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Care Home: Russell Hill (7)

  • 7 Russell Hill Purley Surrey CR8 2JB
  • Tel: 02087634301
  • Fax: 02087634396
  • Planned feature Advertise here!

7 Russell Hill is divided into three separate services, a one-bedded service, a two-bedded service and an eight bedded service. Three of the rooms in the eight-bedded service have a bedroom with en-suite facilities. Prospective service users in the eight-bedded service have large bedrooms with easy access to nearby bathroom and toilets. In the two-bedded service; service users have their own bedrooms but share a bathroom, living room and kitchen, in the one-bedded service the service user has the use of a private bathroom, bedroom, kitchen and living room. The home`s purpose is to work specifically with people who have complex needs and require a high level of support in order to live their lives.

  • Latitude: 51.341999053955
    Longitude: -0.12399999797344
  • Manager: Manager post vacant
  • Price p/w: -
  • UK
  • Total Capacity: 11
  • Type: Care home only
  • Provider: Caretech Community Services Ltd
  • Ownership: Private
  • Care Home ID: 13455
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 15th September 2008. CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

For extracts, read the latest CQC inspection for Russell Hill (7).

What the care home does well Most of the people who live here have very limited vocal communication abilities or are able to respond to complex questions. Therefore observation of interactions was used. This showed that staff were aware of each of these person`s needs and thought about what each person might want to be doing at different points during the days on which this inspection was carried out. It is once again positive to note that encouragement and support is provided to those who live here to maintain family relationships / friendships and comment has been made to the service by some relatives who like the way in which the staff team manage this. What has improved since the last inspection? Initially improvement had been made to the way in which maintenance and refurbishment were managed. This has, however, unfortunately deteriorated again since particularly in respect of repairs being delayed. What the care home could do better: The registered provider is required to inform the Commission in writing of how it is proposed to address the need for service users to maintain consistent opportunity to engage in activity, social and leisure pursuits. Given that winter is fast approaching the boilers must be repaired properly without unnecessary delay, the gas safety check must be updated and the home must be maintained in a way that does not result in regular breakdowns of equipment or unnecessary risks because of delays in achieving repairs. The registered provider must inform the Commission in writing of what proposals and / or actions are to be taken to improve the numbers of permanent staff in post. CARE HOME ADULTS 18-65 Russell Hill (7) 7 Russell Hill Purley Surrey CR8 2JB Lead Inspector James Pitts Key Unannounced Inspection 15 September & 15th October 2008 11:40 th Russell Hill (7) DS0000043125.V364698.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 Russell Hill (7) DS0000043125.V364698.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. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Russell Hill (7) Address 7 Russell Hill Purley Surrey CR8 2JB 020 8763 4301 020 8763 4396 neil-parker@hotmail..co.uk www.caretech-uk.com CareTech Community Services Ltd 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) Mr Neil Parker Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Russell Hill (7) DS0000043125.V364698.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 (CRH - 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: 11 24th October 2007 Date of last inspection Brief Description of the Service: 7 Russell Hill is divided into three separate services, a one-bedded service, a two-bedded service and an eight bedded service. Three of the rooms in the eight-bedded service have a bedroom with en-suite facilities. Prospective service users in the eight-bedded service have large bedrooms with easy access to nearby bathroom and toilets. In the two-bedded service; service users have their own bedrooms but share a bathroom, living room and kitchen, in the one-bedded service the service user has the use of a private bathroom, bedroom, kitchen and living room. The homes purpose is to work specifically with people who have complex needs and require a high level of support in order to live their lives. Russell Hill (7) DS0000043125.V364698.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 stars. This means people who use this service experience good quality outcomes. The charge for the service is presently £1,742 to £2377 per week. This inspection took place over two days and involved discussion with the deputy manager, manager, other staff and examination of records held on site at the home, other information received by the Commission and information provided by the service on an annual quality assurance audit that was sent. Almost all of the people who live at Russell Hill are unable to hold conversations or verbally express their views. This means that staff have to be familiar with using other communication techniques, as well as their knowledge and observation of the people who live here. Although all of the people who live here have been sent questionnaires it is acknowledged that meaningfully few if any would find this a useful way of saying what they think about the service. Four staff members did reply to questionnaires that were sent and said that overall they are satisfied with the training that the home provides. Most did say that they think that often the staffing levels do not allow for the degree of support that is necessary for some people who live here to take part in activities or leisure pursuits in the community (comment is made on this matter later in this report). What the service does well: What has improved since the last inspection? Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 6 Initially improvement had been made to the way in which maintenance and refurbishment were managed. This has, however, unfortunately deteriorated again since particularly in respect of repairs being delayed. 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. Russell Hill (7) DS0000043125.V364698.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 Russell Hill (7) DS0000043125.V364698.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standard 2 was assessed at this inspection visit. The people who use this service can feel confident that the home will only care for people that the staff are trained and able to care for. The people who live here, their families and placing authority are told about how much it costs to live at the home and whenever this amount changes all of the people who need to know are told. EVIDENCE: As there have been no new admissions to the home this key standard does not necessitate any comment at this stage. This standard will be assessed again at such time as any new service users may be admitted to the home. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards 6, 7, 8, 9 & 10 were assessed at this inspection visit. The people who use this can continue to feel confident that the staff know what they need. They can also be assured that the staff will try their best to make sure that each person who lives at the home is allowed to live the sort of life that they choose. EVIDENCE: Three care plans, which continue to be called “ Individual Support Requirements “, were looked at in detail during the first inspection visit. These are continuing to be written in a way that makes it look as though these are about what the individual thinks as the words that are used are things like “how staff assist me with personal care” and “how staff treat me and my communication needs”. Physical care support, activities of daily living, social Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 10 and leisure activities and the right to adhere to personally held values and beliefs are reflected in each care plan. As has been reported at previous inspection visits none of the people who use this service could meaningfully sign their care plan to agree to what is written in it. However, family members and care managers continue to be closely involved with the home when these are written and when they are reviewed. On the second visit that took place as a part of this inspection a local authority care manager was present to hold reviews for three of the people who use this service. Consultation with the people who use this service continues to be evidenced by means of notes by keyworkers about their views. Although it remains true to say that many of the people who live at Russell Hill do find it difficult to become meaningfully involved or to respond to questionnaires or specific complex questions, evidence of maximising these opportunities has achieved the improvement that has been previously commented upon. The care plans also include risk assessments that tell staff and other people about anything that may harm anyone who lives here and anything that the person might do that might hurt themselves. Copies of risk assessments are kept in each person’s individual current working file (archived information is kept separately in other individual files) and cover a variety of situations from accessing community activities to learning skills and activities within the home. Risk assessments continue to be reviewed regularly, and all of those that were seen during this inspection had been reviewed, however these had not been done six monthly, as the organisations own procedures say that they should be. The home has very clear procedures for staff about making sure that the personal information of the people who live here remains confidential. These procedures are designed to ensure that information is not shared with anyone who does not have a right to know. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16 & 17 were assessed at this inspection visit. The people who use this service can feel less confident that the home is able to provide the necessary staffing support to allow a consistent opportunity for each person to participate in the community, both in terms of the activities of daily life and leisure interests. The opportunity for each person to develop and maintain personal and family relations is, however, also offered and is actively supported by the staff team. EVIDENCE: The home states that the people who use this service continue to be supported to make use of a wide range of community based facilities. These can be anything from regular shopping trips, whether for food for the home or personal shopping, to attendance at local clubs run by particular organisations. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 12 The home has two people carrier (type) vehicles that are regularly used although this does not prevent the use of public transport where circumstances and the needs of individuals would allow. A weekly social activities diary is completed for each person who lives here that is designed to show which activities each engage in and to provide details of the range and frequency of these activities. Given the loss of a number of permanent staff since the previous inspection (more comment is made about this later in this report), and the resulting reliance on bank / agency staff it is doubtful whether the home is currently able to maximise these opportunities as was previously the case. The registered provider, in response to a complaint from a relative, feedback that has been received by the Commission and other information clearly indicate that staffing is a problem area at present. In some cases two staff may be needed to accompany individual service users to support them to undertake activities in the community. With the current staffing level requiring the regular use of an average of two or three temporary staff per day time shift it would make planning for activities difficult to manage consistently. With this in mind the registered provider will be required to inform the Commission in writing of how it is proposed to address the need for service users to maintain consistent opportunity to engage in activity, social and leisure pursuits. The staff team continue to demonstrate their understanding of the cultural and religious practise preference that each person who uses this service chooses to adhere to, although most do not actively engage in religious worship. The home’s staff group continue to encourage and support the maintenance of relationships with family members and virtually all of the people who live here do have at least some family contact. There continues to be an open visitors policy. Family and friends are invited to social events at the home as well as reviews. The home has a key worker system and it is part of the key worker role to keep family members informed of progress made, where appropriate. Visitors can be seen in the communal areas, of which the home has a range, or bedrooms if it is thought to be appropriate and safe to do so. The daily routines of the home continue to be flexible within reason. The people who live here have the liberty to make their own choices about where they spend time in the home and whether they wished to be alone or in company. The home has all appropriate policies and practices on maintaining people’s dignity and rights. The home has a keypad entry system to the front door, garden side entrance and fire escape exits, the locks for which disengage automatically if the fire alarm is activated. All of the people who live here would be at risk if the left the home without being accompanied by at least one member of staff. As reported at previous inspections, the reasons for the entry and exit door Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 13 locking system are fully documented and the appropriate measures continue to be in place to secure everyone’s safety in using this. Individual preferences for the food that people like to eat are given due consideration. The menus show that appropriately varied and nutritious meals continue to be made available. Russell Hill (7) DS0000043125.V364698.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards 18, 19 & 20 were assessed at this inspection visit. The people who use this service can remain confident that they will get the right support to take care of their personal and healthcare needs. Anyone who needs to take medicine regularly to help them stay well will get the proper support from staff to make sure that this happens properly and safely. EVIDENCE: Russell Hill is designed to require a large staff team in order to provide the very high level of support that is needed by the people who live here. The methods of supporting each individual continue to be clearly written down in a way that focuses on the unique preferences and personality of each person. Each staff member is still required by the home to sign a confirmation that they have read the individual plan and will put it into practise, although this is not always completed, as it should be. Staff who have spoken with the Inspector during these visits remain clear that their responsibility includes being sensitive and flexible in providing personal support. The people who live Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 15 here continue to make use of the range of community health services. Each person’s unique health care needs continue to be reflected in their care plan. A full medical profile is compiled which details the reason for prescription medicines and any risks that might arise about the use of the medication. The outcome of all medical appointments is also written down. One person who lives here continues to suffer from insulin dependent diabetes. The staff team have received appropriate guidance and training from the local specialist diabetes community nurse about giving this medication by means of an insulin pen. The insulin is kept in a locked refrigerator in the senior support workers office and used insulin pens are being stored properly in a sharps box prior to their collection and disposal. Risk assessments continue to indicate that none of those who live here are able to take their medication without the staff supporting them. The home has detailed written policy and procedure guidelines for the handling and administration of medication. All staff members responsible for administering medication have been trained to do so. A monitored dosage system is used with all records being well and accurately kept. The home receives training and advice from their local chemist in regards to all medication. It is once again positive to note that additional medication is not given unless it is absolutely necessary (This is also known as PRN medication). Even when this type of medication is administered it continues to be on only very rare occasions and requires authorisation first. Russell Hill (7) DS0000043125.V364698.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards 22 & 23 were assessed at this inspection visit. The people who use this service can feel confident that the staff team has clear guidance about the procedures to be followed if there are complaints or concerns raised about the wellbeing of the people who use this service. EVIDENCE: There were two complaints made earlier this year by a member of staff, neither of which was found to have any foundation. Four other complaints (three by one family) have also been made. Each of these was responded to and were largely resolved although in one response it was acknowledged that the staffing level at the home (referred to earlier in this report) is causing difficulty at the present time. In addition the home has also received four cards / letters of compliment. Three of these were from relatives commenting about positive changes to the life of their particular loved one and the good work of the staff group. Another was from a professional commenting on how well they perceive the work of the staff team and their positive contact and interaction with the home. Continued updated training in the local authority protection of vulnerable adults procedures is occurring. All senior staff have attended this course so at all times there is someone on duty that would know what to do if a concern were to be raised. Although one potential protection of vulnerable adults Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 17 concern has been raised in the last year this did not require investigation by the geographical or placing authorities. Russell Hill (7) DS0000043125.V364698.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Standards 24 & 30 were assessed at this inspection. The people who use this service cannot feel confident that they are living in an efficiently well maintained home, as there are once again delays in addressing repairs and refurbishment when these are identified. The home is, however, kept clean and hygienic. EVIDENCE: At the time of the random inspection that occurred in April 2006 there had been significant problems with the boiler system that resulted in a short period where heating and hot water were not available. This problem was resolved at that time but further difficulty has arisen and the boiler is not currently able to provide central heating. Given that winter is fast approaching the boilers must be repaired properly without unnecessary delay and be maintained in a way that does not result in regular breakdowns. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 19 The home has historically experienced delays in getting repairs actioned and specific items for use by people who live here obtained. During the previous key standards inspection visit the manager said that a restructuring of the maintenance within the organisation should result in more efficient action to resolve repairs and obtaining necessary equipment. Although improvements were then made it is noted that this issue has arisen yet again. The registered provider must ensure that unnecessary delays in responding to these issues achieve a permanent resolution rather than short term improvements followed by deterioration. The home must continually be maintained in a way that also prevents unnecessary potential risk to the people who use this service, one example being a window that had not been secured properly and resulted in a service user getting out through the window and climbing onto the roof. Fortunately no harm resulted but this was due to good fortune rather than diligent maintenance of the property. The personal and shared living space that is used by the people in residence is generally comfortable and suitable to each person’s individual needs and preferences. The home was also found to be clean and hygienic. Russell Hill (7) DS0000043125.V364698.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Standards 32, 33, 34, 35 & 36 were assessed at this inspection. The people who use this service can feel confident that there is an effective staff team to meet their needs and that these staff are safe people to support them. The level of staff vacancy does, however, put this effectiveness in jeopardy not least with the consistency of care and support that is required by the people who use this service. EVIDENCE: As reported at previous inspections all staff undertake a six month foundation course that is linked to the learning disability award framework. A requirement for staff in passing their probationary employment period is that they complete this course. One of the senior staff is an accredited NVQ assessor, which makes it far easier to support staff that are undertaking this qualification. Approximately 70 of the current permanent staff team have achieved NVQ level 2 or higher. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 21 The home has lost approximately 25 of the permanent staff team in recent months. Recruitment of staff in any care home, and not least in one that does require a larger than average staff team, is always going to be an area that necessitates ongoing work. It should be noted that comments received by the Commission indicate that the vacancy level at this service is reaching problematic levels. For this reason the registered provider must inform the Commission in writing of what proposals and / or actions are to be taken to improve the numbers of permanent staff in post. The Commission has agreed that the registered provider can hold central personnel records at the company headquarters that include CRB checks, references, application and other relevant documentation with confirmation being sent to the home that these have been received prior to staff commencing in post. The manager stated during this inspection that a transfer of staffing information is currently underway due to newly revised company procedures about how personnel information is kept. The home’s manager was again able to show that dates for staff supervision are on record and that this is on target to continue to achieve the required frequency. Russell Hill (7) DS0000043125.V364698.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Standards 37, 39 & 42 were assessed at this inspection. The people who use this service can feel confident that they are living in a home that has internal and external management, is being run with their best interests at heart, faces challenges, yet their rights are respected. EVIDENCE: The home’s registered manager, Mr Parker, successfully completed the registered managers award last year and displays his qualification certificate in the administrative office of the home. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 23 The Area Care Director, as required under Regulation 26, carries out monthly visits, and Caretech have a quality assurance programme in place as an organisation. The overall internal and external oversight of the service began to show signs of improvement last year and this continues to be the case. The service does face challenges that are reflected in this report not least with staffing and maintaining a consistency of service given that particular resource difficulty. The necessary health and safety checks have been carried out within the last year with the exception that the Gas safety check must now be updated, as it has not been completed since 30/07/07. Regular tests of the fire alarm system and fire drills are also occurring. Russell Hill (7) DS0000043125.V364698.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 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 x 3 x 3 x x 2 x Russell Hill (7) DS0000043125.V364698.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 YA12 YA13 Regulation 16 (2) (m) & (n) Requirement The registered provider is required to inform the Commission in writing of how it is proposed to address the need for service users to maintain consistent opportunity to engage in activity, social and leisure pursuits. Timescale for action 15/12/08 2. YA24 23 (2) ( c ) Given that winter is fast 15/12/08 approaching the boilers must be repaired properly without unnecessary delay and be maintained in a way that does not result in regular breakdowns. The registered provider must ensure that unnecessary delays in responding to maintenance issues achieves a permanent resolution rather than short term improvements followed by deterioration. The home must continually be maintained in a way that also prevents unnecessary potential risk to the people who use this service. The registered provider must inform the Commission in writing DS0000043125.V364698.R01.S.doc 3. YA24 23 (2) (b) & (d) 15/12/08 4. YA33 18 (1) (a) 15/12/08 Russell Hill (7) Version 5.2 Page 26 of what proposals and / or actions are to be taken to improve the numbers of permanent staff in post. 5. YA42 23 (2) ( c ) The Gas safety check must now be updated, as it has not been completed since 30/07/07. 15/12/08 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. 2. Refer to Standard YA9 YA18 Good Practice Recommendations Risk assessments should be updated at least six monthly as per Caretech’s internal organisational procedures. Staff should sign a confirmation that they have read the individual plan and will put it into practise, as per Caretech’s own internal organisational procedures. Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 27 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. Extracts may not be used or reproduced without the express permission of CSCI Russell Hill (7) DS0000043125.V364698.R01.S.doc Version 5.2 Page 28 - 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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  • Widgets to embed inspection reports into your website
  • Formated links to this care home profile
  • Links to the latest inspection report
  • Widget to add iPaper version of SoP to your website