Inspection on 08/12/05 for 11 Clewlow Place

This inspection was carried out on 8th December 2005.

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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

11 Clewlow Place 21/03/07

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 Peter Dawson Unannounced Inspection 8th December 2005 09:00 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 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.V272375.R01.S.doc Version 5.0 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.V272375.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 11 Clewlow Place Address Adderley Green, Longton Stoke-on-trent Staffordshire ST3 5DA 01782 593743 01782 593743 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.V272375.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning Disability/Physical Disability Date of last inspection 16th September 2005 Brief Description of the Service: Clewlow Place is a residential home situated near to Longton and is registered to provide a service for 7 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/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 someone with a physical disability. There is a large lounge, separate dining area, kitchen laundry, toilets and office on the ground floor and 5 bedrooms and bathroom with shower cubicle on the first floor. A total of 5 bedrooms have en-suite facilities. All residents are currently aged 50 and one over 60 years. A range of external services are provided including day care and college attendance. The accent is upon accessing community facilities where possible. Health services are provided from the primary health care teams and specialist services from learning disability personnel where required. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this unannounced inspection all residents were at home (day centre temporarily closed). There were 2 staff on duty. All residents were seen and spoken to separately and together and several in private. All were clearly happy with the care provided at Clewlow Place. They spoke freely with enthusiasm about life at the home. Many were excited about the pending Christmas plans and talked about parties/functions attended and the plans for the Christmas party at restaurant with all staff, visit to the pantomime etc. The home was decorated in style ready for Christmas, residents being involved in the process and clearly enthusiastic about the pending festive arrangements. The home presents an excellent environment with good facilities including those for resident with a physical disability. All bedrooms are extremely well personalised and residents showed the inspector their bedrooms with pride. There is a strong small family group atmosphere and the furnishings and décor resemble a good family and homely setting. Residents have been involved in colour choices for the redecoration programme. There is an excellent transport facility constantly available for which residents only contribute towards fuel – this allows instant and total access to external community facilities which are a major feature of the home. What the service does well: A good model of a homely environment well maintained. A small resident and static staff group allowing the development of individual personal relationships and continuity of care. High staff commitment to residents with the objective of maximising independence and improving quality of life. Care plans are to a particularly high standard with very comprehensive information and regular reviews. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 6 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. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 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.V272375.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2-5 There have been no new admissions to the home since the last inspection. There was evidence that all required pre-admission procedures had been followed in relation to the last person admitted to the home 12 months previously EVIDENCE: There have been no new admissions to the home since the last inspection. The last resident was admitted 12 months ago and he confirmed that he had made several visits to the home prior to admission including overnight stays. There had been clear discussions about the placement prior to the decision to admit. Care Management assessments were provided prior to admission and the homes own pre-admission assessment was on file. There was evidence that contracts were completed and signed by all parties prior to admission. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 - 10 Care plans sampled were to an excellent standard and contained all required information. There is evidence to support that there is resident participation in the running of the home. Risk assessments are to a high standard reflecting the promotion of independence. There are regular reviews of all information. Standards relating to Individual Needs & Choices were found to be met. EVIDENCE: A sample of care plans were inspected and contained the required information to provide care and meet needs. In fact the care plans can only be described as excellent. All contained personal profiles, health record sheets and Person Centred Plans (PCP’s) which contained detailed information concerning all aspects of personal care and goals to meet assessed needs. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 10 The personal profiles are written by/with residents outlining there preferred routines throughout the 24-hour care period. Risk assessments were in place and example seen was to risk assess: inappropriate behaviour, road safety, smoking and running baths. All plans and risk assessments were reviewed on a monthly basis with key worker. Residents have total input into care planning information and sign care plans. There is additionally a formal review for each resident every 6 months to include all relevant people involved the residents care. Residents meetings are held monthly and in discussion confirmed that they play an active part in those meetings. The proposed 12 month maintenance schedule for the home is discussed at a residents meeting and their views provide a basis for establishing the maintenance/renewal plan for the following year. Residents in discussion confirmed that they had chosen the colour scheme for the redecorated lounge area and are involved in choosing décor and furnishings for their own bedrooms. Risk assessments relate to the need to maximise independence. A resident with little road sense is being provided with ongoing training and assessment for road safety to attempt to reach the point where he is able to go out locally alone – this is outlined in a risk assessment. Information concerning residents is kept in a safe area of the small office and all know the location and have access to information as required. Security ensures only authorised persons have access to the information. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 – 17 The home promotes independence and choice and this is clearly successful. A wide range of social, leisure and educational activity is available to meet the hopes and aspirations of residents. The rights and wishes of residents are paramount in the daily running of the home. There was clear evidence to support this. Standards relating to Lifestyle were all found to be met. EVIDENCE: The homes main objective is to promote independence and choice. This is evident in the daily living situation seen during the inspection and from records, including care plans and other information and from discussions with residents and staff. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 12 Flexibility of routines fit with choices made by residents. On the day of inspection day centres were closed and those usually attending were seen to rise later for breakfast. The stated 24 hour care personal profiles indicated preferred routines, including rising, retiring, bathtimes, mealtimes etc. Three residents attend day centres 2 days per week and 3 attend college courses. The day centre used is Shelton where residents have attended over a period of time and established ongoing relationships. Those attending spoke with enthusiasm about their activities there. One resident has required physiotherapy provided at the day centre. The college courses are based at Willfield, Bentilee and the residents involved outlined the activities to include Arts, crafts, personal living skills, first aid and a fitness course based at Stoke College. They were clearly stimulated and enjoyed the achievements they attained. One resident refuses to attend external centre but engages in crafttype skills of her choice in the home. She is not pressurised to attend. There are daily activities in the home at weekends or when residents do not attend external activities and example seen during the inspection with mixed range of activities taking place in the dining area including knitting, jigsaws, crafts – all residents either involved or interjecting – the activity was practically based but allowing good interactions and socialisation in the process. The home has a large mini-bus which will transport up to 11 people, including all residents and staff on duty and 2 wheelchairs. The transport is used daily and ongoing – there are no restrictions upon its use. Staff and residents make full use of the transport with regular trips to access community facilities based upon residents suggestions and choices. All residents have 2 –3 holidays each year. Four went to Ibiza in September and enjoyed the experience so much that most residents are now interested and keen to have a holiday abroad next year. The home was decorated ready for Christmas at the time of this inspection and looked homely and very attractive with decorations, advent calendars for all etc. Residents spoke with enthusiasm about the Christmas festivities which have already begun – the party season started the week prior to the inspection when all residents joined social group at local venue. Ultimately the residents party is booked externally and all staff (on or off duty) will go out together to celebrate. This indicates the commitment of the staff in this home and the family type approach to all activities – staff wish to share the enjoyment alongside residents. Family contacts are promoted with visits to the home and to families where possible. Two residents do not have visitors but both able to self-advocate adequately. Staff attempts to bridge this void for those residents and they have 1:1 external visits to reinforce their individuality. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 13 Some have regular weekly visitors and go out with relatives. One resident is taken to relatives in another county several times each year as they are unable to visit. Another resident goes home overnight and will be spending 6 days at home over Christmas. A resident is supported in her relationship with a male in another home at the other side of the city with visits made alternately to each home. All bedrooms seen are extremely well personalised and reflect the individuality of residents. Staff have some concern about age-appropriate leisure activity for one resident, but this is handled extremely well to preserve the persons dignity, allowing complete freedom of expression in the privacy of her bedroom but not allowing exposure to others inside or outside the home. Residents said that food provision was good. All are involved in menu choices. Staff will offer advice to ensure a balanced diet but allow a large degree of complete freedom of choice. Choices are offered at all mealtimes and can be spontaneous. Residents shop with staff for food as part of skill enhancement. The main meal is served at teatime to fit with residents having lunch at day centres/college. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 – 21 From discussions, observations and documentation it was clearly indicated that the standards relating to Personal & Healthcare Support were met. There is a safe system of medication in the home. EVIDENCE: Two residents are independent for personal needs, other require varying elements of support. On resident requires moving and handling support. Her bedrooms is equipped with essential aids and adaptations to meet her physical needs. She has her own en-suite facility which includes assisted bath and also a shower. Good access is provided with grab/toilet rails etc. providing the necessary high level of support to maximise her independence. She and another resident need wheelchairs for external use which are easily accommodated in the homes adapted mini-bus. Care plans contained excellent information in relation to health care issues. All residents have a health care record giving chronological account of interventions by health professionals. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 15 All residents have regular health checks and screening. They attend the usual well-man/woman clinics at GP surgery where a resident was found to have a hearing impairment, high cholesterol and diabetes care – not known at the time of admission. The identified conditions have been addressed with medication and provision of hearing aids. Concerns about sight resulted in eye test and being diagnosed as partially sighted. These are examples of staff awareness of the need to identify health care needs and to pursue appropriate assessments and treatments. Another resident requiring biopsy and surgery was supported in her admission to hospital and the subsequent extensive serious dental treatments required. Medication was inspected and all records found to be satisfactory. Each care plan contains details of all medication prescribed outlining the reasons for its use, medical condition and potential side-effects. All staff have received accredited training in medication administration. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Standards relating to Concerns Complaints and Protection were found to be met. EVIDENCE: A copy of the complaints procedure is on display in the reception area of the home for residents and visitors. All residents were reported to have a copy of the procedure. The complaints procedure complies with the requirements of Regulation 22. No complaints have been reported to the home or to the Commission since the last report. The vulnerable adults procedures are available in the home for reference by staff. A check of staff files showed that all appropriate checks had been carried out prior to employment for staff. A requirement was previously made and been complied with. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 30 There is a good standard environment which is well maintained with an annual improvement programme. Two requirements relating to the environment made in the last report have not been addressed. This must now be actioned. Requirements relate to replacement of bedroom door and repair of call system in toilet area. EVIDENCE: The home is a large modern detached property built 10 years ago. It is situated in a residential area of older/modern properties. The home is not identifiable as a home. Rooms are large with good sized windows allowing plenty of natural light throughout. The lounge area is large and easily accommodates all residents plus visitors, it is attractively decorated and furnished and been recently redecorated and re-carpeted since the last inspection. The separate dining area which doubles as an activities room has also been redecorated and new vinyl flooring fitted. The kitchen is of good size and well equipped – there are plans to refit the kitchen in the near future. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 18 Since the last inspection the landing, hall and stair areas have been redecorated and new carpet fitted, this looks well and has enhanced the reception area of the home. Most areas on the ground floor have been redecorated over the past year. The home has a 12 month maintenance programme with resident input. All planned work has been carried out in the present financial year. A further programme being planned from 1st January. Furniture, fittings and equipment are to a good standard and the home has a pleasant, comfortable, homely feel to it. The garden area is small but attractively laid with lawn and patio –much used in the summer months for sitting, BBQ etc. Access to the garden area is good with French windows and ramp. Two requirements made in the last report have not been addressed and are therefore repeated as requirements of this report with a timescale for completion by 31.1.06. they are: Bedroom door with hole must be repaired/replaced and the call system in the ground floor toilet area which is no operative must be repaired. The latter is an important safety issue for residents. Most bedrooms were seen and all were extremely well personalised reflecting the varied interests and choices of residents. All had the usual TV/CD/Music facilities, one has a Play station. Numerous photographs/poster/personal items adorn the walls and storage area of bedrooms. Some residents showed their bedrooms with clear satisfaction and pride of ownership. Five bedrooms have en-suite facilities. On the ground floor one has a shower the other an assisted bath. One bedroom on the first floor has a bath and separate shower cubicle. There is a separate bathroom with bath and shower. There are additional toilet areas near to the lounge area. The home was clean and hygienic. Domestic tasks are part of skill development for residents. All are involved in cleaning their bedrooms and some the communal areas. The standards of cleanliness throughout were high. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 - 36 Staffing levels are adequate for the needs of the resident group. Recruitment procedures protect residents. Staff training is required in moving and handling and first aid. EVIDENCE: The staffing level remains as April 2002 as required. There are 2 staff on duty throughout the daytime (8 – 8) and sometimes 3 staff to accommodate external visits etc. There is one person sleeping-in and on call at night time. Although one resident has very minor seizures, these are barely noticeable and never at night time – there do not appear to be implications for waking night staff at this time, although this is flexible – the home having previously had waking night staff due to high dependency of previous resident. There are 6 permanent members of staff, all trained to NVQ2 standard or above, some are studying NVQ3. The home employs 2 bank staff to provide a flexible service to meet the needs of the group. At this time they are sleeping in and allow other staff to cover maternity leave on a temporary basis. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 20 Staff demonstrated a sound knowledge of the needs of the resident group and engaged in a meaningful and appropriate way with residents throughout the inspection. There is a static staff group in the home, providing continuity of care and the establishment of individual, personal relationships. All residents have key workers. Staff training is required in relation to First Aid and Moving & Handling (referred to later in the report). Staff files were seen on this inspection and although no new staff had been employed since the last inspection it was found that all required information in Schedule 2 had been obtained for those records seen. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 - 43 Commitment to resident care is good and staff morale is high. There is an open management style in the home. The result is a good standard of care for residents. Staff training is required in 2 areas as listed below. The Registered Provider must visit the home on a monthly basis as required under Regulation 26. EVIDENCE: The Registered Manager has the required experience to run the home and is qualified to NVQ4 standard as required, having completed the Registered Managers Award. There is a small staff group with 6 permanent full time workers and 2 bank staff. There is total commitment from all staff who enjoy spending time with the resident group and at times when they are off-duty. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 22 Policies/procedures were not inspected on this visit. The Manager states that these will be reviewed in the next year and presented in a format to inform the resident group (pictorial etc). Residents meetings are held and there is evidence that they are consulted about all aspects of life at Clewlow Place. Questionnaires are given to all residents and also family members on an annual basis (seen). Feedback allows review of quality of service provision and had been acted upon. Fire records were inspected and all tests and servicing of equipment carried out as required. There is a fire risk assessment in place and fire management plan. There has been staff training in fire safety. Three fire drills have been carried out in the last year and evacuations are also carried out. The importance of fire safety is re-enforced in residents meetings – the smoke alarm in the kitchen regularly sounds when cooking. Staff had become concerned that residents were becoming complacent about this – the importance of responses has been re-enforced with all residents. Training is required for staff in Moving & Handling and First Aid. This was a requirement of the last report and has not been addressed. A further requirement is made in this report. Hot water checks are carried out and recorded in bathing areas. All required notifications to the Commission under Regulation 37 have been received. The Directors of Graceland Care Ltd who own the home do not visit. It is a requirement of this report that monthly unannounced visits are made to the home by the Responsible Individual/Director and that a report is supplied to the Manager and the Commission as required under Regulation 26. 11 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 11 Clewlow Place Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 2 DS0000008220.V272375.R01.S.doc Version 5.0 Page 24 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 2 3 4 5 Standard YA24 YA29 YA42 YA42 YA43 Regulation 23(2)(b) 23(2)(C ) 13(5) 13(4) 26 Requirement Bedroom door identified with hole must be repaired/replaced. –Previous timescale not met. Call system in toilet area must be operational. –Previous timescale not met Updated training required for all staff in Moving & HandlingPrevious timescale not met. First aid training for all staff is required – Previous timescale not met. The owners must visit the home monthly and provide report to the Manager & the Commission Timescale for action 31/01/06 31/01/06 31/01/06 31/01/06 08/12/05 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 Clewlow Place DS0000008220.V272375.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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.V272375.R01.S.doc Version 5.0 Page 26 - 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!