Inspection on 16/05/08 for Stonecross Lane Care Home

This is the latest available inspection report for this service, carried out on 16th May 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

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Stonecross Lane Care Home 31 - 33 Stonecross Lane Mansfield Nottinghamshire NG19 7DH Lead Inspector Angela Kennedy Unannounced Inspection 16th May 2008 10:30 Stonecross Lane Care Home DS0000068831.V364716.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 Stonecross Lane Care Home DS0000068831.V364716.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. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stonecross Lane Care Home Address 31 - 33 Stonecross Lane Mansfield Nottinghamshire NG19 7DH 01623 621873 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) judy.wagstaff@nottscc.gov.uk Nottinghamshire County Council Mrs Judith Mary Wagstaff Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Nottinghamshire County Council is registered to provide accommodation and personal care to people at Stonecross Lane Care Home, 31 - 33 Stonecross Lane, Mansfield, Nottinghamshire, NG19 7DH whose primary care needs fall within the following numbers and category: Learning Disability (LD) - 12. 4th April 2007 Date of last inspection Brief Description of the Service: Stonecross Lane is a care home registered to provide support and accommodation for up to twelve adults with a learning disability. Nottinghamshire County Council is the registered provider for this service. The home is located in a residential area close to Mansfield town centre and its amenities. The home consists of two purpose built bungalows, within the same grounds, each accommodating six residents. All of the bedrooms are single; none are en-suite. People with associated physical disabilities are also accommodated at the home, and specialised equipment is available to meet individual needs. There are accessible and well-maintained gardens and the home has its own vehicle. The fees for the home range from £352 to £398 per week. Stonecross Lane Care Home DS0000068831.V364716.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 star. This means the people who use this service experience good quality outcomes. This key inspection was unannounced and took place over approximately eight hours. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with the people using the service. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s and registered manager’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. An Annual Quality Assurance Assessment (AQAA) had been completed by the service. This is a self-assessment for providers, which is a legal requirement. This assessment gives the provider and registered manager an opportunity to let us know about their service and how well they think they are performing. The information provided in the AQAA is reflected within this report. At this inspection visit two people were case tracked. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at care plans and other documents relating to that persons care, talking to staff regarding the care they provide and if possible talking to the individual. None of the people living at Stonecross Lane were able to verbally express their views of the service and the support it provided. However some of the people spoken with were able to indicate that they liked living at the home through limited verbal communication, facial expression and forms of sign language. Three members of staff were spoken with at some length. Their views and opinions of the care provided, the support and training given to them is included within this report. The registered manager was on duty on the day of this inspection and provided the relevant information requested. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The number of relief/ agency staff used at the service indicates the need for additional staff to be employed. Following a full review of individuals’ needs it has been identified that additional staff are required and these posts have been advertised. When these posts are filled it will enable community activities / access to be undertaken without the need for prior planning. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 7 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. Stonecross Lane Care Home DS0000068831.V364716.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 Stonecross Lane Care Home DS0000068831.V364716.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident that the service can support them. This is because there is an accurate assessment of needs that they, or the people close to them have been involved in. EVIDENCE: The service user guide was seen and included an easy read summary to enable people with learning disabilities to understand the information. The manager confirmed that this has been updated in March 2007, however this didn’t reflect the current fees of residency at the service. Once this had been amended it will mean individuals considering living at the service and their relatives / representatives will be able to make a fully informed choice about moving to the home. On the files of the people case tracked there was evidence of a comprehensive needs assessment carried out annually by staff at the home. This assessment identifies each individual’s needs and forms the basis of the care plans. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 10 The home’s admission procedure included obtaining the placing authority’s community care assessment in order to decide whether the home would be suitable. At the last inspection it was identified that people’s needs had not been fully reviewed by the placing authority for some considerable time. This meant that the changing needs of the people that had lived at the home for many years had not been assessed against the staffing levels in place. As stated on the AQAA evidence was seen that demonstrated that reviews had now taken place to identify the changing needs of individuals. It was confirmed by the manager that this supporting evidence had enabled additional staffing hours to be allocated. (Refer to outcome area Staffing) Within one of the bungalows the occupants had received person centred reviews. Records were seen of one person- centred review that had taken place. This method of review allowed the individual to invite the people they wanted to their review, such as family and friends and others that they felt played an important role in their lives. The format of the review enabled the individual to participate when they chose to, in an informal way and enabled them to express their likes and dislikes about living at the home and their hopes and aspirations. The manager confirmed that all reviews would be person centred once all staff had undertaken the relevant training. Stonecross Lane Care Home DS0000068831.V364716.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): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff promote rights and choices and people are supported to take risks to enable them to stay independent. EVIDENCE: All of the people case tracked had care plans that covered their social, emotional, health and personal care needs. The care plans seen were detailed and clearly instructed the staff team on the level and type of support each individual needed. This included the communication needs of the individual and their preferences on how support was provided. Care plans were evaluated as required, some every month some every three months. Risk assessments were seen and referenced to the appropriate care plans they related to. The risk assessments informed staff of the support each person required to enable them to stay as independent as possible. All of the risk Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 12 assessments seen had been reviewed within the last three months. This ensures that the measures for keeping the people safe are still appropriate. The staff spoken with were able to demonstrate a good understanding of individual’s needs, including their communication needs, which reflected what is written in care plans. As stated in the AQAA, the information in the care plans informed staff on how individual’s expressed their preferences and communicated their needs or concerns. Daily records demonstrated that individuals made choices and preferences. Such as when they want a bath, and when they want a lie in, in the morning. The communication methods used varied and staff spoken with were able to confirm how individuals were able to make choices and decisions about what they wanted to do. Some people were shown items while others use picture boards and photographs and some signs and symbols. None of the people living at the home were able to verbally express their opinion of the service. However some of the people spoken with were able to indicate that they liked living at the home. Stonecross Lane Care Home DS0000068831.V364716.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are treated as individuals’ and the staff team are responsive to their needs, preferences and personal development. EVIDENCE: All of the people living at the home accessed day services during the week, some on a full time and some on a part time basis. There are various day centres that are used, depending on individuals’ needs and preferences. The manager stated that advocacy services had been used to support people in planning appropriate day care placements. As stated im the AQAA the support plans seem included individuals interests, preferences and choices. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 14 Staff spoken with reported that there are regular trips out into the community for the people at the home, for example to the pub, shopping in town, the bowling alley and cinema. The daily records seen demonstrated this. Community activities had to be planned in advance so that additional staff were rostered on duty to support individuals in these activities. Discussions with the manager confirmed that three support workers post had been advertised to support people in community activities in the evenings and at weekends. The manager confirmed that one person living at the home was involved in a personal relationship. The staff supported this person to spend time with their partner. An example given was that this person and their partner had gone out for a meal, and although they required staff to accompany them, this was done in an unobtrusive way with the staff sitting at a separate table. This demonstrates that staff are responsive to individual’s needs and support them to have appropriate personal relationships. Some of the people living at the home attended social clubs for people with learning disabilities on two evenings a week. The people living at the home were able to attend Church on Sundays with staff support if they chose to and some people attended the Faith and Light group each month. Staff rotas demonstrated that additional staff were rostered on shift to provide support for these religious activities. Care plans and daily records indicate that contact with family and friends is promoted and maintained. There are regular visits by family members and a staff member spoken with confirmed that visitors are always welcome. Menu plans and menu records showed that a healthy, varied and nutritious diet was provided, with alternative meals always on offer. The manager confirmed that due to the complex needs of the people at the home they were not able to plan or prepare main meals of the day. It was confirmed that one person did prepare their own breakfast with staff supervision and support as required. This demonstrates that people are able to maintain and develop their independent living skills because the staff support their personal development. Staff interaction with the people living at the home was observed. They demonstrated a friendly and respectful manner towards the people they were supporting. Observations of the staff at the evening meal demonstrated a relaxed and unhurried approach to the support they provided. Some of the people living at the home were able to indicate that they enjoyed the meals provided. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal support from staff in a way they prefer and want. The staff team support people to take medication safely EVIDENCE: As confirmed in the AQAA, the care plans seen informed the staff of the individual’s preferred method of support in their personal care needs. Such as their preferred time to have a bath and their preference of clothing. Evidence was seen within care plans that demonstrated that healthcare needs were met. This included records of visits to the doctor, dentist, podiatrist and opticians and well-man and well-woman clinics. Records seen showed that that specialist professionals such as clinical psychologists, occupational therapists, speech and language therapists and physiotherapists were accessed as necessary. The medication practices were looked at and the record of administration was seen for the people case tracked. The storage of medicines was organised and Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 16 the instructions for administration were clear and records show that medicines were administered as prescribed. All medicines audited had the correct quantities of medication as stated on the medication administration record (MAR). It was noted that the cabinet used to store controlled drugs did not comply with new legislation that is now in place for residential care homes. This was discussed with the registered manager and information has been provided to the registered manager regarding this new legislation. Senior care staff have now received training from an appropriate health care professional to enable them to administer emergency epilepsy medication such as rectal diazepam, which is an invasive technique. This means that if an individual was to have a series of seizures senior staff could administer this medication. This will considerably limit the occasions that individual’s are admitted to hospital following seizures, and therefore reduce any unnecessary anxiety. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 17 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns are looked into and actions are taken to put thing right. The practices and policies in place ensure people are safeguarded from abuse. EVIDENCE: The Complaints Procedure was displayed in both bungalows and was presented using symbols to enable people with learning difficulties to understand it. An easy read summary informing people of ‘what to do if you’re unhappy’ was also seen within the service user guide. As stated in the AQAA, two complaints had been received by the service in the last twelve months and the records showed that they had been responded to and addressed appropriately. Staff spoken demonstrated a good understanding of the complaints procedure for ensuring expressed concerns are acted on. They confirmed that they would raise any concerns they had regarding the service. This included any issues or concerns they had for and on behalf of the people living at the home. There have been no disclosures or allegations of abuse since the last inspection. Both the manager and the staff team spoken with had a good understanding of safeguarding adults and the whistle blowing procedure. Everyone spoken with was able to confirm that a safeguarding policy was Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 18 available at the home and knew how to access this policy. All of the staff spoken with had undertaken training on safeguarding adults. The safeguarding adults policy for Nottingham County Council was available at the service and this was seen. A whistle blowing policy was also in place and was seen. Suitable accounting procedures were in place for monies held for people living at the home. The money for the two people case tracked was checked against the records held and was correct. This demonstrates that the practices in place safeguard people from financial abuse. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 19 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People stay in a safe well-maintained environment that is homely, clean and comfortable. EVIDENCE: A tour of both bungalows was undertaken. The décor of both bungalows was attractive and well maintained. The manager confirmed that new carpets had been purchased for the lounge and hallway and three bedrooms at 31 Stonecross Lane. Some people’s bedrooms were seen, with their consent. These bedrooms were attractively decorated and reflected individual taste and preference. One person did not like doors on their wardrobe and this had been respected by providing an open plan wardrobe area for them in their bedroom. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 20 The equipment provided in the bathrooms was suitable to meet the needs of the people living there and this ensured that health and safety practices are maintained. Laundry facilities are sited well away from food and washing machines have sluicing facilities and the ability to meet disinfection standards. All bathrooms and toilets had hand soap and paper towels in them, which is important for good hygiene. As stated in the AQAA, all areas of accomodation and gardens were accessible to wheelchair users. People spoken with indicated that they liked living at the home. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 21 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): 32,33,34,35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment practices and staff training provided demonstrated that the people living at the home were protected and supported by a competent staff team. The staffing levels in place could restrict the support available for community access and activities. EVIDENCE: The manager confirmed in the AQAA information that relief or agency staff had covered a considerable number of shifts within the last twelve months. This was because the staff team is down by three whole time equivalent posts. The manager confirmed that following reviews of individuals needs (refer to outcome area choice of home) these posts had now been advertised and it was stated that these posts would cover evening and weekend work. This would enable community activities and access to be undertaken without the need for prior planning. The rotas were looked at and demonstrated that throughout the day there was two staff on duty in each bungalow with an additional member of staff working between the two. From 4.30 to 11pm an additional member of staff was Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 22 rostered on shift to support with meals and activities during the evening. At night there was one member of staff on duty within each bungalow. On the day of this inspection visit one agency worker was on duty on the afternoon shift. One person was also provided with one to one support for their evening meal. This ensured they received the support they required to enjoy their meal at a relaxed and comfortable pace. The AQAA stated that eight permanent care staff had an NVQ2 in care or above and two were working towards this qualification. Within staff files seen there was evidence of NVQ qualifications in care. Evidence was also seen of staff training towards a learning disability qualification. This demonstrates that people are supported by a staff team that have received the right training to ensure their needs can be met. The correct checks are undertaken to ensure the staff are suitable to work with the people living at the home. Two staff files were looked at and contained two written references and evidence of a satisfactory criminal record bureau check, which were obtained before both staff members commenced their employment. Evidence was seen to demonstrate that people are supported by a staff team who understand and do what is expected of them. Staff training records demonstrated that mandatory training and training specific to the needs of the people at the home was kept up to date. This training included, fire safety, safeguarding adults, food hygiene, first aid, health and safety, mental capacity act training, person centred thinking and managing aggression. Staff spoken with confirmed that the training provided was good and comments included, “ the training is excellent, we are kept up to date”. Staff also stated that the teamwork at the service was very good and said, “it’s a lovely staff team, we all support each other”. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 23 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and safety of the people living at the home is safeguarded by an effective management system. The service aims to ensure it is run in the best interest of the people living there. EVIDENCE: Staff spoken with were complimentary about the managers ability to run the service and comments included, “the manager is very supportive, a fantastic manager”. The home has been registered with Nottinghamshire County Council for the last nineteen months. The IT system, which was seen at the home is now set up and therefore the home is on line. This means training and recruitment Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 24 records and information can now be accessed. The staff team now have access to all of the policies and procedures both on line, and hard copies are now available. The manager confirmed that some generic policies had been amended to ensure they were applicable to the service provided, and some of these policies were seen. The service continues to develop and review their practice to enable them to improve and promote their quality assurance measures. These practices included; Advocacy Alliance who are involved in seeking the views of residents and in implementing the Nottinghamshire initiative, ‘The Quality Tree’, which provides tools that involve people with a learning disability in reviewing and monitoring the quality of a service. The manager confirmed that the results indicated that this tool was not suitable in clearly reflecting the views of the people living at Stonecross Lane, due to the complexity of their needs. Minutes were seen of service user meetings and demonstrated that the staff team using the appropriate communication methods, sought the views of the people living at the home. Minutes were seen of carer/ family meetings that were held twice a year. Questionnaires were also sent out to relatives and demonstrated that relatives were positive about the care and support provided. One relative had said, “The communication between relatives and staff is very good” Staff meetings were undertaken on a regular basis. Meetings held included joint staff meetings, self-rostering meetings, senior staff meetings and bungalow meetings. The information provided in the AQAA stated that the maintenance equipment at the service was up to date. A sample of service certificates was seen and this included the gas safety certificate and electrical installation certificate, both were up to date. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 25 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 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 1 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 3 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 26 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 YA20 Regulation 13.2 Timescale for action Controlled drugs administered by 19/08/08 staff must be stored in a metal cupboard, which complies with the Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007. Staffing levels must be 19/08/08 appropriate to meet the assessed needs of the people living at the home. Requirement 2. YA33 19 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations The Service user Guide should be amended to reflect the current fees for residency at the service. Stonecross Lane Care Home DS0000068831.V364716.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Stonecross Lane Care Home DS0000068831.V364716.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. 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