Inspection on 29/08/07 for 103 Cliddesden Road

This inspection was carried out on 29th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

103 Cliddesden Road 18/04/06

103 Cliddesden Road 16/01/06

103 Cliddesden Road 22/10/04

103 Cliddesden Road 26/05/04

103 Cliddesden Road 28/01/04

103 Cliddesden Road 11/02/03

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 103 Cliddesden Road Basingstoke Hampshire RG21 3EY Lead Inspector Laurie Stride Unannounced Inspection 29th August 2007 10:00 103 Cliddesden Road DS0000012308.V343026.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 103 Cliddesden Road DS0000012308.V343026.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. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 103 Cliddesden Road Address Basingstoke Hampshire RG21 3EY 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) 01256 333423 01256 329402 pm-cliddesdenroad@together-uk.org www.together-uk.org Together Working for Wellbeing Position vacant Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2006 Brief Description of the Service: 103 Cliddesden Road is a three-storey home set in a quiet residential area in Basingstoke, opposite one of the local colleges. It is within easy reach of the town centre and easily accessible by road, rail and other transport networks. The home is registered to provide care and accommodation to seven people who have mental health issues. The home comprises of seven single bedrooms, one sitting room, dining room, kitchen, a quiet room and laundry facilities. There is also a rear garden and patio area, providing additional recreational space. A small parking area is available at the front of the property. This service provides accommodation for up to six months, during which people who use the service are provided with emotional and practical support to develop the skills and abilities to enable them to move to alternative independent accommodation. The current fee is £793.00 per week. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection visit, which lasted approximately seven hours, during which we spoke with one of the people who use the service and briefly met four of the others. We also spoke with the home’s acting manager and three members of staff. Information was also obtained through postal survey questionnaires returned by one of the people who live in the home, a care manager and a health professional. Further evidence for this report was obtained through the service’s annual quality assurance assessment (AQAA), looking at samples of the home’s records and reading the previous inspection report. Since the previous inspection visit, the nature of the service has changed from a long-term residential home to one that provides accommodation for up to six months, during which people who use the service are provided with emotional and practical support to develop the skills and abilities to enable them to move to alternative independent accommodation. What the service does well: What has improved since the last inspection? The actions taken by staff to support individuals to achieve the objectives/goals set out in their care plans are better recorded. This makes it possible to measure how successful the care plans are. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 6 The promotion of the health and safety of people who use the service and staff has improved and a previous requirement has been met, through automatic fire closures being fitted on the kitchen door and lounge door. The acting manager reports that the new model of service is jointly commissioned and this means staff and people who use the service have the support of many local agencies, so the home can access specialist services much faster than normal. 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. 103 Cliddesden Road DS0000012308.V343026.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 103 Cliddesden Road DS0000012308.V343026.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): 1 & 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are effective systems in place for assessing individuals’ needs and aspirations. EVIDENCE: The changes in the nature of the service had been included in a draft of the new Statement of Purpose and Service User Guide, which were available in the lounge at the time of the visit. A person who uses the service confirmed that they were asked if they wanted to move to this home. They also said that they received enough information about the home before moving in to help decide if it was the right place for them. The home’s annual quality assurance assessment states that the service liaises with local care managers through the Community Mental Health Team to make them aware of the service and what is offered. Care Managers make referrals, which are considered by a dedicated multi disciplinary referrals panel- all referrals are considered to support equal opportunities. The referral information is comprehensive and the service consult widely to gain information. The people who use the service are involved from the start and 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 9 their opinions and perspectives form a large part of the information. Once a placement is being offered, the individual is offered a trial stay so that all parties can reflect on the appropriateness of the referral. The acting manager had identified that the process had been showing one area of weakness in that people who use the service often have physical health problems, in addition to their mental health issues, that had not been covered particularly well in the referral information. She had taken action to alert the care managers to the need to brief the referral panel more fully on physical health issues. During this visit we saw a sample of three of the home’s assessment records, including written assessments by the individual’s concerned and those of care managers and health professionals. This demonstrates both person centred and multi-disciplinary approaches to gathering information to assess individuals’ needs and personal priorities. The assessment information was comprehensive. Assessments are reviewed on a monthly basis, or more frequently if required. A care manager involved with the service said that the home’s assessment arrangements ensure that accurate information is always gathered and that the right service is planned and provided to individuals. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 10 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. The home’s care planning and risk assessment processes reflect individuals’ involvement in making decisions about their lives. EVIDENCE: The annual quality assurance assessment says that all needs assessment and care planning work is done with the relevant people who use the service. Keyworkers meet with key-clients on a four weekly basis to review support plans. The key-worker and service user also meet weekly with the individual’s care manager. The service is individually led with support offered according to the persons needs. People who use the service are very involved in the running of the house and have meetings that are held regularly. The AQAA also states that people who use the service have been heavily involved in the recruitment of the current acting manager and the deputy manager. Risks are viewed 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 11 positively in the context of a normal lifestyle, with support given to reflect on rights and responsibilities. Support is offered through education and promoting informed choices. Risks are managed through risk assessments. During this visit we looked at three current care plans, all of which confirmed that the relevant individual’s were participating in the process and that there is also regular input from external professionals. Individuals who use the service are encouraged to assess their current situation, what it is that they need and want to achieve. Staff provide support to enable people to work on their goals and ongoing records are kept to monitor progress, which feed into the review process. For example, one person is being supported to access a grant to renovate their house; others are starting educational courses that involve moving to alternative accommodation. The service also has outreach workers attached to it, who provide continuity as people become more independent. There are links with the community assertive outreach team that provide additional support in emergencies. As with care plans, the terms of risk assessments are discussed with individuals and reviewed at monthly meetings. The staff team keep a communications book, which signposts when important information in care plans needs to be read and this was also observed being handed over verbally between shifts. A person who uses the service indicated in a survey questionnaire that they usually make decisions about what they do each day and that carers listen and act on what they say. A care manager confirmed that the service always responds to the different needs of individual people. A health professional stated that the home always supports people to live the life they choose. Discussion with an individual who uses the service further confirmed that the care planning process is person-centred and that the support given enables people to make informed choices. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 15, 16 & 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their life style and are involved in all areas of daily living in the home. The service actively encourages and provides imaginative and varied opportunities for individuals to develop social, emotional, communication and independent living skills. People who live in the home are offered support and guidance about a balanced and healthy diet. EVIDENCE: The annual quality assurance assessment states that people who use the service are supported to reflect on, set and constructively work towards their ambitions. The service is able to access a wide variety of specialist support and therapy programmes. There is a diverse age group but support for activities is focussed around individual expressions of interest. The service will 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 13 also support group activities but only when this is requested by the group. Support is available for individuals to access community facilities. Visitors to the house are welcome and this includes friends, family and personal relationships. Visitors may eat at the home, spend time there and stay overnight by prior arrangement. Records seen confirmed that family members and visitors are encouraged to remain in contact with people who use the service. One person was observed going out to visit a relative. Training courses for people who use the services are available through the organization. An individual who had taken part in one of these remarked how they had found this very rewarding and spoke about the educational course they were starting in September. This person felt very positive about the way the staff and people who use the service work and learn together. Opportunities for personal and skills development were seen through individual support and goal plans. The home is currently supporting one person in further education and three people to explore university study, two people to work on arts and crafts projects, one person has been learning to cook and another person to renovate their home. Through the service, individuals have access to counselling, various therapies, debt management, early intervention support, volunteering opportunities, therapeutic employment placements and artistic community based projects. The acting manager reported that there is a project resource fund to finance group activities: a badminton set was recently requested and purchased. People who use the service are also planning a day trip and are working on this without staff support. Discussion with one person who uses the service confirmed they make their own choices in respect of activities and accessing the community, and individuals were seen to come and go as they pleased without restriction. The discussion also confirmed that individuals decide on their own daily routines. This was observed during the visit, people getting up when they wished, making drinks and undertaking their own cleaning responsibilities. The acting manager stated that recognition of rights and responsibilities is seen as crucial in the services’ objective to re-establish a person to independent living in the community. The person spoken to also confirmed they are encouraged to be self-caring, which means the home provides the money and the individual shops, prepares and cooks their own food. They each have their own cupboard to store their food and a compartment in the freezer, in addition to their own fridge. People 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 14 are encouraged to record the food they have eaten on a daily basis, to allow monitoring by staff if it appears individuals are starting to neglect their diet. A record book was seen in the kitchen and a member of staff said they would notice if someone is not eating healthily and this would be discussed and support offered at the weekly key worker meetings. 103 Cliddesden Road DS0000012308.V343026.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. There are good systems in place to ensure that personal care, health and medication are well managed and independence is promoted. EVIDENCE: Staff members said that personal support usually takes the form of verbal encouragement and promoting informed choices. This was observed throughout the visit in the interactions between staff and people who use the service and is reflected in the support plans. One person who is living at the home gave very positive comments about how the support they have received has helped them to develop personally. Discussion with an individual who uses the service confirmed that they have regular access to health professionals and services and that people are enabled to take control of their own healthcare. This is what is stated in the 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 16 annual quality assurance assessment and was also observed during the visit, when another individual informed staff that they were going to an appointment. Staff said that they ask and record the outcomes of health appointments and the care records showed evidence of this. Comments from a care manager and a health professional reported that the service has a holistic approach and provides a supportive, caring environment. Individual’s health care needs are always properly monitored and attended to by the service. They also provided comments that confirmed that individuals’ privacy and dignity is always respected and staff have the right skills and experience to support individual’s social and health care needs. The home supports individuals to administer their own medication or manages it correctly where this is not possible. Written agreements are on file where people manage their own medication and lockable storage is provided in each person’s room. Staff and the home’s records confirmed that all staff receive training in the safe handling of medication. Staff were observed following the procedures for administering medication to individuals and completing the records. Records were also seen of the administration of ‘as required’ medication and of medications returned to the pharmacist. Medication held by the service is stored safely in a suitable locked cabinet. A care manager and a health professional commented that the service has an holistic approach and provides a supportive, caring environment. 103 Cliddesden Road DS0000012308.V343026.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. Training of staff and effective procedures safeguard the people using the service. Individual’s concerns are listened to and acted upon. EVIDENCE: Discussion with two staff members confirmed they had received training in safeguarding procedures and demonstrated a good understanding of the reporting procedures. Training records seen further confirmed that all staff had attended the training course. The last report of April 2006 identified that as a result of a previous allegation of abuse, issues relating to care and management practice had been raised. These had been investigated by the organisation and the commission kept fully informed of progress. The new acting manager confirmed that the service has received no complaints since the previous inspection. The commission has not received any concerns or complaints about the service. The survey for people who use the service indicated that people know whom to approach if they are not happy. Through discussion with one individual, it was evident that people feel they can raise any issues or concerns they may have and are confident that they will be listened to and taken seriously. Staff said they would assist individuals who 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 18 wished to make a complaint. Good communication was observed between staff and people using the service. A care manager and a health professional commented that the service has always responded appropriately if they or a person using the service have raised any concerns. The care manager said their client feels safe there. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides a safe, clean and comfortable environment for people who use the service. EVIDENCE: The service had taken action to meet a previous requirement, that automatic fire closures be fitted on the kitchen door and lounge door and fire doors must not be wedged open. Automatic closers had been fitted in these areas and were in use at the time of the visit. The annual quality assurance assessment reported that the house was completely re-decorated in October 2006 and some carpets had been replaced. There are regular small-scale purchases such as new bed linen, vacuum cleaners, lamps, beds and other equipment as required. It also states that 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 20 maintenance work is sometimes slow in being addressed due to constraints imposed by working with the landlord. A partial tour of the premises identified that water damage to the ceiling in the utility room, noted in the previous report, had been repaired but was still waiting to be re-painted. A maintenance log was seen and this showed recent work that had been identified and completed. All areas seen were clean and tidy. The layout and location of the accommodation is suited to people’s needs. There is a large garden, patio and courtyard areas that are maintained and used by people who use the service. Communal rooms are decorated to a reasonable standard, and appear comfortable and homely. There is a designated smoking area. People who use the service take responsibility for cleaning and staff reported that weekly monitoring of individuals’ rooms and bathrooms takes place to ensure they remain clean and hygienic. There are written infection control procedures and colour coded cleaning equipment. One person who uses the service commented that the home is usually kept fresh and clean. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are protected by robust recruitment practices and well-trained staff. EVIDENCE: Staff spoken to demonstrated good knowledge of peoples’ individual needs and the agreed ways of working with them. The acting manager reported that out of ten permanent and bank care staff, two are qualified to NVQ level 3 and a further three staff are working toward being qualified. There is a mix of male and female staff within the team. Rotas indicated a minimum of two support staff on duty during the day and a sleep-in duty at night. The records of monthly staff team meetings were seen. The home’s annual quality assurance assessment stated that all staff recruitment checks were carried out and this was confirmed through inspecting a sample of staff files. The three staff members’ files that were seen contained 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 22 evidence of Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks, two written references, completed application forms with employment histories. These also included information about staff probation periods and induction training. A person who uses the service confirmed that they had been involved in the recruitment of the current acting manager and the deputy manager, and felt that this had demonstrated that their views are listened to and taken seriously. This person had attended training provided by the organisation to encourage service user involvement. The annual quality assurance assessment also states that the organization provides a comprehensive training programme managed from the Learning and Development department in London. Some in house training also occurs. All staff have monthly supervision and annual appraisals. All mandatory courses have been updated and there are plans to develop training in reflective practice. The records of two staff members indicated that they had received most of the relevant training; one part-time member of staff had not yet completed food hygiene training. The acting manager stated that she has raised the need to make training more easily accessible for part-time staff with the Learning and Development department. The part-time staff member had accessed the Skills for Care induction training at weekends and both staff members said they felt the training was useful. A care manager and a health professional commented that staff have the skills to meet people’s needs. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well run and effective quality assurance systems ensure that the views of people who use the service and their representatives are sought and acted upon. EVIDENCE: The acting manager was previously registered manager of another service within the organisation and stated she is about to apply for registration in respect of this service. She has been in post since April 2007 and has relevant qualifications as well as experience and according to comments made by staff gives a clear direction to the service. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 24 The annual quality assurance assessment reports that the views of people who use the service contribute to the running of the service on a monthly basis through individual care reviews, the quality assurance system and residents meetings. Each year the organisation holds an annual review where they canvass widely for opinions from people who use the service, families, carers and professional partners. The organisation has a comprehensive health and safety policy with a rolling programme of updating and inspection to address any issues. Evidence was seen that quality questionnaires have recently been sent out to people who use the service, staff, referrers and funders, carers and supporters. A staff member said the responses would be returned to the organisations’ head office, where the results will be analysed and relevant findings fed into the home’s annual review, due on 21/09/07. The area manager visits the home monthly and makes themselves available to individuals wishing to discuss any aspects of their care. One person who uses the service spoke about attending a forum run by the organisation in London to promote service user involvement. There was evidence that the service promotes safe working practices to protect people who use the service, staff and visitors. Records were seen of daily safety checks carried out by staff, including bathrooms, fridge/freezer temperatures and fire equipment. The fire safety logbook was up-to-date with dates of in-house training and drills, equipment inspections and current risk assessment. A list of staff trained in first aid was in the office with dates when refresher training is due. 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 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 4 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 103 Cliddesden Road DS0000012308.V343026.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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