wick Road ( 302, Flat 1 & 2) 30/12/05

Wick Road ( 302, Flat 1 & 2) 16/12/04

Wick Road ( 302, Flat 1 & 2) 19/08/04

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 Flat 1 & 2, 302 Wick Road 302 Wick Road Hackney London E9 Lead Inspector Robert Sobotka Unannounced Inspection 18 August 2005 at 09:10am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Flat 1 & 2, 302 Wick Road Address 302 Wick Road, Hackney, London, E9 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8986 4958 020 8502 3543 Heritage Care Vacant Care Home 8 Category(ies) of Learning disability (8), Physical disability (8), registration, with number Sensory impairment (8) of places Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 16th December 2004 Brief Description of the Service: The Wick Road project was registered in February 2003. The care home provides personal care, support and accommodation for maximum of eight service users who have learning disabilities, physical disabilities and/or sensory impairment and are between the ages of 18 and 65 years old. The project is jointly commissioned venture, via Hackney Primary Care Trust, Heritage Care, North East London Advocacy Project amd the Peabody Trust. All current service users were transferred from another residential establishmenst, managed by NHS. Staff from the former NHS home have also tranfereed and now work at Wick Road. The purpose built accommodation, is a three storey building based at a very busy intersection in the Victoria park area of the London Borough of Hackney. The project occupies the first two floors of the building. The third floor is unregistered space designed for supported living, managed separately from the Wick Road Project. The building has an operating lift and the home is fully accessible to wheelchair users. The home overlooks Victoria Park and has a garden space and a car park to the rear of the building. Local bus services run along the main road, local shops and amenities are short distance away by vehicle. The project owns a van, which is wheelchair accessible. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 1 day and included speaking to some staff and the registered manager. The inspector also spent some time with those who live in the home. He had lunch with the service users. The inspector also conducted a tour of the premises and viewed various records. The aim of this visit was to check the home’s progress towards full compliance with the legislation. What the service does well: What has improved since the last inspection? What they could do better: The is a number of requirements which remain outstanding from the previous inspection and must be met without any further delay. Although it was noted that the registered manager has brought some positive change to the service, following a period of 5 months when the manager was not present, further work is required to ensure that the National Minimum Standards are met. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 6 Care plans must be further developed and kept under review. Any action identified within care plan must be carried out and acted upon. Service users must be offered a wider choice of activities both indoors and outdoors. To achieve that staffing levels must be reviewed, as they appeared to be unsatisfactory in relation to the high level of disabilities of those who lived in the home. The responsible person must ensure that all records in relation to staff employed in the home are maintained and available for inspection. Monthly unannounced visits from the responsible person must be carried out and reports from these must be kept in the home. Copy should also be forwarded to the Commission. An application for the responsible individual for the home must be submitted to the Commission without delay. Records relating to food offered to the service users required improvement. 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. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 5. The needs of those living in the home were partly met, however review of staffing levels is required to ensure that they are fully met. Service users’ contacts required to be signed by the service users’ representatives/relatives. EVIDENCE: There have been no new admission to the home since the home was opened. Standards relating to assessment and admission procedures could not be tested, however files viewed showed that all service users who are currently accommodated in the home have been appropriately assessed and they visited the home prior to moving there. At the time of this inspection the needs of the service users were only partly met. Those living in the home present a wide range of complex needs. Staff spoken to stated that the majority of their time is being spent on providing personal care, leaving them with little time to concentrate on offering and supporting service users in pursuing meaningful activities both indoors and outdoors. Daily logs and care plans viewed showed that service users would benefit from higher level of activities offered to them. This issue was also noted during reviews with the funding/placing authorities. It is therefore required that the staffing levels are reviewed to take into account the complex needs of the current service user group. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 9 Although individual contracts are in place, they remain unsigned. It is required that the responsible person ensures that the individual service user contracts are signed by all relevant parties. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9, 10. Limited progress has been made on improving arrangements to ensure that the needs and goals of residents are identified and met. These shortfalls could have a potential to place those who use the service at risk. EVIDENCE: The inspector viewed five care plans, which were chosen at random. Individual plans of care were available, however there was no evidence that these have been updated/reviewed. Plans remain basic, are not up to date and in some cases had not been reviewed. The home manager informed the inspector that there were plans to introduce a Person Centred Planning for each of the service users, which would replace the existing care plans. The requirement relating to care plans remains unmet and must be addressed without any further delay. It was also noted that some of the goals set identified during review meetings with placing authorities, such as supporting service users to swimming sessions and providing more activities remain unmet. As previously mentioned, the organisation must undertake the review of the home’s staffing levels to ensure that there are sufficient numbers of staff on duty to ensure that the unmet needs of the service users are addressed. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 11 Risk assessment in relation to moving and handling and other activities that may pose a risk to service users, have now been drawn up and implemented, as required during the last inspection. Files were appropriately stored and kept confidential. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17. Limited progress has been made in ensuring that the service users are offered a wide range of activities both indoors and outdoors. Record of food offered to the service users required improvement. EVIDENCE: The requirement for the home to offer more meaningful activities to the service users remains outstanding. The inspector viewed daily logs kept for service users, as well as newly designed activity sheets. Although there has been some progress made in the level of activities offered, it required further improvement/work. Some of the service users attend local day services. The home employs one male agency worker, who is a driver, and it has given the service users more opportunities to go to other parts of London and into the countryside. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 13 Service users are supported in maintaining contact with their families. They also attend occasional parties at the sister home, which is located approximately 100 yards away. The home had a visitors’ policy in place. Visitor’s book was also maintained. Fridge/freezer temperatures are now being maintained and food was appropriately stored. There was adequate food supplies in the home. Those who live in the home are encouraged to participate in preparing meals, with support from care staff. The inspector joined two service users for lunch, which was nutritionally balanced and attractively presented. Meals were unhurried and help was given to those who required support with feeding. Record of food offered to the service users required improvement. The home manager stated that it has been identified as an area of improvement and the dietician was due to provide training to staff in relation to nutrition and appropriate record keeping. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20. Those who lived in the home received appropriate support in meeting their physical and emotional health. The home’s medication systems were generally satisfactory, however it would be a good practice to keep a running record of “as required” medication. EVIDENCE: All service users living in the home required assistance and support with personal care. Each service user had a night care plan, which covered issues of personal care in great detail. Service users’ dignity and privacy was respected. Each service user had a health action plan as part of their care plan, which identified any healthcare needs of each service user and highlighted the involvement of a number of healthcare professionals, such as occupational therapist, physiotherapists, GPs, and speech and language therapist. The home does not provide nursing. The home had a medication policy in place. There is a designated responsible person on each shift, who is responsible for administering medication and accountable for the stocks. Medication stocks are checked during each handover. Records of medication entered into the home, administered and Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 15 disposed of were well maintained, however it would be considered a good practice to keep a running stock sheet of PRN (“as required”) medication. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23. The home had a good complaints system in place and views of those who lived in the home were listened to and acted on. Service users are protected from abuse, neglect and self-harm, however the service users’ financial affairs must be resolved to allow those who live in the home to have access to their own finances. EVIDENCE: The home had a comprehensive complaints policy in place, which was well written and contained details of the Commission for Social Care Inspection. The document was also available in other languages and Braille. There has been one complaint about the home, which at has been resolved. It was noted that the service users may not be able to raise complaints directly, due to the level of their disabilities, however they had an allocated advocate, whose role would be to bring any concerns to the manager. Record of incident/accidents were maintained and these were being monitored by the home manager. Staff have attended adult protection training. The situation of service users not being able to access their own finances remains unresolved and must be addressed as a matter of urgency. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 29, 30. The home was generally well maintained, however some improvements were required. EVIDENCE: Wick Road is located in a purpose built building and is suitable for its stated purpose and aims. The home is wheelchair accessible and has an operating lift. The project occupies the ground and first floor of the building. Some of the carpets in the home required replacement. The home manager informed the inspector that arrangements have been made for communal carpets to be replaced with hardwood flooring at the end of August 2005. The inspector conducted a tour of the premises. He viewed all communal areas and some of the bedrooms. Bedrooms were personalised and reflected interests and cultural identity of the service users. Some of the wardrobes, chest of drawers had unsightly labels, which the inspector was told, were placed to help staff working in the home in putting away laundered products and did not serve any purpose to the service users. It is recommended that those labels be removed. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 18 The home has six WC’s, four bathrooms and five showering facilities. All areas were spacious and clean. At the time of this visit two of the bathrooms were out of use. This has been reported to the housing provider. Specialist equipment was installed (such as Arjo baths, power chairs, tracking hoists and changing benches), to meet the assessed needs of service users. In addition grabrails were installed throughout the house. The home had 3 mobile hoists, which service users can use in the home and when they are going on holidays. All bedrooms contain power beds. The home was found to be generally clean and hygienic, however as previously mentioned some of the carpets required attention. Appropriate arrangements for disposal of clinical waste were in place. Laundry facilities were clean and well maintained. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35. Levels of staff employed in the home required review to ensure that the needs of those living in the home are met. Recruitment practices required improvement. Staff working in the home were appropriately trained and committed to supporting service users in a friendly and professional manner. EVIDENCE: Following the review of care plans, discussion with staff and direct and indirect observation, the inspector identified that staffing levels required review. As previously mentioned, due to the complex needs of the service users a large number of hours is spent on providing personal care and supporting their healthcare needs, leaving staff with little time to concentrate on supporting service user’s emotional needs. As identified in previous inspection reports, it is also important that the home identify additional members of staff who are drivers, as at the time of the inspection, the only driver in the home was an agency member of staff and service users had to use their own money to access some of the activities by taxis. The home manager informed the inspector that there were 3 support worker vacancies, which have not been filled, subject to satisfactory references and Criminal Records Bureau checks. As part of this inspection, staff personnel files were viewed. Not all files contained all information required by law. This is a repeat requirement and Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 20 must be met without any further delay. Failure to comply with legislation may result in the Commission taking enforcement action against the home. Staff training records showed that Heritage Care provide a wide range of courses to its staff. A large number of staff have completed their NVQ training, 3 staff have just completed the course and were awaiting their certificates and 1 person, was due to start obtaining the qualification. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41, 42. The service is run by a competent manager who has made some progress to ensure that the needs of those living in the home are met, however she must obtain the relevant qualification by set timescale. Quality assurance processes and health and safety in the home required improvement. EVIDENCE: The home has got a new manager in place, who was transferred from another project run by Heritage Care in May 2005. Staff spoken to during this visit stated that they were she was approachable and friendly. She has a NVQ Level 4 in Management and was in the process of obtaining NVQ Level 4 in Care. The manager must obtain NVQ Level 4 in Care by 31 December 2005. The application for the registered manager to be registered with the Commission has been submitted and was being processed. The previous responsible person has moved to another region. The organisation appointed a new person, who has been overlooking the running of Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 22 the home. It is required that an application is submitted to the Commission for the responsible individual to become registered. During the course of inspection, the inspector viewed reports from person in control. There was a gap of several months when visits from the responsible person were not carried out. Although it was noted that those visits have restarted, only two reports were available on file for the months of June and August 2005. It is required that visits from the registered provider take place at least once a month and are unannounced. Copy of the report should be supplied to the home and to the Commission no later than 14 days following the visit. The home manager has prepared a new staff assessment document for support staff to identify any future training needs and she was in the process of implementing it. As described in previous parts of this report, some of the documentation required in the home required improvement. This included care plans, records of food offered to service users and staff personnel files. In addition some of the health and safety certificates were not available for this inspection. The home was not able to evidence that all portable appliances have been tested and that the Landlord’s Gas Safety Certificates has been obtained. Both of these requirements remain unmet from the last inspection and must be addressed without any further delay. It was also noted that the fire drills have now restarted. All other health and safety checks appeared to be satisfactory. The home was appropriately insured for its purpose. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 2 x 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 2 x x 3 2 Standard No 11 12 13 14 15 16 17 2 2 2 2 3 3 2 Standard No 31 32 33 34 35 36 Score x x 2 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Flat 1 & 2, 302 Wick Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x 2 2 x G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 24 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 34 Regulation 7, 9, 19 Schedule 2 Requirement The responsible person must ensure that staff personnel files contain all necessary documentation as required by the regulations. In addition, where documents are required to demonstrate entitlement to work, a record of these is held on individuals personnel file. (Previous timescales of 15/02/04, 01/10/04 and 01/03/05 were not met.) The responsible person must ensure that the Portable Appliances Testing is carried out on regular basis. (Previous timescales of 01/10/04 and 01/03/05 were not met.) The responsible person must obtain the Landlords Gas Safety Certificate. (Previous timescales of 01/10/04 and 01/03/05 were not met.) The responsible person must ensure that all care plans are reviewed on regular basis and any action identified within care plan is carried out. (Previous timescale of 01/03/05 was not met.) It is required that all service Timescale for action 15 October 2005 2. 42 23(2) 15 October 2005 3. 42 23(2) 15 October 2005 4. 6 15(2)(b) 15 October 2005 5. 14 16(2)(m), 01 Page 25 Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 (n) 6. 3, 33, 18(1) 7. 5 17 8. 23 20 9. 10. 11. 12. 24 27 37 39 23(2)(d) 23(2)(b),( c) 9(2)(b)(i) 7 users are offered a wide range of activities for indoors and outdoors, records of activities offered/carried out must be kept in the home. (Previous timescale of 15/02/05 was not met.) It is required that the staffing levels are reviewed to take into account the complex needs of the current service user group. It is required that the responsible person ensures that the individual service user contracts are signed by all relevant parties. The responsible person must ensure that the service users financial affairs are resolved and that they have access to their own finances. Communal carpets must be cleaned/replaced. Two bathrooms which are out of use must be repaired. The manager must obtain NVQ Level 4 in Care qualification. It is required that an application for the responsible individual to become registered is sumbitted to the Commission. It is required that visits from the registered provider take place at least once a month and are unannounced. Copy of the report should be supplied to the home and to the Commission no later than 14 days following the visit. November 2005 15 November 2005 01 November 2005 15 November 2005 1 October 2005 01 October 2005 31 December 2005 15 October 2005 01 October 2005 13. 39 26 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 G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 26 Flat 1 & 2, 302 Wick Road 1. 2. 3. 17 20 26 It is recommended that menus are made available to the service users in pictorial form. It is recommended that a running balanace sheet is maintained for PRN (as required) medication. It is recommended that labels from service user wardrobes be removed. Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Gredley House 1-11 Broadway 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 Flat 1 & 2, 302 Wick Road G56-G06 S39313 Wick Road V245187 180805 Stage 4.doc Version 1.40 Page 28 - 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. 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