Care Home: Ridgeview

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What the care home does well The manager has set up a system whereby admissions to the home will only take place after a thorough assessment of the person`s needs. Residents have their own copy of the Service User Guide to the home. Much of the information about the service is in plain language and enhanced by pictures to enable people with learning disabilities to understand it. Care plans are well constructed to take account of all the person`s needs and provide guidance for staff about how best to support residents. The home stresses the importance of confidentiality of information about residents and the home. The resident has a lifestyle that enables them to be part of the local community and promotes their independence. The resident is supported to maintain strong links with relatives and friends and they are able to exercise choice about their food and the range of activities available to them. People who live in the home are supported in a manner that respects their privacy and dignity and they have full access to healthcare services. Medication is administered safely and is regularly reviewed, which safeguards residents` wellbeing. The home has policies and procedures to ensure that residents` concerns are addressed promptly and they are protected from abuse through staff being aware of abuse issues. The home is comfortable, homely and clean and residents can bring their own furniture and possessions when they move in, which contributes to them seeing the home as their own. There is an appropriate number of staff on duty at all times who are trained and competent to support people who live in the home. The home`s recruitment procedures are thorough, which safeguards residents` best interests. The manager is skilled and experienced to run the home efficiently. There is a good standard of record keeping and there are good systems to safeguard residents` financial interests and their health and safety. What has improved since the last inspection? This is the first inspection of this service. What the care home could do better: The Statement of Purpose needs to be updated to provide fuller information about the service so that potential service users and referrers can decide if the home is appropriate for them. The Service User Guide needs to include what the service charges are so that it is clear what is covered or excluded by the fees. The home must obtain the local authority`s adult protection procedure and ensure that all staff attend training in this subject to enhance their knowledge about how best to protect residents` interests. In order to ensure the safety of residents, portable electric appliances must be tested. The residents` tenancy agreements should include any periods of notice to be given to protect the interests of both parties. CARE HOME ADULTS 18-65 Ridgeview 54 Clarence Road Enfield Middlesex EN3 4BW Lead Inspector Tom Mc Kervey Key Unannounced Inspection 7th February 2008 10:00 Ridgeview DS0000070605.V355946.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 Ridgeview DS0000070605.V355946.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. Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgeview Address 54 Clarence Road Enfield Middlesex EN3 4BW 020 8804 3718 020 8804 3718 1t_ridgeview@hotmail.co.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) Ridgeview Healthcare Ltd Mr Lewis Tyloo Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either whose primary care need on admission to the home is within the following category: 2. Learning Disability - Code LD The maximum number of service users who can be accommodated is: 4 Date of last inspection Brief Description of the Service: Ridgeview is a care home for up to four adults of either gender who have learning disabilities. The service was registered in August 2007. The registered manager and his wife are also the providers. The home is comprised of a semi-detached two storey house in a residential street in the London Borough of Enfield. There are four bedrooms, two on the ground floor and two on the first floor. All the bedrooms have en-suite shower and wash basin facilities. There is a communal lounge/dining room, kitchen and laundry room on the ground floor. Three bedrooms and the office are located on the first floor. There is no lift in the building. There is a long narrow garden with a patio at the rear of the premises. The fees for the service are £1295 per week, based on the needs and dependency of the residents. Ridgeview DS0000070605.V355946.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 that people who use this service experience good quality outcomes. This was the home’s first inspection since its registration in August 2007; it was necessary therefore, for the manager to be present and he was given twenty-four hours notice of the inspection, which was completed in five and a half hours. The inspection was carried out as part of the Commission’s inspection programme and to check compliance with the key standards. At the time of the inspection, there was only one person living in the home and there were three vacancies. In addition to the registered manager, one member of staff was present throughout the inspection, both of whom fully cooperated in the process. Before this inspection, the manager sent an AQAA, (Annual Quality Assurance Audit), to the Commission. This document is a self-assessment of how the home meets the National Minimum Standards. Against each standard, the home is asked to provide evidence about what the home does well, what they could do better, how they have improved in the last 12 months and what their plans are for improvement. The AQAA contained as much information about the service as possible, given it was a new service and there was only one resident. I discussed with the manager where the information could be further improved as the service develops. The inspection process consisted of a tour of the property, including visiting the resident in their bedroom. I also interviewed the staff member. These interviews were conducted independently of the manager. Records and other documents relating to the efficient running of the home were examined. What the service does well: The manager has set up a system whereby admissions to the home will only take place after a thorough assessment of the person’s needs. Residents have their own copy of the Service User Guide to the home. Much of the information about the service is in plain language and enhanced by pictures to enable people with learning disabilities to understand it. Care plans are well constructed to take account of all the person’s needs and provide guidance for staff about how best to support residents. The home stresses the importance of confidentiality of information about residents and the home. The resident has a lifestyle that enables them to be part of the local community and promotes their independence. The resident is supported to maintain strong links with relatives and friends and they are able to exercise choice about their food and the range of activities available to them. Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 6 People who live in the home are supported in a manner that respects their privacy and dignity and they have full access to healthcare services. Medication is administered safely and is regularly reviewed, which safeguards residents’ wellbeing. The home has policies and procedures to ensure that residents’ concerns are addressed promptly and they are protected from abuse through staff being aware of abuse issues. The home is comfortable, homely and clean and residents can bring their own furniture and possessions when they move in, which contributes to them seeing the home as their own. There is an appropriate number of staff on duty at all times who are trained and competent to support people who live in the home. The home’s recruitment procedures are thorough, which safeguards residents’ best interests. The manager is skilled and experienced to run the home efficiently. There is a good standard of record keeping and there are good systems to safeguard residents’ financial interests and their health and safety. What has improved since the last inspection? 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 Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ridgeview DS0000070605.V355946.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 Ridgeview DS0000070605.V355946.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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service to look at the resident’s case file. Admissions to the home only take place after a thorough assessment of the person’s needs by a skilled and experienced member of staff. The Service User Guide and tenancy agreement detail what the person can expect and gives a clear account of the service provided, but additional information could improve these documents. The resident is happy living in the home, which they say meets their needs. EVIDENCE: The home has a Statement of Purpose and Service User Guide that provide good information about the service to potential service users and referring agencies. However, some amendments are required to complete the information; for example, the age range and gender of the service users should be identified in the Statement of Purpose, and the Service User Guide should include information about the fees and what these cover. I noted that the resident had a copy of the Service User Guide in their room with their name on the document. At the time of the inspection, only one person was living in the home. They had been admitted in December 07, and the manager said that the resident was settling in well. This was confirmed in my discussion with the resident. The resident had been referred by the local authority, and the manager had carried Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 10 out a thorough assessment of the person’s needs before admission. The person’s social worker had visited the home about six weeks post admission to ensure that the resident was appropriately placed and happy to live in the home. I was shown a letter from the local authority confirming the placement and the service charges. The resident had a tenancy agreement. I advised the manager to include any periods of notice to be given should the tenancy need to be terminated by either party. The manager informed me that the resident had visited the home with a relative before deciding to move in. Ridgeview DS0000070605.V355946.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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including looking at the resident’s care plan and daily records. The resident has a care plan that focuses on their strengths and is written in a style that they can understand. The plan is kept under review to take account of any changes in the person’s needs. The resident is involved in the day-today running of the home and is supported to make appropriate and safe decisions. The resident can be confident that information about them is respected and managed safely. EVIDENCE: I examined the resident’s care plan, which included a comprehensive needs assessment and clear guidance about how best to support the person. A key worker was allocated who is responsible for keeping the care plan under review. The care plan covered areas such as health, communication and likes and dislikes. There were risk assessments of the resident’s activities in the Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 12 home and situations that might arise when out in the community, for example, road safety and vulnerability to exploitation by others. The resident’s daily records are completed after each shift and showed that the resident frequently exercised choice about the type of activities they wished to participate in. The person’s choices about time of going to bed and what to eat where also recorded. Where inappropriate choices where made, the resident was supported by the staff to take healthier and safer options. The resident has a key to their room, but the manager did not considered it was safe for them to have a key to the front door, due to the degree of the person’s learning disability and the risk of losing it. As the resident was the only person living in the home, it was not appropriate to hold formal “residents meetings”. However, I observed staff communicating with the resident about the day’s activities and there was evidence in records that they were consulted about day-to-day events in the home. The resident participates in cooking and in shopping for the home. I noted that all residents’ documents and important records pertaining to the running of the home were securely stored in a filing cabinet in the office. In discussion with the member of staff on duty, I was satisfied that they understood the importance of confidentiality of information in respect of residents. Ridgeview DS0000070605.V355946.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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including residents’ records and observation. The resident has a lifestyle that enables them to be part of the local community and promotes their independence. The resident is supported to maintain strong links with relative and friends and they are able to exercise choice about their food and the range of activities available to them. EVIDENCE: At the time of the inspection, the resident had only lived at the home for about two months and was still settling in. The resident had retained their place at a community centre which they had previously attended. They normally go four times a week, but the manager told me that sometimes the resident decides not to go on a particular day and an alternative activity is arranged, such as going shopping or visiting a café or pub. The daily records also indicate that the resident is supported to cook meals in the home. The resident is also supported to attend Sunday League football, which they enjoy and likes to attend art sessions at the local community centre. The home Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 14 has a seven-seater vehicle for transporting residents on outings and attending appointments. On the day of the inspection, the resident went out in the afternoon to the local pub with a member of staff. I looked at the visitor’s book which showed that the resident has frequent visits from their relative and friends that they used to live with before coming to live in the home. The resident’s care plan includes guidance about how to support them in expressing their sexuality. The manager informed me that the resident belongs to the Church of England but they do not practice their religion. The home has a policy whereby residents will receive personal mail unopened and there is also a policy that staff must knock on resident’s bedroom doors for permission to enter. I looked at the menu for the week. The meals identified on the menu were varied and well balanced and were drawn up with the resident’s input. I was informed by the manager and staff, that they support the resident to choose healthy meals, rather than fast-food options which the resident often prefers. I noted that fresh fruit was available and there was plenty of food in the fridge and freezer. Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including observation, looking at records and speaking to the residents. People who live in the home are supported in a sensitive manner that respects their privacy and dignity. The residents have full access to healthcare services and medication is administered safely and regularly reviewed to promote and safeguard their wellbeing. EVIDENCE: I examined the resident’s records. The resident is able to provide their own personal care with support from staff. At the time of the inspection, the resident was clean and well dressed and appeared to be healthy. The resident told me they were happy with the way staff supported them and that the staff were very friendly and caring. The manager told me that he had some initial difficulty in registering the resident with a local G.P, but after approaching the Primary Care Trust, this was achieved. The records showed that the resident has had a full health screen and was seen by a dentist. An appointment has been made with a chiropodist. There is regular contact with the consultant psychiatrist and other members of the Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 16 Community Learning Disability Team. There was evidence in the case file that the resident’s medication is regularly reviewed by the consultant. The home has an appropriate medication policy, which includes guidelines about controlled drugs and homely remedies, but I advised the manager to include guidance about the covert administration of medicines should this become necessary in the future. The manager has recently arranged a contract for medication to be supplied by Boots in blister packs. Boots are also providing training in medication. The resident is not able to self-administer medication. The staff records show that they have attended training in medication. The administration of medicines records were being properly completed, with no gaps in signatures. There is an appropriate medication cupboard in the office, which was locked securely. I reminded the manager of the need to monitor the temperature of the cupboard in accordance with pharmaceutical guidelines. Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including speaking to the resident, the manager and staff. Appropriate policies and procedures are in place to ensure that concerns are listened to and acted upon. Residents are protected from abuse through the home’s policies and staffs’ awareness of abuse issues. EVIDENCE: There is an appropriate complaints procedure in place, which has pictures to enable residents to understand how to report concerns. The procedure includes information about how to contact outside agencies, for example the Commission for Social Care Inspection and Social Services, if the complainant remains unsatisfied. At the time of the inspection, no complaints had been reported and the resident told me they were happy with their life in the home. The home has its own procedure for staff about dealing with suspected abuse and also “whistle-blowing procedure. However, they do not yet have the local authority’s adult protection procedure. Most of the staff have attended training in adult protection and the manager told me he was in the process of arranging training for the rest of the staff. I have made requirements about these matters. Ridgeview DS0000070605.V355946.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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including visiting all areas of the home. Residents live in a home that is comfortable, homely and clean. The residents are able to have their own possessions around them, which contributes to them seeing the home as their own. EVIDENCE: I visited all areas of the home during the inspection. The manager informed me that an extension had just been completed to the original house and some snagging work was still being carried out. The property is homely, attractively decorated and has domestic-style fittings and fixtures. The bedrooms, hall, stairs and lounge are carpeted. There is a fully-fitted kitchen and a dining table in the lounge. There are two leather sofas and a television in the lounge. The resident was happy to show me their bedroom, which was bright and a good size. There was a wardrobe, dressing table and television, which the resident preferred to bring with them from their previous home. All the bedrooms have en-suite shower and toilet facilities and were attractively Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 19 decorated and well furnished. There are smoke alarms in the bedrooms. There are also two communal toilets. The resident is able-bodied and does not require any mobility aids. There are no hoists or disability equipment in the home. I noted that there were no lampshades in the rooms. The manager told me that the shades he had originally provided, proved unsuitable and he has reordered these. There is a long garden and patio area, which were well maintained and will be a valuable asset when the weather is good. The manager intends to support residents to grow vegetables in the future. There is a small laundry room containing a domestic-style washing machine and a drier. Cleaning is carried out by care staff with some input from the residents. The home has a contract for disposal of clinical waste. At the time of the inspection, the home was very clean and tidy and smelled fresh. Ridgeview DS0000070605.V355946.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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including looking at staffs’ records. Residents’ needs are being met by appropriate numbers and skills of staff who are well trained and competent to support them. The home’s recruitment procedures are thorough, which safeguards residents’ best interests. EVIDENCE: At the time of this inspection, there was only one person living in the home. Four staff, including the manager, are currently employed full time in the home. I examined the duty rota, which confirmed that the manager and one member of staff were on duty. The rota showed that at least one person is always on duty during the day and at night, (waking night). The manager is on call at all times for advice. This is an appropriate level of staffing while there is only one resident, but the manager is aware that this must be reviewed and, if necessary, adjusted when more people are admitted. 60 of the staff have attained National Vocational Qualification level 2. Staff records showed that they all had undergone a written induction when they started working and other courses included medication, food hygiene and manual handling. Some staff have not yet completed all mandatory training in Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 21 health and safety subjects, but the manager is currently negotiating with Barnet College for these to be provided. Staff records contained contracts of employment and job descriptions. The member of staff I spoke to, was able to describe their role as a key worker and how to support residents to achieve their potential. I inspected all staffs’ recruitment records and was satisfied that appropriate procedures had been followed, including Criminal Records Bureau checks and references. Each member of staff had a job description and contract in their file. I saw minutes of monthly meetings between the manager and the staff to discuss the resident’s progress and other issues pertaining to the management of the home. There was evidence that staff had an opportunity to have an input into the development of the service. There were records of formal staff supervision, which the manager intends to take place at least six times a year. The supervision records were signed and dated by the manager and the individual member of staff. Ridgeview DS0000070605.V355946.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, 38, 39, 40, 41 & 42. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including discussions with the manager and examination of records. The registered manager has relevant skills and experience to run the home efficiently. There is a good standard of record keeping and appropriate procedures are in place to safeguard residents’ financial interests and their health and safety. EVIDENCE: The manager is also the joint proprietor with his wife and was registered by the Commission for Social Care Inspection before the home opened. He was able to demonstrate a thorough knowledge of the resident and their needs. The manager has City & Guilds management qualifications at National Vocational Qualification level 4, and also has the Registered Manager Award. Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 23 Before the inspection, the manager submitted an AQAA to the Commission about the service. The manager demonstrated in discussion with me, a strong commitment to providing a high quality of service and a willingness to learn from the inspection process. He was approachable, and open to constructive criticism and advice. As there is only one resident at present, formal residents meetings are not held, but the manager intends to implement these when more residents are admitted, which will enable them to participate in the running of the service. The manager is also aware of the requirement to audit residents’ and other stakeholders’ views about the quality of the service annually. The home has a complete portfolio of policies and procedures that are required by the National Minimum Standards. I advised the manager to date the policies, which must be reviewed annually. The home manages the resident’s personal money on their behalf. There were good records of the amount received and what was spent. Receipts were retained for all purchases and the money in the resident’s cash box balanced correctly with the records. The manager was concerned about the large amount of money held on deposit in the resident’s bank book and was in the process of contacting the person’s relative and social worker regarding court of protection/power of attorney to protect the resident’s financial interests. I found the standard of record keeping to be very good. Residents and staffs’ files and other important documents were properly identified, well structured and easy to follow. Service documents and safety certificates pertaining to the home’s gas and electrical installations were up-to-date, but electric portable appliances had not been tested, for which I have made a requirement. There is a cupboard allocated to store cleaning materials, which was locked. There was a record of fire alarms being tested weekly and a fire risk assessment of the property had been carried out recently. Staff have been trained in fire safety. Food was safely stored and labelled and there was a current certificate of employers liability insurance on display. Ridgeview DS0000070605.V355946.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 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 2 X Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4(1) Sch 1 5(1)(b) 13(6) Requirement The Statement of Purpose must be updated to include all the information in Sch 1 of the Care Home’s Regulations. The Service User Guide must contain the fees charged for the service. The home must obtain the local authority’s adult protection procedure and ensure that all staff attend training in this subject. Timescale for action 31/03/08 2 3 YA1 YA23 31/03/08 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 YA5 Good Practice Recommendations Residents’ tenancy agreements should include any periods of notice to be given should the tenancy need to be terminated by either party. Ridgeview DS0000070605.V355946.R01.S.doc Version 5.2 Page 26 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. Extracts may not be used or reproduced without the express permission of CSCI Ridgeview DS0000070605.V355946.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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