Inspection on 01/08/07 for 11 Buckstone Close

This inspection was carried out on 1st 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

11 Buckstone Close 21/09/06

11 Buckstone Close 09/01/06

11 Buckstone Close 25/07/05

11 Buckstone Close 23/02/05

11 Buckstone Close 07/09/04

11 Buckstone Close 17/02/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 11 Buckstone Close Everton Lymington Hampshire SO41 0UE Lead Inspector Marilyn Lewis Key Unannounced Inspection 1st August 2007 09:30 11 Buckstone Close DS0000012386.V343188.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 11 Buckstone Close DS0000012386.V343188.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. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 11 Buckstone Close Address Everton Lymington Hampshire SO41 0UE 01590 643723 F/P 01590 643723 thebellbungalow@tiscali.co.uk 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) Bell House Homes Ltd Sarah Brownbridge Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users only may be admitted between the ages of 18 and 60 years 21st September 2006 Date of last inspection Brief Description of the Service: The Bungalow, 11 Buckstone Close, is a care home providing personal care and accommodation for 3 residents with a learning disability. It is managed by Bell House Homes Limited, an organisation which has a number of other registered properties in the area. The home is located in the village of Everton, which has a limited range of facilities, but with relatively easy access to the shops and other public amenities in the town of New Milton and Lymington. The home comprises a detached property with car parking for 2 vehicles to the front of the building and a well-maintained and accessible garden to the rear. All bedrooms are occupied on a single basis. There are two communal rooms on the ground floor, both easily accessible to service users. The fees range from £540.75 - £2500 per week depending of the level of needs. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Past inspection reports, information received from the home including an Annual Quality Assurance Assessment (AQAA) and information obtained during an unannounced visit to the home was taken into account when writing this report. The unannounced visit took place on the 1st August 2007. The inspector met with two of the three residents, a support worker and the registered manager. Care plans were seen and discussed with the residents and staff and records including those for complaints and staff training and recruitment were also seen. One of the residents showed the inspector around the home. The two people who live at the home, met on the day, said that they wished to be known as residents and this has been reflected in the report. What the service does well: Residents said that they liked living at the home and felt that they were very much involved in all decisions regarding life at the home. Residents also said that they felt safe living there. There was a very relaxed, friendly and caring atmosphere and very good interaction was observed between staff and residents. Care plans seen provided clear details of the residents’ needs and the support they required to meet those needs. The residents said that they were involved in their care planning and said that their wishes were documented. The registered manager said that the residents ‘run’ the home and the residents said that they were always asked what they wanted to do and how they would like their support provided. The residents said that they were able to discuss any concerns or give requests during the home meeting which took place weekly. Residents are involved in all aspects of decision making including the recruitment of staff. The residents participated in a wide range of activities of their choice. One resident received a telephone call during the inspectors visit telling him what costume he needed when he took part in the local carnival. The resident said that he had taken part before and really enjoyed it. The residents had personalised their rooms and said that their own rooms were their ‘space’. The home looked clean and comfortable. Staff had received training and followed the home’s clear procedures for the safe handling of medicines protecting the health and safety of the residents. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 6 Robust procedures were used when recruiting new staff members. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks were completed before new staff were able to work at the home to ensure they were suitable to work with the residents. The registered manager runs the home very well. Residents said that they liked her and staff said that they felt they received good support. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 11 Buckstone Close DS0000012386.V343188.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 11 Buckstone Close DS0000012386.V343188.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that no one is admitted to the home without a full care needs assessment to ensure the home can meet their care needs. EVIDENCE: No new residents have been admitted to the home since the last inspection so there were no pre admission assessments that had not already been assessed at previous visits. Assessments seen at this visit for two of the three residents had been updated to provide the current care needs of the residents. The registered manager had all the information available should a place become vacant at the home and a new resident assessment was required. The procedures seen and discussed with the registered manager indicated that a very detailed assessment of care needs would be undertaken before a place at the home was offered. Arrangements would be made for the prospective resident to visit the home to meet the residents and staff before a decision was made. The registered manager said that the permanent residents would be involved in the decision to admit a new resident. 11 Buckstone Close DS0000012386.V343188.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are very involved in their care planning and are supported to have an independent lifestyle. EVIDENCE: Two residents spoken with said that they were involved in their care planning and knew what was written in their care plans. One resident said that the staff ‘write down my wishes’. The care plans contained details of personal care, social and emotional needs. The plans gave clear guidance to staff on the actions to be taken to meet the needs and the residents preferred manner in which they were to be undertaken. The residents’ likes and dislikes were documented and included comments such as ‘does not wish to help with meals’. The residents goals were written in their care plans but this was only the outcome goal such as attending college or going on holiday. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 10 It would benefit the residents if the goals documented in the care plans were written in more detail so that the progress to meeting the goals is recorded. For instance when the wish of the resident is to go on holiday, the actions needed to meet this would be documented such as discussion on the place and type of holiday to be taken and if a passport is required does the resident need to apply for one. This would allow staff to use the documents in discussions with residents with regard to how far along the way they are to meeting their goals. The registered manager said that she would change the format of the records so that it would be possible to record all the actions required. Risk assessments were in place for all aspects of daily living and social activities including accessing the community, activities in the communal areas, housework and dealing with hot water. Behaviour guidelines provided staff with the triggers for behaviour issues, signs of agitation and the actions to take to reduce the tension and assist the resident to remain calm. Care plans and risk assessments seen had been reviewed and up dated regularly. During the visit staff were observed supporting residents to make their own decisions and were encouraging them to maintain their independence. One resident had only just got up when the inspector arrived and was having a late breakfast. Staff asked him what time he would like his lunch as he was eating breakfast late. The resident said 1.30pm and this was agreed. Another resident said that he wanted to walk to the local shop and the registered manager asked him which staff member he would like to go with him. One of the residents said that staff ‘always ask me what I want to do’. The residents spoke of talking with staff about life at the home and said that they were involved in any decisions made such as changes to the environment, new furniture or redecoration. The registered manager said that the day’s timetables were very flexible to allow for residents changing their minds about what they would like to do that day. 11 Buckstone Close DS0000012386.V343188.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): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are well supported enabling them to participate in a wide range of activities both in house and in the community. The residents enjoy the choice of meals provided at the home. EVIDENCE: One of the residents attends a day centre for three days of the week. Another resident, who is very interested in the use of the internet, is due to commence a college course in computers in September and the third resident has said that he does not wish to attend college or a day centre at present. Residents meet with residents of other homes in the area at a local social club. Care plans contained the goals and wishes of the residents including holidays. Two of the residents are due to holiday at a ‘Butlins’ holiday centre in September. One of them said that they had been to ‘Butlins’ before and had enjoyed it so they had wanted to go again but this time they were going to a different centre. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 12 The third resident said that he wanted to go on holiday as soon as it could be arranged. The registered manager asked him what type of holiday he would like such as to the coast or countryside. The resident said that coast and the registered manager suggested areas that were within reach. The resident had not been away from the home for some time and the registered manager suggested that one or two nights away would be the best option. The registered manager also asked the resident which staff members he would like to accompany him and said that they would be asked when they were able to go and the arrangements would be made. The resident asked about the holiday many times and on occasions became anxious that he could not go straight away, during the visit and the registered manager always reassured him that it would be arranged and talked the trip through with him again. Risk assessments were in place for a resident who had previously been able to access the community alone but due to behavioural issues a staff member accompanied him at present. The registered manager said that they working towards him being able to be independent again in the future. The home has its own transport an eight- seat people carrier and the majority of staff are able to drive the vehicle which allows residents the opportunity for frequent visits out to local places of interest. One resident said that he really liked Wimborne Market and records seen indicated that he visited there regularly. The registered manager chatted with the resident about other markets he might like to visit in the future. Staff drop one resident off at a local church where he attends services and pick him up following the service. The registered manager said the resident wishes to attend the services independently and members of the congregation support him in this. The registered manager said that risk assessments for his church attendance are in place and are kept under review. The residents spoken with said that they chose what meals they would like for the weeks menu, during their weekly meeting with staff. Each resident chose a particular meal that they would like and then discussed the other meals for the week. The residents said that they liked the food provided and were able to chose an alternative if they did not wish the main choice. During the visit one of the residents chose what they would like for lunch but then changed their mind and wished to go out to a garden centre for lunch. Staff agreed with the change and discussed the time for the trip with the resident. Staff said that the residents are encouraged to eat a healthy diet but this is sometimes difficult, as the residents want to choose what they eat themselves. A staff member said that if all the residents were having a meal which included items such as chips, a side salad was offered as well and for a resident who was overweight the number of chips would be reduced. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 13 Residents were able to help themselves to drinks and snacks as they wished and a bowl of fruit was placed on the dining table to encourage the residents to eat fruit. 11 Buckstone Close DS0000012386.V343188.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health care needs are met and they are protected by staff following the home’s clear procedures for the safe handling of medicines. EVIDENCE: During the visit staff asked the two residents if they would like to take a bath and what time they would like it. The residents were asked if they wanted any help and staff told them that they would check that they were okay during their bath. One of the residents said that he told staff ‘how he liked things done’ and they provided the care and support in that way. The residents spoken with said that staff supported them to visit their GP when they were ill and records seen confirmed that visits to GPs and other health professionals were made as necessary. Visits had been made regularly to the dentist and chiropodist and outpatient departments had been recorded in the residents’ documents. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 15 The home has systems in place for recording medication brought into the house and on disposal of unwanted medicines. The majority of medicines prescribed for the residents were provided in blister packs. Some medicines are prescribed for use ‘as needed’ such as for pain relief or during times of anxiety. Procedures are in place for the staff member on duty to contact the registered manager before any ‘as needed’ medication is given to a resident. The reason for giving the medicines and the dose, date and time are recorded. Staff complete a form if residents refuse medication and the GP is contacted for advice. Systems are also in place to record medication taken with residents when they go on holiday of for visits to family. Medication records seen had been completed appropriately and were up to date. Medication was stored safely. At the time of the visit none of the residents was responsible for administering their own medication and no controlled drugs were being prescribed. Staff said that they had received training in the safe handling of medicines and records seen confirmed this. 11 Buckstone Close DS0000012386.V343188.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents felt that their complaints would be taken seriously and acted upon and they feel safe living at the home. EVIDENCE: The two residents spoken with said that they would talk to the registered manager or a staff member if they were unhappy. A resident said that they also had the opportunity to discuss anything they did not like during the weekly meeting. One of the residents said that staff would ‘put it right’. The home has procedures in place for complaints that indicates who will investigate the complaint and timescales to resolve the issue. The registered manager was aware of the procedures to follow should abuse be suspected. Procedures were available for staff including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing. A simple procedure, in a symbol format suitable for the residents, was displayed in each of the residents’ rooms advising them of the actions to take should they suspect abuse has taken place. A resident said that he felt safe living at the home. Risk assessments were in place for one resident who continually reported that staff were shouting at him. The home holds small amounts of money for the residents. The monies are stored individually in a safe place. Records are kept of all transactions and the records seen for two residents matched the amount held. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 17 Staff supported the residents to manager their own money and during the visit staff discussed with the two residents how much money they had in their containers and when additional money was next due. A staff member explained to one resident how much money he had to spend when he went out at lunchtime and they discussed what he wanted to buy with the money. A staff member also reminded a resident that he needed to keep some money for an appointment later in the week. The discussions with the residents took place in a very caring, sensitive but firm manner that assisted the residents to make decisions about how they would use their money. 11 Buckstone Close DS0000012386.V343188.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, 26, 27, 28, 29 and 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 clean and homely environment for all who live, work and visit there. EVIDENCE: The home is a dormer bungalow situated in a cul de sac with other similar properties. The registered manager said that on the whole, the residents got on well with the neighbours although some of the neighbours had been concerned when one of the residents shouted very loudly during times of anxiety. The home looked to be well maintained and clean. Each of the residents has a single room. One of the rooms, situated on the first floor, has an en-suite shower room, which on the day of the visit was being 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 19 refurbished and a new shower was being fitted. The other two residents share a bathroom. The two residents spoken with said that they liked their rooms. One of the residents said that he did not wish the inspector to see his room as it was his space and the inspector respected this. The other resident was happy to show his room to the inspector. The room contained many personal items including posters and music systems. The resident said that he ‘had everything he needed’. The residents have access to the comfortable lounge, the dining room and kitchen, which is domestic in style. A small conservatory style building is provided alongside the kitchen that is used as the laundry room. Since the last inspection a new dining table has been purchased which allows all the residents and staff on duty to sit down to meals together when they wish. There is a large garden to the rear of the property, which is laid mainly to lawn with one area cultivated as a small vegetable plot. There is a patio area with seating and also a summerhouse and shelter for use as a smoking area for the one resident who wishes to smoke. A Badminton net has been provided on the lawn to encourage the residents to take some exercise. The registered manager said that all of the residents are independently mobile and specialist equipment is not required. 11 Buckstone Close DS0000012386.V343188.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 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust procedures are used when recruiting new staff members and staff receive the training they require to fully support the residents. EVIDENCE: The home employs the registered manager and six support workers. One of the residents has one to one care and it has been assessed that one staff member is able to support the other two residents. One of the residents attends a day centre three days a week and another of the residents is due to commence college course in September. The registered manager said that there are normally two or three staff members on duty during the day, depending on the schedule of activities for residents. At night there is one wake and one sleep in support workers. The registered manager said that the home has not employed agency staff for a long time. The registered manager said that she allows time during the week for sufficient staff to be on duty to give her time for managerial tasks, usually on days when some of the residents are attending college or day centre. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 21 The registered manager holds NVQ level 4, one of the support workers holds level 3 and another staff member is working towards level 3. The other three staff members have applied to attend training courses to obtain the qualifications and enhance their skills in providing care. Records seen for a support worker who has been recruited since the last inspection contained all the information required including two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed prior to the person starting work at the home to ensure they were suitable to work with vulnerable adults. A staff member spoken with said that there were good training opportunities and records seen indicated that staff received mandatory training such as health and safety and adult protection and also attended training sessions in topics relevant to the residents including autism and conflict management. The registered manager and one of the support workers had received training in providing supervision for care staff and records seen confirmed that staff were receiving regular supervision. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 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 in the best interests of the residents. EVIDENCE: The registered manager, Sarah Brownbridge, has been the manager of the home since January 2006, registering with the commission in March of that year. Sarah holds the Registered Managers Award and NVQ level 4 and attends training sessions on all aspects of care provision. Sarah has worked in the care sector for eighteen years and worked in another of the organisations care homes prior to coming to Buckstone Close. The registered manager said that she receives good support from an area manager of the organisation who visits the home at least monthly. 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 23 The residents said that they liked the registered manager and a staff member said that he felt the registered manager run the home well and was very supportive. During the visit it was evident that the registered manager had a very good rapport with the residents and the staff. The registered manager said that the ‘residents run the home’. The residents said that they were involved in all the decisions made in the home including redecoration of rooms, menus, activities and recruitment of new staff. Both residents talked about the weekly meeting where they were able to talk about any changes to life at the home and as one of them said ‘say what you like about living in the home and make requests for changes’. The registered manager said that a monthly review is held with each of the residents and a copy of the review is forwarded to their care manager and if appropriate their relatives. The residents’ relatives and care managers also attend reviews usually on an annual basis. The quality of care provided at the home is also audited through monthly visits by the area manager, monthly audits by the registered manager and during an unannounced visit by an auditor for the organisation. The registered manager said that weekly audits were also undertaken by staff at the home for aspects such as medication and the checks for the home’s vehicle. A service user said that he helped with the checks for the home’s vehicle including checking oil and water. During the visit hazardous substances such as cleaning fluids were stored safely and information was available on the items used in the home. The kitchen looked clean and staff followed procedures provided by the New Forest Council called the Essential Steps for safer food. Risk assessments were in place for the environment and records seen indicated that checks on utilities such as the electricity were undertaken regularly. Fire records seen indicated that checks on fire safety equipment was carried out as necessary and staff had received fire safety training and attended fire drills. 11 Buckstone Close DS0000012386.V343188.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 x 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 4 3 x x 3 x 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 25 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 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 26 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 11 Buckstone Close DS0000012386.V343188.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!