Inspection on 29/01/07 for 134 Blurton Road

This inspection was carried out on 29th January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

134 Blurton Road 23/02/09

134 Blurton Road 23/01/06

134 Blurton Road 14/09/05

134 Blurton Road 01/03/05

134 Blurton Road 09/12/04

134 Blurton Road 20/11/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 134 Blurton Road Blurton Stoke-on-Trent Staffordshire ST3 2DG Lead Inspector Key Unannounced Inspection 29 January 2007 09:00 134 Blurton Road DS0000008254.V329848.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 134 Blurton Road DS0000008254.V329848.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. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 134 Blurton Road Address Blurton Stoke-on-Trent Staffordshire ST3 2DG 01782 775050 01782 313508 highcross.house@craegmoor.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) Strathmore Care Services Ms Barbara Ann MacBryde Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 134 Blurton Road is a semi-detached property in a residential area of Blurton, Stoke -on -Trent. The home is managed by Craegmoor Healthcare Services. The property is an ordinary house, which is in keeping with other properties in the immediate area and provides the service user group with accommodation based upon the principals of normalisation. The home provides accommodation for up to three service users who have a degree of learning disability, who are striving to live an independent life style. All three of the service users have part time local employment and/or attend the local college. The residents are supported by the staff from Highcross, a larger residential care home just across the road. The accommodation consists of one ground floor and two first floor bedrooms, a bathroom, lounge and kitchen diner. A further bedroom situated on the first floor is used as a staff sleeping in room. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was conducted with the Care Manager and Acting Manager, with the full cooperation and contribution of care staff, service users present and family members. Requirements and recommendations made at the last inspection had been addressed. 3 Comment cards were received from relatives and residents, all complimentary. This report follows the format of inspection conducted for High Cross house, the main unit of care situated 200 yards across the road. All services are based at High Cross including staff supervision, and the three residents have friendships and a close bonding with staff and residents at High Cross. A tour of the home allowed free access to all areas of the Home, and open discussion with those service users present and staff. There were 3 service users in residence at the time of inspection One resident engaged in general conversation, openly declaring that she was very happy with her home, and had spent hours in cleaning the home in preparation for the inspection. Resident’s bedrooms were highly personalised and reflected the personality of the individual occupying the room. There followed a sample review of administrative procedures, practices and records. Two service users were case tracked; one actively engaged in general discussion. Files were accessed to inspect all aspect of their care, from referral to the present time. Fees were identified as £325 - £517 per week. Throughout the entire inspection a sense of homeliness and familiar confidence pervaded into all aspects of daily activity expressed by those people met. The inspector thanked all concerned for their contribution to a pleasing and constructive inspection. A report feedback, in which the Inspector offered an evaluation of the inspection with the Registered Manager and Acting Care Manager. What the service does well: The Home offers a high standard of care and service, was observed to be extremely well organised, with a committed Care Management and team. Emphasis goes into involving the residents and their families in the process of care, ensuring a highly personal approach to meeting individual needs. The individuals spoken with confirmed their pleasure in their daily routine and involvement. Comments received included: “always happy”, “ ..like it, never bored, staff treat me with respect”, “good communications, always kept informed”, “my daughter has grown and developed, can’t speak high enough”. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 6 Assessment procedures and care planning is of an excellent standard, offering detailed information on each resident’s progress in the meeting of objectives. The staff and residents all contribute to the team approach. Maintenance of satisfactory staffing levels, staff training and supervision are established in safeguarding the interests of residents. Full attention is paid to the health needs of the service users. Each has a regular monthly review regarding their physical, social and mental health, and their well being is assessed, with referrals to other health services where required. Overall the attitude in meeting caring and organisational demands is commendable, with a highly personable involvement and application, contributing to an excellent service. 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. 134 Blurton Road DS0000008254.V329848.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 134 Blurton Road DS0000008254.V329848.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 and 5 The quality in this outcome area is good. This judgement is based on the examination of the Home’s mission statement, policies, procedures, practices and discussions with management. The Home had in place a Strathmore Care Services Statement of Purpose and Service Users Guide, that provide information to prospective residents and their relatives about the services the home is able to offer. These documents are in need of updating to reflect contemporary changes. There have been no recent admissions to determine the effectiveness of admission policy, but the staff maintained that pre- admission assessment is conducted by the senior care manager at the point of referral, with a full multidisciplinary and a community assessment. EVIDENCE: During the course of the inspection there was ample opportunity to sit and talk with residents and staff. It was evident that much care had been taken in involving residents and family in the caring process. A resident expressed her pleasure at the general friendliness around, with other residents and staff. Discussions with three mothers present confirmed their full awareness and involvement in the provisions of care and services. Evidence was seen of that assessment process being applied following admission and in continuing care. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 9 The Statement of Purpose was discussed and found to provide a very informative description of Blurton Road’s aims, and the way it operated, although it would benefit from a review. There had not been a recent admission to the Home, although an examination of resident’s care records and plans clearly demonstrated the extensive efforts to see through the pre-admission, and admission procedures and assessments. Each record showed the attention to individuality and their unique needs. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 The quality in this outcome area is excellent. Residents spoken to were keen to show the extent of independence and the degree of involvement in their care, a person centred planning approach of care. This focused on positive behaviour, ability and willingness of the individual, showing that service users freely make decisions about their life in the home. EVIDENCE: Care plans were examined and found to offer an excellent record of daily living, which were comprehensive, and included a full personal profile, individual programmes, care plan based on needs, descriptions, plans to address, targeting and monitoring. Evidence of health care professional visits showed an attentive awareness to service user’s needs. It was noted that each day had a different schedule of events encouraging therapeutic and social activities geared to meeting service users sense of belonging. Including risk assessed everyday activities. There was a process of monthly review and annual appraisal, complimented with recently renewed Social Services reviews. There was an impressive assessment pack and keyworker report mechanism. A comprehensive risk assessment of potentially injurious situations was well 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 11 founded and actively reviewed, including travelling skills and extensive athletic participation, each signed by the resident, keyworker and manager. A daily entry reinforced the depth of meaningful monitoring, which would be enhanced with a consistent input. Two residents were case tracked with a full examination of care records, health records including general practitioners and consultant visits, risk assessments, dependency charts, records of reviews and action plans. Records inspected showed that residents freely make decisions about their life in the home. Residents were seen to be involved in day centre attendances, college, family visits and visits to local amenities. 134 Blurton Road DS0000008254.V329848.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 and 17 The quality in this outcome area is good. This judgement is based on the examination of the Home’s policies, procedures, practices and discussions with management. Throughout the inspection residents were seen to be enjoying a high degree of encouragement to express themselves in positive and meaningful ways. Bedrooms were seen to demonstrate that individuality, each different to match personal outcomes. A fully flexible open visiting policy was identified, reflecting the importance placed upon family or friends’ regular contact. Resident’s links with the community are good. The residents and staff are engaged in setting, planning and preparing varied menus. EVIDENCE: Blurton Road’s main objective is to respect the individual, thus delivering care in a relaxed and easy environment, with routine flexible to accommodate 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 13 needs, and not dictate daily life of service users. Personal choice and relative self-determination are respected in policy and action. Those who wish to bring in personal possessions are encouraged to do so. Residents are involved in domestic type tasks in the home as part of social skill development, this includes ironing, cooking, cleaning bedrooms, washing, etc. Hazards are risk assessed. Observed practice showed that interaction between staff and residents was friendly and appropriate. Residents confirmed that staff only enter their bedrooms with prior permission, and always knock before they enter. Activities were in evidence on the inspection day and a programme of in-house routines and entertainment was available. Choices were available for every aspect of daily living and menus provided a varied and good choice of food available on a flexible, resident orientated programme, on a four weekly cycle. The dining areas were homely and friendly adjacent to the kitchen area, offering a pleasant, conducive ambience for a social meal. The kitchen was seen to be clean, organised and with satisfactory equipment. Safety figured highly in the layout and use of kitchens. The home has access to a 9-seater vehicle used daily to transport residents to day centres/external groups and for spontaneous shopping trips, health care appointments, visiting relatives etc. A sample of care records demonstrated that residents were encouraged and supported to access a range of leisure and recreational activities in the local community, especially physical sports, most residents were engaged in aerobics or swimming. Records showed that participation in socially valued activities was also encouraged, such as attendance at the theatre, football matches, cinema, library and pub visits. Holidays are a regular feature with residents financing holidays abroad and at home. This year an 11-day holiday to Salou in Spain is arranged for all the residents, with 4 staff in attendance. Pictures of a day out in London were evidenced. Parents spoken to were keen to explain the activities of ‘Strathcross’ group, in pursuing special events and supported theme nights, attracting social links from many commercial and leisure bodies. It was also a useful ‘sounding board’ for discussion of varied Home activities. Parents also meet with care managers in reviewing care plans on a monthly basis. 134 Blurton Road DS0000008254.V329848.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 and 21 Quality in this outcome area is good. The health and personal care needs of the residents are clearly identified and monitored. The Home operates an environment conducive in support of individual physical and emotional needs. The routines involving medication was inclusive whenever possible, yet safe, secure and efficiently administered. Staff had a very good understanding of the residents personal, emotional and physical support needs. EVIDENCE: The Home operates a clear policy of a flexible routine, established to meet the preferences of service users, and encourage self-determination. The support offered is tailored to meet their needs in a non-patronising manner, delivered with an observed empathy of close bonding. The recording of social activities are seen to be an integral part of care reporting and planning. Social activities are designed to stimulate motivation and interest in their surroundings, with encouragement and help from care staff. Policies are clearly set out to facilitate relatives and friends to visit and participate in the overall provision of care. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 15 Personal choice and relative self-determination are respected in policy and action. Those who wish to bring in personal possessions are encouraged to do so. All rooms examined showed a uniqueness and individual selection of décor and ornaments, trophies and mementos. The general atmosphere throughout the home was one of family, confidence, warmth and contentment. Staff were observed in addressing service users in a respectful and dignified way. The administration of medicines adhere to procedures to maximise protection to service users. Storage was secure, and a suitably qualified member of staff completed MAR sheets accurately, with accountability recorded throughout the process. The process would be enhanced with related information placed on the residents’ MAR profile. Specialist support and advice are sought as needed from GPs, physiotherapists, dentists, opticians, occupational therapists and speech therapist. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. The home had a meaningful complaints policy, clearly identifying the CSCI as a resource to approach with a complaint or grievance. Service users’ legal rights are protected by the systems in place in the home to safeguard them, including their contract, the continual assessment of care planning and policies in place. EVIDENCE: The complaints policy was seen and records examined. There were few minor ‘niggles’ assessed, all dealt with at the source. On discussions it was evident that any small matters were handled immediately, discretely and to the satisfaction of all concerned. There were no recorded complaints or allegations. Case tracking confirmed the effectiveness of a care manager and staff sensitive to service users needs and readiness to test the robustness of their information and report structures. Residents’ legal rights are protected by the systems in place in the home to safeguard them, including their contract, the continual assessment of care planning and policies in place i.e. the complaints procedure. This process was evidenced on examination, and case tracking as previously reported upon. Staff induction and in-house training programmes clarified the responsibilities of all staff in their daily contact with service users. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 The quality in this outcome area is good. Blurton Road continues to offer a well-maintained and homely environment. Great attention is given to ensure a safe, comfortable and secure residence. Bedrooms were well maintained to meet service user’s personal preferences, expressing a highly personal presentation in décor and furnishings. Facilities for toilets, showers and bathrooms are adequate. The lounge and dining room were well-appointed, very comfortable and popular areas for socialisation. All areas throughout the Home were clean and hygienically presented. EVIDENCE: 134 Blurton Road is a detached property in a residential area of Blurton. To the front of the property there is a hard standing area and to the rear an adequately enclosed garden. A resident has moved room to afford greater privacy. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 18 The environment is purposefully homely, well maintained and in a good state of decoration. All of the bedrooms are in a good state of decoration, and individually decorated. The residents spoken to were proud of their bedrooms, and the work gone into their cleaning. Each bedroom was well maintained and personalised with TV’s, collections of videos and personal possessions that reflected the interests of the individual. Service users take some responsibility for domestic activities including cleaning, laundry and assisted cooking. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36 The quality in this outcome area is good. Staffing stability has been maintained with consistent levels to ensure equilibrium between numbers, skills and qualifications, with a strong presence of long serving experienced staff, sharing coverage duties with High Cross. The management have established a satisfactory procedure for interview, selection and appointment of staff. The thoroughness of staff selection has a significant effect upon the provision of cares to ensure protection of service users. All staff receive training in care issues within the home from training officers and external trainers. EVIDENCE: There were 3 service users receiving care at the time of the inspection. Staffing had maintained consistent levels to ensure equilibrium between numbers, skills and qualifications, with a strong presence of long serving experienced staff. Three weeks of off-duty were examined, providing evidence that the home is suitably staffed in numbers, skills and qualifications to ensure the needs of the service users are met. One Keyworker and two support workers cover the daytime hours, with one support worker sleeping in on nights, covering from 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 20 High Cross. Nine members of staff were certificated first aiders. The Home does not employ agency staff, cover is through flexible rostering and overtime. As at previous visits the home has in place a staff-training programme that meets national training targets, which cover a range of subjects, including Infection Control, Fire, COSHH, Food and Hygiene, Health and Safety, Equal Opportunities and Protection of Vulnerable Adults. There is a staff-training plan with records maintained, with all staff receives appropriate induction. Regular assessments of training needs take place with staff at the home using the Learning Disability Award Framework accredited training. All staff receive training specific to their post. A rolling programme for 2006 was examined. Six members of staff have achieved NVQ Level two and three, and the acting manager undertaking the Registered Manager’s Award. There has been a reduction in seeing through the staff supervision and appraisal process, which was agreed, will be reinforced straight away. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43 The quality in this outcome area is good All staff demonstrated an awareness of their roles and responsibilities, ensuring that the health, safety, and welfare of residents were observed. Policies are meaningful, supported with up to date procedures and skilled application of good practice. Each presents a safe and secure environment in protection of rights, interests, health and safety of the residents. EVIDENCE: The Registered Manager Barbara MacBryde, has for the past few months been given extra overseeing duties elsewhere in the organisation, leaving an acting manager to supervise day-to-day matters. It is expected that this ‘secondment’ will cease shortly. Nevertheless the acting manager has demonstrated a capacity to undertake supervisory duties well, in maintaining the high standards at all times, and presenting an efficient attention to the Inspection. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 22 There is a confidence apparent in the interaction of staff and the Home’s management that demonstrated a positive relationship, pervading throughout the Home. This open style of management was mentioned by several service users, and parents, which provided a source of trust and mutual respect. Quality assurance with the Craegmoor organisation complements this arrangement with extensive monitoring in areas as care planning, staff meetings, staff training and resident’s suggestions. The case tracking undertaken reinforced the effectiveness of resident’s involvement in their care and environment. A sample of administrative, maintenance and care records were examined and found to offer an accurate reflection of a service committed to providing a safe and comfortable environment. These were specifically gas and PAT certification, procedures on handling abuse, first aid and challenging behaviour. Accidents were seen to recorded and attended to satisfactorily. Staff training programmes included relevant aspects of Health and Safety, administration of medicines, first aid, moving and handling and fire training were recorded. The administration and management of the home was seen to be efficient, uncomplicated and sensitive to the needs of service users. 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 4 3 4 4 3 5 3 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 4 26 4 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 2 3 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA36. 4 Regulation 18 (2) Requirement Supervision will be conducted on a two monthly basis for all staff. Timescale for action 01/04/07 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 YA1.2 YA41 Good Practice Recommendations That attention is given to a review of the Statement of Purpose and Guide. Daly reports to be maintained 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 Page 25 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 134 Blurton Road DS0000008254.V329848.R01.S.doc Version 5.2 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. 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