Inspection on 28/01/08 for Selwyn Road (1-3)

This is the latest available inspection report for this service, carried out on 28th January 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Selwyn Road (1-3) 01/11/05

Selwyn Road (1-3) 21/06/05

Selwyn Road (1-3) 20/01/05

Selwyn Road (1-3) 24/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Selwyn Road (1-3) 1-3 Selwyn Road Bow London E3 4PX Lead Inspector Anne Chamberlain Unannounced Inspection 28th January 2008 10:00 Selwyn Road (1-3) DS0000010303.V358201.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 Selwyn Road (1-3) DS0000010303.V358201.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. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Selwyn Road (1-3) Address 1-3 Selwyn Road Bow London E3 4PX 020 8983 0036 0208 983 4260 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) Outward Mrs Gloria Lambert-Morris Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To service users of the following gender: Female Whose primary care needs on admission to the home are within the following categories: 2. Learning Disability - Code LD The maximum number of service users who can be accommodated is: 5 20th September 2006 Date of last inspection Brief Description of the Service: Selwyn Road is situated in the vicinity of Roman Road, off the Mile End Road. The area has good public transport connections with buses and underground trains going west to the centre of London and east past Stratford. Selwyn Road is a residential home for 5 adult women with learning disabilities and some challenging behaviours. It comprises two adjoining houses. House number 1 has a ground floor bedroom with en-suite facilities, lounge kitchen and conservatory. On the second floor there are a further two bedrooms with hand basins and a shared bathroom/toilet, also the office/sleep in room. House number 3 has a kitchen and lounge with doors on to a small garden shared with number 1. On the first floor are a further two bedrooms with hand basins and a shared bathroom with separate toilet. The fees of the home are around £1,200 per week. Selwyn Road (1-3) DS0000010303.V358201.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 two stars. This means the people who use this service experience good quality outcomes. Before the site visit the inspector received an Annual Quality Assurance Assessment (AQAA) from the home. This was well completed and gave comprehensive information about the quality of the service people receive there. The inspection was unannounced and the aim was to test all key requirements, as well as revisiting the requirements made at the previous inspection. This aim was achieved. The inspector viewed key documentation, policies procedures, and personal information for three service users. She viewed the arrangements for the administration of medication and made a tour of the house. The inspector was assisted by the manager of the home. The inspector spoke with two residents and greeted another. She exchanged greetings with members of staff and had a short discussion with one. The inspector would like to thank the service users, staff and manager for their co-operation and assistance. The inspector came to the home to see how people were, and to collect information to write a report. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 6 She talked to service users and staff. What the service does well: Following a period of some disruption in management, the home has a new permanent manager. She is experienced, has leadership skills, and is working with the service users and carers to build on the existing strengths of the service. Systems are in place to ensure that routine tasks and work run smoothly and are easily auditable. Much of the documentation is attractive and user friendly. Files are well sectioned and coloured paper is used for key documentation so that it is easily identifiable. Records are available to hand. The house is very much the service users home with a relaxed supportive atmosphere. The home seems to be a happy place where people are helped to do all kinds of things. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 7 They go out a lot and have fun. and enjoy nice food and meals out. What has improved since the last inspection? Service users now have clear plans, based on updated assessments of need. These generate focussed risk assessments. Service users files are generally uniform. They are indexed and sectioned and key documents are clearly named. Arrangements for the safeguarding of service users valuables and money have been strengthened. Arrangements for the administration of medication have been tightened to reduce the risk of errors. Keyworking in the home has been emphasised with carers understanding and fulfilling their role more fully. Medication practice is more reliable now. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 8 Information and important documents are clearer. What they could do better: The inspection resulted in two legal requirements and no good practice recommendations. The complaints information needs an amendment to bring it up to date. Service users must have the opportunity to express their wishes around ageing, illness and death. It is understood that the process for this will begin on a date in February, when the topic will be aired with everyone. The meeting of health needs will become more pro-active with the introduction of health action plans. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 9 The home needs to ask people for their views about all things, even about when they are old or poorly. 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. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 10 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 Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 11 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): 2. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The information provided for prospective service users is of a high quality and individual needs would be properly assessed. EVIDENCE: The manager of the home has updated the statement of purpose and service users guide, since her arrival. The inspector was pleased to see that they are user friendly and include comments from service users. There have been no admissions to the home since the last inspection. However the home has a comprehensive policy and procedure for new admissions. The inspector is quite satisfied that any proposed new resident would be fully assessed. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 12 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 and 9. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Service user needs are well understood. They are encouraged to take decisions and supported to enjoy independence. EVIDENCE: The inspector viewed the files of three service users. She noted that the original assessment information from when they first came to the home was retained. Also that assessments of need had been updated. This is done via a prepared format which the organisation has produced. From this list of needs care plans had been devised. These were of a high quality, clearly produced on coloured paper with each aspect separate and easy to update. They had been signed by service users. The assessments referred to risk assessments which had been generated from them. These included the important aspect of accessing the community. The assessments were of a high quality with strategies identified to reduce risks. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 13 In addition the files contained guidelines for managing the behaviour which service users at times present, inside and outside of the house. Reviews had been held for service users during the previous year with appropriate invitations being sent to family and professional contacts. The inspector saw forms which are works in progress where keyworkers prepare material for the next review. There was evidence across files and other documentation of service users making decisions for themselves. Their weekly timetables reflect their choice of activities. The inspector saw in a log book that a service user had chosen not to attend her day centre on a particular day and stayed home instead. The three service whose information was viewed, had all had something different for breakfast that morning. Service users go on holidays separately to places they choose, etc. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 14 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): 12,13,15,16 and 17. Service users experience excellent quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service users are supported to enjoy a good quality of life with individual choice and a variety of activities and opportunities. EVIDENCE: Service users attend day centres and enjoy a variety of other activities inside and outside of the home. The inspector viewed their individual timetables and also their joint timetable. These help everyone to keep on track with daily routines. Service users are supported to see their families and friends and one service user has a relationship with a boyfriend. She visits him and they go on holiday together. Some appropriate guidance has been organised to support this service user with the more intimate aspects of the relationship. Service users rights are respected in the home. A service user brought her mail to the manager to be read and explained to her, during the inspection. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 15 The manager told the inspector that a service user has asked for a key to her room. The manager is pleased about this as it provides an opportunity to introduce the idea to all the service users. She intends to work with each individually, to see if they would like their own keys, and assess their ability to keep them safe. The service users get very involved in the running of the home and take responsibilities for many domestic chores. They like to take care of their rooms, laundry etc, and also to help prepare food. Staff support and encourage. The inspector was particularly impressed with two ring binders which had been made up by a keyworker. One was all pictures of different holiday options and one was pictures of different types of food. The manager had requested these binders be made up because she feels the service users need to have good visual clues when they are making choices, or just looking for ideas. The inspector felt that as well as providing a really useful resource for service users, the reflection that the worker must have put into this project would have had a really positive effect on her practice. The inspector observed that the staffing level of the home, and the way it is used, is a strength. It enables service users to get out and about and have fun, but also to enjoy time at home with one to one support. The inspector observed from chatting to a service user that she appeared calmer and more relaxed than the last time the inspector talked with her. This she took to be a very positive sign. Selwyn Road (1-3) DS0000010303.V358201.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. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Service users are well looked after at the home. Their health needs, physical and emotional, are met and medication practice is sound. Afterlife wishes must be sought. EVIDENCE: The service user plans contained information to guide carers in supporting with personal care. The service users are all very different in personality and needs, and the inspector felt this was recognized and understood by the manager, the deputy and the carers. Each service user has a second personal file where their health care information is filed. The service users have a range of health needs and there was evidence that these are properly addressed. A check is kept on appointments so that if they are cancelled for any reason, another is booked if needed. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 17 Service users have a weight record, what they eat is recorded and their behaviour is monitored. The inspector noted that one service user had gone for months without a behavioural incident. The inspector understands from the AQAA that health action plans are to be introduced. This will further improve health care and make it more pro-active. The dynamics between individual service users are complex and emotions run high quite often. The staff are sympathetic but also model respectful behaviour, and encourage service users to be tolerant of each other. The inspector read in personal files the monthly keyworking reports of workers. These evidence workers taking issues forward to a satisfactory conclusion, like buying new clothes and disposing of old ones. The inspector viewed the medication policy and also the arrangements for the administration of medication. The medication is appropriately stored and the key was on the person of the shift leader. The home uses a bubble pack system. There is a record of medications received into the home and medications returned to the pharmacy. The manager stated that only shift leaders who have had medication training, are allowed to administer medication. There is a medication folder and the inspector noted that each service user has a sheet which shows the medications they are taking, the dose, the purpose and the possible sideeffects. The manager stated that she is qualified to train in medication administration and has spent time with staff demonstrating exactly how she wants the medication to be administered, and emphasising that everyone must follow the same procedure. She said that she does a fortnightly medication audit. The inspector balanced the stock of two medications against the Medication Administration Record (MAR) sheets and both were accurate with no discrepancies. At the moment there are no records of the of service users afterlife wishes. The manager has arranged for this topic to be raised in February when an outside professional will visit the service to talk with service users. The inspector appreciates this thorough approach, and expects it to result in the timely recording of the views of service users regarding ageing, illness and death (see requirements). Selwyn Road (1-3) DS0000010303.V358201.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 Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Complaints are taken very seriously and service users are encouraged to express any dissatisfaction they feel. Service users are well protected from abuse and harm. EVIDENCE: The inspector viewed the complaints information. She noted that service users have user friendly complaints information on their files. This needs an amendment because the frequency of CSCI inspection is now variable depending on the rating of the service. It is no longer accurate to say that the CSCI inspector will visit at least twice a year see requirements. The manager stated in her AQAA that the home has a grumbles and gripes book. This is useful because it ensures that small things are raised early before they become problems. It also provides a less formal forum where friction between service users may be dealt with. The manager also stated that the Quality Committee scrutinizes complaints from all the Outward services. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 19 The home has a copy of the organisational adult protection procedure. The manager was clear that in the first instance, the adult protection unit of the local social services must be alerted of any allegation or suspicion of abuse. The manager stated in her AQAA that all staff have had Protection of Vulnerable Adults (POVA) training. The home keeps a copy of the London Borough of Tower Hamlets adult protection policy, and the inspector saw this. The inspector viewed the arrangements for the safeguarding of service users monies in the home. They were simple and clear and had been audited regularly by the manager. The inspector was satisfied that service users are supported to spend their money as they choose. Service users valuables are safeguarded in the home. They are kept in a safe and the manager makes a recorded check on them every month. The manager told the inspector she is hoping at least one of the service users will take the opportunity to undertake Outwards assertiveness training. Selwyn Road (1-3) DS0000010303.V358201.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 and 30. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home is safe and feels secure and comfortable. It is very clean. EVIDENCE: The inspector viewed the home environment including one service users bedroom. The environment is good, comfortable and homely. It reflects the tastes of the service users and has a very feminine feel. There were no particular maintenance or other issues but some of the décor needs freshening. The inspector was particularly pleased to see on display the professional photographic portraits, which service users have had taken. They are flattering and special. The inspector viewed the garden from the conservatory and noted that it was very tidy has been neatly turned over ready for planting in the spring. At the last inspection the inspector recommended that the service pursue an air conditioning unit for the conservatory which gets very hot in the summer. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 21 The manager stated in her AQAA that an air conditioning unit has been purchased for the conservatory. The home is very clean. There are some continence issues and the laundry is done in a utility room, which has a impermeable floor. There were no unpleasant odours in the home. Selwyn Road (1-3) DS0000010303.V358201.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): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff at the home are carefully recruited, trained, and skilled to work with the service users. EVIDENCE: Currently the staff group comprises the manager, deputy manager and seven care staff. In her AQAA the manager speaks of attempting to recruit white carers to the home to reflect the cultural identity of the service users. Despite their different ethnicity the staff team make every effort to support the service users culture through their meals, family contact, activities and church attendance. The manager has NVQ4 in care and the Registered Managers Award (RMA) also a BTec in Managing Care Services. She is currently undertaking a BSc (Hons) in Learning Difficulties. The manager stated that 75 of the staff have NVQ2 and two are undertaking it. The manager is herself an NVQ assessor. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 23 The manager has come to the service recently, from managing another Outward service. She is not yet registered to manage the service but is now forwarding her paperwork to the commission for registration. The manager and inspector agreed that the following topics are core training:Adult Protection Health and Safety Fire First Aid and as such need to be refreshed annually or within two years for adult protection. Staff also do basic manual handling, infection control and epilepsy awareness training. The manager stated that the training of the staff is all up to date. At present she works with information from the human resources department which covers the whole organisation. She will in time make herself a matrix for the staff of the home so that she can keep track of their training easily. The home has not taken on any new staff recently but the manager in her AQAA confirmed, that the Outward recruitment system includes, taking two professional references, a Criminal Records Bureau disclosure (CRB), identification and eligibility to work in this country application form, interview etc. The inspector viewed evidence of team meetings. There was convincing evidence of leadership in these and in the communication book. The manager has very clear expectations and communicates them effectively. The inspector was happy with the interaction she saw between service users and staff. She noted that one service user has already formed an attachment to the manager whom she approaches directly and confidently. Selwyn Road (1-3) DS0000010303.V358201.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): 37,39, 41 and 42. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home is well run. Service users views are fully considered. EVIDENCE: The inspector was happy with the progress the new manager has made since she has been in post. The manager manages the home in a systemised way. This means that everyday things can run smoothly and new areas can be worked on. The basics of care assessment and planning are sound. The manager has some creative ideas for supporting the service users further personal development. She does not want to mark time in her own phrase. Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 25 This is a revitalising approach for the home and appears to be backed up with energy and commitment. The inspector feels that the service is well run and continuing to improve. In her AQAA the manager states that service users have a range ways to express their views, through their weekly keyworking sessions, through weekly house meetings, their reviews and the annual service user forum. There is also a suggestions and comments book and families and friends are encouraged to give feedback. Person Centred Planning (PCP) is being developed in the home with service users. There will be individual PCP folders and meetings. The recording in the home is satisfactory. As required by the previous inspection keyworking notes are now signed and dated by staff, and main files do not contain information which would be better archived. The inspector viewed the health and safety, and fire protection systems for the home. There is a safety check list and service users are involved in helping with the checks, which is empowering and developmental for them. The fridge, freezer, water and cooked food temperature checks are taken regularly and recorded. No opened but undated food was found in the refrigerator. The gas safety was checked by an outside contractor on 29th March 2005. The emergency call system is checked weekly. The fire assessment was updated on 28th November 2007. Fire alarms were checked by an outside contractor in April and July 2007. The home checks the fire alarm weekly. Fire evacuation drills are held monthly with time taken to evacuate, and the names of the people involved recorded. Portable Appliance Testing was undertaken in January 2008. The manager showed the inspector where the Control of Substances Hazardous to Health (COSHH) items are locked, and stated that the product information is stored with them and is up to date. Selwyn Road (1-3) DS0000010303.V358201.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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 2 x x 3 x 3 3 x Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 27 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. 2. Standard YA21 Regulation 12(3) Requirement The manager must ensure that service users are given the opportunity to record their views about ageing, illness and death. The complaints information must not state that that the CSCI inspector will visit at least twice a year. Timescale for action 01/04/08 1. YA22 22 01/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Selwyn Road (1-3) DS0000010303.V358201.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Selwyn Road (1-3) DS0000010303.V358201.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. 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