NA

TIO

NA

L C

AR

E

STA

ND

AR

DS

CO

MM

ISS

ION

(N

CS

C)

Hea

lth a

nd S

ocia

l Car

e S

crut

iny

Pan

elM

onda

y, 8

thM

arch

200

4

Nat

iona

l Car

e S

tand

ards

Com

mis

sion

(N

CS

C)

•E

stab

lishe

d A

pril

2002

–ne

w a

nd

inde

pend

ent o

rgan

isat

ion

•To

ok o

ver f

rom

loca

l Soc

ial C

are

Insp

ecto

rate

s•

Cer

tain

pro

vide

rs n

ow re

quire

d to

regi

ster

w

ith N

CS

C

Est

ablis

hmen

ts

•C

are

Hom

es (R

esid

entia

l and

Nur

sing

)•

Chi

ldre

n’s

Hom

es•

Inde

pend

ent h

ospi

tals

•In

depe

nden

t clin

ics

•R

esid

entia

l Fam

ily C

entre

s

Age

ncie

s

•N

ursi

ng A

genc

ies

•V

olun

tary

Ado

ptio

n A

genc

ies

•In

depe

nden

t Hea

lth C

are

Age

ncie

s•

Dom

icilia

ry (H

ome)

Car

e A

genc

ies

•Fo

ster

ing

Age

ncie

s

Legi

slat

ion

•N

CS

C s

et u

p un

der C

are

Sta

ndar

ds A

ct

2000

•R

egul

atio

ns –

and

•N

atio

nal M

inim

um S

tand

ards

Pur

pose

of t

he A

ct•

To p

rote

ct v

ulne

rabl

e pe

ople

•To

rais

e st

anda

rds

•To

ens

ure

even

han

dedn

ess

•To

impl

emen

t bin

ding

regu

latio

ns•

To in

trodu

ce n

atio

nal m

inim

um s

tand

ards

(n

ot b

indi

ng, b

ut u

nder

pin

regu

latio

ns)

Failu

re to

com

ply

with

the

regu

latio

ns in

full

can

lead

to p

rose

cutio

n an

d en

forc

emen

t act

ion

•R

espo

nsib

le in

divi

dual

for L

BH

•A

ssis

tant

Dire

ctor

Com

mun

ity C

are

•R

egis

tere

d M

anag

ers

(Est

ablis

hmen

ts)

•W

estb

rook

Phi

l Hop

kins

•S

tain

es R

oad

Chi

ldre

n’s

Hom

eTo

ny M

oody

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lifto

n G

arde

nsN

ick

Ape

troai

e•

Hes

ton

Hou

seB

elin

da C

alen

•S

andb

anks

Sue

Witc

her

•E

ldrid

ge H

ouse

Den

iz C

sern

okla

vek

•R

egis

tere

d M

anag

ers

(Age

ncie

s)•

Dom

icili

ary

(Hom

e) C

are

Car

ole

Mac

Iver

•Fo

ster

ing

Ser

vice

sN

eil H

arris

•A

dopt

ion

Ser

vice

sN

eil H

arris

Act

ion

Take

n S

o Fa

r

•A

ll se

rvic

es re

gist

ered

•S

taff

and

man

ager

s pr

ogre

ssin

g w

ith

atta

inin

g N

VQ

at r

elev

ant l

evel

s•

Mon

thly

una

nnou

nced

“ins

pect

ion”

vis

its

of e

ach

Hom

e•

CR

B c

heck

s un

derw

ay•

Reg

iste

red

man

ager

s m

eet q

uarte

rly

with

Res

pons

ible

Per

son

Res

ourc

e Im

plic

atio

ns (£19

2,80

0)M

aint

enan

ce

(£24

0,00

0)S

taffi

ng le

vels

(£21

,500

)A

nnua

l fee

s

Wes

tbro

ok S

hort

Bre

ak a

nd

Res

ourc

e U

nit

Reg

iste

red

Man

ager

–P

hil H

opki

ns•

Ser

vice

s P

rovi

ded

•R

esid

entia

l sho

rt br

eak

care

•S

pace

/faci

litie

s•

Day

car

e an

d te

a vi

sits

•O

utre

ach

•Y

outh

clu

b•

Par

ent/c

arer

info

rmat

ion

and

supp

ort

•Fo

r dis

able

d ch

ildre

n an

d yo

ung

peop

le a

ged

10 –

19 y

ears

•

Last

Insp

ectio

ns:

•A

nnou

nced

–11

than

d 12

thA

ugus

t 200

3•

Una

nnou

nced

–26

thFe

brua

ry 2

004

NC

SC

Insp

ectio

n R

equi

rem

ents

Aug

ust 2

003

•A

cces

sibl

e C

hild

ren’

s G

uide

•Lo

cal A

utho

rity

Com

plai

nts

Pro

cedu

re to

incl

ude

NC

SC

con

tact

det

ails

•R

epor

t all

notif

iabl

e ev

ents

with

in 2

4 ho

urs

•In

trodu

ce h

ot w

ater

test

ing

syst

em•

Evi

denc

e of

all

staf

f rec

ruitm

ent a

nd v

ettin

g re

cord

s to

be

avai

labl

e in

the

Uni

t•

Sta

ffing

Pol

icy

to b

e up

date

d•

Sta

ff In

duct

ion

and

Foun

datio

n tra

inin

g to

mee

t N

atio

nal T

rain

ing

Org

anis

atio

ns s

peci

ficat

ion

•C

ompl

aint

s Tr

aini

ng fo

r sta

ff•

You

ng P

eopl

e’s

files

to b

e up

date

d to

incl

ude

crite

ria

set o

ut in

Sch

edul

e 3

of th

eR

egul

atio

ns

Sta

ines

Roa

d C

hild

ren’

s H

ome

Num

ber o

f Ins

pect

ion

Vis

its

•H

ome

is in

spec

ted

twic

e in

any

one

ye

ar•

1 ye

arly

vis

it is

ann

ounc

ed, t

he s

econ

d un

anno

unce

d•

Insp

ectio

n Ja

nuar

y 20

03

•In

spec

tion

Oct

ober

200

3 •

Insp

ectio

n M

arch

200

4 ( r

epor

t not

av

aila

ble

)

Una

nnou

nced

Insp

ectio

n O

ctob

er

2003

Sum

mar

y•

Pla

nnin

g fo

r Car

e : 6

of 7

sta

ndar

ds m

et.

Rec

omm

enda

tion

to s

tream

line

plac

emen

t pla

n•

Qua

lity

of C

are

: 7 o

f 8 s

tand

ards

met

( om

issi

on o

n 1

youn

g pe

rson

med

icat

ion

adm

inis

tratio

n re

cord

)•

Com

plai

nts

and

Pro

tect

ion

: all

5 st

anda

rds

met

•C

are

and

Con

trol :

all

3 st

anda

rds

met

•E

nviro

nmen

t Sta

ndar

ds :

2 of

4 s

tand

ards

met

. S

tand

ards

to b

e m

et w

ith n

ew h

ome

as p

art o

f LIF

T.•

Sta

ffing

: 4

of 5

sta

ndar

ds m

et. F

ull e

mpl

oym

ent

hist

ory

requ

ired

in h

omes

reco

rds

Clif

ton

Gar

dens

Car

e H

ome

for O

lder

Peo

ple

•C

lifto

n G

arde

ns p

rovi

des

•33

per

man

ent r

esid

entia

l pla

ces

•2

resp

ite p

lace

s•

From

Apr

il 20

04, C

lifto

n G

arde

ns w

ill p

rovi

de•

26 p

erm

anen

t res

iden

tial p

lace

s•

7 pe

rman

ent r

esid

entia

l pla

ces

for o

lder

peo

ple

with

dem

entia

•2

resp

ite p

lace

s fo

r old

er p

eopl

e w

ith d

emen

tia

Insp

ectio

n V

isit

9th

Oct

ober

200

3

•Th

e to

tal n

umbe

r of r

equi

rem

ents

re

duce

d fro

m 2

6 fro

m th

e pr

evio

us

insp

ectio

n to

11.

•Th

e nu

mbe

r of r

ecom

men

datio

ns

redu

ced

from

3 to

1

Req

uire

men

ts/R

ecom

men

datio

ns

•C

ontra

ct/s

tate

men

t of t

erm

s an

d co

nditi

ons

need

to b

e pu

t in

plac

e•

Rel

ativ

es to

sig

n th

e ca

re p

lans

whe

re th

e re

side

nts

wer

e no

t abl

e to

do

so•

A n

eed

for m

ore

care

wor

kers

to b

e re

crui

ted

and

curr

ent s

taff

to b

e tra

ined

to N

VQ

leve

l 2

in c

are

•A

boo

k fo

r rec

ordi

ng re

side

nts

valu

able

s to

be

kep

t in

the

hom

e

Som

e of

our

prio

ritie

s fo

r the

ne

xt In

spec

tion

are

•To

furth

er im

prov

e on

all

the

stan

dard

s as

sess

ed b

y th

e N

CS

C•

Impr

ove

the

qual

ity o

f life

for p

eopl

e us

ing

our

serv

ice

•O

peni

ng a

9 p

lace

dem

entia

uni

t•

Impl

emen

ting

Pha

se II

of a

thre

e ye

ar

refu

rbis

hmen

t pro

gram

me

•D

evel

opin

g C

lifto

n G

arde

ns in

to a

cen

tre o

f ex

celle

nce

in re

side

ntia

l and

resp

ite c

are

Hes

ton

Hou

se R

esou

rce

Cen

tre

Hes

ton

Hou

seR

esou

rce

Cen

tre

Bel

inda

Jan

e C

alen

Reg

iste

red

Man

ager

Res

iden

tial

Car

e -5

1 of

w

hich

39%

A

sian

Eld

ers

Day

Car

e fo

r Asi

an

Elde

rs 7

day

se

rvic

e, m

eals

pr

ovid

ed o

n si

teN

o of

S.U

’s -

35

Res

pite

A

sian

Eld

ers

21

Inte

rmed

iate

C

are

for

Asi

an E

lder

s6

Del

ayed

D

isch

arge

Team

Com

mun

ity

Laun

dry

prov

ides

w

ashi

ng fa

cilit

ies

for w

hole

Bor

ough

S.U

’s =

151

Met

An

actio

n pl

an m

ust b

e su

bmitt

ed to

the

NC

SC

to d

emon

stra

te th

e de

cora

ting

and

mai

nten

ance

wor

k w

ill b

e ac

hiev

ed w

ithin

tim

esca

le s

et

19

Met

Arra

ngem

ent m

ust b

e m

ade

to e

nsur

e th

at

all s

taff

rece

ive

adul

t abu

se tr

aini

ng18

Not

yet

met

Tran

slat

ion

of te

xt fo

r ser

vice

use

rs w

hose

fir

st la

ngua

ge is

not

Eng

lish

15

Met

All

hom

e re

med

ies

mus

t be

appr

oved

by

a G

P p

rior t

o ad

min

istra

tion.

9

Not

yet

met

A s

tate

men

t of t

erm

s an

d co

nditi

ons

mus

t be

ava

ilabl

e fo

r pro

spec

tive

serv

ice

user

s2

Met

/Unm

et/

Not

Yet

Met

Sta

tuto

ry R

equi

rem

ents

Sta

ndar

d

San

dban

ks C

are

Hom

e

Reg

iste

red

Man

ager

Sue

Witc

her

•S

ervi

ces

prov

ided

•26

per

man

ent e

lder

ly c

are

beds

•7

reha

bilit

atio

n be

ds•

Last

Insp

ectio

ns•

Ann

ounc

ed –

2nd

Febr

uary

200

4 (n

o re

port

avai

labl

e)•

Una

nnou

nced

–31

stO

ctob

er 2

003

Insp

ectio

n Fe

brua

ry 2

004

•W

ritte

n re

port

not a

vaila

ble

until

end

of

Mar

ch.

•All

requ

irem

ents

sub

ject

to re

gist

ratio

n ca

rried

out

•Pre

viou

s re

quire

men

ts•K

itche

n re

deco

ratio

n an

d de

ep c

lean

•Law

n le

velle

d •M

ajor

alte

ratio

ns to

the

laun

dry

•Red

ecor

atio

n/re

furb

ishm

ent o

f 12

bedr

oom

s•M

ore

phon

e po

ints

for r

esid

ents

Dom

icili

ary

(Hom

e) C

are

Dom

icili

ary

(Hom

e) C

are

•R

equi

rem

ents

for R

egis

tratio

n:•

Sta

tem

ent o

f Pur

pose

and

Ser

vice

Use

r’s G

uide

•C

are

need

s as

sess

men

t to

be u

pdat

ed•

Ser

vice

use

r pla

ns re

gula

rly u

pdat

ed•

Rev

iew

of p

ract

ice

guid

ance

rela

ting

to m

edic

atio

n•

Ris

k as

sess

men

ts/s

afe

wor

king

pra

ctic

es•

Rec

ord

keep

ing

–of

fice

base

d an

d at

clie

nt’s

ho

me

•D

evel

opm

ent a

nd tr

aini

ng/q

ualif

icat

ions

•S

uper

visi

on•

Qua

lity

assu

ranc

e•

Com

plai

nts

and

com

plim

ents

Fost

erin

g S

ervi

ce

Num

ber o

f Ins

pect

ion

Vis

its

•N

CS

C u

nder

take

a y

early

insp

ectio

n of

fo

ster

ing

serv

ices

•Fi

rst I

nspe

ctio

n in

Hou

nslo

w c

ondu

cted

in

Feb

ruar

y 20

03•

Sec

ond

Insp

ectio

n he

ld in

N

ovem

ber/D

ecem

ber 2

003

Sta

tuto

ry R

equi

rem

ents

•Fo

ster

ing

Ser

vice

Chi

ldre

n’s

Gui

de to

be

final

ised

/prin

ted

and

dist

ribut

ed to

you

ng

peop

le/c

arer

s•

Adv

ice/

supp

ort t

o be

pro

vide

d by

SS

W o

n di

etar

y ne

eds

•Fo

ster

Car

ers

Agr

eem

ent F

orm

to b

e up

-da

ted

•S

SW

to a

udit

safe

sto

rage

of i

nfor

mat

ion

in

care

rs h

omes

•R

egis

ter o

f App

rove

d C

arer

s to

be

audi

ted

on

mon

thly

bas

is