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

This inspection was carried out on 30th December 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 18 statutory requirements (actions the home must comply with) as a result of this inspection.

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) 18/08/05

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 Wick Road ( 302, Flat 1 & 2) 302 Wick Road Hackney London E9 5DQ Lead Inspector Robert Sobotka Unannounced Inspection 30th December 2005 08:30 Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wick Road ( 302, Flat 1 & 2) Address 302 Wick Road Hackney London E9 5DQ 020 8986 4958 020 8502 3543 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) www.heritagecare.co.uk Heritage Care Mrs Teresa Okeke Care Home 8 Category(ies) of Learning disability (8), Physical disability (8), registration, with number Sensory impairment (8) of places Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 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 and the Peabody Trust. All current service users were transferred from another residential establishment, managed by the NHS. Staff from the former NHS home have also transferred 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. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over during one morning and an early part of the afternoon. It included speaking to the staff working in the home. The inspector spent some time with those living in the home, although this time was limited as due to the staff shortages, some of the service users were being supported with their morning personal routine in early afternoon. The inspector 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? There has been improvement made in relation to ensuring the all required health and safety checks were being carried out. Staff personnel files have been updated to include information required by law. Communal carpets have been replaced with hardwood flooring. Two bathrooms that were out of use at the time of the last inspection have now been repaired. Visits from the person in control were now being carried out on a monthly basis and copies from those were available in the home. The running balance of PRN medication (as required) was being maintained. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 6 What they could do better: 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. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 the following standard(s): 1, 3, 5. The home’s statement of purpose required updating. 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: The home had its statement of purpose, however it required updating, as it still included details of the Responsible Individual, who no longer carries out this role. It also required updating in relation to staff qualifications. There have been no new admissions to the home since it was opened. Standards relating to assessment and admission procedures could not therefore be assessed, however files viewed showed that all service users who are currently living in the home have been appropriately assessed and they visited the home prior to moving there. No progress has been made in reviewing the home’s staffing levels. Service users living in the home present a wide range of complex needs. The inspector was informed that on the day of this inspection one member of staff called in sick earlier on this morning and person in charge was unable to find replacement cover. This resulted in only 3 members of staff being present in the home during the morning shift to support 8 service users with high dependency needs. As some of the service users accommodated in the home required 2 members of staff to be present to provide them with personal care, Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 9 it meant that there was one person allocated to work on one floor with the third member of staff having to divide his time between working on each floor. Due to incomplete staff compliment staff on duty were unable to carry out all allocated tasks associated with providing personal care (i.e. exercises for one of the service users with mobility needs) and it also meant that some of the service user had to stay in bed until after midday to receive personal care. Staff spoken to expressed their dissatisfaction with the current staffing levels, as it had a negative effect on the quality of service provided to those accommodated in the home. The staffing situation was an area of concern during the reviews with the placing authorities and the last inspection. The requirement that the staffing levels are reviewed to taken into account the complex needs of the current service user group has therefore been repeated and must be met without any further delay. Individual contracts remain unsigned. The requirement that the responsible person ensures that the individual service user contracts are signed by all relevant parties has also been repeated. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 9. 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: As part of this inspection 4 care plans were checked. Although it was noted that some progress has been made, it has been limited. Some of the care plans viewed were not signed and/or dated. One of the documents contained some mistakes, such as: stating that the service user (female) should attend “well-man” clinic and the name of female another service user was also mistakenly typed in the document. This was brought to attention of the person in charge. This is the third inspection, during which the shortcomings in relation to the care planning process have been identified. The requirement to ensure that all care plans are reviewed on regular basis and any action identified within care plan is carried out, has been repeated and must be met without delay. In addition, it is required that documentation such as care plans and risk assessments must be signed and dated by their author. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 11 As detailed in the previous inspection report, some of the goals identified during the review meetings with placing authorities, such as swimming, which has been beneficial for the physical wellbeing of one of the service users, remain unmet. During this inspection visit, the inspector was informed that the service user did attend a swimming session, but this has “been put on hold due to bad weather”. As previously mentioned, it is required that 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. Appropriate risk assessments in relation to moving and handling and other activities that may pose a risk to service users were in place. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14, 17. Limited progress has been made in ensuring that the service users are offered a wide range of activities both indoors and outdoors. Storage of food required improvement. EVIDENCE: Standards relating to activities and the home offering support to service users in being a part of the local community remain partly met. Staff spoken to stated that due to inappropriate staffing levels and high complex needs of those accommodated in the home, there was a limited time during which service users could be supported to access and engage in appropriate leisure activities. This was also observed on the day of the inspection. The requirement that all service users are offered a wide range of both indoor and outdoor activities remains outstanding and must be met without any further delay. Food stocks were checked during this inspection visit. The storage of food requirement improvement, as at the time of the inspection frozen raw meat was being stored above vegetables and food ready-made food. Some of the Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 13 food was not labelled when opened and the inspector found a tub of yoghurt, which expired in three weeks prior to this inspection. The registered manager must ensure that all food is appropriately stored and labelled when opened to prevent food poisoning. The recommendation for the menus to be produced in pictorial form remains unmet. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20. Service users receive personal appropriate personal support, however more flexibility is needed. Those who lived in the home received appropriate support in meeting their physical and emotional health. Recording of medication administered to service users required improvement. 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 user’s dignity and privacy was respected. As previously mentioned in this report, on the day of this visit, due to staff shortages, some service users had to stay in bed until late in order to receive their personal care. This required improvement. 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 involvement of a number of healthcare professionals, such as occupational therapist, physiotherapists, GPs, and speech and language therapists. The home does not provide nursing. Documentation viewed by the inspector showed some shortcomings in recording service user’s weight. In case of one service user who was Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 15 underweight, it was recommended by their dietician that they should be weighed on a weekly basis, however records seen only one occasion when she was weighed (in late October 2005). The registered manager must ensure that were required; the service users weight is monitored and recorded. The home’s medication systems were generally satisfactory and the recommendation for the running balance of the PRN (as required medication) and any lose medication to be maintained has now been met. Recording of medication administered to the service users required improvement. One service user was prescribed eardrops, which should be administered for two days each week. Medication administration records seen indicated that ear drops were administered for 3 days. The registered manager must ensure that the all medication administered to the service users is appropriately signed for. In addition staff should label medication, which has a limited shelf life once opened, such as nutritional supplements. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 the following 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 have been no complaints made to the home since the last inspection visit. It was noted that the service users may not be able to raise complaints directly, due to the level of their disabilities. The advocate who used to visit the home on regular basis has left since the last inspection and the inspector was informed that the home was waiting for the new advocate to be allocated to the home. Record of incident/accidents were maintained and these were being monitored by the home manager. No new accidents/incidents have been recorded since the last inspection visit. 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. This is a repeated requirement and must be met without any further delay. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 30. Service users benefit from the adequate and appropriate environment, however some areas of the building required redecoration. 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. The carpets have been replaced with the hardwood flooring since the last inspection. Some of the curtains required washing and some communal areas required repainting, due to some fumes getting to the building from the busy road outside. Some of the equipment, such as TV in the communal lounge and the kitchen oven on the first floor were out of order. The deputy manager informed the inspector that this has been reported and new equipment has been ordered. 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. The recommendation for the labels attached to some of the service user’s furniture, which were unsightly and did not serve any purpose for the service users have now been met. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 18 The home has six WC’s, four bathrooms and five showering facilities. All areas were spacious and clean. All bathrooms were not operational. 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 some communal areas, with kitchen walls on the first floor in particular, required repainting. Appropriate arrangements for disposal of clinical waste were in place. Laundry facilities were clean and well maintained. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 36. Levels of staff employed in the home required review to ensure that the needs of those living in the home are met. Recruitment practices were now found satisfactory. Staff working in the home were appropriately trained and committed to supporting service users in a friendly and professional manner. EVIDENCE: As previously mentioned, the requirement for the staffing levels to be reviewed remains outstanding and must be met without any further delay. 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. The home should also continue to try to employ more staff who would be able to drive the home’s van, as at the time of the inspection, there was only one driver and service users had to use their own money to access some of the activities by taxis. The deputy manager informed the inspector that two new care staff had been appointed and were waiting for their Criminal Record Disclosures. At the time of the inspection duty rosters displayed in the home did not reflect the staffing situation that morning. It is required that a copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked must be maintained at all times. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 20 As part of this inspection, staff personnel files were viewed. Files seen have now been updated to include all information required by law. The requirement relating to the recruitment process has therefore now been met. Staff training records showed that Heritage Care provide a wide range of courses to its staff. The majority of care staff working in the home have obtained their NVQ qualifications. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 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 further improvements are required to ensure that all of the National Minimum Standards are met. Record keeping required improvement. The majority of the health and safety issues have now been complied with, however improvements in relation to food safety are required. EVIDENCE: The home manager’s application has now been processed and subsequently she has been approved as fit to manage the residential home. She was not present during this inspection visit, however staff spoken to gave a positive feedback about her management and leadership style. The requirement for the manager to obtain the relevant qualification (NVQ Level 4 in Care) has been carried forward. The previous responsible person moved to another region some time ago. The organisation had appointed a new person, who has been overlooking the running of the home. It is required that an application is submitted to the Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 22 Commission for the responsible individual to become registered. This is a repeated requirement and must be met without any further delay. The visits from the person in control were now being carried out and reports from those were being sent to the home and to the Commission. As described in previous parts of this report, some of the documentation required in the home required improvement. This included care plans and medication records, as well duty rosters. There has been an improvement in ensuring the appropriate checks are being carried out. The home had obtained the Landlord’s Gas Safety Certificate and all portable appliances have now been tested. Fridge/freezer and hot water temperatures records were found to be up-to-date. Appropriate fire safety tests were being carried out. As previously mentioned food storage required improvement. The home had a valid insurance certificate on display. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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 Standard No Score 1 2 2 x 3 2 4 x 5 2 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 3 26 3 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 2 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x LIFESTYLES Standard No Score 11 2 12 2 13 2 14 2 15 x 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 x 2 3 2 x 2 2 x Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15(2)(6) Requirement Timescale for action 15/02/06 2 YA14 16(2)(n), (m) 3 YA33YA3 18(1) 4 YA5 17 The responsible person must ensure that all care plans are reviewed on regular basis and any action identified within care plans are reviewed on regular basis and any action identified within care plan is carried out. (Previous timescales of 01/03/05 and 15/10/05 were not met.) It is required that all service 01/03/06 users are offered a wide range of activities (both indoors and outdoors), records of activities offered/carried out must be kept in the home (Previous timescales of 15/02/05 and 01/11/05 were not met.) It is required that the staffing 01/03/06 levels are reviewed to take into account complex needs of the current service user group. (Previous timescale of 15/11/05 was not met.) It is required that the 01/03/06 responsible person ensures that the individual service user contracts are signed by all relevant parties. (Previous timescale of 01/11/05 was not DS0000039313.V279592.R01.S.doc Version 5.1 Wick Road ( 302, Flat 1 & 2) Page 25 met.) 5 YA23 20 The responsible person must ensure that the service users financial affairs are resolved and that they have access to their own finances. (Previous timescale of 15/11/05 was not met.) The manager must obtain NVQ Level 4 in Care Qualification. It is required that an application for the responsible individual to become registered is submitted to the Commission. (Previous timescale of 15/10/05 was not met.) It is required that documentation such as care plans and risk assessments must be signed and dated by their author. The registered manager must ensure that all food is appropriately stored and labelled when opened to prevent food poisoning. The registered manager must ensure that personal care is offered at times suitable to the service users and that staff shortages do not prevent service users from receiving care and flexible times. The registered manager must ensure that were required; the service users weight is monitored and recorded. The registered manager must ensure that the all medication administered to the service users is appropriately signed for. The registered manager must ensure that all parts of the home are reasonably DS0000039313.V279592.R01.S.doc 01/03/06 6 7 YA37 YA39 9(2)(b)(i) 7 31/12/05 31/01/06 8 YA41YA9YA6 17 01/02/06 9 YA17 16(2)(i) 15/01/06 10 YA18 12(3) 01/02/06 11 YA19 17(1)(a) Sch 3.3.m 01/02/06 12 YA20 13(2) 15/01/06 13 YA30YA24 23(2)(d) 01/03/06 Wick Road ( 302, Flat 1 & 2) Version 5.1 Page 26 decorated. 14 YA33 17(2) Sch.7 It is required that a copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked must be maintained at all times. 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA17 Good Practice Recommendations It is recommended that menus are made available to the service users in pictorial form. Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wick Road ( 302, Flat 1 & 2) DS0000039313.V279592.R01.S.doc Version 5.1 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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