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
•C
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