Care Home: New North Road

What the care home does well Detailed assessments are completed before people move into the service. Care plans are person centred and clearly record peoples needs. Detailed risk assessments are in place, ensuring people are kept safe and staff are aware of how to respond to situations. New North Road provides people who use the service with support, guidance and equipment to enable them to live in the community. One person said that the home works well with people who challenge services. One person said that the staff work well at engaging people who use the service in one to one sessions. One person noted that it is `overall a good service, with experienced staff`. One person said `I feel supported by staff` and `it`s the best hostel I`ve been in`. What has improved since the last inspection? The Statement of Purpose has been updated to reflect the services provided and includes any exclusions and boundaries, ensuring that people who use the service and their representatives have information to help them make the decision about moving in. The licence agreement has been updated to be more clear for people who use the service. The referral process has been formalised and now includes some timescales. An appeals procedure is in place, to allow people who are applying to use the service to challenge decisions in assessments. What the care home could do better: The plans to make the Service Users Guide more accessible will ensure people who are looking at the service will have information needed to make the decision to move in. Plans to redevelop the building will provide people who use the service with more communal space and with bring the environment to a good standard. Staff should receive regular one to one supervision to ensure that they are supported to carry out their role. CARE HOME ADULTS 18-65 New North Road St Martin of Tours Housing New North Road Islington London N1 3DN Lead Inspector Emma Dove Unannounced Inspection 23rd January 2008 11:00 New North Road DS0000067013.V358624.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 New North Road DS0000067013.V358624.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. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New North Road Address St Martin of Tours Housing New North Road Islington London N1 3DN 020 7359 9990 020 7226 2714 newnorthroad@stmartinoftours.org.uk 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) St Martin of Tours Housing Teresa Susan Jane Goede Care Home 18 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18) of places New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: New North Road is a registered care home for up to eighteen men aged between 18 and 60 years with mental health needs who also have forensic histories. Seventeen people are currently living there. The home is owned and managed by St Martin of Tours Housing Association, a registered charity which is a specialist provider of forensic mental health services. New North Road was registered as a care home in February 2006. Previously it was one of two units registered as St Martin of Tours House and it continues to share a walled garden with the adjacent home, Wilton Villas. Staff at the home work very closely with the local multi-disciplinary forensic service, with a focus on people who use the service achieving independence as soon as possible. Stays are generally up to two years, and are often dependent on conditions set at hospital discharge. The service is set over four floors, with the ground floor being mainly offices and a communal lounge which leads to the garden. The three upper floors each have the same lay out which include a kitchen/dining room, single bedrooms, toilets and bathrooms, and a utility area. Eight beds are block purchased by the London Borough of Islington, six beds by the London Borough of Camden, and the remaining four beds are spot purchased. The weekly fees are from £837 per week, but there is no charge to people who use the service. Personal care is not provided, people who use the service do their own cooking and are supported to administer their own medication. Information about the CSCI is available for people who use the service and their representatives. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means people who use this service experience good quality outcomes. This unannounced inspection took place over five and a half hours on the 23rd January 2008. Two regulation inspectors visited, looked at records and communal areas, spoke with people who use the service, one visiting professional, a senior manager, the deputy and three members of staff. Questionnaires were sent to people who use the service, relatives, health professionals and placing social workers. We have received two completed questionnaires and comments from these are included throughout this report. An Annual Quality Assurance Assessment was completed in good time for the information to be included in this report. The service has notified the CSCI of relevant issues since the last inspection. What the service does well: What has improved since the last inspection? The Statement of Purpose has been updated to reflect the services provided and includes any exclusions and boundaries, ensuring that people who use the service and their representatives have information to help them make the decision about moving in. The licence agreement has been updated to be more clear for people who use the service. The referral process has been formalised and now includes some timescales. An appeals procedure is in place, to allow people who are applying to use the service to challenge decisions in assessments. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 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 New North Road DS0000067013.V358624.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home understands the importance of having sufficient information when choosing a care home. It has developed clear information to help individuals understand the specialist services the home provides. Admissions are not made until a full needs assessment has been completed. Admissions only take place if the service is confident staff have the skills, ability and qualifications to meet the individuals assessed needs. People who use the service are given the opportunity to spend time in the home and are allocated a member of staff to give them information and help them understand how the home is organised and run. EVIDENCE: The Statement of Purpose includes information about the services provided, the facilities at the home, the staff structure, the organisation, how to make a complaint and the circumstances when the service will be stopped. This information should help people in making the decision about whether to move in. Detailed assessments are completed by placing social workers and further assessments are completed by staff at the service before a person moves in. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 9 If it is agreed that the service is ‘right’ for the person, a series of day visits and overnight stays are arranged to support the person in their transition from hospital to the community. Two people who use the service confirmed that ‘I visited before I moved in’ and that they ‘chose to come here’. One person said that ‘the overnight stays helped them prepare for life outside of hospital. The manager reported that they plan to review the assessment forms to be more detailed over the next year. Licence Agreements were seen to be in place and include the room number and the rules of the home. Two people who use the service were aware of the house rules and the consequences it they break the rules. They also felt that the rules were fair. One person stated that they felt supported by the staff and this was ‘the best hostel they had been in’. The person was ‘looking forward to being able to live independently and said that staff had helped them to develop the necessary skills to move on’. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service involves people in assessments and developing care plans. Staff understand the importance of people being supported to take control of their lives. People who use the service are encouraged to make their own decisions and choices. The care plan is a working document, reviewed regularly involving the person and their representatives as appropriate. Reviews focus on progress, achievements, concerns and identifies action points. EVIDENCE: Four case files were looked at, they include good detail of the person and their history in a clear format. Files contain an application form from the person using the service, a referral form from placing social workers, the Care Plan Approach (CPA), an advanced plan for mental health and detailed risk assessments. A separate file contains the detailed assessment, daily records, the induction process and records of key work sessions. Staff reported that they encourage ‘wellness’ and focus on what is going well and why. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 11 Routine reviews take place and relevant agencies are invited to attend. The service has close links with the North London Forensic Service Outreach Team, psychiatrists, CPN’s, social workers and occupational therapists. Each person has the opportunity to put in writing what they would like to happen if they experience an acute episode. This includes information on who they want to be contacted and what they would like to be done such as be given medication. Risk assessments in plans were detailed and individualised. Past areas of risk such as violence to others, harm to self and substance misuse were included. This was supplemented by information on current risk, triggers and protective factors, which allows staff to intervene appropriately. Harm from others included, physical, financial and sexual risks. The home operates a key work system. Key worker records detail what progress a person is making and what issues need addressing in the future. People who use the service said that they meet ‘every week or so’ with their key worker and that these meetings are ‘supportive, good and useful’. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service have the opportunity to develop and maintain important personal and family relationships. People who use the service are involved in meaningful daytime activities of their choice to suit their interests and preference. People who use the service are responsible for their own room, menu planning and cooking. EVIDENCE: The service focuses on individuals personal development, aiming to support people to develop their daily living skills to enable them to move into a less supported environment. People who use the service are either employed, seeking employment or improving their education by attending various college courses, training schemes or sessions of their choice. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 13 Care plans include information about individuals social, leisure, educational and cultural needs and detail support needed or targets to be achieved. Individuals are involved in developing their care plans and supported to engage in both specialist services for people with mental health needs and mainstream services in the community. The manager reported that they could provide more opportunities for people who use the service to use practical life skills such as assertiveness and confidence training and that this will addressed over the next year. Case files contain information about any religious and cultural needs and how they should be met or the support the individual requires to meet their own needs. One person said that their religion is important to them, this was noted in their case file. One person noted that the service ‘always’ and ‘usually’ responds to peoples different needs. People who use the service confirmed that they keep in contact with family members, friends and significant others. People also said that they can have visitors and go out. The home enables a person to have overnight guests if they chose. House meeting minutes noted that people who use the service were involved in planning a holiday last summer. One person who uses the service and two members of staff confirmed that people went on holiday to the place of their choice last year and plans are in place to look at a holiday for this year. Staff reported that people who use the service do their own shopping and cooking. Two people who use the service confirmed that they do their own shopping and cooking and that staff are available for support and advice if needed. The manager reported that they could do more to promote healthy eating and offering more practical support to people in planning and cooking a well balanced diet. With plans to include this over the next year. At the last inspection a Requirement was made for a policy to be developed around safe handling of food and for staff to receive training in food hygiene. The deputy reported that a policy is in place for the safe handling of food. The deputy also said that some staff have completed and other staff are due to complete training in food hygiene and that these training sessions are open to people who use the service to attend. This will ensure peoples health and safety is maintained. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service manage their own healthcare and staff are available to provide support with attending appointments if necessary. Staff are aware of changes in mood, behaviour and general wellbeing and understand how they should respond and the actions they should take. An efficient medication policy is in place which staff were observed to follow. A new Medication Administration Record Sheet is in use and a new audit system has been developed which provides better monitoring of medication administration. EVIDENCE: Personal care is not provided, people who use the service are encouraged and supported initially if needed to take responsibility for their own health and wellbeing. Pre-admission assessments cover peoples emotional and physical health needs which are kept under review during the individuals stay in key work sessions and care planning. The assessment process has been updated to include more information about the individuals general health including dental care, smoking and diet. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 15 One person noted that individuals health care needs are ‘usually’ and ‘sometimes’ met The service is looking to introduce the recovery approach which addresses ‘wellness’ and focuses on positive mental health. Each person has a self-medication assessment which determines whether staff administer medication or if this is an area to be developed during the initial stage of the persons stay. Medicines were seen to be kept securely and appropriately, although the keys were left in the cabinet for some time during the site visit. This issue was also raised at a monthly visit by a representative from the organisation in March 2007. There were some gaps in administration records, but this was rectified at the time of the site visit. Care is taken to make sure that there is a clear auditable trail, with evidence of receipt and disposal. A weekly check is made of the balance of medications. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home has an open culture which allows people who use the service to express their views in a safe and understanding environment. People who use the service are happy with the service, feel safe and well supported by an organisation that has their protection and safety as a priority. The service has a complaints procedure that is clearly written and available to people who use the service and their representatives. Policies and procedures for safeguarding adults are available and give clear, specific guidance for staff. Staff complete training in protection and are aware of their responsibilities. EVIDENCE: The complaints procedure is included in the Statement of Purpose and Service Users Guide. The manager reported that they could make the complaints procedure more accessible to people who use the service by providing it in different, more appropriate formats. This is planned to be completed in the next year. Records are kept of complaints with one complaint noted since the last inspection. No concerns or issues were raised during this visit with no issues raised with the CSCI since the last inspection. One issue was noted in July 2007 about the tumble drier not working. Staff said that this had been addressed. One person noted that the service ‘always’ and ‘usually’ responds appropriately to concerns. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 17 Appropriate policies and procedures are in place for safeguarding people who use the service. The manager reported that the organisation plans to review the safeguarding procedure. All staff completed training in the protection of vulnerable adults in November 2007. Staff demonstrated an understanding of their responsibilities regarding protection of people who use the service. The manager reported an improvement in the staff recruitment procedures, which means that new staff only start work when they have a clear enhanced Criminal Records Bureau check or a POVA first check. New North Road DS0000067013.V358624.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, 25, 27 and 30 People who use this service receive adequate quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that meets the specific needs of the people who live there. Plans are in place to refurbish the home with particular attention to communal areas. There is some consultation with people who use the service about décor. Toilets are appropriately located and sufficient in number. The home is generally clean and tidy. EVIDENCE: The deputy manager reported that the home is due to be refurbished in a three year programme. A brief tour of the premises was made. Each person has their own room and access to a kitchen/dining room. The kitchens were basic and consideration should be given to installing dishwashers when the home is refurbished. Attention is needed to make sure that cutlery and crockery is properly washed and dried before being stored. Also fridges and freezers need to be defrosted routinely and cleaned. The home was generally clean and tidy but lacked homely touches. Some plants and pictures were in some communal New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 19 areas but more work could be done to improve the environment. The communal lounge was institutionalised and not a welcoming room. Kitchen/dining areas were bare and clinical. The manager reported that the refurbishment plans include communal areas and will address the issues noted. People who use the service confirmed that they have all they need in their rooms. The deputy and manager reported that when people first move in, they are given a budget to set them up with bedding, saucepans and similar items, to use at the home and when they move on into a less supported environment. New North Road DS0000067013.V358624.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, 35 and 36 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service have confidence in the staff. Rotas show that the home is staffed efficiently. Staff complete relevant training to enable them to provide appropriate support to people who use the service. There is a good recruitment policy, although this standard was not checked at this visit. Staff meetings are held regularly. Staff receive regular group supervision. Some staff receiving regular individual supervision. EVIDENCE: The published staff rota identified at least two members of staff on duty during the day and at night. These staff levels were seen to be sufficient to meet the needs of people using the service. No issues or concerns were raised about staff levels or availability. A number of staff changes since the last inspection, with a new manager, a new deputy and a number of new project workers and support workers. The deputy reported that there are two vacant posts for staff, which will be recruited to. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 21 One visitor said that the staff are supportive and provide the information they need. Two people noted that staff ‘usually’ and ‘sometimes’ have the right skills and experience to support individuals needs. With an additional comment that ‘generally the staff are well trained and have the right skills, but occasionally there are locum staff who don’t quite meet the standard’. People who use the service said ‘the staff are good’, ‘staff help’, ‘staff listen’ and ‘staff give the support needed’. People who use the service made positive comments about the weekly sessions they have with their key worker. Staff files were not seen at this unannounced visit, due to the manager being on training so it was not possible to check the recruitment process. The manager reported in the annual assessment that new staff will only start work if they have a clear Criminal Records Bureau check or a POVA first check. Staff have completed appropriate training to meet the needs of people who use the service. The manager reported that they are planning to take on the ‘recovery approach’ and all staff and people who use the service will be completing training to be able to do this. The deputy reported that staff receive group clinical supervision every three weeks with a psychologist. The manager reported that there has been a gap in one to one supervision for staff, although the appointment of a deputy manager will ensure that all staff receive regular supervision. New North Road DS0000067013.V358624.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 and 42 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The manager has the required knowledge and experience to run the home. The manager has a clear understanding of the principles of the service and is working to improve the services provided. The home works to a clear health and safety policy and staff are aware of the policy. EVIDENCE: The service now has a manager who has registered with the CSCI. There are good systems in place to manage and monitor the quality of the service. Staff meetings are held regularly. The manager and deputy reported that a ‘house’ meeting is held every week and people who use the service are encouraged to attend and discuss issues. New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 23 Minutes of these meetings were available. Two people who use the service confirmed that there are regular house meetings. Appropriate notifications have been made to the CSCI and the deputy is aware of the issues that need to be reported in the future. A representative from the organisation visits the home every month and completes a report on the quality of the service. One report raised some issues for the staff team to address, these were seen to be actioned by the manager and staff. Health and safety checks are completed as required. The gas safety check and portable electrical appliances test were completed in April 2007. The insurance certificate was seen to expire in September 2007. Confirmation should be sent to the CSCI that appropriate insurance is in place. New North Road DS0000067013.V358624.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 3 4 4 5 3 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 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 25 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 YA23 Regulation 13 (6) 18 (1) & 19 Requirement Staff must not be employed before all required checks have been completed. No person may work at the home until a satisfactory POVA first check has been carried out and the results received. Timescale for action 31/03/08 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 YA1 Good Practice Recommendations Consideration should be given to providing information about the home, such as the Service User Guide, in a range of formats, so it is accessible to all people who use the service. Staff should receive regular one to one supervision, to ensure that they are fully supported to carry out their role. 2. YA36 New North Road DS0000067013.V358624.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 New North Road DS0000067013.V358624.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. 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