Inspection on 21/03/07 for 11 Clewlow Place

This inspection was carried out on 21st March 2007.

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

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

Other inspections for this house

11 Clewlow Place 08/12/05

11 Clewlow Place 16/09/05

11 Clewlow Place 14/12/04

11 Clewlow Place 19/04/04

11 Clewlow Place 04/02/04

11 Clewlow Place 08/09/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 11 Clewlow Place Adderley Green, Longton Stoke-on-trent Staffordshire ST3 5DA Lead Inspector Mrs Mandy Brassington Key Unannounced Inspection 21 March 2007 9:45 11 Clewlow Place DS0000008220.V331862.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 Clewlow Place DS0000008220.V331862.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 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 11 Clewlow Place Address Adderley Green, Longton Stoke-on-trent Staffordshire ST3 5DA 01782 593743 F/P 01782 593743 gracelandcare@yahoo.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) Graceland Care Ltd Mrs Christine Holdcroft Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning Disability/Physical Disability Date of last inspection 8 December 2005 Brief Description of the Service: Clewlow Place is a residential home situated near to Longton and is registered to provide a service for seven adults with a learning disability, there is registration to accommodate one person with a physical disability. The home is a detached modern building with lawns and patio areas to the side and rear. All bedrooms are for single occupancy. Two are located on the ground floor; one providing adapted accommodation with shower and bathroom for a person with a physical disability. There is a large lounge, separate dining area, kitchen laundry, toilets and office on the ground floor and five bedrooms and bathroom with shower cubicle on the first floor. A total of five bedrooms have en-suite facilities. The home has use of a minibus to community facilities and has good links to public transport. The home is within walking distance of Longton town, which has a variety of shops and services. All service users are currently aged 50 and one over 60 years. The staff at the home are committed to accessing community facilities where possible and for individuals to be included in their local community. Health services are provided from the primary health care teams and specialist services from learning disability personnel where required. The manager informed the Commission for Social Care Inspection on 21 March 2007 that the fee level for the home is between £325 and £360 per week. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was an unannounced key inspection and therefore covered all of the core standards. The inspection took place over 6.5 hours by one inspector who used the National Minimum Standards for Younger Adults as the basis for the inspection. Prior to the inspection visit, survey information has been obtained from service users and their relatives. The manager had completed a Pre-inspection questionnaire. A tour of the home was undertaken. The inspection included an examination of records, indirect observation, discussions with five service users, the manager, and the staff on duty. Case tracking of three care plans was undertaken. Three staff records were examined and observation of daily activities took place. Medication storage systems and records were inspected. Two recommendations were made as a result of this visit. What the service does well: Being small in registration, the home is able to provide a homely environment. Individuals have daily opportunities to develop living skills and to complete educational activities in the home. Service users access a wide range of social and recreational facilities in the community and staff actively promote social inclusion. Service users have a Person Centred Plan that has been designed to support individuals to play an active role in the care planning and review process. The plans are written in plain English and supported by pictures and this has enabled individuals to have a good understanding. The registered manager has continued to promote the excellent quality of care delivered within the home. The manager and staff hold strong values and continually promote the manner in which the home is run in the interest of the service users. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 6 Staff at the home have a friendly and professional approach and privacy and dignity are upheld. Staff offer choices and enable the service users to make decisions and as many choices as they were able in their daily lives. The home continues to strive for excellence, this is not only demonstrated in practice but the documentation; care planning and reviews, risk assessments, supervision records, medication administration records, day-to-day operations and recruitment procedures are all of a robust nature. 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 Clewlow Place DS0000008220.V331862.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 Clewlow Place DS0000008220.V331862.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 ,5. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have access to information regarding the facilities and support provided in the home. Individuals have an annual contract and all information has been provided using a pictorial format. EVIDENCE: There have been no new admissions to the home since 2005. Documentation was consistent with the practices at this time. The home has developed a Statement of Purpose and Service user Guide with pictures and symbols and has been written in plain English. Discussion with service users revealed that all individuals have a copy and keep this in their bedroom. Included is a copy of the annual contract, which details the how the home will support the individuals within the facilities provided. 11 Clewlow Place DS0000008220.V331862.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, 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The plan of care is person centred and focuses on the individual’s strengths and personal preferences. The service users understand the information in the care plan which includes photos, pictures and is written in plain language. EVIDENCE: A sample of three plans of care were inspected and all plans included personal details including a photograph, a personal profile, including likes and dislikes. The personal profile is written in the first person and details the individual’s usual routine and support needed with tasks. The plan of care contained details of personal and health care, social network, lifestyle, cultural needs, finances and daily activities. Where identified, there were strategies for managing any identified behaviour. All parts of the plan of care were written in plain English and also written in pictorial format. The service users had signed the plan. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 10 The plans of care were discussed with two service users in detail. Both service users were able to understand the plans and were aware of the information contained within it. All service users had a copy of the plan, which was kept, in their bedroom along with a copy of the complaints procedure, Fire evacuation plan and a contract detailing the support and facilities provided by the home. Assessments of risk were completed for each individual including bathing, use of hot water, road safety, access to the kitchen and for one individual, smoking. Reports were completed daily and plans were formally reviewed on a six monthly basis or when required. Key Workers take the lead role in completing the plan of care and a copy of the key Workers photograph is included. Discussion with staff revealed that staff were very knowledgeable regarding the persons needs and wishes. The home is managed to ensure that individuals lead purposeful lives as independently as possible. From discussion with staff and service users and observation it was evident that service users are supported to make informed decisions and encouraged to take responsible risks. Individuals are able to use the services of an advocacy agency and details are available within the home. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home has sought the views of the individuals and considered their varied interests when planning the routines of daily living and arranging activities both in the home and the community. EVIDENCE: Two service users attend a local college and stated that they are involved in activities for personal development, art and crafts and life skills. Both individuals reported they used to attend more courses but due to the changes within Colleges and the criteria for enrolment, this was reduced. Staff have responded to this change and developed in-house courses and sessions for all service users. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 12 On the day of the inspection, individuals were completing their life story book. This is a large book that is used as a diary to record important and significant events. One individual was enthusiastic to show this years and the previous years book. In it were pictures and photographs of social outings, holidays and important events. There were post cards of hotels and places of interest that the individual had visited. One page had score cards from a bowling trip with other service users. The individual reported that it was a good way of remembering happy events in his life. In the afternoon, service users were involved in craft activities preparing for Easter. Staff commented that literacy and maths are promoted in the home and educational sessions are organised for individuals who wish to participate. The week prior to the inspection all service users had participated in a fancy dress sponsored walk in aid of Red Nose 07. There was a poster in the dining room with photographs of the day’s events, which raised over £120. All service users were very proud of this achievement and very enthusiastic to discuss the event. One service user has difficulty walking long distances but stated quite firmly that ‘I completed the walk, I just walked slowly, you have to help the children.’ The home has a minibus to access community facilities. Discussion with the service users revealed that they enjoyed going out bowling, to animal attractions including Chester Zoo, the cinema, having meals out and local places of interest. All service users spoken with stated they were happy with the level of activities provided in the home and were always provided with opportunities to go out. Service users are able to have an annual holiday. The previous year, service users had chosen to go to Blackpool, and visited Blackpool again later in the year to see the Illuminations. Two service users reported they stayed in a Seafront hotel and could enjoy the lights. Three service users stated they decide where to go on holiday and have the option of going abroad. The home has a flexible policy for visitors and individuals are able to receive guests throughout the day and visitors can be seen in private. Staff support service users to maintain contact with family members. There is a menu including pictures in the dining room. Two service users stated that the menu is decided at the weekly Residents meeting, and one individual said ‘but if you change your mind you can have something else’. Service users are responsible for the menu planning, shopping, food preparation and tidying up after meals. Plans of care include assessments of risk for preparing meals and use of kitchen equipment. On the day of the inspection lunch was sandwiches, salad and crisps, with fruit or cake for dessert. The evening meal was sausage or fish, potatoes and vegetables. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 13 Two service user have diabetes. Staff demonstrated a good knowledge of diet and how to monitor this condition and provide appropriate support with medication and diet. Blood sugar levels are monitored through the Practice Nurse at the Doctors surgery. 11 Clewlow Place DS0000008220.V331862.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 excellent. This judgement has been made using available evidence including a visit to this service. Individuals receive effective personal and healthcare support using a person centred approach and individuals are encouraged to manage their own healthcare. EVIDENCE: Staff were observed supporting service users within the home and enabling individuals to complete tasks. Many individuals are independent in relation to personal care but require prompts to ensure care and daily tasks are carried out. Staff stated that one individual requires support with bathing due to a physical disability and appropriate bathing facilities included a bath hoist was provided. Staff used appropriate demonstrated a positive and individual’s needs. workers responsibility to 11 Clewlow Place forms of communication and through discussion attitude, and an excellent knowledge of plans of care One member of staff explained how it is the Key support individuals to complete their plan of care, and DS0000008220.V331862.R01.S.doc Version 5.2 Page 15 to use meaningful pictures or photographs to ensure understanding; this was confirmed by service users. The plans of care recorded individual’s health needs, details of appointments and any outcome. Individuals have a completed Personal health record from the local Primary Care Trust, ‘Advocating for health’. One plan of care inspected included a Health Action Plan for one person who has diabetes and a record is maintained of Blood tests. Inspection of storage systems and records demonstrated medication is stored appropriately in a locked cabinet in the office, and the Monitored Dosage system is used (MDS). A pharmacist reviews this system. Service users sign a record of consent and each person had a Homely remedies sheet signed by the G.P recording what may be administered. Within each plan of care is a record of the medication, the usage and side effects. Discussion with staff revealed they were aware of what the medication was used for and the importance of monitoring new medication for possible side effects. The manager reported that all staff had received training to safely administer. As part of the quality assurance process the manager reviews the medication practices of staff, the procedures and storage systems. 11 Clewlow Place DS0000008220.V331862.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. The home has an open culture that allows individuals to express their views, and concerns The home has a complaints procedure that is clearly written and easy to understand and is also available in pictorial format. EVIDENCE: 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 17 Service users reported that they keep a small amount of personal money and other monies and valuables are kept securely in the home. Individuals have a personal bank account and inspection of three accounts confirmed there were suitable financial systems in place. The manager revealed that one individual does not have a personal bank account and all monies were held by Stoke on Trent Public Trust following a Court of Protection Order. The staff were very concerned that the individual does not have easy access to her money and does not have a record of her accounts. It is a serious concern to the Commission that one individual is not aware of her personal finances and monies saved. From discussion with staff and inspection of records, the individual receives the personal allowance but does not receive other benefits that are paid into the account, which has a detrimental effect on the activities she is able to participate in and on personal items and clothes she is able to buy. It is recommended that the manager reviews the financial arrangements with a Care manager and the individual receives the support of an advocate during the review process. Service users were aware of how to make a complaint and had a copy of the procedure in pictorial format in their rooms along with the Service user guide. Two service users reported that if they had any concerns the manager or staff would address these promptly. Staff have access to the Vulnerable Adults Procedure and Whistle Blowing Procedure and staff were confident in knowing how to deal with a disclosure and appropriate actions to take. Measures are in place to protect service users from abuse including good recruitment procedures in relation to appropriate pre-employment checks. 11 Clewlow Place DS0000008220.V331862.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, 28, 29, 30. 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 maintained and has a homely atmosphere. Service users are able to personalise the home and their rooms to reflect individual interests. EVIDENCE: The home is a detached modern building with lawns and patio areas to the side and rear. All bedrooms are single occupancy. Two are located on the ground floor; one providing adapted accommodation with shower and bathroom for someone with a physical disability. There is a large lounge, separate dining area, kitchen laundry, toilets and office on the ground floor and five bedrooms and bathroom with shower cubicle on the first floor. A total of five bedrooms have en-suite facilities. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 19 All rooms inspected contained a good amount of personal furniture, personal electrical equipment and were individually decorated to reflect the personal preferences of the individuals. Individuals are able to have a key to their bedroom. One identified bedroom is in need of redecoration. This was discussed with the service user and staff and agreed. The manager reported that there is an ongoing programme for redecoration and individuals are involved in all decisions regarding colours and furnishings. Service users confirmed they were able to choose how to decorate their bedrooms. Within the Quality Assurance audit a business plan and maintenance programme have been completed and is monitored on an annual basis. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing levels reflect the needs of the service users, and rotas are flexible to fit around the lifestyles of individuals. Staff have the skills to communicate effectively with all service users and individuals have confidence in the staff that care for them. EVIDENCE: The home’s shifts are flexible to suit the needs of the service users, though are generally across two day shifts, with a minimum of two staff on duty. At night, there is one sleep in person. The staff roster is flexible and additional staffing can be provided for activities. The home has a very stable staff team and there has been one new staff employed since the last inspection, discussion with staff and inspection of records demonstrated that other staff have many years experience in the home. 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 21 Discussion with service users revealed that individuals feel safe and supported by staff and individuals were relaxed with staff members. Throughout the day, there was a flow of interaction with good communication, individuals shared ideas, opinions and there was a lot of laughter and jovial banter. Service users were happy to discuss relationships and the support from staff stating, ‘The staff are good here’ ‘The staff help me and look after me’ ‘We had a great holiday together’ ‘Staff are very nice and take you where you want to go’. The home has a good recruitment procedure that ensures that staff are suitable to work with vulnerable people. A sample of three staff files were examined and demonstrated that thorough pre employment checks were carried out. Criminal Records checks had been undertaken in all instances, and there was proof of identity, two references and a completed application form on file. Staff received formal supervision bi-monthly with the manager and recorded. The manager reported that the home is committed to developing the skills of the staff, and all the staff have an NVQ Qualification. During the past year, staff have received training in First Aid, Moving and Handling, and Fire training, the manager and deputy have received training for management of behaviour and are planning to deliver this training to staff to ensure a consistent approach in the home. There are no service users currently in the home who exhibit complex behaviour. 11 Clewlow Place DS0000008220.V331862.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, 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager works to continuously improve services and provide an increased quality of life for service users, and understands the importance of person centred care and effective outcomes for people who use the service. The home has a consistent record of meeting relevant health and safety requirements and legislation, and closely monitoring its own practice. EVIDENCE: From discussion with the manager and observation of practices, it was evident that the manager has a very good value base, knowledge and experience of working with adults with a learning disability. From observation and discussion 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 23 with staff and service users it was evident that the manager works closely in the small team of staff and is committed to developing the service supporting the staff team, and delivering a person centred approach to care and support in the home, and provide individuals with opportunities to lead a valued socially inclusive lifestyle. The health, safety and welfare of staff and service users were protected. The registered person had ensured that all maintenance work, repairs, annual checks, testing of equipment and regular fire drills are undertaken. Required checks have included: Annual Gas Safety Test was conducted in November 2006. Portable appliance tests were carried out in January 2007 Last Hoist check March 2007. Water temperatures are carried out monthly Fridge and freezer temperatures are recorded daily Suitable Fire equipment checks, evacuations and training had been carried out. The Fire officer had visited the home in 2006 and prepared a report. The home completed the necessary work as identified by the Fire officer. The registered person had completed a Fire Risk Assessment and an Emergency Contingency Plan is linked to the assessment. The manager is responsible for completing an annual audit of the home’s performance against all National Minimum Standards. Where the manager has identified a standard has not been met, there is detail of action to be taken. Service users complete quality assurance questionnaires and the manager has translated the findings into easy to understand coloured Bar Charts, which are discussed with the service users. The home develops an annual development plan, which includes short and long term goals and a maintenance schedule. The Registered Individual conducts monthly visits and a copy is maintained in the home for inspection. 11 Clewlow Place DS0000008220.V331862.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 4 2 3 3 X 4 X 5 4 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 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 4 4 X X 3 X 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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. 1 2 Refer to Standard YA23 YA26 Good Practice Recommendations To use an advocacy service and review finances with a Care Manager to ensure one individual has access to appropriate monies. To redecorate one identified first floor bedroom 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 11 Clewlow Place DS0000008220.V331862.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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