Inspection on 06/06/08 for Self Unlimited - South Coast

This is the latest available inspection report for this service, carried out on 6th June 2008.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Self Unlimited - South Coast 28/11/05

Self Unlimited - South Coast 13/07/05

Self Unlimited - South Coast 18/01/05

Self Unlimited - South Coast 03/08/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

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33 St John`s Church Road

Dovedale Court

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Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 CARE (Walberton) Freeman Close, Eastergate Lane Walberton Nr Arundel West Sussex BN18 0AE Lead Inspector Annie Taggart Unannounced Inspection 6th June 2008 09:30 CARE (Walberton) DS0000014424.V365284.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 CARE (Walberton) DS0000014424.V365284.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. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service CARE (Walberton) Address Freeman Close, Eastergate Lane Walberton Nr Arundel West Sussex BN18 0AE 01243 542714 01243 544796 sarah.shallis@care-ltd.co.uk www.care-ltd.co.uk CARE (Cottage and Rural Enterprises 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) Mrs Sarah Shallis Care Home 33 Category(ies) of Learning disability (0) registration, with number of places CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (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 (LD). The maximum number of service users to be accommodated is 33. Date of last inspection 7th June 2006 Brief Description of the Service: CARE Walberton is a care home registered to accommodate up to thirty-three service users in the category of adults with learning disabilities. The service is made up of two residential cottages, a separate day service and administration block located on the outskirts of Walberton West Sussex. Accommodation is provided in twenty-nine single rooms and five flat-lets. Facilities in each cottage include, a large lounge/dining room, kitchen, and a number of sitting rooms. There is a small covered swimming pool to the rear of one of the cottages. Orchards and gardens form the rest of the estate. The service is voluntary owned by Cottage and Rural Enterprises Limited (CARE). The Registered Manager is Mrs. Shallis and the Responsible Individual is Mr. Peter Williams. The basic current fees are £675.00 per week CARE (Walberton) DS0000014424.V365284.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 3 star. This means the people who use this service experience excellent quality outcomes. In order to plan for this unannounced visit, an Annual Quality Assurance Assessment (AQAA) was sent to the manager for completion and satisfaction surveys were sent to service users and professionals involved with the home. The AQAA was returned before the date it was due and contained very good information about the services on offer in the home. Thirteen service user and three professionals surveys were also returned and all made very positive comments about the care and support being provided. Comments from surveys have been used in this report. Annie Taggart, who was accompanied for part of the time by an expert by experience and their personal assistant, carried out the unannounced inspection at 9.30am on Friday 6th June 2008. The phrase ‘experts by experience’ is used to describe people whose knowledge about social care services comes directly from using social care services and in CSCI we use the term experts by experience to describe people who use services, who have chosen to become more closely involved with the organization developing their skills, knowledge and expertise. During the visit we spent time talking to service users both in communal areas and in their private bedrooms and the expert spent time interviewing service users and staff, having lunch with people, looking at how people spend their time and the activities they attend. As a result of this the expert has written a report and feedback from this forms part of this report. We tracked four care plans and all supporting documents such as daily records and health plans and we spoke to the staff on duty about how they were aware of the needs and wishes of the people they are supporting. We looked at four recruitment files, staff training files and evidence of supervision and we asked the staff about the training and support they receive. Records for the running of the business were seen and these included complaints and comments, incident and accident recording, health and safety records and the home’s insurance and registration certificate. The Registered Manager, Mrs. Sallis was present and received feedback following the visit independently from both the expert and the inspector. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 7 Some flats within the houses that were used for staff are now being used for people who wish to experience more independent living and improvements are being made to the environment including a new kitchen on one house. A Person Centred Planning co coordinator has been employed to assist service users in being involved in the setting up of their care plans 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. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 4 and 5 Quality outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users and their families can be confident that they will be given good information about the home, that they will have their needs and wishes assessed and recorded and that they will be involved in the process. EVIDENCE: There is good information available about the services on offer for prospective service users and their families. The Statement of purpose and Service User Guide can be produced in accessible formats using pictures and symbols and we saw that service users had a copy of the guide in their records and a copy was also displayed in the hall of each house. The practice in the home is for prospective service users to have a week long stay in the home during which time an intensive assessment process is carried out and recorded. The assessment documentation is produced in an accessible format and from looking at four assessments we found clear evidence that service users and their families had been involved in the process. The registered manager Mrs. Shallis told us that there is then a “cooling off” period of at least two weeks so that service users and their families can be sure that the home will meet their needs and this also gives the home has a CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 10 period of time to consult with other service users to ensure compatibility for people. We saw that agreements of terms and conditions of residency were in place and the service user or their representative had signed the samples that we looked at. We also saw examples of good practice in that a process of continuous assessment identifies when the home no longer meets people’s needs. People are then supported by the home to find other suitable accommodation and CARE sends with them a comprehensive life history and personal information. We saw evidence of this is in the records of a person who had moved to a home for people with dementia. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 and 9 Quality outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. In order to guide the staff team to the needs and wishes of each person living in the home, there are good “person centred” care plans in place and people are supported with independence and choice EVIDENCE: For each person living in the home there is a detailed plan of care in place to guide the staff team to the individual needs and wishes of each service user. We looked at the care plans for four service users and they all contained risk assessments both environmental and personal that are designed to aid people’s independence and choice and all had been regularly reviewed and updated. There are also records of reviews with care managers and funding authorities. The home employs a part time Person Centred Planning co-ordinator who ensures that service users have input into devising the care plans and there is also involvement from an independent Mental Capacity Act co-ordinator. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 12 Some service users use Makaton signing or other forms of communication and the care plans contain pictures, symbols and other aids to assist service users with understanding their plans. The expert by experience asked a staff member, “how do you support people with differing communication needs”? The staff member said that they receive very good training in Makaton and sign language and all staff, except those who have joined recently are able to communicate well with all of the residents”. Daily records are in place in order to monitor service user’s changing needs, preferences and personal progress and we saw that the information was very clear and the language used was respectful to service users. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 14 and 15 Quality outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. The people living in the home are supported to have a full and interesting life and their individual lifestyle choices are respected. There is a wide choice of activities on offer, people have community involvement and people are given a good choice of meals EVIDENCE: In the AQAA, the manager Mrs. Sallis told us that service users were involved in a variety of activities both in the day care provided on site and also in the community. The expert by experience spoke to service users about their experiences and as a result said, “residents have a choice of the activities in the home, however, this seemed to run around the day centre at the home, where they have a wood-work shop, computer room, sensory room, cookery, and apple juice making. They can do some sports as well. When we were at the home CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 14 we saw a number of residents playing some ball games on the lawn with a person who had come in to support them with this”. Records also showed us that some people also have paid or voluntary employment and there are service users working with professional artists in a studio in Chichester to further their skills and experiences. A number of people who are getting older told us that they now preferred a quieter lifestyle and this is also respected. One person told us, “ I like to be quiet, I can have my meals in my room and tonight I will listen to my music as being with lots of people upsets me”. Another person told us they like to set the tables and clear away at lunchtime and also enjoys helping with housework. Some people are also involved in feeding and caring for young pigs that belong to local people but are kept on the CARE land as part of a local co-operative scheme. The expert by experience asked about choice of routines for people and said, “residents can go to bed and get up when they want to. One of the staff members we interviewed explained that they support people make decisions as to when they go to bed. She said, “we explain to the residents that if they stay up late they would be tired the following day, or they would be late getting up to do their activities, if they had any planned”. The expert also said, “Residents have a choice of the things they do. They are free to see and invite their family and friends into the home. They can go to pubs and clubs and the staff support them to do this.” The staffing rotas show that there are extra people on duty on the late shift in order to enable people to go out to activities such as clubs, cinemas or swimming and during the visit four people arrived back from holiday and told us that they had really enjoyed a week away. Other people told us they were planning their holidays and the manager said that the CARE organisation provides funding towards an annual holiday for all service users. The expert by experience also asked if people are able to choose their meals and as a result of this said. “ A staff member said there is a menu system and people have three choices for each meal. These menus are made around residents’ choices. Residents can also go out for meals with staff support if they want to. The meals are currently prepared during the weekdays, Monday to Friday, by the cook and served in the dining room by the kitchen staff. Resident’s independence does not seem to be promoted in this area although the manager said they would soon be moving the cooking and dining facilities into the individual houses then residents will be more involved in the food preparation”. Some people chose to eat in their houses at lunchtime and one person wanted his meal served in his own flat. Breakfasts and some evening meals are also CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 15 prepared in the houses and we saw staff give people one to one support, where needed, in a discrete, friendly manner. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 and 21 Quality outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. The home provides a high level of both physical and emotional healthcare support for the people who live there, people have access to a variety of healthcare professionals and medication is well managed. EVIDENCE: From looking at care plans and daily records we saw that the people living in the home receive a high level of healthcare support. Each person has a health action plan in place that details all areas of both physical and emotional healthcare wellbeing and there is evidence that service users were involved in completing the plans. Plans include such areas as nutritional needs assessments, epilepsy plans and strategies for dealing with emotional needs and also for supporting people with sight or hearing difficulties. Records show that people also regularly visit dentists and chiropodists. The home works well with the local G.P. practice, the local pharmacy and a variety of healthcare professionals including the local learning disability and mental health community teams. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 17 In the AQAA the manager gave us an example of how a service users was supported through a potentially life threatening illness by the staff team and how the home had been supported by healthcare professionals in gaining skills to provide this specialised care. We also saw that the home addresses people’s changing needs such as the ageing process by providing staff with dementia and older person care training and we saw the plan for one service user with a differing cultural background detailing how they should be cared for following their death. In satisfaction surveys returned to us a healthcare professional said, “ the service makes great efforts to support service users to live the lifestyle they choose by seeking support from the community team to work one to one with people involving families, social workers and regularly reviewing people’s needs”. Another healthcare professional said “ the staff are open to discussing issues with other professionals. They are a friendly and approachable team who have the care, concerns and needs of the clients paramount as it should be”. There are policies and procedures in place for the management and administration of medication and training files showed us that staff team receive appropriate training. Medication is kept in each house in locked cabinets in a locked room. There is a monitored dose system in place and we found that medication is well managed and records current and correct. We saw the lunchtime medication being administered in one of the houses and this was carried out in an unhurried, structured way. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. Service users and their families can be confident that their complaints and concerns will be recorded and acted upon, people’s money is safely managed and the staff team are aware of their responsibilities regarding protecting people from risk of abuse or harm. EVIDENCE: The home has a complaints procedure in place and this is displayed in both houses and is available in an “easy read” format. The expert by experience asked people how they felt about making a complaint and said, “residents are aware that if they are not happy with anything in the home they can make a complaint to the manager or the staff ”. We saw the complaints book and this showed us that complaints and concerns both from service users and other people are recorded and investigated and the outcomes fed back to people in the home’s published response timescales. In the AQAA the manager told us that one complaint had been upheld and the home had made three safeguarding referrals leading to one investigation. Processes are in place for managing and recording service users monies and we saw that current records and receipts are kept on file and that these are regularly audited. The manager is in the process of supporting people to set up their own bank accounts and where appropriate, families or advocates are also involved. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 19 When the expert by experience talked to people about their money he was told, “ Residents’ money is kept safely in the office and residents can have their money when they need to buy their personal things”. There are policies and procedures in place regarding protecting people from risk of abuse or harm and the local community learning disability team supports the home in setting up non-aggressive responses to difficult situations. Records showed us that the staff team receive adult protection training and all of the staff we spoke to were aware of their responsibilities and said that would report any suspected abuse straight away. A family member visiting the home at the time of the visit told us, “ I have no concerns at all about the way the home is run, any complaints are dealt with straight away and I feel that my daughter is kept safe”. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 20 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): 24 25 28 and 30 Quality outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, attractive and homely setting for people that is safe and clean and there is a programme of updating and improving the current environmental facilities in place. EVIDENCE: The living environment consists of two large houses set in extensive grounds in a rural setting with additional buildings housing offices, the day care facility and a large dining room/kitchen. In each of the houses people have their own bedrooms and some rooms that were originally staff flats are now being used to provide more independent living for some people. The expert by experience spoke to people about how they felt about their home and said, “the home was clean, airy and the atmosphere was calm and friendly. The grounds are flat and the doors are wide enough for wheelchair access. Residents have their own things in their rooms. They said they chose CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 21 their own furniture with the support of the staff and if they needed anything they just needed to ask. One of the concerns that the expert had was that as the home is large, people’s needs might not always be being met. A family member also told us that smaller living units would be more beneficial to people. The manager said that there was an awareness by the CARE organisation of the benefits of smaller homes and that there was a re-structuring plan in place that includes breaking the houses down into smaller group living settings, the communal dining room/kitchen is going to be used as the apple juice producing unit and the day care facility will eventually move off site. There is a programme of redecoration and maintenance carried out, radiators were covered to ensure people were protected from risk of scalding and there was infection control equipment such as hand gels and gloves and aprons for the staff team to use. One person had blocked his flat door open with an ornament and this was fed back to the manager as a fire risk. By the end of the visit the manager had spoken to the service user about choosing an automatic closure for his room. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 22 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): 32 33 34 and 35 Quality outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. To ensure the safety of the people living in the home, there is a robust staff recruitment process in place and people are supported by a competent and well-trained staff team who are aware of their roles and responsibilities. EVIDENCE: By looking at staffing rotas and talking to the staff on duty we saw that the home provides sufficient staff to meet people’s individual needs. Each house has it’s own distinct staff team, who demonstrated that they have a good knowledge of the people they are supporting. Staffing rotas show that extra staff are on late shifts to enable people to access the community and follow their hobbies and interests. In order to ensure that people have the skills and knowledge to work with vulnerable people there is a robust recruitment process in place. We saw the recruitment files of four recently employed staff and all contained the required documentation including two references and a current Criminal Bureau Check (CRB). CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 23 All new staff are given a structured, in-house induction and then complete the Learning Disability Qualification (LDQ) during which time they complete mandatory training such as first aid, moving and handling and infection control. One new member of staff told us that they were shadowing experienced members of staff for six weeks until their competency to work with people had been assessed and they had gained an insight into the needs of the people they would be supporting. The home employs a part time training co-ordinator and from looking at the records on file we saw that a wide variety of training is undertaken, including specific training in the needs of the people living in the home. These include dementia care, autism awareness, epilepsy, medication, communication and counselling skills. In the AQAA the manager told us that over 70 of the staff team already had completed the NVQ award at either levels two, three or four and this was confirmed by looking at the records. There is regular staff supervision undertaken either by the manager or deputy manager and notes are kept on file. The supervision form shows that working practices and personal development for the individual staff member are discussed and recorded. The people living in the home were very complimentary about the staff team describing them as kind and friendly and in a returned survey a health professional said, “ the organisation seek out training for their staff team in order to keep them up to date and from the work that I have seen at CARE and listening to the staff team talking about service users, I believe that they have the skills to support people and they also embrace issues such as, race, gender and sexual orientation whole heartedly. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 and 42 Quality outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interest of the people living there, by an experienced, competent and committed manager, there are quality assurance processes carried out and recorded and health and safety issues are addressed. EVIDENCE: The home is run in the best interests of service users, by a capable and competent manager who has the skills, experience and knowledge to manage a home for people with learning disabilities. Service users, the staff on duty and a family member spoke highly of Mrs Sallis, describing her as “open, inclusive and always willing to listen”. Comments in returned surveys included, “ this service seems to be in touch with the needs of their clients. The managers are thoughtful about their CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 25 service users needs and seek help if there are difficulties. The manager appears up to date with her thinking regarding the care of people with a learning disability”. There is an ongoing process of quality assurance, which includes Regulation 26 Provider’s visits being carried out and recorded and satisfaction surveys being sent to service users, families, healthcare professionals and other having an interest in the home. Replies are collated centrally and used to provide the basis of ongoing improvement to the services on offer. We also saw a file containing letters and cards from families, complimenting the home on the care being provided. Policies and procedures to guide the staff team to the ethos and working practices expected by the home are in place and are introduced to new staff during the induction period. We saw records for the running of the business and saw that regular maintenance checks suck as hot water temperatures are carried out and recorded, also that the fire system is regularly checked and staff fire training is current. A maintenance team undertakes regular health and safety checks and records were up to date and environmental risk assessments are also regularly updated. CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 26 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 4 5 3 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 3 26 X 27 X 28 3 29 X 30 4 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 4 4 4 x x 4 X CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 CARE (Walberton) DS0000014424.V365284.R01.S.doc Version 5.2 Page 29 - 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!