Care Home: Millenium Care (Old Park Road)

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What the care home does well The home provides a good stand of care to residents. They are well looked after and lead a good quality of life, going out regularly and following their own interests. Staff have formed good relationships with the residents and know their needs well. The home is well maintained and is both clean and homely. Residents` individual needs are known and recorded and reviewed regularly to make sure the care they are receiving is the care they need. Vehicles are provided to ensure people can go out into the community easily. Staff are trained by the company and supervised to ensure they know how to care for the residents. What has improved since the last inspection? What the care home could do better: CARE HOME ADULTS 18-65 Millenium Care (Old Park Road) 1 Old Park Road London N13 4RG Lead Inspector Jackie Izzard Key Unannounced Inspection 6th November 2007 09:30 Millenium Care (Old Park Road) DS0000010633.V350954.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 Millenium Care (Old Park Road) DS0000010633.V350954.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. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Millenium Care (Old Park Road) Address 1 Old Park Road London N13 4RG Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8447 8897 Millenium Care Mr Lalith Katugampola Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specified service user who is now a wheelchair user may remain accommodated in the home. The home must advise the registering authority at such times as the specified service user vacates the home. 23rd October 2006 Date of last inspection Brief Description of the Service: Millenium Care (Old Park Road) is a registered care home, which provides residential service for ten adults who have a learning disability. The home is located in a quiet residential area within a few minutes walk from shopping and transport facilities of Palmers Green. The home is run by Millenium Care, a company which operates a similar residential home nearby. Facilities at the home include ten single bedrooms, a kitchen, a dining room, and a large lounge at the rear of the house, three shower rooms and two bathrooms. There is a space for car parking at front of the building. At the back of the building there is a large garden. There is a programme of daytime activities provided by the home for residents from this home and the nearby home who are not attending local day services. They make significant use of the local community resources. The stated aim of the home is to promote independence of the service users and to ensure that privacy and dignity are maintained at all times. At the time of the inspection there were nine service users living in the service. The current range of fees in the home is from £800 - £950 a week. The provider must make information available about the service, including inspection reports, to the residents and other stakeholders. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 6 November 2007 and lasted for one day. As part of the inspection, I did the following: • • • • • • • • • • • • • Met seven of the nine residents Spoke to two of the people living at the home in private Spoke privately with the relative of one resident Spoke to two members of staff Observed how staff were getting on with residents Looked around the home and garden Talked to the manager Talked with the area manager Looked at the home’s AQAA. This is a document which the home have written to assess how good the service is. Read a selection of polices and procedures and health and safety records Read three residents’ files, including their care plan, risk assessment, daily records and health records Looked at three staff files, including records of the checks carried out on them before they started working at the home, the training and supervision they have been given. Looked at staff rotas to see if there were enough staff on duty. What the service does well: The home provides a good stand of care to residents. They are well looked after and lead a good quality of life, going out regularly and following their own interests. Staff have formed good relationships with the residents and know their needs well. The home is well maintained and is both clean and homely. Residents’ individual needs are known and recorded and reviewed regularly to make sure the care they are receiving is the care they need. Vehicles are provided to ensure people can go out into the community easily. Staff are trained by the company and supervised to ensure they know how to care for the residents. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: One requirement made at the last inspection is repeated as it was not completed. This was to ensure the home has a copy of the gas inspection certificate as evidence that the gas appliances have had an annual service and are safe. As a result of this inspection, four new requirements were made. These are; • To carry out a risk assessment for somebody regarding a behaviour which could cause him harm • To make sure all fire doors close properly to prevent spread of fire • To obtain a reference from the last employer of any staff who do not have this on file • To stop allowing people in the home before they have been properly checked to make sure they are suitable to work in a care home. It was found that some new staff had come into the home to observe before any checks had been taken out on them and at least two others had been Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 7 allowed to start work before Millenium Care had taken out a Criminal Records Bureau check (to make sure they don’t have a criminal record which would make them unsuitable for this work) or any references on them. This is a serious concern as it contravenes the Care Homes Regulations 2001 and could put residents at risk. Am immediate requirement was given to the manager in writing stating that this must stop from the day after this inspection. From discussion with the area manager and home manager, I was satisfied that they would ensure this did not happen again. 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. Millenium Care (Old Park Road) DS0000010633.V350954.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 Millenium Care (Old Park Road) DS0000010633.V350954.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 using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is sufficient written information for people to read about this home, some in practorial form, to make an informed choice to live here. People’s needs a reassessed prior to moving in and on an ongoing basis to make sure their needs are met. EVIDENCE: I looked at the home’s service user guide which is given to residents when they move into the home and the home’s statement of purpose. Both these documents contained the information needed about the home. The service user guide was written in a pictorial form to help residents to understand it. One resident showed me his/her personal copy of these documents. It was positive to see that residents had been given a copy. I looked at three residents’ files. A requirement made at the last inspection to update assessments had been complied with. There have been no new residents since the last inspection. The home had very limited history in the assessment for one resident and advice was given to request further information from the placing authority. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 10 I spoke with one resident in detail about the assessment process and this person was able to confirm that staff knew her needs well. Millenium Care (Old Park Road) DS0000010633.V350954.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 using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ needs are recorded in an individual care plan which is reviewed and updated on a monthly basis. They are supported to make decisions about their day to day lives and risks to their health and safety are clearly recorded in their individual risk assessment. EVIDENCE: Three residents’ files were inspected, including reading their care plan, reviews, assessment information, risk assessments and daily records of the care provided. I also spoke with two staff and one resident in private and sought the views of one relative of a resident. I also observed what was happening on the day of the inspection in the home. Care plans recorded people’s needs and staff reviewed them every month to see if they need updating. The home undertakes an internal placement review Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 12 every year and the placing authority conducts another annual review in the home. Records showed that staff know the residents’ individual needs well. Risk assessments cover various aspects of residents’ health and safety needs and risks to their wellbeing. The door is locked with a security code so that residents who need to be restricted from going out alone cannot do so. Where this is the case, the reason for restricting the resident was clearly recorded in their risk assessment. One resident did not have a risk assessment relating to a behaviour (pica) which could cause harm. This behaviour was recorded in the care plan but a requirement is made to assess the risk to the resident’s health and safety and to record what action needs to be taken to address this assessed risk. One resident said that s/he was not happy with a restriction placed on him/her and would like more freedom but respected the rules of the home and was willing to comply with the restrictions which had been put in place for his/her safety. There were clear reasons recorded on this person’s file for the restrictions placed on him/her. The manager was advised to record the resident’s views as part of the ongoing monitoring of the restrictions. Millenium Care (Old Park Road) DS0000010633.V350954.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): People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at this home are supported to lead full lifestyles and maintain relationships with family and friends. They enjoy going out in the community, going on holiday and eating a healthy diet which meets their preferences and needs. EVIDENCE: Some residents attend a day centre during the week. Those who don’t do so, have a programme of day time activity which they share with the residents from the other home. This programme includes beauty/personal care, an art club, cooking and outings every Tuesday. On the day of this inspection residents went out to Alexandra Palace and had a take away meal there which a resident told me was very enjoyable. I looked at the daily records for three residents for two randomly selected weeks to see what kinds of activities they took part in and whether they were following their own identified interests. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 14 The records showed that people were going out regularly and doing activity they enjoy. One person had been out for a drive several times but the manager said that this resident liked to do that and did not mind if there was no activity at the end of it. Activities which had taken place included; shopping, cafes, games, cooking, painting, beauty, park and visits to the Gateway club. One resident said s/he was very happy and enjoyed shopping very much. Residents are supported to go out individually with a staff member shopping and to a café which they enjoy. One resident attends church weekly with parents and the manager said that another attends a mosque with his parents. Two others go to a local church on a regular basis. In June 2007, all residents went on holiday to Hastings. I asked two people about the holiday and both said they had enjoyed it. Seven of the nine residents have regular contact with their families. One goes to visit his parents every weekend and others do so on a regular basis. One relative said she visits the home several times a week and considers that residents lead a good quality of life and are well looked after. This relative said she was very happy with the way her son is being looked after. One resident has a friend outside the home who is able to visit. Two have no friends or family outside the home but do socialise with other residents and the residents of the other Millenium Care home nearby. Residents have the opportunity to go to a local Gateway club once a week and those who do not want to go are able to decide for themselves as enough staff are on duty to support both those who go and those who wish to stay at home. The menu is a four week rolling menu and a separate book is kept to record any changes to the meks on the menu. Advice was given on the recording needed in this book. Packed lunches are provided for those who attend day centres. The home caters for diabetic, coeliac and Muslim diets. I asked two residents if they liked the food and both said that they did. Their weight is monitored regularly to ensure their nutrition needs are met. People can choose to eat in a large group , small group or individually. Meals are served in sittings as there is not enough space for everyone in the dining room at once. Some people said they prefer to eat later than others when it is quiet. A member of staff said she felt residents were well looked after and were very happy in the home. Millenium Care (Old Park Road) DS0000010633.V350954.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): People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents receive personal care to a good standard. They are supported in having their health needs met and are supported with their prescribed medication by trained staff. Residents can be assured that the home pays attention to their health and medical needs. EVIDENCE: All nine residents need support with their personal care. This ranges from some prompting and advice to full care being provided. All residents were seen to be well dressed and have had their personal care addressed on the day of this inspection. I looked at the health records of three residents to see if their health needs were known and whether they attended regular appointments regarding their health needs. All three had records of their appointments with their GP, dentist, optician and any other health care professionals. A number of residents have physical health needs such as diabetes, celiac disease and Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 16 epilepsy and there was evidence that staff were supporting them with these conditions and monitoring their health. None of the residents had any diagnosed mental health problem. Four residents have their medication reviewed every three months by a psychiatrist in the Enfield Community team for people with learning difficulties. In one resident’s file, I saw written consent that s/he had given for staff to administer prescribed medication. All residents had a medication profiles and a sample of daily medication records were inspected. These were completed properly. None of the residents are able to self medicate and are given the support they need. The resident’s and family wishes in the unfortunate event of serious illness or death were recorded on file so that the home would respond accordingly. Millenium Care (Old Park Road) DS0000010633.V350954.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 using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are supported to give their views and are listened to. The complaints procedure is easy to understand. Complaints against staff are investigated and action taken to ensure residents receive the care they need. Staff are trained in recognising and responding to suspicions of abuse in order to protect residents. EVIDENCE: There is a clear complaints procedure available for those residents who can understand it. One resident had a copy of the procedure on his/her room and showed it to me. I spoke with a relative on the subject of complaints, who said that whenever she has raised any concern, the manager and area manager always respond well. It is positive that relatives feel they can raise concerns and have them addressed before the issue becomes a complaint. There have been four complaints recorded in the year since the last inspection of this home. These were complaints against staff members relating to the care of residents and were substantiated. It is of concern that residents were not receiving the best care from certain staff, but there was evidence that the registered persons had acted appropriately. One staff member had been dismissed and disciplinary action had been taken against three others in the form of verbal or written warnings. I was informed that there are no concerns about any of the current staff team. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 18 Records showed all staff had been provided with training in protection of vulnerable adults. There have been no adult protection investigations regarding anybody at this home since the last inspection. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents enjoy living in a safe, clean and comfortable environment. EVIDENCE: I undertook a tour of the home including all residents’ bedrooms. The home was clean, tidy and well furnished throughout. The bedrooms were personalised according to individual interests and had been kept clean. The outside of the home has recently been painted and I was informed that some internal redecoration is planned. The lounge has single armchairs as some residents prefer this as they do not like somebody sitting next to them. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 20 The laundry facilities meet the needs of residents and the standard of hygiene in the home was good. A requirement made at the last inspection to address the odour in one bedroom has been complied with. All rooms were clean. One resident said that anything s/he has asked for in his/her bedroom has been provided. A relative confirmed that she was consulted about ther son’s bedroom and was satisfied that staff kept it in a satisfactory condition. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 People using this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are looked after by a stable staff team who receive training and supervision to ensure they are equipped to do their job. However, residents are at risk by a poor recruitment practice which means staff have started work before they have been properly vetted for their suitability. EVIDENCE: I looked at staff rotas, the recruitment procedure used in recruiting four staff members in 2007 and records of staff training and supervision. There are four staff on duty in the mornings and three in the afternoons. The rotas and staff confirmed that this was the case. Night staffing is one staff awake and one asleep who can be woken to support residents in the night if needed. At weekends there are three staff on duty on each shift. One resident is away every Sunday and others are sometimes away so this staffing level is seen as satisfactory to meet the residents’ needs. The files of four staff employed in the last year showed evidence of poor recruitment practice which puts residents at risk as at least three staff started Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 22 work in the home before Millenium Care had received references and Criminal Records checks on them. This is not acceptable practice. As well as this, three of the four staff had no reference from their last employer even though this is required as part of Millenium care’s recruitment policy. One person had started work before any checks (Criminal record and references) had even been requested. This puts residents at risk when the registered persons have no information about the person. The recruitment procedure was good but was not being adhered to properly. The area manager said the company had a practice of allowing potential new employees to come into the home and undertake “observation shifts” before any checks have been taken out on them. An immediate requirement was issued in writing to the manager at the end of the inspection to cease allowing anyone in the home on paid or voluntary basis until they have been vetted by a CRB or POVA first check (this is a check to ensure the person is not on the national list of people unsuitable to work with vulnerable adults) and other checks have been carried out, ie references, identity check etc. More than 50 of staff have NVQ level 2 or above and one is completing it at the time of this inspection. One staff will start this training in the new year. Staff are provided with appropriate training and are supervised by the manager regularly. Records of the supervision sessions are kept on staff files. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Overall there is evidence of good otcomes for people who use the service and this is demonstrated in the relevant sections of this report. Management has demonstrated good capacity to address shortfalls and has addressed all but one requirement made following the last inspection. Recruitment practices need to be improved to ensure people who use the service are protected. EVIDENCE: The manager of the home is experienced in this post. He manages the home according to the company policies and procedures and demonstrates an excellent knowledge of individual residents’ needs. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 24 The home completes an annual quality assurance audit and produces a development plan which takes into account the feedback received. This year’s quality assurance audit had nor yet been written up but the questionnaires sent to residents and their representatives were shown to me. A relative confirmed that senior staff listen to suggestion for improvement and act on relatives’ comments. One resident showed me that she/he had a copy of the last inspection report, which was very positive. The relative had not been given a copy but was told that this is available from the manager. I inspected a sample of health and safety records in the home to see if residents’ health and safety was being protected. A requirement to obtain a copy of the annual gas safety inspection is restated as it was not met. This year’s gas safety inspection had apparently taken place but no certificate was available as evidence of this. There was an available electrical safety certificate from 2006. The fire alarm system had been serviced in September 2007 and the home has its own fire risk assessment. The manager ensures monthly checks of first aid equipments and monthly fire drills take place. The time it takes staff to evacuate residents from the premises is too long and the manager has identified that this needs to improve. The fire call points and emergency lighting are checked weekly by staff. Staff training records show that staff had been provided with training in the health and safety topics. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 1 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 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 x Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 26 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 YA9 Regulation 13(4)(c) Requirement Timescale for action 07/02/08 2 YA34 3 YA42 The registered persons must ensure that a named resident has a risk assessment regarding a behaviour which could cause him harm and a risk management plan recorded and implemented. 19(1)(a)(b) The registered person must not 06/11/07 Schedule 2 employ any person to work at the home unless there are two appropriate written references available, which have been validated and that an enhanced CRB disclosure has been obtained. Immediate requirement 13(4) The registered person must 07/02/08 obtain a copy of the gas landlord safety certificate for the home. This requirement is restated. Previous timescale not met. Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 27 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 Millenium Care (Old Park Road) DS0000010633.V350954.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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