Inspection on 18/06/08 for Washbrook House

This is the latest available inspection report for this service, carried out on 18th June 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.

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

CARE HOME ADULTS 18-65 Washbrook House 50 Washbrook Barton Le-Clay Bedfordshire MK45 4LF Lead Inspector Nicky Hone Unannounced Inspection 18th and 26th June 2008 09:30 Washbrook House DS0000071795.V367498.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 Washbrook House DS0000071795.V367498.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. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Washbrook House Address 50 Washbrook Barton Le-Clay Bedfordshire MK45 4LF 01582 709007 01582 708327 50washbrook@choicesupport.org.uk www.choicesupport.org.uk Choice Support 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) Elizabeth Costello Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Washbrook House DS0000071795.V367498.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 - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning Disability - Code LD The maximum number of service users who can be accommodated is: 6 This is the first inspection of Washbrook House since it transferred to Choice Support. The last key inspection was on 24/05/07. 2. Date of last inspection Brief Description of the Service: Washbrook House is a residential home for up to six adults with learning disabilities. Management of the home transferred from the Bedfordshire and Luton Mental Health and Social Care Partnership Trust (BLPT) to Choice Support in March 2008. The bungalow is owned by MacIntyre Housing Association, which is responsible for its maintenance and upkeep. The home was commissioned in 1994 to replace the services previously provided at Bromham hospital. The current group of service users have all lived at the home since this time. The home is situated in the village of Barton-le-Clay within a well-established residential area, having access to local shops, a chemist, a post office and other amenities. Washbrook House is a single storey bungalow and has six single bedrooms of varying sizes; one has ensuite facilities. Two of the bedrooms are too small so will not be used as bedrooms when they become empty. At the time of this inspection there were 5 people living at Washbrook House. There are two bathrooms, one with an assisted bath, a large lounge/diner, kitchen, laundry room and an office. There is an enclosed garden to the rear of the building, and a small number of car parking spaces at the front. Fees for the service were not available at the time of the inspection. Washbrook House DS0000071795.V367498.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. Choice Support took over as provider of the service at Washbrook House from the Bedfordshire and Luton Partnership Trust (BLPT) on 1st March 2008. The building is owned and maintained by MacIntyre Housing Association. The manager and staff team have continued to work at the home. For this inspection we looked at all the information that we have received, or asked for, since the last key inspection of Washbrook House. This included: • The AQAA (Annual Quality Assurance Assessment) that the manager completed and sent to us in May 2008. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living at the home. It gives the manager the opportunity to say what the home is doing to meet the standards and regulations, and how the home can improve to make life even better for the people who live here. The AQAA also gives us some numerical information about the service; Surveys which we sent to people who use the service, to their relatives/carers, and to staff. We received 16 replies. Some of the comments from the surveys, and some of the results are quoted in the summary and in the body of the report; What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement; Information we asked the home to send us following our visit; and Information that Choice Support gave us about audits they had carried out on some aspects of the service, including activities and staff engagement with the people who live at Washbrook House. • • • • This inspection of Washbrook House included three visits to the home. We went to the home on 17/06/08. No one knew we would be visiting, and there was no one at home. We returned, again unannounced, the following morning (18/06/08). The manager was the only person there as everyone else had gone on a day’s outing. We spent the morning talking to the manager and looking at paperwork, including care plans, risk assessments, medication charts, and records such as staff personnel files, staff rotas, menus and fire Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 6 alarm test records. We arranged to return on 26th June to meet the people who live at Washbrook House and the staff. All the people who live at Washbrook House use only a few words to communicate, so during this visit we spoke briefly to people who were happy to speak with us, and spent some time observing what was happening in the home. We spoke with the three staff on duty. The home now has a vacant room, so one of the people in the two very small rooms is going to move to the larger, empty room. When this happens, the small bedroom, which is at the front of the bungalow, will become the office. What the service does well: Relatives who responded to our survey were all very positive about the home. This is a selection of their comments: • When we asked in our survey what the home does well, one person wrote “Everything. I am so happy that my relative is lucky to be in this home….The attention to detail is outstanding. They take individual care for each of the client’s needs. They take them out and about which is very good”. • “We are lucky – this is a well run home that maintains high and homely standards. The clients are all treated as individuals and visitors are welcome at any time.” • “I know that [name] is well looked after and I know s/he is very happy at Washbrook. I know I do not have to worry about him/her”. • “I am very satisfied with the level of care the care home provides for my relative. I am very happy with the care home”. • “I have had no negative experiences with Washbrook House or staff/management or the care provided…..I am very content with the care my relative receives”. Washbrook House provides a calm, relaxed, friendly and homely place for people to live. Staff are happy in their jobs and enjoy working to make sure the people who live here lead lives that are full and interesting. People are encouraged to make choices and decisions about their lives, and to join in the running of the home as much as possible. Care plans give staff good guidance on how to meet each person’s individual needs, and medicines are administered safely. Staff are recruited well and have received training so that they can do their jobs properly. Generally the home is reasonably well decorated and maintained, and meets the needs of the people who live here. The home manager is doing a good job, and knows where she needs to improve. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Washbrook House DS0000071795.V367498.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 Washbrook House DS0000071795.V367498.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, 3 People who use this service experience good quality outcomes in this area. Good information is available about the service, good assessments of people’s needs are carried out, and the home is staffed and equipped to meet those need well. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We saw the Statement of Purpose and the Service User Guide for Washbrook House. Both had been updated since the change of provider, and contained all the information that would be needed by someone wanting to know about the home. The Service User Guide contained a lot of photographs, making it easy to read and understand. We looked at all the paperwork the home has about two of the people who live here. We found that full assessments of each person’s needs had been done in 2007 by social workers, in preparation for the home being transferred to a new provider. These had been reviewed and updated when needed. One social worker had written “[name] has lived at Washbrook House for 13 years, staff know him/her extremely well and manage his/her care needs well”. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 10 In the AQAA the manager said that each person has an advocate, and that a range of specialist equipment has provided so that each person’s needs can be met. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 People who use this service experience good quality outcomes in this area. Care plans give staff good, detailed guidance on the care and support needed by each person, so that their individual needs can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The records we looked at included a good ‘pen picture’ of the person, giving a brief summary of who they are, and brief information about the support they need. Each person had a Comprehensive Personal Care Plan. These care/support plans were detailed and gave staff good guidance on the support each person needs in each area of their lives. There was evidence that the plans are reviewed and updated when needed. These had all been signed by each staff member to say they had read, understood and would adhere to the guidelines. The plans were not signed by any of the residents or their representatives. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 12 The Choice audit identified that further work is needed on the Person Centred Planning process. Staff write detailed notes giving an interesting picture of how each person has spent their day. In the AQAA the manager told us that people are involved in regular service user meetings, PCP (Person Centred Planning) meetings, tenant meetings with the Housing Association, care reviews, and link and key worker meetings, so that they can be fully involved in everything that is going on. We saw that the staff carry out risk assessments of any risks that might affect the person. The system of risk assessment and risk management was still the same as the one used by the previous provider. This includes a number of general risks (such as the risk of death from a fire). Manual handling risk assessments and the risk of pressure sores had also been completed and reviewed recently. More guidance to staff on risks involved in the person increasing their independence, for example, helping to prepare a meal in the kitchen, should be added. Washbrook House DS0000071795.V367498.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, 16, 17 People who use this service experience good quality outcomes in this area. People are offered opportunities to lead full, satisfying and interesting lives. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: From the records, photos around the home, and discussion with staff, we learnt that people who live here lead very full, active lives. The first day we visited the home, when everyone was out, people had decided to go on a picnic as it was such a nice day. The second day, everyone was going on a day’s boat trip. On the third day, because of our visit, a ‘relaxing evening’ had been arranged. People who wanted to were having a long, relaxing bath, hand and foot massages, their nails painted, and listening to music or watching the TV. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 14 Activity records showed that people are offered a wide range of activities, both at the home, and in the community. Some of the people who live here go to organised day services or college some days during the week, or people spend time with staff doing things round the house, such as household chores, gardening, games, arts and crafts and so on. An aromatherapist visits the home once a fortnight and Bob ‘the music man’ visits weekly. The staff we spoke with said people like to go out, and do so almost every day. They go for drives, walks in local parks, visit places of interest, go shopping, go to church, visit museums, go swimming, have meals out and so on. Some people went to see the ice show in Blackpool and holidays are planned for those who want to go. Two people have signed up for an animal care course at college. There were a lot of photos of people being involved in a gardening project at Stockwood Park. They had helped with designing the project, choosing colours, digging and planting. The photos showed clearly how much they had enjoyed doing this. Everyone had been invited to the official opening of the project which was to take place the week after the inspection. People had also been involved in a ‘sensory box’ project at the museum, and the manager showed us a video on the computer of people doing foot and hand print painting at college. Herbs which people had planted were growing in tubs on the patio, and there were a number of pieces of artwork which people had created in the front porch. People are supported by staff to keep in contact with their relatives and friends. One person is supported by his keyworker to email his mother who lives in Australia. Families are invited to any events in the home, such as parties and social events, and are encouraged to be as involved as much as possible in the lives of the people who live here. Families visit regularly, and go with people on some of the outings. One relative who returned our survey wrote, “ They always advise us of any events e.g. a barbeque or a party in the home and we go as often as we can”. Three people have friends outside the home who they visit regularly, or who visit them at Washbrook House. We looked at menus. The staff told us that they use a series of pictures to help people choose what meals they would like. Each person makes a choice for one day of the week. For the rest of the day the menus were not detailed, as what people eats depends on the activity they are involved in. Detailed daily notes included a record of what each person has eaten during the day. We noticed that one person had eaten ‘burger and chips’ one evening, and the next day had ‘Burger King lunch’ and salmon and chips in the evening. This person’s weight record showed that they had gained 8lbs since January 2008. The manager agreed that staff need to pay more attention to offering a healthier diet. Washbrook House DS0000071795.V367498.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, 21 People who use this service experience good quality outcomes in this area. People know that their healthcare needs will be met, and that staff administer their medicines correctly. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Support plans gave detailed guidance to staff on the way each person wishes and needs to be supported. When we visited, people seemed happy with the support they were being given. We saw that staff and residents get on well together and seemed content to be in each other’s company. Staff treated people with respect and people’s privacy and dignity was being maintained, other than some inappropriate language (“good girl”) being used. The audit carried out by Choice Support also noted that “some of the interactions by staff were not always seen as age appropriate”. Medical notes on people’s files showed that they are supported to attend appointments with the doctor, district nurse and dentist when needed. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 16 People’s weight is recorded regularly. One person’s weight record included a statement “ideal weight 7-8 stone”. The manager was not sure where this had come from but was satisfied that the person’s current weight of nearly 10 stone was fine. The files we looked at included a ‘capacity assessment’, completed by the manager and deputy manager showing that the person would not be able to look after their medicines. In one person’s care plan we found guidelines for staff on giving this person their medication. This person prefers to take their medication in yogurt or jam. None of the people who live here can look after their own medicines or take them without assistance from staff. We looked at the Medication Administration Record (MAR) charts. Staff had signed to show that they had administered all medications, except three gaps in the administration of eye drops. Guidelines for the administration of ‘when needed’ medicines were clearer than when we last read them. On the files we found clear guidelines showing the family’s wishes for what should happen when the person dies. Washbrook House DS0000071795.V367498.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 People who use this service experience good quality outcomes in this area. People know that their concerns will be listened to and acted on, and that staff are trained to keep them safe from harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager showed us that she keeps a complaints file. No complaints have been received. The home has a complaints procedure which is made clear in the Service User Guide, so people know what to do if they have a concern. None of the people who live at Washbrook House are able to look after their own money, so this is done by the manager and staff. A small amount of cash is kept for each person, and records are completed to show how much money has been spent. We checked two people’s records and they were satisfactory. All staff received training in Safeguarding Vulnerable Adults before the home transferred to Choice Support. Discussions with staff showed that they are clear about what safeguarding means, and what to do if they felt someone was not being treated properly. Washbrook House DS0000071795.V367498.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, 28, 30 People who use this service experience adequate quality outcomes in this area. Some decoration and refurbishment is needed before this home can be considered to offer a comfortable, homely and well-maintained environment for the people who live here. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: On the day we visited the home when everyone except the manager had gone out, a number of maintenance tasks were being undertaken. Contractors were in the home to check and repair any lighting and electrical faults; gardeners were mowing the lawns and pruning some of the shrubs; and carpets were cleaned. Contractors had planned to replace one of the carpets but they realised they would need two days, so re-arranged this for a date in September when the person would be on holiday. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 19 Some areas of the home, including the lounge/dining room and two of the bedrooms need to be redecorated. The manager explained that the Housing Association who own the building had stopped doing any refurbishment as they were not sure about the plans for the service under the new provider. This is not acceptable: the home must be a pleasant place for people to live. One relative who returned our survey wrote “ The home is clean and does not smell”. There were no unpleasant odours on either of the days we visited the home. Washbrook House DS0000071795.V367498.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, 33, 34, 35, 36 People who use this service experience good quality outcomes in this area. The people who live at Washbrook House benefit from staff that are well recruited, well trained and supervised so that they can do their jobs properly. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: When we visited the home to meet the people who live here, there were three staff on duty. Staff said that usually there are enough staff, but if there were more, they could do more activities with people. In the audit carried out by Choice, the auditor wrote, “the staff at the service were welcoming and extremely helpful”. One relative, in response to our survey, wrote “The staff are very patient…..they seem well-organised….it is a calm place which must benefit the clients…and they take the time to talk to us” and “The attention to detail is outstanding. They take individual care for each of the client’s needs”. Another wrote “They are very professional at their jobs and have always looked after my relative well”. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 21 One of the staff on duty told us she was from an agency and this was her 4th shift. She said how much she enjoyed coming to Washbrook House. She said the staff “are very helpful” and “it’s a good team work here”. She felt she had been given a good induction so she could do her job properly. She told us she had done a number of training courses before starting at Washbrook House. The other two staff had both worked at Washbrook House for a number of years. They said how much they enjoy the work, and how they enjoy supporting people to do different things. We looked at the documents about two of the staff, which had been obtained before they started work. Both staff had worked at the home for a number of years. Most of the required information was available, including references and recent disclosures from the Criminal Records Bureau. The manager told us that all staff have had training for moving and handling; administering rectal diazepam; fire safety; safeguarding; autism; and epilepsy. She said that there is at least one first aider on each shift, most staff have been booked onto a food safety course, and all except two staff have a National Vocational Qualification (NVQ) in care level 2 or 3. We looked at one staff member’s training file and saw certificates which confirmed this. Staff we spoke with said their training was up to date when they transferred to Choice Support, and that they were now being offered courses through Choice. Supervision records showed that all staff have had two supervision sessions this year (unless they have been off sick). The manager was aware that at the present rate she will find it difficult to make sure all staff have the six sessions in twelve months recommended by the National Minimum Standards. However, staff also attend monthly team meetings which are minuted. Washbrook House DS0000071795.V367498.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, 38, 39, 41, 42 People who use this service experience good quality outcomes in this area. Washbrook House is managed well so that the people who live here have a good quality of life. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager told us that she has been managing services for people with learning disabilities for many years, and has almost completed the Registered Manager’s Award. One of the staff said “The manager is very good, she always has time for you”. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 23 In the AQAA the manager said that there are a number of ways the people who live at Washbrook House are involved in the running of the home, and encouraged to give their views on the quality of the care they receive. As people are not able to communicate well with words, staff have learnt to recognise the way each individual expresses his/her likes and dislikes. ‘Quality assurance’ is also done by a more formal questionnaire: the Choice auditor felt that “due to limited verbal communication, the use of more accessible forms of communication would be beneficial”. We checked the records of tests of the fire alarm (required weekly) and emergency lighting (required monthly) and the tests had been carried out almost as required (only two tests for the fire alarms had been done in June). Two fire drills had been done in 2008. We discussed with the manager that all staff must be involved in a fire drill at least every 12 months. Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 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 2 25 X 26 X 27 X 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 2 X 3 3 X Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 23(2)(d) Requirement The areas that need it must be redecorated so that people have a well decorated home to live in. An annual quality assurance report must be produced and a copy sent to CSCI. This requirement was not met and is carried forward Timescale for action 30/09/08 2 YA39 24 30/09/08 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 Washbrook House DS0000071795.V367498.R01.S.doc Version 5.2 Page 26 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 Washbrook House DS0000071795.V367498.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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