Inspection on 21/11/06 for 10 Whitfield Avenue

This inspection was carried out on 21st November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

10 Whitfield Avenue 16/06/08

10 Whitfield Avenue 08/11/05

10 Whitfield Avenue 06/06/05

10 Whitfield Avenue 14/12/04

10 Whitfield Avenue 07/06/04

10 Whitfield Avenue 12/01/04

Similar services:

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

1a White Ladies Close

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 10 Whitfield Avenue Seabridge Newcastle Staffordshire ST5 2JH Lead Inspector Mr Berwyn Babb Key Announced Inspection 21 November 2006 12:15 10 Whitfield Avenue DS0000005111.V319126.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 10 Whitfield Avenue DS0000005111.V319126.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. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 10 Whitfield Avenue Address Seabridge Newcastle Staffordshire ST5 2JH 01782 638291 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) whitfielddave@cvhoicesha.co.uk Choices Housing Association Limited Miss Rosanna Sarah Zacune Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Whitfield Avenue is a three bedded, semi-detached house located in a residential area near Newcastle town centre, to which there is a frequent bus service. Retail outlets nearby include a number of shops and a mini market. There are several public houses close by that are popular with residents. The home offers accommodation for up to three persons between the ages of 18 and 65 (all of whom are currently male), who have differing degrees of learning disability. On the ground floor there is a large tastefully decorated and furnished lounge with comfortable seating, one single bedroom, a kitchen, a dining room cum conservatory and a WC. The domestic washer and dryer are situated in the kitchen. The first floor comprises of two further single bedrooms, a bathroom/shower and WC and the office/staff sleeping in room. There is a large private garden to the rear, where the residents use the summerhouse as a clubhouse in good weather, having been furnished with all the necessary facilities for music, games and a mini bar. The small formal garden at the front includes a paved area for parking one vehicle. The current rate being charged for a place in the home is £970 per week. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out during the afternoon of Tuesday the 21 November 2006. When the inspector arrived at the home, he found that two of three residents were enjoying a holiday in Blackpool with the support of a member of staff, and that the third resident would be in the home for the whole of the afternoon. On duty were the registered manager and her deputy, and later in the afternoon when the latter person left to go to college in connection with her NVQ level 4, she was replaced by another support worker, who would be remaining on duty for the remainder of the day, and then sleep in as the member of night staff. The home was clean, warm, light, airy, and tidy throughout, and the remaining resident, who was recovering from a form of viral cold that was prevalent in North Staffordshire at the time, was having all his care needs met, and appeared to enjoy taking part in the inspection process. All core standards were inspected, and deemed to be good or excellent. What the service does well: What has improved since the last inspection? Since the last inspection the staff office/sleeping room had been decorated and given a new carpet, one of the residents has had a new carpet in his bedroom, the hallway and stairs have been decorated, and the downstairs toilet had been upgraded and redecorated. There was also a new shed in the garden to provide the men with further storage area. Though not yet installed, approval 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 6 had been given for a new and larger conservatory to replace the existing one in the next financial year, and this will doubtless be commented on in future reports. 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. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 7 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 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The outcome for this group of residents in this area was excellent. This judgment was made using all the available evidence, including a visit to the service. The home’s Statement of Purpose and Service User Guide was good, providing residents and prospective residents with details of the services the home provides, thus enabling an informed decision about admission to be made. Redidents records and an analysis of the comment cards confirmed this. EVIDENCE: There had been no new admissions into the home during the period since the last inspection, or indeed for the last 2 1/2 years. Those records review showed that care management assessments had been in place for all the current residents, but discussion with the care manager indicated that should there be a vacancy, and should there be an application from somebody not using the care program or care management routes, then their needs and choices would be fully assessed against the ability of the home to meet these through the Person Centred Planning ethos adhered to by the home. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. The outcome for this group of residents was excellent. This judgment was made using all the available evidence, including a visit to the service. This was based upon comprehensive personal care plans, and finding that residents had been assisted to make what decisions they were able to, and to take any risks that were appropriate. EVIDENCE: From an in-depth examination of the care plan one resident, and from less detailed reference to those of the other two residents, it was established at extensive consultation took place with residents when ever any decision was being made that would impact upon their lives. Similarly there were robust details given about how, consistent with their ability, they were kept aware of information being held in relation to them, and about how staff were trained in respect of their confidentiality and maximise their personhood. The range of risk assessments found in the documentation covered such areas as, fire, reacting to strangers, the prevention of accidents and the 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 10 consequences that might result from the medical condition with which he was diagnosed. This man had signed to say that he had read and agreed with his risk assessments, and there were details of how he was being further enabled to access the community both locally and nationally, by provision of a personal mobile phone, and of an emergency call pendant. This resident was in the habit of travelling long distances to meetings for, and on behalf of an advocacy group, and the care manager expanded on the detail contained in his daily record to explain that when he travelled long distances, he would be picked up and taken to the nearest railway station where a member of the host organisation would meet him so that they could travel together. She stated that in the immediate area he has a better sense of his whereabouts and better road safety skills than most of the staff, and that at all times in addition to his mobile phone carrier had an identity card in his wallet with emergency details. There was also an agreement with him as to the time that he was likely to return to the home, and historically he has always stuck religiously to this, or made contact to say why he was unable to. On a weekly basis he was walking the two and a half miles there and two and half miles back again to the headquarters of the providers, to take receipt of his allowances, and valued being able to do this as a means of maintaining his confidence and independence. Records and discussion showed that he was used to assisting with the domestic chores of the home, and had been risk assessed for the use of those substances hazardous to health such as cleaning fluids and polishes, and was aware of colour-coded equipment, and the need for protective aprons and gloves. Further risk assessments had indicated that, with monitoring, he was able to undertake his own ironing, and to help with mowing the lawns. He apparently enjoyed cooking, and had undertaken food and hygiene training and attendance at cookery courses. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17. The outcome for this group of residents was good. This judgement was made taking into account all evidence available including a visit to the service, and because they were enabled to have a community presence, to be occupied or stimulated, to maintain affiliate or similar links, and to be able to eat well. EVIDENCE: There was, in respect of the resident who was in the home at the time of the inspection, a Person Centred Activity and Support plan on display in the kitchen. This showed that he was afforded time on his own, when the other two members of the household would not be present to interrupt him, to spend time with a member of support staff enlarging upon his skills in baking. This was one of several activities that he had undertaken at a Health Service day unit and that he had so much enjoyed, that they had been written in to his program of activities whilst in the house. The care manager said that she had observed an expansion of his independence as a beneficial consequence of this improved daily structure, and that for the first time in his recent life he was now able to make a cup of tea for himself. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 12 Discussion about another resident centred around negative coping strategies that he had learned in a previous institutional care setting, and the training of staff to recognise the importance of positive reward in encouraging him to find ways of coping that were more beneficial. This had culminated in his PCP (person centred planning) review of the previous week where he had been presented with all the positive choices he had made in his life during the time under review. One of the other residents had given up his lifetimes pleasure in smoking, but had experienced such adverse effects on his equilibrium, that he had recently resumed, and was now once again enjoying a special time on a Saturday morning when he went off to purchase his TV Guide and meet up with friends for a cup of tea and a cigarette in a cafe in town. Intense discussion with the care manager highlighted the lack of family for one person to contact, and the steps that were being taking to try and fill this void in his life. The resident who was in the home at the time invited inspection of his bedroom, for which he had a key, and introduced many of the items on display there with a detailed history of their origin, and their significance to him. He had been provided with a range of devices to stimulate the senses, or to aid relaxation. At the beginning of the inspection, the resident was enjoying a salad and sandwich lunch, and in response to questions then, and also in the comment card he sent back prior to the inspection, he had stated that he always enjoyed the meals. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 13 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, and 20. Quality for residents in this outcome area was good. This judgment was arrived at using all the evidence available including a visit to the service, and was formed because residents were seen to receive comprehensive social and Healthcare support in line with their assessed needs and choices, and their programs had been reviewed regularly as demonstrated by the record in their personal care profiles. EVIDENCE: In the care plan examined in detail, there were many information sheets on subjects pertinent to that mans current assessed needs. Members of staff had collected these from health sites published on the Internet. A member of staff commented He loves the ownership of his care plans that reading them and signing them gives to him . Many of the plans had been adapted to include picture symbols to make them more accessible to this gentleman, including a very full section where he recorded the consent that he was giving and the boundaries to which he was giving it. One of the comments recorded by him was I like to go to bed early so that I can get up early . 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 14 The extent to which he was being involved in the making of his care plan demonstrated his ability to both give consent, and have the capacity to understand what was meant by that. In other sections there were references to the things that kept him healthy, such as regular exercise, enjoyable leisure, enjoyable sport such as snooker and bike riding (for which he had a risk assessment, and which normally takes place on one of the reserved tracks in the locality such as Parsley Hay, The Manifold Valley, or Tissington Trail), good balanced diet, a regular bath or shower, work, challenges (in such as Assist or Reach) a good laugh, regular checkups with his doctor, and indoor pastimes such as beating members of staff at a game of rummy. He benefited from a health check action plan, and was shown to have had regular appointments with the dentist, chiropodist, the dietician, the optician, the practice nurse, his GP and hospital consultant doctors, and an annual Well Man clinic. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The outcome for this group of residents was good. This judgment was made using all the available evidence including a visit to the service. It was made because staff was been seen to be well trained, and sound policies and procedures had been in place to protect these vulnerable adults. EVIDENCE: When interviewed, a member of staff demonstrated by her answers that she was aware of the manifold ramifications of who could abuse somebody in the home, how they might be able to abuse somebody in the home, and what she should do to protect that person if she suspected that they had been abused, and what other steps she should take to comply with the policy agreed between all parties for the Protection of Vulnerable Adults. A complaints procedure and explanatory leaflet was on display in the home, and in his replies on the comment card sent to the commission prior to the inspection, one of the men had particularly stated, I have my own pictorial complaints book . No complaints had been received by the home since the last inspection, and neither had the commission being contacted by anybody who had any concerns to pass on. The Comments, Concerns, and Complaints book was examined, and found to be free of even the minor everyday niggles that occur. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 16 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, 28, and 30. The outcome for this group of residents was good. This judgment was reached using all the evidence available including a visit to the service, and was made as the residents were seen to be living in a homely, comfortable, and safe environment, with personal and communal space that met their needs and lifestyle, and helped to promote their independence, in an environment that was well maintained, clean, and hygienic. EVIDENCE: As stated in the introduction summary, new carpets had been installed in the staff room and in the bedroom of one of residents, and the hallway, stairs, and downstairs toilet had been redecorated. A new garden shed have also been provided to give the men more storage capacity for their out door equipment. This had been placed halfway up the long back garden, adjacent to the clubhouse which they so enjoyed using in the summer, and situated between the lawn which is surrounded by formal flower beds, and the more informal grass area which included fruit trees and vegetable plots. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 17 The service user who was in residence during the inspection demonstrated how comfortable his room was, and how it contained both many things that were pertinent to his life and history, and other things that were helpful with his current state of health. There were various items of sensory equipment both to help him relax, and also to help keep him stimulated, together with a smart new desk, and new chair and matching footstool, which he used in conjunction with a special sensory cushion. He was pleased to point out both his guitar and his craftwork, which he kept alongside his personal TV and video, and music system. The Care Manager stated that plans had been approved for the modernisation of the bathroom in the next financial year, as well as provision of a new and larger conservatory (which also doubles as a dining room). The home was spotlessly clean and tidy throughout, and the inspector was shown details of regular cleaning programs, deep cleaning programs, and the monitoring of food temperatures for both cooked items and freshly delivered meat. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35. The outcome for this group of residents was Excellent. This judgment was made using all evidence available including a visit to the service. It reflects an adequate staff-to-resident ratio, and there being sufficient and appropriate training of, and employment of, experienced and qualified staff. EVIDENCE: Both the care manager and her deputy have now completed the Registered Managers Award. Additionally they both have the qualification D32 and D33 to undertake the roles of internal assessors for National Vocational Qualifications. Fire safety training is refreshed to all staff every three years as is food and hygiene training. The emergency first aid certificate training is done every two years, and moving and handling training is done by an external trainer also every two years and this year all staff have started on a course of M. A. P. A. (the management of actual and potential aggression) training, with the care manager who has been validated in this role by the British Institute for Learning Disability. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 19 Their introduction training meets the LDAF (learning disability award framework) standard, and training In the Administration of Medications Is Sourced from the Boots pharmaceutical company reinforced by the input of the first level trained nurse who is the Registered Care Manager. They are also able to benefit from the knowledge and advice that she is able to bring since completing the advanced award on sexuality and interpersonal relationship training. A random check was made on records held in the home in relation to members of staff, and the one examined had a completed application form, two written references, and a clear C. R. B. check, notes from supervisions, a training and development record as part of the personal development planned for the year and which showed her to have been on the following training. 1 What is Learning Disability? 2. Abuse. 3. Sexuality, and, 4, Medication training, both internally, and from the Boots pharmacy. Distillation of the evidence given above supported the judgment that there was an excellent provision of sufficient and well-trained staff to meet the needs and individual choices of the residents of this home. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 20 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, and 42. The outcome for this group of residents was good. This judgment was based on all the evidence available including a visit to the service. The manager was competent in all she did, and ran the home following the best principles of current thinking in good practice for people with a learning disability. The records showed that the maintenance of the home had been appropriately undertaken, and that measures aimed at maximising the health and safety of all those in the home had been completed both spontaneously, and in line with the minimum intervals recommended. EVIDENCE: The Registered Care Manager of this home is a first line Registered Mental Health nurse who comes with a raft of qualifications and experiences, making her suitable to manage the care of the people within her charge. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 21 She has completed the registered managers award and level four NVQ, as well as being an NVQ internal assessor, and being validated by BILD to provide training in the management of actual and potential aggression. Members of her staff told the inspector that she was generous to share her knowledge and to support them in expanding their confidence and understanding of the role of assisting the residents of the home. Prior to this inspection comments cards giving opinions on the quality of the service provided by this home were returned to the commission, and they were overwhelmingly positive in the views expressed. In addition to monthly visits from a principal officer of the providers, who undertakes the quality audit and then writes a report which is shared with the commission, the providers have now produced a quarterly team review and quality assurance plan for each of their homes, and the one for 10 Whitfield Ave was presented to the inspector at this time. It lists achievements and proposed improvements in the fields of; Customer Care, the development and maintenance was satisfied and committed workforce, the development and maintenance of highly trained and competent workforce, the development and maintenance of a safe and healthy working environment, and the achievement of maximum value from all resources deployed in the delivery of the service. The above indicated commitment to quality was further reflected when the inspector came to examine records of the monitoring of health and safety within the home. Documentation showed that once a month a system designed to warn staff of whether a resident was having an epileptic episode in his sleep was physically tested using a simulation technique until the alarm sounded. Fire alarms had been tested on a rotating basis weekly, and emergency lighting had been tested monthly. Fire fighting equipment had last been serviced and certificated in January 2006, and staff training had been provided once every three months for staff on night duty, and once every six months for all other staff as an absolute minimum. Water storage and delivery systems had been tested in April 2005 and were not due to be tested again until April next year. This included statutory Legionella testing. No obvious hazards were observed whilst touring the environment of the home, and protocols were in place for any risks that were known or considered likely to affect the residents and staff of 10 Whitfield Ave. 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 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 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 4 27 X 28 3 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 4 X X 4 X 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 10 Whitfield Avenue DS0000005111.V319126.R01.S.doc Version 5.2 Page 25 - 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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