Inspection on 17/08/09 for 20 Queens Road

This is the latest available inspection report for this service, carried out on 17th August 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

20 Queens Road 03/01/08

20 Queens Road 08/03/07

20 Queens Road 29/09/05

20 Queens Road 17/05/05

20 Queens Road 22/12/04

20 Queens Road 03/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 15/02/2010.

Key inspection report CARE HOME ADULTS 18-65 20 Queens Road Bishopsworth Bristol BS13 8LB Lead Inspector Melanie Edwards Key Unannounced Inspection 17th August 2009 09:30 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 20 Queens Road Address Bishopsworth Bristol BS13 8LB 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) 0117 9077224 0117 9699000 www.brandontrust.org The Brandon Trust Manager post vacant Care Home 6 Category(ies) of Learning disability (0) registration, with number of places 20 Queens Road DS0000020284.V377183.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 providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is 6. Date of last inspection 23rd June 2008 Brief Description of the Service: The Brandon Trust operates 20 Queens Road. The Home is registered with the Commission for Social Care Inspection to provide personal care to six people with a learning disability. The Home is situated in a busy residential area, close to major transport routes. There are local amenities including shops, social venues and a nearby public house. The Home is a converted bungalow providing single rooms and communal space in two areas including an art/activity room for service user’s personal use. The Home has a clear philosophy of care, which can be found in the statement of purpose. The charge for a person to stay at the Home ranges from between £987.70£1,607.47 a week. Additional charges are levied for extra social activities, hairdressing, music sessions and mini bus hire. These charges vary. Aromatherapy is £8.00 per session. 20 Queens Road DS0000020284.V377183.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 the people who use this service experience good quality outcomes. We met the five residents who are living at the home. We spent time observing residents and staff together. We met the manager and three support workers. We saw residents being assisted with their needs by staff. We looked at a number of records to do with running and managing the home. We saw one person’s care plan, one person’s assessment record, four medication records, the complaints log book, staff duty records, three staff training records, three staff employment records, two supervision records, accident records for this month, fire records, and menus. We saw the entire environment. The AQAA (an annual quality assessment document that all homes are required to complete) has been used to help form the outcomes in the report. We found the home was operating within the required conditions of registration set down by us. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the home. What the service does well: Resident needs are being met by the staff who care and support them. The service meets its aims and objectives to provide care and support to people in a community setting. Residents are able to do a variety of community activities that they enjoy. Resident can eat a varied and well balanced diet and they are involved in choosing the food. The environment is homely and welcoming and residents live in a relaxing home. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 6 Residents are cared for by staff who do some training to do the work they Do. There are now good systems in place to monitor the quality of the service provided to the residents. The home is now being well run and is run in the interests of the residents. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. 20 Queens Road DS0000020284.V377183.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 20 Queens Road DS0000020284.V377183.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2.People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ needs are assessed when they come to the home. There is information available for people to find out about the service that the home provide. EVIDENCE: We looked at a copy of the statement of purpose and a copy of the service users guide, to see how residents can get the information they need about the home a copy of the service users guide was read. We also read a copy of the statement of purpose, this is a legal document that all homes must produce showing how they intend to run the home and meet residents needs. We saw in the statement of purpose and the service users guide helpful information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of care and how the service will meet residents’ needs is clearly explained. The complaints procedure is in the document in an easy to understand format for residents to know how to complain. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 9 We saw pictures of the home and community and this offers extra insight about the service. We saw a copy of both documents and a copy of the last inspection report kept easily available in the home, so that residents and visitors can read them if they so wish. We could see from the information that we read that a lot of work has been done on both documents to make sure they are up to date and include the necessary information about the service. To see how effectively residents’ needs are met we read one persons assessment records and their care plan. We saw up to date, helpful and detailed information written that explained how to help the person with their different needs. We also refer in detail to this in the next section of the report. To find out how effectively residents’ needs are assessed one assessment record was read. An informative assessment had been written about the residents’ physical, mental health and social needs. In the assessment was information about the likes and dislikes of the person and their preferred choice of social and therapeutic activities. The assessment had been written in a person centred style. This helps staff to see the person as a unique individual with their own wishes and values. There was evidence that showed the resident’s assessment record and care plan had been regularly evaluated and updated. This helps to demonstrate resident’s needs are monitored and reviewed. We read some useful information about how residents choices are promoted in the home and we have quoted these examples that the home offer to residents here: ‘Person centred plans with external facilitator for 2 people, people choose how a room is to be decorated,people have their rooms how they want, people are involved in decisions about the home and communial areas’. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9.People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ needs are mostly identified by the home and care plans mostly explain what sort of help and support each person needs. Residents are being well supported to make decisions and to take risks in their lives. EVIDENCE: In the homes ‘AQAA’ document there are some good examples of how residents individuals needs and choices are promoted and we have quoted this extract: ‘Person centred plans to assertain wishes and needs,other professionals, famlies, friends are invited to attend or comment on reviews to ensure we gather as much relevant information about a person as possible.We offer everday choices of meals, where to go, who to be supported by. We have regular reviews for support plans, health plans and risk assessments. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 11 We have communication systems in place, people are informed of the complaints system and supported to make complaints. Residents can do individual activities according to individual preferences e.g. Church, ‘golden oldies club’. We encourage and support people with family contact. The staff encourages inclusive life styles, hobbies, family contact, shopping, college, social activities, and household chores. We have regular reviews of care provided ’. To find out how effectively the residents are being helped and assisted by the staff with their needs we read one persons care plan. We saw in the care plan an informative personal profile about the person. We also read helpful information about each residents physical and social care history as well as information about the person’s family and friends. The care plan explained clearly what the persons physical mental and social needs are. The care plan clearly set out how to help and support the residents with their full range of needs. However from our discussion with the staff we were told that the home are now using ‘assisted technology’ to alert the staff when one person gets out of bed. We were told that this is done to make sure the person is safe and has not fallen down. We advised that the person’s needs in this area of their daily life must be properly assessed and a care plan written based on this assessment. We also advised that if possible informed consent must be obtained for the reasons for the use of this technology that is used to restrict their mobility. We also said if the person cannot give informed consent then a suitable representative should advocate for them in this matter. We saw support workers talked and help residents in a kind respectful manner. One resident spoke to us in a positive way about how the staff help them, they said, the staff have always been good and another resident said, I like it here I’m happy’. This helps to show us that the residents can live the life that they want to at the home. We saw residents getting up at different times during the day. This is a good example of how staff will make sure residents’ choices and different preferences are respected. We were also told that residents help to make choices when planning the food menus. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 12 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): This is what people staying in this care home experience: 12, 13, 15, 16, 17.People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are well supported to take part in a range of different activities and they can enjoy a varied diet of meals that they like to eat. Residents are able to be a part of the community. Residents are supported to have personal relationships. EVIDENCE: In the ‘AQAA’ document there is some really useful information about some of the different ways that residents are supported to live the lifestyle that suits their needs and preferences .We have quoted the following examples: ‘ We offer a balanced diet. People eat at individual times for breakfast and lunch. We offer security in the home from danger. People are treated with respect 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 13 and dignity. We celebrate important dates for the individual. People go to places of interest to them. We respect peoples choice when to get up and go to bed. People buy their own style of clothes. People go on holidays that suit their interests. People are given the time they need to complete tasks and routines’. Residents often go for coffee as well as to nearby pubs and other social venues, this helps to ensure a varied and fulfilling life. There are residents who like to go to the local church and to community based drop in activities. We read in the residents care plans information that confirmed they regularly go to different community activities such as the shops and different social drop in centers. There are local community facilities for residents to use in the area near to the home. One resident told us they go out with staff on a regular basis. We saw one of the residents working on their computer in the conservatory with a member of staff. Some residents’ have family and friends who visit them .One person told us they were looking forward to seeing family members later that day .The staff we met told us that the home have a very flexible visitors policy .This helps to make sure that residents can keep in touch with the people who matter to them . The residents told us that the food at the home was very good. We were also told that residents could decide what food they would like on the menu each week. The lunchtime meal was cheese salad rolls. We saw a recently introduced ‘picture’ menu that staff use to try and help residents make choices of what meals they would like. 20 Queens Road DS0000020284.V377183.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are being helped and assisted with their needs in the way they would like. Residents’ health and personal care needs are being met. Improvements are needed to make sure the home look after residents’ medication in a totally safe way. EVIDENCE: We read some really helpful information written in residents care plans about each person’s preferred daily routine and how they like to be helped and supported. This helps ensure residents’ needs are met in the way that is preferred by them. When we spoke to staff about residents’ needs they were familiar with the information in care plans and what sort of support the residents need. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 15 To support residents with their health needs they go to local GP practices. There is also extra support provided from other external professionals including the psychiatrist, dietician and the community mental health nurses. We saw detailed information in the residents daily records that showed us staff observe residents and their overall health. We saw in residents care records a written health record. These record when residents see a doctor, optician, dentist and chiropodist and what treatment may be required. There was information in the daily records that demonstrated staff monitor and observe residents and call a doctor if concerned. Residents are registered with local GP surgeries. Community nurses also support the residents with their nursing care if needed. This helps to shows how residents’ health care needs are met. We read some useful information in the ‘AQAA’ document about how residents are supported with their personal care needs and we have quoted these examples:‘ We have residents health folders in place and they are regulary reviewed,good records of all healths intervensions,good relationships with local health care team,use local health care facilities and medication reviews’. We checked practices and procedures for giving residents medication and for the storage and disposal of medicines. We saw staff give residents their medication at lunchtime. We noticed that the carer was patient and took time to make sure residents had their medication. We looked at four of the residents’ medication administration records. We saw a photo of each resident kept with the chart for identification of the person. The charts we saw were reasonably clearly written. We saw a satisfactory system for ordering and receiving medication and the records were up to date. Medication stock is stored in a secure cupboard and in a movable metal drugs trolley. However we noticed that the keys used to lock the drug storage cupboard were being routinely (as we were informed by staff) left the unlocked office. This is unsafe as medication needs to be kept safe and secure and this is not guaranteed if the drug cupboard keys are left unattended. We also saw two entries on one residents medication records that had been handwritten, we advised that these entries must signed by the person who wrote them. We also said the medication charts need to be dated with the date that the records have been written. This is to ensure medicines are given safely and correctly. 20 Queens Road DS0000020284.V377183.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23.People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents feel confident to express their views about the home. Residents are well protected from the risk of harm and abuse. EVIDENCE: We checked how many complaints there had been since the last inspection. There had been one complaint that had been dealt with thoroughly and correctly by the manager. Residents who we spoke to told us they would speak to the manager or the staff if they were unhappy. We saw a copy of the complaints procedure on display in the reception area. This includes our name and details for anyone who wishes to contact us and make a complaint. The contact details of the Brandon Trust are included in the complaints procedure and the service users’ guide. This helps people to make a complaint if they need to. We looked at a sample of staff records that showed staff had undertaken recent training in the topic of the protection and safeguarding of vulnerable adults. Senior staff have been doing training on the subject of the Mental Capacity Act. It is really help for the staff to have some understanding of both these new laws, as they are to help to protect the rights of the residents. The 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 17 home has their own policy and procedure in relation to the protection of vulnerable adults. This is kept in the staff office so that all staff are aware of it and what they need to do to protect people from harm and abuse. 20 Queens Road DS0000020284.V377183.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28, 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe and suitable home environment. EVIDENCE: 20 Queens Road is a newer building in a quiet residential area in the City of Bristol. The home is quite near local shops and residents go to the local amenities in the area every day. Since the last inspection parts of the home have been redecorated and refurbished. We found the fixtures and fittings and the standard of decoration looked homely and relaxing for people to live in. We found the environment looked clean tidy and satisfactorily maintained in all the parts we saw. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 19 One of the residents kindly showed us their bedroom. The room was very homely and looked very personal looking. The resident who lived there said that they liked their bedroom. We noticed that each resident had their own belongings in their bedroom and this made each room look individual. We saw an open plan lounge and dining room area for residents to use. We noticed how people looked really comfortable and really relaxed sitting in the lounge area. There is also a conservatory that provides additional ‘space’ for residents to relax in. We saw one of the residents working on their computer in the conservatory with a member of staff. We saw a bathroom with adapted bath to help people who may have reduced mobility. We saw toilets near to communal areas and bedrooms. We noticed bathrooms and toilets were clean and stocked with hand towels and soap to help minimize risk from cross infection. We saw a garden and seating area for people to use in warm weather. 20 Queens Road DS0000020284.V377183.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents get enough help and support from the staff team to meet their needs. Residents are protected by the recruitment procedures and ‘checks’ on all new staff. The staff do some training to care and support the residents properly. EVIDENCE: We looked at the number of staff on duty every day by looking at the staff duty rota for the month. We saw that there is a minimum of two staff on duty every day and there are two staff at night. There is also extra staff on duty in the week to offer additional support to the residents. 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 21 We noticed how the support workers were friendly and polite to the residents they were helping. We observed residents being supported by staff. Based on what we found during the inspection and from what the residents told us, the number of staff on duty is meeting peoples range of needs We met two staff who told us they have now done national vocational qualification in care awards. There is also a significant number of the team who have either completed national vocational qualifications or are working towards them. We asked for staff recruitment records of three staff who work in the home. We saw the necessary checks on all new staff are being carried out. Specifically there are two written references taken up for all new staff before they start work. We also saw there are criminal records bureau disclosures checks and protection of vulnerable adult first checks carried out on all new staff. This helps show us that people are kept safe by recruitment practices and procedures for all new staff. 20 Queens Road DS0000020284.V377183.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42.People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is satisfactorily well run. There are effective ways used to monitor the quality of care and service in the home. The health and safety of residents and staff is protected. EVIDENCE: The manager for the home is also the manager of two other small care homes run by Brandon Trust. Based on the evidence we found at the inspection we can see that the manager has worked hard in the home to try and improve the 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 23 overall standards of care and service to the residents. We looked at the recent audit results carried out on different areas of the services, using an audit tool devised for use in care homes. A copy of the recent audit tool used was looked at. We found that the environment looked satisfactorily maintained throughout. There is a health and safety manager who does health and safety audits of the whole environment, equipment and furniture. We found the kitchen was clean and tidy and in good order. The staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. All staff do regular health and safety training in range of areas including, fire safety, and infection control. This helps ensure staff maintain a good understanding of health and safety principals and practises. We checked the fire logbook and we found that fire checks and drills are being carried out. These tests are done to makes sure that the equipment works properly in the event of a fire. 20 Queens Road DS0000020284.V377183.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Version 5.2 Page 25 20 Queens Road DS0000020284.V377183.R01.S.doc 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 YA6 Regulation 14 Requirement Resident’s needs must be properly assessed and a care plan written based on these assessments. This requirement relates to the use of ‘assisted technology’ to alert staff when people get out of bed. Medication must be stored safely This requirement relates to the leaving of the medication keys unattended in the unlocked office. Ensure handwritten medication records are signed and dated by the person who wrote them. This requirement is to ensure medicines are given safely and correctly. Timescale for action 17/09/09 2. YA20 13 18/08/09 3 YA20 13 18/08/09 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 20 Queens Road DS0000020284.V377183.R01.S.doc Version 5.2 Page 27 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 20 Queens Road DS0000020284.V377183.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!