Care Home: Maple House

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What the care home does well People`s individual needs are assessed prior to them moving into the home, which ensures their needs can be met. People`s care plans are up to date and reflect people`s changing and current needs. This ensures peoples individual needs can be met. People do take part in age peer and culturally appropriate activities, which benefits their social interaction. Staff working in the home support people to develop their independent living skills, which increase their confidence and self-esteem. Medication is effectively managed which protects people`s health and wellbeing. Staff encourage contact to be maintained with people`s friends and family, which benefits their emotional wellbeing. Maple house is well maintained and is comfortable which makes it a nice place for people to live in. There is an effective complaints procedure which means complaints are taken seriously and people`s views are valued. The adult protection policy and procedure was available in the home. Staff had undertaken training in relation to adult protection which means people living in the home are protected from potential abuse. People are protected by adequate recruitment policies and procedures being in place. The staff have been adequately trained to meet the needs of people living in the home. This improves the quality of care they receive. Staff are receiving regular supervision, which ensures staff follow a consistent approach when supporting the people who live in the home. This improves people`s experience of living in the home. Health and safety is taken seriously and effective record keeping is in place. This ensures that the health and safety of people living in the home is not put at risk. What has improved since the last inspection? This is the first inspection of this service. What the care home could do better: The manager must ensure that a risk assessment is put in place for the identified person who refuses to attend health appointments to ensure all risks to the person`s health is minimised. The registered manager should consider reviewing the menu of food brought to ensure that people are supported to maintain a healthy diet. This will benefit the health and wellbeing of people living in the home. CARE HOME ADULTS 18-65 Maple House 53 Morley Avenue Edmonton London N18 2QU Lead Inspector Wendy Heal Key Announced Inspection 31st October 2007 10:00 Maple House DS0000069140.V336548.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 Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maple House Address 53 Morley Avenue Edmonton London N18 2QU 020 8803 8150 020 8807 9858 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) Connifers Care Limited Bickram Soobdhan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This was the first inspection of this service. Brief Description of the Service: Maple House is part of Connifers care. It is a home that is registered to provide care for up-to- three people who have experienced learning disabilities. Maple house is located in Edmonton, which is located in the borough of Enfield. The home has three bedrooms one on the ground floor and two on the first floor. There is a kitchen/ dinning area facing the back garden with a patio. There is also a lounge. There is also a staff office. The stated aim is to offer care and support in a supportive and friendly environment. The service works towards meeting people’s needs by encouraging service user involvement and exercising choice and independent living in the community. The purpose and function document and inspection report will be available to be viewed on the homes notice board. This report can also be viewed on the CSCI website. The fees range from eight hundred and seventy five pounds per week to seventeen hundred pounds per week. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place as part of the inspection programme. Compliance was checked against key standards. The inspection took approximately 8 hours. The manager and team leader assisted me throughout the inspection. I undertook a tour of the building and interviewed people living in the home. I observed the interaction between people living and working in the home. Further information was obtained by an inspection of the documentation kept in the home including care plans, risk assessments and health and safety documentation. I would like to thank all of those present during the inspection for their openness and participation. What the service does well: People’s individual needs are assessed prior to them moving into the home, which ensures their needs can be met. People’s care plans are up to date and reflect people’s changing and current needs. This ensures peoples individual needs can be met. People do take part in age peer and culturally appropriate activities, which benefits their social interaction. Staff working in the home support people to develop their independent living skills, which increase their confidence and self-esteem. Medication is effectively managed which protects people’s health and wellbeing. Staff encourage contact to be maintained with people’s friends and family, which benefits their emotional wellbeing. Maple house is well maintained and is comfortable which makes it a nice place for people to live in. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 6 There is an effective complaints procedure which means complaints are taken seriously and people’s views are valued. The adult protection policy and procedure was available in the home. Staff had undertaken training in relation to adult protection which means people living in the home are protected from potential abuse. People are protected by adequate recruitment policies and procedures being in place. The staff have been adequately trained to meet the needs of people living in the home. This improves the quality of care they receive. Staff are receiving regular supervision, which ensures staff follow a consistent approach when supporting the people who live in the home. This improves people’s experience of living in the home. Health and safety is taken seriously and effective record keeping is in place. This ensures that the health and safety of people living in the home is not put at risk. What has improved since the last inspection? What they could do better: The manager must ensure that a risk assessment is put in place for the identified person who refuses to attend health appointments to ensure all risks to the person’s health is minimised. The registered manager should consider reviewing the menu of food brought to ensure that people are supported to maintain a healthy diet. This will benefit the health and wellbeing of people living in the home. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, People who use the service receive a good outcome. This judgement has been made using available evidence including a visit to this service. People are provided with all of the information they need to enable them to make an informed choice about were they want to live. Assessments are undertaken prior to people moving into the home, which assists staff to meet people’s individual needs. EVIDENCE: This was the first inspection of the service. The home is registered to accommodate three people who have learning difficulties. I looked at the statement of purpose, which was last updated and is currently being further expanded to include information in relation to the terms and conditions of people who may wish to live in the home. The address and details of the Commission For Social Care Inspection which are going to be included in the complaints section to enable people to contact the commission if they are unhappy with regard to how a complaint has been responded to by the organisation. There must also be information contained within the section related to staffing to ensure staff have an adequate process in place to enable them to receive practical support when an emergency occurs. The emergency on call procedure is going to be included in this section of the document. As this task is currently being undertaken a requirement has not been made in relation to these areas. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 10 The service has its own brochure, which explains the homes mission, values and approach, which further assists people who may wish to use the service to gain a clear picture of the home and what it can provide. There is also a service user guide which explains were the home is located. This explains what the home offers, which includes information regarding the accommodation provided, to people who may wish to live in the home. This document explains what makes people eligible for a place at the home and explains the assessment process and confirms how fees will be paid which ensures that people are provided with up-to-date information about the organisation. This enables people to make a decision as to whether the service can meet their individual needs. If English is not a persons first language then the document can be translated on request, which ensures that the document is accessible to all of those people who may wish to use it. The people in the home are assessed before they receive a service, which ensures that their individual needs can be met by the staff that are employed to support them. On the day of the inspection I examined all of the people’s files and saw evidence of the assessments completed by one of the managers who works for the organisation he is a qualified nurse. The report was based on information obtained having undertaken a discussion with a staff nurse who worked on the person’s ward and also by a psychiatric report being provided by a consultant Psychiatrist. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, People who use the service receive an adequate outcome. This judgement has been made using available evidence including a visit to this service. The care plans are clear and up-to-date and are in the process of being further developed. People make decisions about their daily lives with assistance. People are supported to take risks as part of an independent lifestyle. One person needs a new risk assessment to be developed. EVIDENCE: I inspected all of the care plans regarding the individual people who live in the home. The care plans were clear to read. The care plans have been developed using the written word and pictures to assist people to understand the care plan and improve their accessibility to them. The care plans highlight the identified need and the steps that need to be taken to manage the identified issues. The care plans identify the evaluation date, which is recorded on the care plan. The individual person that the plan has been written about signs the care plan as well as the manager, key worker and relevant professionals for example, the psychologist. Information contained within the plan refers to the history of the person, their mental state, physical health, personal safety, independent living skills, quality of life and cultural needs, communication skills Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 12 and finance. The care plans were being kept up-to-date which ensures peoples individual and changing needs can be met. This improves the quality of care people receive. The manager is in the process of further developing the care plans as the relationship of those people living and working in the home develops. Medication is referred to when it is taken by People living in the home to manage their symptoms. This section is headed mental health. The manager is in the process of to expanding the information recorded and developing an individual section in relation to medication. The monitoring of peoples sleeping patterns exercise and sexual health are also in the process of being recorded in greater detail in relation to how these areas will be monitored as well as how the person will be encouraged for example to undertake regular exercise. The people living in the home make decisions and choices about their daily lives. Service user meetings take place and each of these meetings is minuted to ensure that a record of discussions that have taken place and actions agreed are logged for future reference. The risk assessments to identify potential risks for the individual people living in the home are being kept up-to-date which assists to minimise the potential risk of harm for people both living and working in the home. The risks identified include the risk of absconding, self-neglect, inappropriate behaviour, aggression, violence, financial risk and risk of self-harm. The manager has completed a tool for clinical risk assessment, which has then been used to assist the team leader to develop a risk management plan. This identifies the risk factors and warning signs (if any) and the plans to reduce the risk. The risk management plan then notes who the person is that needs to carry out the intervention. A copy of the document has been forwarded to all relevant professionals. One person who refuses on occasions to attend appointments with his psychologist needs to have a risk assessment completed in relation to this. This will ensure that any potential risks that can impact on his health and wellbeing are minimised. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17, People who use the service receive a good outcome. This judgement has been made using available evidence including a visit to this service. People are supported to develop their individual skills within the home. People are part of the community and participate within the community. People are encouraged to take part age peer and culturally appropriate activities. The service tries to assist people to maintain their family relationships. Improvements need to be made to ensure people choose healthy nutritious meals. EVIDENCE: At maple House people are supported to develop their individual living skills. People have an activity plan, which indicates how people are supported on a one to one basis to tidy their room, complete their laundry and help with the cooking which develops their skills and increases their self-worth. People living in the home have sky television, a computer with Internet access, which assists to promote new activities, they can enjoy at home. There are specific times identified on the activity plan to allow people to have their own allocated chill out time. This encourages people to relax and increases their emotional wellbeing. The activity plan offers people living in the Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 14 home the opportunity to take part in activities such as art sessions, bowling, cinema, trips out to the park and service user choice. This expands people’s opportunity to take part in activities within the community. A number of people had it identified in their activity plan to have lunch or dinner out. The daily records indicated that the activities recorded on the activity plan were taking place, for example trips to the cinema, bowling, shopping, pub lunch, were all evidenced in the daily notes as having taken place which ensures they have the opportunity for social interaction. One person attends college and undertakes an access course in relation to business studies, which increases his educational opportunities and future development. In June the people living in the home went on holiday to Caster in Norfolk, with their friends from another home within the organisation. This provided the people with a positive experience in a new environment. As the relationship of those people living and working in the home develops I will be expecting the activities available to people to expand further increasing the opportunities available and indicate increased activity inside and outside the home. People living in the home are encouraged to maintain contact with their relatives two people receive visits from their relatives and one person whose father lives abroad is going to visit them on holiday. This promotes people’s wellbeing and makes them feel valued as a family member. On the day of the inspection the kitchen was clean and tidy and food was stored appropriately and within the sell by date, which benefits people’s health and wellbeing. People who live in the home benefit from a mixed staff team who bring a range of different ideas to the home in terms of food preparation. This means people have access to different types of food than they may otherwise experience. The menu of food available was inspected and meals are varied. I noted that many of the foods available were value brands and these often contain high levels of sugar and salt. I recommend that the food brought is reviewed by the manager of the home to improve the health of people living in the home. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 People who use the service receive a good outcome. This judgement has been made using available evidence including a visit to this service. People receive support in a way they prefer and require. Support is provided to people to access healthcare appointments. People are protected by the homes policy and procedures for dealing with medicines. EVIDENCE: I inspected the record of health appointments for each person living in the home. I saw evidence that people had registered with their general practioner, dentist, optician, dietician, chiropodist and psychologist, which means their individual healthcare needs are being effectively monitored. This safeguards their health and wellbeing. One person who sometimes refuses to attend the appointment with their psychologist must have a risk assessment completed in relation to this to ensure any potential risks to the person’s health is maintained. People’s weight programme was being monitored along with their individual blood pressure recordings, which are being effectively recorded. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 16 The home has an effective policy and procedure in relation to medication. The medication cupboard and medication administration records were inspected. The medication was found to be appropriately stored and effectively recorded on the medication administration records. The side effects of the medication being taken were also noted on people’s individual records. The medication records had people’s photographs on them to limit medication errors being made which means that professional practice is being followed. There is an individual list available of staff, which evidences their signature. Staff have been effectively trained to administer medication. This is an example of good practice. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23, People who use the service receive a good outcome. This judgement has been made using available evidence including a visit to the service. People can be confident that their views are listened to and acted upon. People are protected from abuse neglect and self-harm. EVIDENCE: I inspected the complaints book and no complaints had been made. The service has a complaints procedure that is on the notice board. The complaints procedure is provided to the people who live in the home. The document is included in the client information pack, which people are supplied with when they move into the home. The staff working at Maple House had attended protection of vulnerable adults training. The Local authority adult protection procedures were available. “ You have the right not to be abused”. The organisation has its own policy document in relation to safeguarding adults and preventing abuse. The organisation has a whistle blowing policy and procedure. This contains the name and address of The Commission For Social Care Inspection. This means that the staff have been provided with appropriate guidance and training to protect those people living at Maple House from potential abuse. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27,30, People who use this service receive a good. This judgement has been made using available evidence including a visit to this service. The home is comfortable for people to live in. People’s bedrooms suit their individual needs lifestyles and promote their independence. People are provided with adequate bathroom and shower facilities. The home was clean and hygienic. EVIDENCE: Maple House is a three- bedroom house located in a residential street and is in keeping with the surrounding premises. The location of the home provides good access to local amenities, including shops, pubs and local transport which assists people to play an active role in the local community. People living in the home have their own bedroom. There is one bedroom on the ground floor which also has a sink fitted in the bedroom. Bedroom two and three are located on the first floor. There is also a bathroom and toilet located on this floor. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 19 On the day of the inspection having sought peoples permission. I inspected the bedrooms. The bedrooms were found to be appropriately furnished and had been personalised with items peoples individual items. The lounge has single sofas, a television, video DVD and hi-fi centre. The kitchen is well equipped and was clean and tidy on the day of the inspection, which benefits people’s health and wellbeing. The kitchen leads on to a large garden and patio area. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36, People who use the service receive a good outcome. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff support people who live at Maple House. People are protected by the homes recruitment policy and procedures. People living in the home benefit from well supported and supervised staff. EVIDENCE: The staff rota was inspected and there were adequate numbers of staff on duty to meet people’s needs. I inspected the staff files. All staff had criminal record bureau checks and two staff references. The staff files contained sufficient proof of identity either in the form of a passport or driving licence. The person’s photograph was attached to their file, which means that good practice is being followed. The files also contained the staff’s signed contract of employment along with their original application for employment. There was also a clear record of the staff induction. This means that the people living at Maple House are protected from potential abuse. I inspected the staff training records. Staff had completed training in relation to their NVQ level 2 fire safety, first aid, food hygiene, infection control, diabetes, challenging behaviour, protection of vulnerable adults and the mental Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 21 capacity act. This ensures that staff have the necessary skills to meet people’s needs. Staff supervision records were inspected. Staff are receiving regular supervision. This ensures that there is a regular consistent approach undertaken by staff members and assists with the development of the people living in the home which improves their quality of life. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42, People who use the service receive a good outcome. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from a well run home. People can be confident that their views underpin all monitoring review and development within the home. The health safety and welfare of people living in the home is promoted and protected. EVIDENCE: People benefit from a well run home. The manager is a registered nurse. The manager and team leader assisted me throughout the inspection. There is a monthly quality assurance meeting to discuss the standardisation of all documents, forms and policy and procedures, which ensures that all of those working in the organisation work in a consistent way. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 23 The quality assurance form had been sent to all of the people living in the home including the stakeholders. The information received is then made into a summary and the required action is taken to improve the quality of care provided in the home. It is also used to indicate were the home is succeeding. I inspected a range of health and safety documentation. The portable appliance testing certificate, the gas certificate and electrical certificate and they were all found to be in order. The weekly alarm test had taken place. The smoke detectors had been checked and the fire drills had been completed. All of the recordings noted were clearly logged which ensures that effective recording is in place and ensures that effective communication methods are being followed. This improves the effectiveness of the service provided. The home has been inspected by the fire service. A copy of the homes fire risk assessment has been sent to them. This ensures that the health and safety of the people living in the home is taken seriously by the organisation. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 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 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 15 Timescale for action The Registered Person must 25/11/07 ensure that the person who does not attend all of their psychologist appointments has a risk assessment completed to minimise any potential risks to their health. Requirement 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 The Registered Person should review the menu of food available and not continue to buy value food, which can have high levels of sugar and salt and be bad for a person’s health. Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Maple House DS0000069140.V336548.R01.S.doc Version 5.2 Page 27 - 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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