Inspection on 14/05/07 for 11a Curlew Crescent

This inspection was carried out on 14th May 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

11a Curlew Crescent 01/11/05

11a Curlew Crescent 12/07/05

11a Curlew Crescent 07/03/05

11a Curlew Crescent 07/03/05

11a Curlew Crescent 07/03/05

11a Curlew Crescent 07/03/05

11a Curlew Crescent 05/04/04

11a Curlew Crescent 05/04/04

11a Curlew Crescent 05/04/04

11a Curlew Crescent 05/04/04

11a Curlew Crescent 04/09/03

11a Curlew Crescent 04/09/03

11a Curlew Crescent 04/09/03

11a Curlew Crescent 04/09/03

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

CARE HOME ADULTS 18-65 11A Curlew Crescent 11A Curlew Crescent Strood Rochester Kent ME2 2RF Lead Inspector Robert Pettiford Key Unannounced Inspection 14th May 2007 08:00 11A Curlew Crescent DS0000028891.V336708.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 11A Curlew Crescent DS0000028891.V336708.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. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 11A Curlew Crescent Address 11A Curlew Crescent Strood Rochester Kent ME2 2RF 01634 296674 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) The Kent Autistic Trust Ms Carol Marilyn Stanton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: 11A Curlew Crescent is a detached premises which was purpose built, providing accommodation in six single bedrooms. The home is managed by the Kent Autistic Trust and is owned by Hyde Housing Association. The accommodation is arranged over two floors. There is a TV point in every room. There is parking at the front and side of the premises and an enclosed garden to the rear. The home is situated in a residential area and is within walking distance of public transport and local shops. The town centre of Strood is approximately 1mile away. The fees charged at the home for services provided are in the range of £1,281 to £2,344 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on the 14th May 2007. The Inspector agreed and explained the inspection process with the Registered Manager and another manager present during the inspection. Documentation and records were read. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. The focus of the inspection was to assess 11a Curlew Crescent in accordance with the Care Home Regulations 2001 and the National Minimum Standards for Younger Adults. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The inspector spent time speaking with some of the service user’s who lived at the home, which gave him a good opportunity to discuss the quality of care within the home and activities enjoyed. All of the service user’s completed a comment card for the service and expressed a high level of satisfaction of the level of care given. What the service does well: What has improved since the last inspection? It was evident through the inspection process that the manager is taking appropriate steps to continually review and improve the standards of care within the home. Improvements were noted in respect of all the identified area’s from the last inspection. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 6 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. 11A Curlew Crescent DS0000028891.V336708.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 11A Curlew Crescent DS0000028891.V336708.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): 1,2,3,4,5 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service user’s have the information they need to ascertain whether the home can meet their needs in a format they can understand. Service user’s rights are protected by a written contract. Prospective service user’s also have the benefit of a trial period at the home. Service user’s can be confident that their needs will be properly assessed prior to moving to the home. EVIDENCE: The Statement of Purpose and Service user’s Guide for 11a Curlew Crescent was seen and evidenced at the previous inspection to include the information outlined in the Standards. The inspector asked if the service had changed or if there had been any amendments. The manager stated that only changes to staff training had been made. The manager had also produced the Service user’s guide in a format that the service users could understand using familiar pictures and photographs of their home. The home has gone to great lengths to inform prospective and current service users about the service’s offered and standards of care to expect. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 9 The Manager reported that a copy of the previous inspection reports are made available to service user’s and their families on request. A written contract / statement was available outlining service user’s’ rights, responsibilities, and conditions of placement is in place. Each service user has been provided with a copy. Records held showed that service users have an assessment which identifies their individual needs prior to or on admission to the home. The information is provided by the service users, their families and health / social care professionals. This is then reflected into the care plans and these are developed in agreement with the individual. The assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the ethnicity and diversity needs of the individual. Before agreeing admission the service carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. Prospective Service users have the benefit of a trial period at 11a curlew Crescent to assess whether the home can or cannot meet their needs. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service user’s benefit from having clear individual plans that are comprehensive, identify their needs and personal goals and are specific to the individual service user. Care plans showed that service user’s are enabled to make decisions and choices. Service user’s are enabled to take responsible risks through a thorough risk assessment process. EVIDENCE: The home and its staff are committed to supporting the service users in accordance with their needs and goals. This was evidenced through the care plans which detailed the areas of support that the service user needed and how this support is provided by the staff. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 11 There were guidelines in respect to routines and behaviour. The manager confirmed that these are reviewed with the service users on a regular basis and the families are supported to be involved. All care plans viewed had short and long-term goals, which had been agreed with the individual. Innovative methods are used to enable Service user’s to participate and communicate their views to the development of their care plan and the review process. The plan focuses on current needs, development of skills, and future aspirations of the individual. This follows the principles of person centred planning. Staff have the necessary training and skills to support and encourage the individual to be fully involved. Where Service users have limited communication, staff are skilled in using other methods of engagement. A key worker system provides additional support enabling one to one involvement. Service user’s rights to make decisions are respected and the care plans reflected their ability to make an informed judgement. Care plans included in depth information concerning the preferred lifestyle and choices. Plans sampled demonstrated that the home used positive planned interventions to manage service user’s behaviour. The care planning process is currently under review to enhance its clarity. The home is to be complimented on such details of behavioural support plans which were found to be of a high quality. Care plans include a comprehensive risk assessment. Management of risk takes into account the specialist needs and age of people who use the service, balanced with their aspirations for independence, choice and normal living. Where there are limitations on choice or facilities, it is in the person’s best interest. The resident understands and agrees the limitations. Any limitations are fully documented and reviewed on a regular basis to ensure their ongoing relevance. Some suggestions and recommendations were made with regard to the presentation of the risk assessments to make them clearer. Not statutory requirement has been made at this stage 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users can be confident that they are offered a wide range of opportunities for personal development and to learn new skills and feel part of the wider community. Service users engage in a higher than average level of activities which are appropriate to their needs and capabilities. Service users are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The service users benefit from the appetising meals and balanced diet offered at the home. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 13 EVIDENCE: Service users are enabled to participate and contribute to meeting their own self care needs and day to day chores around the house Discussion with the Registered Manager and staff confirmed that the level of activities were of a high level and that they enjoyed a good level of stimulation through leisure and recreational activities both inside and outside the home. The inspector joined service users at 8:00am just after they had finished their breakfast. The inspector had the opportunity to speak to many of the service user’s who express their opinions of the home and the activities they participated in and enjoyed. Service users have been enabled to and encouraged to participate in hobbies and activities which they had an interest in, such as maintaining and building on personal collections and specific recreational activities. The service actively encourages and provides imaginative and varied opportunities for Service user’s to develop and maintain social, emotional, communication and independent living skills at 11a Curlew Crescent. The manager and staff have a strong ethos and focuses on involving Service user’s in all areas of their life, and actively promotes the rights of individuals to make informed choices, providing links to specialist support when needed. It was confirmed that service users are enabled to maintain contact with relatives and friends where they wished to do so. Examples of such included provision for relatives and friends to visit the home and support being provided to enable services users to visit relatives or friends outside the home. Service users were consulted with regard to whom they saw and when and were under no compulsion to accept visitors should they not wish to do so. None of the service users who were discussed about with staff had any spiritual needs which they actively addressed, however it was confirmed that where this was the case all appropriate support would be provided. From observation, records viewed it was evident that service users were offered a choice of menus that meet their dietary needs and individual preferences. Meal times are flexible to suit the service user’s activities and schedules. Service users are able to choose where to eat, and also have facility to make drinks, meals and snacks for themselves and others with staff support should they wish. Service users on evidence seen have had been involved in planning and choosing menus. One service user explained the menus to the inspector and how his choice and preferences influenced the menu. He also spoke of his interest in cooking and related to the occasions he had personally helped cooked a meal. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 14 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service user’s feel supported by the level of help given and that their healthcare needs are addressed. The service user can feel confident that their wellbeing will be protected by the home’s policy and procedures with regard to the handling and administration of medication. EVIDENCE: The care plans fully documented the personal support required for individual Service User’s within 11a curlew Crescent. They reflected their choices and preferences and staff were observed offering guidance where needed. Times of getting up / going to bed, having baths, eating meals and other activities are flexible to allow for different Service user’s daily routines. All Service users are allocated a key worker and the inspector observed excellent interaction between staff and Service User’s. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 16 Staff understand the key principles of giving personal support and are responsive to the varied and individual requirements of the Service users. It is recognised that the delivery of personal care is highly individual and must be flexible, consistent and reliable. Attention is given to ensuring privacy and dignity when delivering personal care and staff are sensitive to changing needs of Service user’s. When ever possible service users are able to have choice about who delivers their personal care. Where possible Service users are supported and helped to be independent and responsible for their own personal hygiene and personal care. The care plans also fully documented all physical and emotional healthcare needs and where able Service user’s filled in or were supported to fill in appropriate forms. Within the care plans records of health care provided by G.P, chiropodist, dentist, and opticians was evident. Service user’s physical and emotional health is monitored on a daily basis. Through their daily records and these correspond with support assessments held in the care plans. This system ensures that all Service users receive continuity of care and support and that potential complications and problems are recognised and dealt with at an early stage. It is evident through records that the emotional health support is of a high priority to this home and the staff are pro-active in maintaining and supporting Service User’s with their emotional needs in order to maintain their quality of life. The inspector viewed the storage arrangements and some records including Medication Administration Record (MAR) sheets, and the protocols for the administration of “PRN/As Required” Medication. The medication was seen to be stored appropriately and administered in accordance to current guidance. The manager confirmed that all staff who dispense medication have received appropriate training and that the recording and administration of medication follows The Royal Pharmaceutical Society guidelines (amended June 2003). 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users know that their concerns and complaints are taken seriously and are protected from the risks of abuse. EVIDENCE: A copy of 11a, Curlew Crescent complaints procedures was reviewed along with the manager. The procedure included details of how to complain, timescales for response and information for referring a complaint to The Kent Autistic Trust and Social Services. The service has a highly developed and a very clear complaints procedure that highlights the importance of complaining or making suggestions for improvement. It is made available in a wide variety of formats to enable everyone associated with the service to complain or make suggestions for improvement. The complaints procedure is very widely distributed, and is highly visible within the service. Service users within the service have an understanding of how to make a complaint as their capacity and understanding allows. The home’s Policy for the Protection of Service user’s and staff “Whistle blowing” procedure was discussed. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training is provided in abuse. Courses are always planned to ensure all staff receive the training required to protect service user’s from abuse. The home promotes an open culture where Service user’s feel safe and supported to share any concerns in relation to their 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 18 protection and safety. Policies and procedures regarding protection of adults are of a very commendable quality. At all levels the service is very clear when an incident needs external input, and is open in discussing incidents with external bodies to clarify difficult judgements. Staff are trained to respond appropriately to physical and verbal aggression and fully understand the use of physical intervention. The home ensures through training, supervision, review and quality monitoring that care staff fully comply with the policies and procedures provided in relation to protecting and safeguarding the rights of people who use the service. Criminal Record Bureau Checks (CRB) have been obtained for all staff. The Manager is aware of her obligations with regard to ensuring the safety of Service user’s and protecting them from abuse. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a clean comfortable home, which is suitable for their needs. EVIDENCE: The Inspector undertook a tour of the home including some service user’s rooms, with their permission, bathroom/toilet facilities and communal areas. All areas viewed appeared bright, cheerful, and airy. Fixtures and fittings and general decoration were seen to be of a good standard. The home plans to replace the carpets in some areas and decorate toilets and bathrooms. Bedrooms were seen to be personal in nature with each service user expressing their own identity. The number of toilet and bathroom facilities provided by the Home meets current required standards. Toilets and bathrooms were lockable offering 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 20 service user’s’ privacy, although staff are able to access toilets/bathrooms in an emergency if required. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users’ care, social and emotional needs are promoted by the employment of caring and suitably trained staff. Service users are protected from potential abuse by the home’s robust staff recruitment procedures. EVIDENCE: From discussions with the Manager, observations and reviewing the staff rotas more than sufficient staff were on duty at the time of inspection to meet the service user’s needs. Service users have the benefit of attending a day service organised and run by The Kent Autistic Trust where staff provide them with the support needed and a resource to promote the learning of independent living skills. The home provides three AM staff, four PM, two sleep in and one waking night. The day staff work on a split shift basis with day care staff providing support during the day. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 22 The staff training records indicated planned and undertaken training. The manager evidenced that individual and group staff training needs had been identified. A wide range of training has been identified for all staff over and above core skills courses. First Aid, Food Hygiene, Health and Safety and other core courses are undertaken to maintain current qualifications and for protection of service user’s. Courses also include training in managing Challenging Behaviour. Management prioritise training and facilitate staff members to undertake external qualifications beyond the basic requirements. The scheme introduces internal developmental training, to complement formal training as part of an ongoing training plan. Staff share skills and knowledge with colleagues. The roles and responsibilities of staff are clearly defined and understood, based on accurate job descriptions and specifications. Service users and others associated with the service report that staff are very skilled in their role, and are able to meet the needs of individuals in highly imaginative ways. The service sees induction and any probationary period as being an extension of recruitment. There are contingency plans for cover for vacancies and sickness and there is little use of any agency or temporary staff. Where they are used there are well thought out systems for their induction and support and providing continuity of care. From evidence seen the training and development of staff is central to achieving the aims and objectives of 11a Curlew Crescent. The service has a highly developed recruitment procedure that has the needs of people who use the service at its core. The recruitment of good quality carers is seen as integral to the delivery of an excellent service. The service is highly selective, with the recruitment of the right person for the job being more important to the filling of a vacancy. The inspector viewed details of the Home’s recruitment procedure and a number of records relating to staff members recruited. The Home undertakes a recruitment practice including submission of an application form detailing all previous work history, requests proof of I.D and copies of qualification certificates, seeks written references. All staff appointments are subject to a probation period, which is subject to review. All staff have a contract of employment and job description. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run and managed home. Service users and or their relatives can be fully confident that their views and opinions effect how the home is run and that their best interest are safeguarded by appropriate policies and procedures. Service users can always feel fully confident that their health and safety/ welfare is protected by robust policies/ procedures and safety checks. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 24 EVIDENCE: The registered manager is actively involved in the day-to-day management of the home and works with staff and service user’s. From observation and staff feedback the manager offers a clear sense of direction and leadership, which staff and service user’s understand. Service user’s, their relatives and staff are encouraged to comment on the services the home offers and to voice any concerns they may have. The home operates a keyworker system to identify an individual staff member to directly to work with a service user on a one to one basis. The home has a well developed quality assurance system. Spot checks and quality monitoring systems provide management evidence that practice reflects the homes policies and procedures. There is strong evidence that the ethos of the Home is open and transparent. The views of both Service user’s and staff are listened to, and valued. The home has a full range of policies and procedures to promote and protect Service user’s’ health and safety. Staff consistently follows these. There is full and clearly written recording of all safety checks and there is no evidence of a failure to comply with other legislation. The home proactively consults other experts and agencies about health and safety issues. There is a good understanding of risk assessment and this is taken into account in all aspects of the running of the home. The quality assurance system confirms that the findings from risk assessments have been actioned and the home continuously improves its systems for health and safety. The systems are regularly reviewed and updated and are developed on the basis of experience in the home and learning from external developments. The manager ensures that all staff are trained in health and safety matters and have regular planned updates. 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 4 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 x x 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 4 x x 3 x 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 11A Curlew Crescent DS0000028891.V336708.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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