Inspection on 20/03/09 for Wagstaff Way

This is the latest available inspection report for this service, carried out on 20th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOME ADULTS 18-65 Wagstaff Way 3 Wagstaff Way Marston Green Solihull West Midlands B37 7GW Lead Inspector Lisa Evitts Key Unannounced Inspection 20th March 2009 09:50 Wagstaff Way DS0000072915.V374415.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 Wagstaff Way DS0000072915.V374415.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. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wagstaff Way Address 3 Wagstaff Way Marston Green Solihull West Midlands B37 7GW 0121 788 8168 0121 788 8168 gailjenings@autismwestmidlands.org.uk www.autismwestmidlands.org.uk Autism.West Midlands 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 Gail Ann Jennings Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only (code PC) To Service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) 4 The maximum number of service users to be accommodated is 4 2. Date of last inspection None Brief Description of the Service: Wagstaff Way is part of the Autism West Midlands group and can provide care for four adults who have autistic spectrum disorder. The home is a four bedroom detached house on a new estate close to Gorse Farm, the main site of the organisations services. There are two lounges, a dining room, kitchen and utility room. The single bedrooms are situated on the first and second floor and the third floor is used by staff. One bedroom has an ensuite shower. There is a bathroom on the second floor and a further walk in shower on the third floor so that people can have a choice of bathing facilities. At the rear of the home there is a large attractive garden area which people can use as they choose to. There are a range of community facilities nearby, including shops, public houses and a college. People can also access the facilities at Gorse Farm. A number of bus routes and a train station are within a short walking distance of the home. The home has its own people carrier and cars can park in the road outside the home. The current fee rates for the home are not included in the service users guide but are available from the home upon request. Additional charges include, toiletries, clothing and personal electrical goods. There are no previous inspection reports for this service. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The focus of our inspections is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. We, the commission visited the home over seven hours and were assisted throughout the day by the Registered Manager. The home did not know that we were visiting and there were two people living there. Information was gathered from speaking to both people who live at the home and observing them. Both people were “case tracked”. Case tracking involves discovering individual experiences of living at the home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were reviewed. Two staff were spoken to and staff were observed performing their duties. We sent out two questionnaires to people living at the home and five staff questionnaires in order to gain peoples views about the service. Two people who live at the home and four staff returned questionnaires to us. Comments were positive about the home and are included in this report. Prior to the inspection the manager had completed an Annual Quality Assurance Assessment (AQAA) and returned it to us. This tells us how the home think they are performing and gives us information about the home, staff and people who live there, improvements and plans for further improvements, which was taken into consideration. No immediate requirements were made at the time of this visit. This means that there was nothing urgent that needed to be done to make sure people stayed safe and well. What the service does well: People are provided with current information about the service offered to enable them to make an informed decision about whether they would like to live at the home. They can visit the home to see if they would like to live there. People who live there have access to a range of Health and Social care professionals and this ensures that any healthcare needs are met. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 6 People are provided with opportunities to participate in appropriate activities and to go on holiday so that they have an interesting and meaningful lifestyle. People have a choice of meals that are healthy and that they enjoy. The home creates a friendly and welcoming atmosphere where people can personalise their rooms to reflect preferences and tastes. People are encouraged to be independent and take part in household chores. Staff receive training to ensure that they have the knowledge and skills to perform competently within their roles and to meet the needs of the people who live in the home. People meetings are held and people are encouraged to voice their opinions, and are actively involved in making decisions about the home and activities. Personal monies can be held by the home if requested so that people know they can access this, as they want to. Maintenance checks are completed to ensure that equipment is in full working order and is safe to use. People told us that they were happy living at the home. What has improved since the last inspection? What they could do better: Care plans should be written for specific needs so that staff know how to assist people to meet their needs and have guidance to follow. Fee rates should be made available so that people know how much they will have to pay if they decide to live at the home. Reports from visits made by senior staff should be available so that people know the quality of the service is being monitored. Wagstaff Way DS0000072915.V374415.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. Wagstaff Way DS0000072915.V374415.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 Wagstaff Way DS0000072915.V374415.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information to enable them to make an informed decision about whether they would like to live at the home. People can visit the home and know their needs can be met there before they move in. EVIDENCE: We looked at the Service User Guide and Statement of Purpose. They included most of the relevant and required information so that prospective service users would know what the home provided and could make a decision as to whether or not they would want to live there. The documents were in a pictorial format making them easier to understand. The manager told us in the AQAA that one of the homes first projects would be to produce a format appropriate and chosen by each individual where the same information is available in a way preferable to them. The fee rates for the home were not included and this is recommended so that people know how much they would have to pay if they went to live there. Comprehensive pre admission assessments are undertaken prior to people coming to live at the home and this ensures that people are confident that their individual assessed needs can be met upon admission to the home. Each person had a transition plan developed and there had been a gradual increase in visits and sleepovers to help the people to prepare to move in permanently. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 10 There was evidence that families were involved in this transition period so that they were reassured about their relative moving into the home. One person told us Its nice here at Wagstaff Way. Wagstaff Way DS0000072915.V374415.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 have the information they need so they know how to support people safely to meet their needs, achieve their goals and make choices about their day-to-day lives. EVIDENCE: Each person had a written care plan. This is an individualised plan about what the person is able to do independently and states what support is required from staff in order for the person to meet their needs. We looked at both peoples care files. These stated how staff are to support the person with their personal care including promoting their independence, leisure and social needs, sleep, eating and drinking and health needs. Each person had detailed plans for staff to follow for behaviour management. The format was very easy to understand and included triggers to behaviours, warning signs and how staff should respond to ensure behaviour is managed consistently and safely. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 12 Person centred planning review meetings are held and people have the opportunity to attend and contribute to the meeting if they want to. At the meeting goals are agreed and a list of action points completed. We saw evidence that one person spoke with the social worker before a meeting and drew up a list of their views, as they did not want to attend the meeting. One person who had lived at another home previously had a person centred plan, which they had written. There was an accompanying story, which contained photographs about the new home and people who would live there. It is accepted that these care plans are in progress and that the service will continue to develop these as the people who live there settle in to their new home. Each person has a key worker and it was clear during our visit that people had built up good relationships with the staff. There have been people meetings held at the home so that the people who live there are involved in decisions about the home and are given the opportunity to discuss anything they want or would like to change. People were given choices about what they wanted to do during the day so that they made their own decisions. Risk assessments had been written for specific needs such as going out into the community and trips to the cinema. It is expected that these will be further developed as the care plans develop and staff get to know people better. This will help to ensure the risks to their safety are reduced as much as possible. Wagstaff Way DS0000072915.V374415.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): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living there experience a meaningful lifestyle. They are offered a healthy diet of their choice so ensuring their well being. EVIDENCE: Sampling of records and discussions show that people who live at the home have opportunities to participate in a wide variety of activities. During our visit one person had gone out to the local college sports centre. When she returned to the home she told us about going swimming and about a new trampoline that had been brought by Gorse Farm which she clearly enjoyed the use of. The second person who lived at the home went out to the shops with staff. Staff told us that they did this each day, as she liked to buy a newspaper. People have the opportunity to be involved in various activities such as drama, horse riding, shopping, meals out and trips out with family. Both people who live at the home often stay with their family at the weekends. One person was Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 14 going home in the afternoon and had been shopping with staff to purchase a mothers day card and gift. The home had planned a party to celebrate the official opening of the home. People who live there had been involved in decisions about what they wanted and who they wanted to invite. The people who live at the home were planning a holiday to North Devon in the summer. One person had been assisted by staff to use the local library Internet to research their holiday destination. One person has a job once a week and wants to go to college in September and staff were supporting her to apply to do this. This means that people maintain links with the community. People are supported by staff to maintain the relationships that are important to them. Agreements have been made with family so that people would know when contact would be made for example visits or phone calls. This helps to minimise confusion and anxiety and is incorporated into the persons planner. Records showed that people are involved in household tasks including washing up, preparing meals, cleaning, setting the table and doing their laundry, with staff support where required. The home has a four-week rotating menu and this has pictures so that people can understand what meals they can choose from. There are two choices of hot meals in the evening and lighter meals at lunchtime. One person told us that she was having tomatoes on toast for lunch. Staff eat with the people who live at the home, which helps to promote a social occasion. People are involved in the planning of menus so that they have choices and a well balanced diet. Wagstaff Way DS0000072915.V374415.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. The personal care and health needs of the people living there are met so ensuring their well being. EVIDENCE: Care plans detailed how staff were to support people with their personal care including morning and night time routines. For example may need to advise to change clothes if worn for a few days and set egg timer so buzzer tells her when to come out of the shower. This means that people have prompts to enable them to maintain their independence. One person had epilepsy but there was no care plan for this and this is required so that staff have guidance to follow. One persons care plans had been updated as changes occurred and this is good as it means that staff have up to date information. People who live at the home were well dressed and their clothes were appropriate to their age, gender and the time of year. Records showed that people go shopping for toiletries and clothing, which means they are assisted Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 16 to choose the things they like. People go out to the hairdressers and one person had had their hair highlighted in a way that they preferred. Health records indicated that people are receiving access to general practitioners, social workers and dentists. The service has access to a range of external healthcare professionals and referrals are made as required. The management of medication was reviewed and people had photographs so that they could be identified to minimise risks of medication being given to the wrong person. People were on small amounts of medication and there are no controlled drugs at the home. Medication was stored in a locked cupboard. Copies of prescriptions were kept but were not with the medication administration records (MAR). This is recommended so that people can check these to ensure they have the right medication. The balance of medications audited was correct and this means that people are receiving their medication as prescribed. One person had a handwritten MAR chart and the drugs had not signed in upon receipt to the home. This was discussed with the manager who said they had been signed in at Gorse Farm. The pharmacy was due to start delivering to Wagstaff Way and this means that staff will have printed charts and will be able to sign medication directly into the home. Wagstaff Way DS0000072915.V374415.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. Arrangements ensure that the views of the people living there are listened to and they are safeguarded from harm. EVIDENCE: The complaints procedure is included in the statement of purpose and service user guide so that people know how to make a complaint if they need to. This is also in a pictorial format so it is easier to understand. We have not received any complaints about the home and the home has not received any complaints. In the surveys returned to us people told us that they knew who to speak to if they were unhappy or if they needed to make a complaint. The home had an adult protection policy in place and had the local multi agency guidelines to follow. This ensures that staff have guidelines to follow in the event of an allegation being made. There have been no allegations of an adult protection nature made at the home. Staff receive training in adult protection. Staff spoken to gave a clear account of what action they would take in the event of an allegation being made, to ensure the safety of the people who live there. Individual records are maintained for people where the home holds personal monies. Receipts were available for moneys spent and the balance of money was correct against the cash held. This should ensure that people’s money is held safely. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,27 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with a homely, clean and comfortable environment in which to live where their privacy is maintained. EVIDENCE: The home is a four bedroom detached house which has two lounges, a dining room, kitchen and utility room. The home was decorated and furniture was chosen with the involvement of the people who live there. One lounge has a large flat screen TV and DVD player. The smaller lounge is planned to have a computer installed in the future. The dining room has a table and chairs to accommodate six people so that staff can sit with people to eat their meals. The home was fresh and pleasantly decorated and provides a homely environment for people to live in. A schedule for cleaning has been developed, and the people who live there are supported to help keep their home clean and odour free. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 19 The kitchen is modern and has built in cupboards, which house fridges, freezers and dishwashers. The home has a microwave and a gas cooker. Staff are able to turn off the gas supply at night so that people are safe. The utility room consists of washing machine and tumble dryer and people living at the home were seen to hang out washing and do the ironing on the day of our visit. One bedroom has an ensuite shower. There is a bathroom on the second floor and a further walk in shower on the third floor so that people can have a choice of bathing facilities. Bedrooms are for single occupancy and are situated on the first and second floors. People spoken with said they were happy with their bedrooms. Rooms were personalised and reflected individual’s personalities, gender and culture. Each bedroom was painted in a different colour, which had been chosen by the person who lived there. This shows that people have choices about the home that they live in. At the rear of the home there is a large attractive garden area which people can use as they choose to. There is an attractive water feature and benches. A small greenhouse had been purchased and people were growing a variety of seeds. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff who support people receive training so they have the knowledge to meet individuals needs. The recruitment procedure protects people from harm. EVIDENCE: There are currently two people living at the home and two staff were available on the day of our visit. One staff member remained at the home and the second staff member was out with the other person who lived there. During the night there is one member of staff who sleeps at the home. The manager said that these levels would be reviewed as other people moved into the home. The home has a full team of staff and there are no vacancies. All of the care staff are female which meets the needs of the women who live there. In order to provide a healthy balance people will be supported in various daytime activities by male staff. There are currently over 50 of staff who have completed a National Vocational Qualification (NVQ) Level 2 in care. This should ensure that the staff have the knowledge and skills to care for people individually and collectively. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 21 In the surveys returned to us people told us that the staff treated them well. We observed good staff interactions throughout the day. Staff spoken to were knowledgeable about peoples needs and knew what behaviour they would display if they were unhappy. This means that staff could intervene and resolve any concerns. We observed some behaviour during our visit that could be thought of as challenging. The staff dealt with this well, using distraction to reduce the behaviour and minimise the distress to the people living in the home. Two staff files were reviewed and these were found to contain all the required information to ensure that people employed were deemed safe to work with vulnerable people. Training records showed that staff had done training in a number of areas including fire, health and safety, autism, food hygiene, adult protection, cultural awareness, risk assessments, manual handling and Studio III (physical intervention). One member of staff told us Autism West Midlands training has been excellent so far and another said I am asked questions about the training that I have done to show I understand it. Training was planned and arranged until December and staff are informed about training two months before the date so that they know they need to attend. New people, who work at the home, receive an induction and work alongside other staff so that they can learn what is expected of them. One person said, There were adequate shadowing shifts prior to lone working. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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 home is run in the best interests of the people who live there so ensuring their safety and well being. EVIDENCE: The registered manager is also the registered manager of Gorse Farm. She has numerous years experience of caring for adults who have autism and in management roles. She has achieved the Registered Managers Award and completes training courses as required. This should ensure that she has the knowledge to support staff and ensure the home is run in the best interests of the people who live there. It was clear that the people living at the home knew who the manager was and staff had a good rapport with her. One member of staff said, I can learn things from her. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 23 The home has a service coordinator, who also has experience in care and is currently working towards a National Vocational Qualification (NVQ) level 4 in care. The AQAA told us the service coordinator works closely with the manager to support and manage the service in a day-to-day capacity. It is the responsibility of the organisation to ensure that their representative visits the home on a monthly basis to ensure it is being well managed and to monitor the quality of service provided. The last report was for November 2008. The manager told us that visits had been undertaken but reports could take a while to come from senior staff. These reports should be available for us to see when we visit. Due to this being a new service there is no formal quality assurance system in place but the manager plans to develop this after three months. There have been people meetings held at the home so that the people who live there are involved in decisions about the home and are given the opportunity to discuss anything they want or would like to change. Prior to the inspection the registered manager had completed an Annual Quality Assurance Assessment (AQAA) and returned it to us. This tells us how the home think they are performing and gives us information about the home, staff and people who live there, improvements and plans for further improvements, which was taken into consideration. The home plan to use this information to move the home forward. Health and safety and maintenance checks were sampled. Checks had been made on fire equipment to ensure that the equipment was in safe and full working order. Staff receive fire drills to ensure that they have the knowledge to safeguard people in the event of a fire. An external contractor checks water temperatures, however the risk assessment stated that they should be checked weekly. The maintenance person drew up a weekly checklist whilst we were at the home so that temperatures could be randomly monitored to minimise the risk of accidental scalding. There are a number of risk assessments in place to ensure that the environment and equipment is safe. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 3 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 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 2 X X 3 X Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 YA19 Regulation 12(1)(a) Requirement Care plans must be written for specific conditions so that staff have guidance to follow to meet peoples needs. Timescale for action 15/05/09 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. 2. 3. Refer to Standard YA1 YA20 YA39 Good Practice Recommendations Fee rates should be included in information so that people know how much they would have to pay to live at the home. Copies of prescriptions should be kept alongside medication records so that staff can refer to them. Monthly reports about the service should be available for review so that people know that the quality of service provided is being monitored. Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Wagstaff Way DS0000072915.V374415.R01.S.doc Version 5.2 Page 27 - 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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