Inspection on 09/08/07 for 104 Wimborne Road

This inspection was carried out on 9th 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

104 Wimborne Road 06/11/06

104 Wimborne Road 22/02/06

104 Wimborne Road 14/09/05

104 Wimborne Road 10/02/05

104 Wimborne Road 29/07/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME ADULTS 18-65 104 Wimborne Road 104 Wimborne Road Southend On Sea Essex SS2 4JR Lead Inspector Ms Vicky Dutton Unannounced Inspection 9th August 2007 09:10 104 Wimborne Road DS0000015488.V345091.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 104 Wimborne Road DS0000015488.V345091.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. 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 104 Wimborne Road Address 104 Wimborne Road Southend On Sea Essex SS2 4JR 01702 603698 01702 603698 wimbourne@mcch.org.uk www.mcch.co.uk MCCH Society Limited 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) Mr Michael George Sharp Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th November 2006 Brief Description of the Service: 104 Wimborne Road is run by the MCCH Society Ltd. and provides accommodation and personal care for up to six adults with a mental disorder. This includes residents aged 18 to 65 years although some are now over 65 years of age. The registration category does not include people who may have dementia or a learning disability. The premises are a two-storey house in a residential area situated in Southchurch, Southend-on-Sea and is in close proximity to all local community facilities, amenities and transport links. The accommodation includes six single bedrooms all of which have call bells, television and telephone points. There are separate lounge and dining areas, kitchen, and a small garden with a patio. The surrounding area provides good parking facilities. The current rate of fees as identified in the Service Users Guide and on display in the home are £1058.00 per week (which includes a sum for rent of between £42.20 and £61.45), plus £29.40 for housekeeping. Residents pay for their own hairdressing, chiropody, transport, toiletries, leisure activities and holidays. Previous inspection reports are available to residents. 104 Wimborne Road DS0000015488.V345091.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’ site visit. The visit took place over a six hour period. At this inspection all the key standards were considered. The home’s compliance with requirements made at the previous inspection was assessed. At the site visit a partial tour of the premises took place, care records, staff records, medication and other documentation were selected and various elements of these assessed. Time was spent talking with and interacting with some residents at the home. Prior to the site visit the home had completed and sent in to CSCI their Annual Quality Assurance Assessment (AQAA). This was well completed and outlined how the home feel they are performing against the National Minimum Standards, and how they can evidence this. Also prior to the site visit a selection of surveys had been sent to the home for distribution to residents, relatives and involved professionals. There was a high response rate to these, they were completed and returned by all residents, some relatives, visiting professionals and staff. Staff on duty during the site visit were spoken with. The views expressed at the site visit and survey responses have been incorporated into this report. The inspector was assisted at the site visit by the registered manager and other members of the staff team. Feedback on findings provided throughout the inspection process. The opportunity for discussion or clarification was given. The inspector would like to thank the manager, staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: Observations, conversations and feedback on surveys showed that 104 Wimborne Road offers the people living there excellent care and support that is based on meeting their individual needs. Residents can follow their individually preferred lifestyles, but at the same time are encouraged to develop new skills. One person said that the home ‘treat each resident as an individual in their own right despite their disabilities.’ A visiting professional said ‘I have always been impressed by the high standard of care that residents at Wimborne Road receive.’ Staff at the home are good at working with residents so that their views and needs are central to the running of the home. One resident said that they were ‘very happy’ living at Wimborne Road. 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 6 The staff team work well together and have a good rapport with residents. A visiting professional said of staff that ‘they are good communicators,’ and that ‘they have a very caring attitude.’ The home is well managed by a registered manager who is keen to provide a service that does not stand still, but continues to develop for the benefit of residents living there. 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. 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 7 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. 104 Wimborne Road DS0000015488.V345091.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 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is available. New potential residents will have their needs assessed, and be offered opportunities to visit the home before moving in. EVIDENCE: It was seen that the home has a Statement of Purpose and Service Users Guide in place. The manager said that these documents were in the process of being reviewed. The Service Users Guide was in a ‘user friendly’ format and would provide good information for people interested in finding out more about the home. No new residents have been admitted to the home since 2000. The manager confirmed that an appropriate policy and procedure are in place to guide the process for any future admissions to the home, and provide a phased approach for potential residents. 104 Wimborne Road DS0000015488.V345091.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents living at 104 Wimborne Road can expect to receive excellent care and support. Residents will be involved in making decisions about their daily lives and care. EVIDENCE: Comprehensive care files are maintained for each resident living at 104 Wimborne Road. One was viewed in detail at this inspection. Care plans are person centred and residents are involved in discussing and agreeing care plans. Documentation showed that daily evaluations, and detailed monthly evaluations of care plans are carried out. The manager said that it is planned to further develop the care planning system to make it more ‘user friendly.’ At monthly reviews residents are involved in discussing and negotiating any changes in their care plans and goals. A visiting professional said that residents are ‘encouraged to follow a care programme and discuss with staff any problems regarding this.’ 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 11 The whole ethos of the home is to support residents as individuals to live their lives as independently and as flexibly as possible within a residential environment, and in line with their assessed needs. Through interactions during the site visit it was seen that residents are encouraged to be selfdetermining. Where residents need guidance to make decisions, or carry out tasks, staff do this in a sensitive manner in line with residents’ assessed needs as documented in care planning information. Residents’ meetings are held regularly. Records of these meetings show that residents are consulted about all aspects of daily life in the home, and their views listened to. Care plans showed that risks to individual residents are robustly assessed and strategies in place to reduce risk. A visiting professional said ‘the staff act in a professional manner, and are quick to act on potential problems effectively and thereby minimise risk. They have been able to maintain that fine balance between maintaining independence and managing risk.’ 104 Wimborne Road DS0000015488.V345091.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): 12, 13, 14, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can expect to enjoy an active lifestyle that is based on their individual needs and wishes. EVIDENCE: From discussion, observation and documentation it was evident that residents are encouraged to live varied lifestyles that suit their individual needs and wishes. Examples were given of how staff at the home actively work with residents to try and modify established patterns of behaviour, and develop their skills and abilities. Each resident has a key worker and a co-key worker to assist this process. Monthly care reviews highlight what activities have been participated in during the month. One resident enjoys attending a local garden centre; others attend as they wish a local Rethink drop in centre. All residents at the home make full use of the local community and are well known to local shopkeepers. Care files include a ‘Community Skills 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 13 assessment’ to highlight any potential issues that need to be addressed to promote safe access. Some residents are able to access the community and use public transport independently. During the day of the site visit residents came and went following their own routines both independently and with staff support. The local community is used as a resource to develop residents’ abilities. For example on the day of the site visit one resident visited the local library and the opportunity was used to find items to promote discussion and reminiscence. Care records showed that residents are encouraged to follow their own interests, and records of activities undertaken are maintained. A trip to the theatre had just been enjoyed by one resident as part of an ongoing care plan. Other day trips and activities specific to individual needs are undertaken. Two residents had just enjoyed a weekend away. Group activities such as barbeques and meals out are also encouraged. The home’s dining room has a range of information available to residents about available activities and services. Family contact is encouraged and supported by the home in line with the individual wishes and needs of residents. Documentation, discussion and observation showed that independence and autonomy is very much encouraged at the home. On surveys all residents responded that they could do as they wished at all times and that staff were responsive to their needs. All residents hold their own front door keys and room keys. A member of staff said ‘we would never enter a residents room unless we were invited to, and they were there.’ Minutes of residents’ meetings showed that residents are kept fully involved in discussing house issues such as arrangements for smoking. Where residents’ behaviour causes difficulties, or falls outside accepted or agreed boundaries, the home is proactive in working with them to negotiate improvement. Anecdotal evidence of this was given, and letters to residents confirming arrangements seen on files. Residents are encouraged to be involved in household tasks such as cooking and cleaning. Menus are discussed with residents and arranged on a weekly basis, but are subject to change according to residents’ individual wishes on the day. As seen on the day of the site visit, residents assist with shopping and meal preparation with support from staff. As far as possible the home monitor and record what residents eat and drink. 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 14 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. Residents can expect to receive good healthcare and emotional support based on their individual needs. Their medication will be managed safely. EVIDENCE: Residents living at 104 Wimborne Road do not generally need support with personal care. Documentation, including care plans, and discussions showed that staff are fully aware of residents needs and of the best approach to adopt when offering support. The manager said that the home had just been successful in recruiting two male members of staff to provide a better gender balance for residents at the home. Care records showed that residents are supported to maintain good healthcare and to attend regular outpatient and other appointments. A ‘year planner for healthcare’ showed that residents access all relevant professionals including opticians, chiropodists and dentists. Where appointments are attended detailed records are kept of any discussion and changes. A previous concern at the home had been the lack of support the home received from the Primary Care Trust Mental Health Team. The manager has been very proactive in 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 15 trying to resolve this issue and improve lines of communication. The manager now feels that a satisfactory conclusion has been reached, with a named individual being available in the future for the home to contact in the event of any concerns or crises. A visiting health professional said that the home were ‘very good at organising case reviews and will include residents in these discussions. They are also good at attending reviews when arranged by us (community mental health) and always act on any advice given.’ The homes medication is mainly managed via a weekly boxed monitored dose system (NOMAD.) Aspects of the system and records were sampled as part of this inspection. Good practice was observed in administering medication and no omissions or errors were noted on records viewed. Evidence of staff training and medication assessments to verify staff competence was seen. An involved professional said that ‘medication is managed well.’ 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 16 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. Residents at 104 Wimborne Road are able to raise concerns, and have access to a clear complaints process. Residents will be protected from abuse, but cannot be sure that staff are sufficiently trained and skilled in assisting them with behavioural issues, whilst keeping themselves safe. EVIDENCE: The home has an established complaints procedure which is included in the homes service users guide. Copies of the complaints procedure are available in the home, and residents said that they are fully aware of how to raise concerns. No complaints or concerns have been raised about the service with CSCI. One complaint was recorded in the home. This related to an incident between two residents. The complaint had been managed effectively by the home. Information relating to safeguarding adults procedures, including relevant contact numbers was readily available in the home’s office. Training records showed that all staff had received training in adult protection. The home have been proactive in responding to, assisting and supporting a resident involved in a potentially abusive situation that occurred to the resident outside of, and unconnected with the home. Residents at the home all have serious mental health issues and can exhibit behaviour that can be challenging and erratic. Care files show that behaviours are understood and that detailed strategies are in place to assist staff to be 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 17 consistent in their approach. Staff at the home have had some training in managing challenging behaviour but it was said by staff that this training was more geared towards assisting people who have a learning disability. Residents at the home can be aggressive in their behaviours and staff said that they feel vulnerable in these situations, as they have not received appropriate training. Staff said on surveys, and the manager confirmed, that the staff team at the home had been requesting Strategies for Crisis Intervention and Prevention (SCIP) training for two years, and that the registered provider had yet to provide this. This issue was also raised at the previous inspection. 104 Wimborne Road DS0000015488.V345091.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, 25, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely and clean environment. EVIDENCE: 104 Wimborne Road is situated in a residential area. The accommodation and facilities are comfortable, homely and meet the needs of residents. The home has a small but pleasant garden that is enjoyed by residents. Some areas of the premises would benefit from redecoration and new carpeting. A property inspection meeting took place with the landlord in June of this year and it is understood that redecoration and other remedial works should take place soon. The home has in hand plans to redecorate and refurnish the home’s ‘quiet lounge.’ One resident showed the inspector their private accommodation, which was personalised to their own tastes. They said that they were very happy with the accommodation provided by the home. 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 19 Residents are encouraged to be involved in cleaning and domestic chores on a rotational basis. On the day of the site visit the home presented as clean and hygienic. Training records showed that staff have received training in infection control. It was noted that communal toilet areas were provided with fabric hand towels rather than disposable paper hand towels, or other alternative, which would better promote infection control. 104 Wimborne Road DS0000015488.V345091.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by staff that are well trained, safely recruited and, with the potential exception of during the night, available in sufficient numbers to meet their needs. EVIDENCE: Observations showed that residents at 104 Wimborne Road have a good relationship with the manager and staff at the home. Residents felt that the staff treated them well and listened and acted upon what they said. Relatives who responded on surveys were positive about staff at the home. Staff training records and discussion with staff showed that (apart from where elsewhere identified,) the staff team at Wimborne Road are well trained and skilled in delivering care and support to residents. Appropriate training to meet residents’ needs was identified within the staff team. Courses in mental health issues, The Mental Capacity Act, Breaking the Cycle of Depression and Schizophrenia and bi polar had been undertaken. The home employs ten support staff. Three support staff at the home currently hold a National Vocational Qualification (NVQ) at level two or above. Six further staff are 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 21 currently working towards an NVQ. The home do not currently meet the standard for having 50 of their support staff trained to level two or above. The home benefits from a low staff turnover creating a stable environment for residents. Staff seem happy working at the home and felt that they offered a good service ‘treating residents with dignity and respect,’ and ‘good teamwork and communication.’ were strengths of the home identified by staff. The home has a basic level of two staff on each shift with the manager’s hours sometimes being supernumerary. The manager said that these levels during the day are flexible according to need. At night the home are allocated to have one waking night on duty, and an on call person at some distance from the home. Due to residents changing needs and potential behavioural issues arising, the home have also recently been having a sleep in person on duty to support the waking night when necessary. This provides for resident care and staff safety. To avoid the need to provide permanent sleeping in cover, which staff at the home feel is necessary, it is understood that the registered provider has started to consider moving one resident to another home which has established sleeping in cover. This should not be necessary as staffing cover should be flexible, kept under review and adjusted to meet residents changing needs. Since the previous inspection two new staff have been recruited to the home. The file of one of these members of staff was viewed and showed that the recruitment process is carried out to a satisfactory standard to ensure that residents are protected. Appropriate checks including a Criminal Records Bureau Check had been undertaken, and references obtained. Records showed that new staff are assisted to learn how to support residents by undertaking a good introduction programme. The induction programme is based on Skills for Care Common Induction Standards. One undertaken with a new member of staff was very well completed, and records showed that relevant training courses had also been undertaken as part of the induction process. 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is well managed, and where their views are considered central to the running of the service. EVIDENCE: The home benefits from having a qualified, experienced and competent manager in post who is registered with CSCI. The manager completed their Registered Managers Award in November last year. The home’s completed AQAA demonstrated that the manager is proactive in their approach to managing the home. The manager recognises where improvements can be made, and is keen to keep fully up to date, and to continually develop and move the service forward. The home has strategies in place to monitor the quality of the service. Residents’ views are sought on a regular basis. House reviews provide a forum 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 23 for residents, families and other external agencies to review the care and service offered. House meetings take place monthly. Minutes of these show that residents are encouraged to express their views. Quality questionnaires were seen on residents’ files. Where this process had raised issues it was seen that the home had responded appropriately to address items and actions were confirmed to residents by letter. A development plan for 2007/08 had been sent into CSCI following the previous inspection. An issue raised at the previous inspection and still not resolved is the need for the registered provider to ensure that it complies with regulation by carrying out monthly quality visits to the home. Only two have taken place so far this year in January and June. The home is managed in a safe and effective manner. Risks are identified and managed. Staff training in core areas such as food hygiene, health and safety and moving and handling had taken place. A recent fire officer’s visit to the home found everything to be satisfactory. The home’s completed AQAA and records sampled showed that systems and services at the home are monitored and maintained. Fire records were satisfactory but it was advised that a record of staff attending fire drills be maintained. 104 Wimborne Road DS0000015488.V345091.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 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 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 2 X X 3 X 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 25 Yes 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 YA23 Regulation 18 Requirement So that residents are cared for safely by skilled and competent staff, suitable training must be provided to enable staff to be competent in managing challenging or aggressive behaviour. This is a repeat requirement with a previous compliance date of 31/01/07 not met. 2. YA39 26 The Registered Person must visit the care home to inspect the premises and consult with residents regarding the care provided as part of ongoing monitoring. This is a repeat requirement with a previous compliance date of 31/12/06 not met. 01/09/07 Timescale for action 01/10/07 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA30 Good Practice Recommendations To promote a good standard of infection control alternative hand drying facilities should be provided in the home’s communal toilets/bathrooms. The home’s staffing levels should reflect and meet residents changing needs. A record should be kept of staff attending fire drills so that management can assure themselves that all staff are familiar with the actions and procedures necessary. 2. 3. YA33 YA42 104 Wimborne Road DS0000015488.V345091.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 104 Wimborne Road DS0000015488.V345091.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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