Care Home: Prince of Wales Respite - Emergency Unit

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What the care home does well What has improved since the last inspection? Only one requirement was made at the last inspection and this has not been resolved. The same requirement has been repeated on this inspection report. The judgement we have made is not to consider enforcement action, as the line manager unit is being supportive. There have been improvements to the rear courtyard garden. This will give the people who use the service more appealing outside space to use. Areas of the unit have been up decorated. CARE HOME ADULTS 18-65 Prince of Wales Respite - Emergency Unit 174 Prince of Wales Road Kentish Town London NW5 3QB Lead Inspector Pippa Canter Unannounced Inspection 25th September 2008 14:30 Prince of Wales Respite - Emergency Unit DS0000037258.V372587.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 Prince of Wales Respite - Emergency Unit DS0000037258.V372587.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. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prince of Wales Respite - Emergency Unit Address 174 Prince of Wales Road Kentish Town London NW5 3QB 020 7485 5606 020 7284 2410 andy.lorentson@camden.gov.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) London Borough of Camden Ms Anderson Lorentson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 6 27th January 2007 Date of last inspection Brief Description of the Service: Prince of Wales is a care home providing a short stay service (respite) for people over the age of 18 years with a learning disability. Although the primary need of the service users is a learning disability some service users may have a physical and/or sensory impairment. Generally all service users who use the service are living at home with a parent or carer. The current level of fees is set for 18 year olds to 24 year olds as £7.52 per night or £52.65 per week. For 25 year olds to the age of 60 years, the level of fees are £9.94 per night or £69.55 per week. In addition to the planned respite care service, the unit has two places designated for emergency admissions. The unit also provides transitional stays for service users who are moving from one service to another and require a period of assessment prior to a suitable placement being identified. The service is operated and managed by the London Borough of Camden. The ethos is to enable and support people with a learning disability to independence, to access community services and to socialise with their peer groups. Access to the property is both private and secure. Parking is limited, however the service is close to all public transport, shopping areas and leisure facilities. The nearest underground station is Chalk Farm. The home has been purpose built and can accommodate six people at any one time all in single bedrooms. There is shaft lift and further aids and adaptations have been installed in toilets, bathrooms and bedrooms to assist service users with Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 5 physical disabilities. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people using this service experience good quality outcomes. This unannounced key inspection was completed over one afternoon and early evening. A total of 4.5 hours were spent in the care home altogether. Prior to the inspection, we reviewed the information that the Commission for Social Care Inspection had about the home. This included the Annual Quality Assurance Assessment (AQAA), which was completed and returned by the registered manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We reviewed and summarised the incident reports supplied by the home. Postal questionnaires were circulated for people living in the home, as well as health and social care professionals. Surveys were not received back prior to writing this report from people using this care service. An expert by experience also attended for part of the inspection. She spoke to one resident and another resident was not interested in speaking with her. The expert by experience spoke to the inspector, the manager and staff and observed interactions. An extract from her written feedback following her visit is included in this summary. Other comments that she made have been included in the main body of the report. Staff were observed going about their duties and interacting with residents. We followed the care for of three (3) people who are currently using the respite care service. The care plans were compared with the care and support being given. The choice of care plans reflected people’s gender, specific health care conditions and cultural needs. The inspection focused on aspects of care, daily activities, staffing levels, supervision, complaints and adult protection. Staff recruitment and training records were also discussed with the manager. A sample of health and safety records were seen. All those who have contributed to the inspection process are thanked for their input. What the service does well: The expert by experience fed back these comments:Overall the service seemed like a good place to stay for respite. It was in a nice area away from the road. Feedback from one particular resident was very positive. The manager seemed nice and supportive to the residents with good ideas for the centre. The staff seemed nice. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 7 One resident gave very positive feedback, he said “I always get help here. I am happy with the help I get. Staff cook nice food, look after me.” He also said he gets up when he wants to and he likes his room. We were told about 3 guys who made friends with each other and now they are allowed to arrange to go there on the same day and watch horror movies. I think this is really good. I think it is great they go out to café’s and pubs when they have enough staff and if the residents want to. The service try to get people with similar needs and age groups in at the same time. I think this is good. The inspection process supported the views above. The service tries to be as flexible as possible and put the needs of the people at the centre of what they do. They continue to make sure that people are able to follow their preferred lifestyle with little disruption to their way of life. The ethos of the service is to enable people who stay there to be as independent as possible. The support staff encourage choices and involvement in the running of the service. There continues to be a robust recruitment and selection process for staff. The care service ensures equality and diversity, which reflects the cultural diversity of the service users. What has improved since the last inspection? What they could do better: The expert by experience also found some areas for improvement. This related to the environment and some of the equipment. The inspection process also highlighted similar areas. Any other comments made by the expert by experience have been fed back to the manager of the service as part of the staff development. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 8 Although there has been some upgrading around the premises and more is planned; areas such as the lounge carpet needs replacing and furniture should be replaced. 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. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 9 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 Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 10 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): 2 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This service continues to have a clear, referral and assessment process in place. The admission process is designed to support the person using the service and not overwhelm them. Staff are clear about a persons’ needs and how they will meet them. EVIDENCE: The manager sent in an Annual Quality Assurance Assessment prior to this inspection. In it she described how the service works closely with person using the service and at a pace that suits the person. We looked at the care records of two people who are known to the service and found clear evidence that the admission process is designed to support the new person. The unit is also responsible for accepting people in emergency situations. The staff within the unit recognise that these are very stressful situations for the new person using the service. The care records of two people admitted in emergency situations were examined. The records clearly showed that staff had made great efforts to minimise the impact of the emergency placement. They had gathered sufficient important information about the person through the assessment process and where necessary attended training in order to meet the persons’ medical needs. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 11 All people wanting to access this service are referred through the Care Management Approach. We looked at the care records for the three people, we were case tracking. There were detailed copies of assessments on each file. The assessments clearly identified the needs of the service users. Staff were very knowledgeable about each person using the care service on the day of the inspection visit. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 12 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 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are clear about the needs and communication skills of people using the service. This enables them to promote confidence and self esteem. EVIDENCE: Three care files were looked at in detail. Two of the people we case tracked spoke to us. They said that they liked visiting Prince of Wales especially when their friends were also visiting at the same time. They described the staff as “friendly”, “good to talk to” and fun to be with”. The service provides a short stay service to people with a diverse range of needs. People have confidence in the service and continue to use it for repeated short stays. There is clear evidence from inspecting the care records and talking to staff on duty that shows that the service has up-to-date information about each person that comes into the unit. The staff also work closely with people using the Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 13 service to find out the individuals’ preferred method of communication. These are well documented in the care records. Staff are able to determine whether people are showing pleasure, anger, have made a preferred choice and are able to make known their needs. The ethos of the service continues to ensure that service users are able to retain as much independence as possible. All activities are risk assessed through a risk management system. The risk assessments continue to be of a good standard, showing areas where the service user is at risk, how the risk should be managed and the minimisation of any danger. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 14 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 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff always try to be proactive to make sure that people able to follow their chosen lifestyle including cultural preferences. The meals in the home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: The service has proactively organised bookings so that people with similar interests and hobbies are on short stays together. This allows for the incorporation of peer social events. In her feedback the Expert by Experience recorded “We were told about 3 guys who made friends with each other and now they are allowed to arrange to go there on the same day and watch horror movies. I think this is really good.” Since the last inspection the service has joined a mobile library and people using the service can choose DVD books and CD’s. Whilst on short-term care, the service users are still able to follow their usual lifestyle; this includes Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 15 attending day care facilities, colleges and social clubs. The Expert by Experience talked to people in the unit as well as the manager and a staff member. The feedback she gave was “I think it is great they go out to café’s and pubs when they have enough staff and if the residents want to.” All the service users who spend time in the home come from the local borough. The length of stay will determine how often they will go into the community e.g. if it is an overnight stay then unless an outing is pre-arranged, the service users may not go out but will socialise within the home. There are a variety of things to do, television, hi-fi unit, games and puzzles or service users may bring in their own entertainment. The expert by experience raised the following point in her feedback “ The manager says lots of the residents like watching the T.V. But they don’t have a very good reception and a lack of funding to buy a new one at the moment.” This is a valid point as quite a number of people may come for an overnight stay and if they were at home, would expect to watch their favourite programmes in a “family” setting. The service continues to foster a good rapport and relationships with families so as to avoid a breakdown in service. During the inspection staff were observed keeping a positive rapport with a relative. The manager recorded in the Annual Quality Assurance Assessment (AQAA) that “We try to vary people’s diets taking into account their preferences and health needs. We shop daily with any service user that wants to accompany staff for the items we need for dinner – once the people staying have decided what they want to eat that night.” Feedback from people using the service at the time of the inspection was that they liked the food and they get a choice of what to eat. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 16 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 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health care needs of people using the service are well met. Personal care is offered in such a way as to promote both privacy and dignity. EVIDENCE: The manager recorded in the Annual Quality Assurance Assessment (AQAA) that “each person receives individual, gender specific personal care at a pace that suits them”. This can mean that staff will start a morning shift earlier that rostered in order to make sure the some individuals will enjoy relaxed attention rather than be pressurised to meet transport/day services deadlines. As the service has to meet a diverse range of physical disabilities, there is adequate equipment available to make sure that personal care is given in a calm and gentle way. A new shower chair is in place and work has just been done to the flooring and ceilings of the bathroom/shower room. Staff also receive training in any new procedure and are able to feedback any concerns. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 17 Service users continue to retain their own GP whilst on short-term placement. Where necessary for longer placements, service users are temporarily registered with a local GP. Service users and their informal carers are clear that if service users are unwell prior to their stay, then it is cancelled. Staff will accommodate visits by other health care professionals e.g. to administer insulin injections. The administration of medication is supported by sound policies and procedures. There is a rolling programme of medication training. The service is clear that they will not accept poorly labelled or badly presented medication from informal carers. The policy is to accept medication in blister packs or in their original containers. There is a medication received and return form. Medication is appropriately stored within a locked cupboard, within a secure room. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This care service continues to make sure that people who use the service and their relatives can feel confident that they can express their views and these will be taken seriously. Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: The manager has recorded in the Annual Quality Assurance Assessment that “We see complaints as positive. They are a way to review and improve upon the service you provide.” People who use the service know who to complain to if they are unhappy. They can also record this on a survey at the end of their stay. They said that the staff are approachable and this was seen to be evident during the inspection. There was positive interaction between staff and service users. The service is supported by robust policies and procedures relating to safeguarding adults. They operate under the London Borough of Camden safeguarding procedures, a copy of which is available. The service continues to have systems in place to ensure the protection of service users. These include a thorough and robust recruitment process, training for staff which matches the job they do, external auditing of financial accounts and service users feel able to speak to staff about any concerns. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 19 Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 20 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 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises provide an environment that meets the varied needs of the people who use the service however there are areas that need improvement. EVIDENCE: The expert by experience wrote in her feedback, “Overall the service seemed a good place or respite. It was in a nice area, away from the road. The service was nicely decorated, one resident said he liked the decoration also.” Prince of Wales is a purpose built and detached property that is surrounded by its’ own garden. The building stands well back from the main road and reflects the other private, residential accommodation, which surrounds it. Nothing marks it out as a care service. Access to the premises is secure via intercom Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 21 All six bedrooms are single occupancy and contain essential items of furniture as well aids and adaptations for service users who may have physical disabilities. Service users have access to all parts of the building although the kitchen is not large enough for wheelchair users. The welfare and safety of service users is assured with a shaft lift, assisted bathrooms and toilets, low surface temperature radiators and thermostatic control valves to hot water outlets. A call bell system is installed and an integrated fire alarm system. Since the last inspection there has been work completed on the rear courtyard garden. With the assistance of volunteers, the garden has been cleared and a mural painted on the wall. People using the service has also been involved. An inspection of the building showed that it was in reasonable condition but would benefit from planned improvements as presented by the manager. The kitchen is due to replaced and new flooring is required especially in the loungecum-dining areas this is badly stained. The furniture in the lounge has been in use for some years. Some of it is shabby such as the sofas; other furniture is not in line with some of the assessed needs of the people who use the service. Chairs that assist people to stand in order to promote independence would be more beneficial than ordinary armchairs. Only three of the beds are high profile and given the complex physical needs of some of the people that use the service, then it would be more appropriate for all the beds to be high profile. A requirement has been made. This is requirement 1. The unit has a clean and hygienic appearance. This is achieved by contract cleaners who come in twice a week and support staff clean as they go when on duty. The support staff are “good at house keeping” and keep the unit clutter free. There were no obstacles or trip hazards observed during the inspection. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 22 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 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of vetting and recruitment practices has continued to make sure that people using the service are not put at risk. The staff team, individually and collectively have the knowledge and skills to meet the needs of the people they support. EVIDENCE: The Annual Quality Assurance Assessment sent in by the manager prior to the inspection recorded that there is good staff retention within the care service. The service has a staff group of seven (7) posts, five (5) have been filled and there are two (2) vacancies. A post of 28 hours has been made up to a 35 hour post. The manager confirmed that consistency is available as the unit can call on 6 agency staff that know the service and the people who use it. The service has a proactive training regime and over 80 of staff are trained up to NVQ level 3. Previously we have visited Camden Social Services Department to look at a sample of staff personnel files. The service has a history of robust and Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 23 thorough recruitment and selection. Relevant checks were being carried out. The process has always been underpinned by equal opportunities and reflects equality and diversity. Copies of CRB checks are available. For agency staff, there is a form to send out to the agency to verify the fitness of the workers. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 24 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 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has a good understanding of the areas in which the care service needs to improve. Planning is in place, which means that people who use the unit continue to benefit from a well-run service. EVIDENCE: The manager has been in post for six (6) years. Although the deputy is an agency member of staff, there remains a sound management structure in place with lines of communication and accountability still clearly identified. Feedback from people who use the service is actively sought. This is through formal as well as informal routes. One formal and regulatory system for quality assurance is still not in place. The monthly regulation 26 reports are not available in the care home. The manager confirms that she is getting Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 25 good support from her line manager and there has been regular contact. Please see requirement 2. This is a repeat requirement. A sample of health and safety and servicing documents confirmed that there are current dates for servicing the vital systems e.g. fire detection as well as servicing of the passenger lift and the hoists. This shows that the service is continues to be managed responsibly. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 26 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 X 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 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 Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 27 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 YA24 Regulation 23(2)(b)& (d) Requirement Timescale for action 31/12/08 2 YA39 26 The registered person must make sure that rooms that people use are furnished appropriately. The lounge car pet needs to be replaced. Furniture in the lounge, such as sofas, should be renewed. Armchairs need to meet the needs of people using the care service. Chairs that assist people to stand are needed. This is to safeguard the health and welfare of the people living in the home and provide a pleasanter environment. The registered person must 31/12/08 ensure that a monthly unannounced visit is made to the home. A report from each visit about the conduct of the service must be completed and a copy left in the home. This will ensure that the health, welfare and quality of the service is being reviewed at regular intervals. This requirement is being restated from the inspection 26th January 2007. Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 28 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 Prince of Wales Respite - Emergency Unit DS0000037258.V372587.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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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