CARE HOME ADULTS 18-65
136 Grovelands Road Reading Berkshire RG1 7LP Lead Inspector
Nancy Gates Unannounced Inspection 28th February 2007 01:00 136 Grovelands Road DS0000011064.V330988.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 136 Grovelands Road DS0000011064.V330988.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. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service 136 Grovelands Road Address Reading Berkshire RG1 7LP 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) 0118 939 3628 Prospects For People With Learning Disabilities Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Grovelands Road is a small care home that offers a service for three adults, of both sexes, who have varying degrees of learning disabilities. It is a domestic house in a residential part of Reading approximately ten minutes from Reading town centre. The home has one ground floor and two first floor bedrooms, a small sitting room, a dining room and a kitchen. The home is on a public transport route and there are local amenities within a short walk of the home. The current scale of fees are £529.69 per week. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. From the 1st April 2006 the Commission for Social Care Inspection (CSCI) has developed the way it undertakes the inspection of care services. The inspection of the service was an unannounced ‘key inspection’. The inspector conducted a visit to the home in February 2007, arriving at the service at 1.00pm. The total number of hours spent at the home was six. The time spent at the home allowed for a thorough look at how well the service is doing. The inspection took into account detailed information provided by the service manager, inclusive of information that the CSCI has received about the service since the last inspection. The inspector asked for the views of the people who use the service. The inspector also asked the views of others who support the needs of the people who use the service via a questionnaire that the CSCI sent out. Two members of staff were on duty. Staff and residents were very welcoming. The inspector looked around the home, including the bedrooms of the residents at their invitation. A number of records were viewed including a resident’s care/support plan, staff recruitment records, staffing rotas and maintenance records. The inspector looked at how well the service was meeting the standards set by the government. The report includes judgements about the standard of the service offered. What the service does well:
No admissions have been made to the home, although the assessments completed for current service users provide enough information for admission. Individual Person Centred Plans and personal information centre on the preferences and wishes of service users and include the contribution of a number of people involved in the individual’s life. Reviews are conducted on a regular basis allowing for the support provided to be generally consistent, safe and relating to changing needs and wishes. Service users are enabled to take risks, in order that they are as independent as possible. Service users are supported to make lifestyle choices, which recognise individuality and are enabled to take risks within these choices. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 6 Service users have opportunities for personal development. Service users’ rights and responsibilities are upheld and they clearly have a say in their support. Service users lead active lives with opportunities available to them during the week and at weekends. Service users are offered a good diet in order that nutritional needs are met. Personal and healthcare needs are generally supported. Staff continue to provide personal support in ways that service users prefer, in order that their needs are best met. The storage and administration of medication ensures the protection of residents. Medication practice is well managed at the home, to ensure that service users’ health and well-being are promoted. From the evidence seen, the inspector considers that this service would not be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs due to the service being recognised as a Christian charity. The faith and cultural needs of service users who currently live at the home are met. A clear complaints process is available to residents and their representatives. An effective complaints procedure appears to be in place, to listen to the views of service users. Protection of residents is assured by the availability of adult protection guidance, appropriate training and staff awareness. Appropriate arrangements are in place to protect service users from risk of abuse, and to promote their safety and well-being. A clean and comfortable home is provided, although a number of areas within the home are in need of redecoration and refurbishment. Service users’ bedrooms reflect individuality. The home remains clean and hygienic. Staff are attentive and respectful, promoting communication at all times. Competent and qualified staff work at the home. Staff records indicate that the recruitment process ensures the protection of residents. There is regular monitoring by Prospects, to ensure that the home is providing good standards of care. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
“All About Me” files are provided to describe personal information and a clear understanding of a person’s support needs. Both files viewed were not fully completed. Information was missing from a number of sections within the files. The manager should establish whether the use and format of the files is to be fully adopted at the home. If so, the manager should ensure that the documents are completed fully to ensure that service users’ needs are met appropriately. The inspector recognises that the home is managed under the umbrella of a Christian charity but concern was raised with the manager due to the contents of incident/daily records - “After church I called her to office and explained to her that telling lies is not good and God doesn’t want us to be liars”, “…then I tried to explain to her the dangers of what she has done and above all reminded her of the fact that she was preparing for church and that such an act wasn’t Christian-like. X was apologetic…” Service users confirmed that they are Christians and that staff help them to live a good life. Whilst the inspector respects and recognises the faith of service users and staff, it is important that staff use appropriate techniques and language to support service users’ behavioural needs. Within the inspection one service user complained of problems with her vision. This has been recorded as an ongoing problem and an appointment to see the individual’s doctor has been made. Staff also stated that this could be “attention seeking”. Visual disturbances are recorded as a side effect of medication taken by the individual but this had not been recognised by the staff team. Staff must make sure that residents are helped to look after their health. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 8 A clean and comfortable home is provided, although a number of areas in the home remain “tired” and “shabby”. Improvements should be made to the decoration of the home. A new manager has been at the home since November 2006. The CSCI has not received an application for registration from the new manager. An application must be received at the CSCI to ensure the protection of service users. 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. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 9 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 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. No admissions have been made to the home since the last inspection, although the assessments completed for current service users provide information to support admission. EVIDENCE: No admissions have been made to the home since the previous inspection. Information provided by Prospects for prospective service users describes what the home has to offer and includes information regarding a commitment to being a Christian. The assessments completed for current service users were completed a number of years ago and are held centrally by Prospects. The manager stated that the assessments provided information to support admission. The current fees for this service are £529.69 per week. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 11 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 & 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Individual Person Centred Plans centre on the preferences and wishes of service users and include the contributions of a number of people involved in the individual’s life. Reviews are conducted on a regular basis allowing for the support provided to be consistent, safe and relating to changing needs and wishes. Appropriate support and language should be used to support service users behavioural support needs. Service users are enabled to take risks, in order that they are as independent as possible. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 12 EVIDENCE: Files called “All About Me” which are described as person centred plans are available for all residents. The files also include Essential Lifestyle Plans, which describe essential, important and things a person would like. The inspector viewed the files of two people who live at the home with their permission. The “All About Me” files provide a format that describes personal information and a clear understanding of a person’s support needs. Both files viewed were not fully completed. Information was missing from a number of sections within the files. The manager should establish whether the use and format of the files is to be fully adopted at the home. If so, the manager should ensure that the documents are completed fully to ensure that service users’ needs are met appropriately. Essential Lifestyle Plans provide clear information as to how each person likes to be supported and it was clear that the individuals and appropriate representatives contributed throughout the process of writing the plan. The plans also relates to a person’s communication support needs. The plans give opportunity for personal likes and wishes to be prioritised, for routines to be established when people require them and for personal preferences to be acknowledged. Recognition of who people are as individuals has contributed to establishing trusting and supportive relationships. The inspector observed that staff members were following the direction of the individual’s plans. The PCPs included assessment of risk and actions to minimise risk. Individuals are supported to consider activities and lifestyle choices within a risk guidance framework that ensures their safety, whilst undertaking activities of their choice. The inspector recognises that the home is managed under the umbrella of a Christian charity but concern was raised with the manager as to the nature of the contents of incidents/daily records - “After church I called her to the office and explained to her that telling lies is not good and God doesn’t want us to be liars”, “…then I tried to explain to her the dangers of what she has done and above all reminded her of the fact that she was preparing for church and that such an act wasn’t Christian-like. X was apologetic…” Service users confirmed that they are Christians and that staff help them to live a good life. Whilst the inspector respects and recognises the faith of service users and staff, it is important that staff use appropriate techniques and language to support service users’ behavioural support needs. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 13 The manager stated that this would be addressed within staff supervision and support. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 14 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are supported to make lifestyle choices that recognise individuality and are enabled to take risks within these choices. Service users have opportunities for personal development. Service users’ rights and responsibilities are upheld and they clearly have a say in their support. Service users are part of the local community, promoting independence and self-worth. Service users are offered a good diet, in order that nutritional needs are met. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 15 EVIDENCE: Essential Lifestyle Plans describe preferences, likes, dislikes and favourite lifestyle activities. Service users continue to attend day service five days a week. Person Centred Plans list a range of interests and activities and highlight individuality, listing interest in going shopping, going to church, eating out and going to groups in the evenings. Relationships with families are recognised as being important and service users’ family members are encouraged to be involved in people’s lives. The daily routine of the home appears to be flexible and unrushed, although planned social activities mean that people are prompted to get ready to ensure that they are on time. A preferred form of address was being used with service users and there was good interaction between all house members. All household members are involved in the planning of what they want to eat, either as individuals or as a group. A varied selection of food options is available. Records of food consumed by service users were varied, with a range of different meals provided for them. Service users are able to make their own drinks and snacks when they want to, often offering to make drinks for others. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 16 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 adequate This judgement has been made using available evidence including a visit to this service. Service users’ personal needs are appropriately supported. Staff provide personal support in ways that service users prefer, in order that their needs are best met. Staff generally promote service users’ physical and emotional health, to keep them healthy and well, although not all aspects of individuals well-being are recognised. Access to additional support from health care professionals is supported and meets residents’ health needs. The storage and administration of medication ensures the protection of residents. Medication practice is well managed at the home, to ensure that service users’ health and well-being are promoted. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 17 EVIDENCE: Essential Lifestyle Plans and the completed sections of the “All About Me” files detail guidance on how service users wish their personal and healthcare needs to be supported. It is clear that the plans are reviewed on a regular basis. Daily records detail that all necessary help is given as preferred by the service user. Service users are appropriately supported to access health services and are registered with a local doctor. Medication reviews are conducted with the doctors on a regular basis. Records showed that staff promote attendance at routine health care appointments. Within the inspection one service user complained of problems with her vision. This has been noted as an ongoing problem and an appointment to see the individual’s doctor has been made. Staff also stated that this could be “attention seeking”. Visual disturbances are recorded as a side effect of medication received by the individual but this had not been recognised by the staff team. The manager stated that this would be raised with the doctor at the next appointment. The medication administration system of a high street pharmacist is used at the home. Medication is received in a monitored dosage system; medication administration records (MAR) are completed for all medication administered to residents. No omissions within the documentation were seen. Copies of the completed MARs are retained at the home for future reference if required. A lockable cabinet, which was securely attached to the wall in the sleep-in room, ensures the safe storage of medication. The room temperature in the room was said to be variable but at the time of inspection was very warm. The manager was reminded of the safe temperature for the storage of medication. The manager assured the inspector that his would be monitored appropriately. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A complaints process is available to service users and their representatives. There continues to be an effective complaints procedure in place, to listen to the views of service users. Protection of service users is assured by the availability of safeguarding guidance, appropriate training and staff awareness. Appropriate arrangements are in place to protect service users from risk of abuse, to promote their safety and well being. EVIDENCE: No formal complaints have been received at the home or at the CSCI since the last inspection. A complaints policy, procedure and information for service users are available at the home. Service users commented that they are able to vocalise concerns if they are not happy. The procedure contains the contact details of the Commission for Social Care Inspection for reference. The home continues to have whistle blowing and protection of vulnerable adults procedures in place. Staff training records showed that training regarding the protection of vulnerable adults is being undertaken.
136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 19 Staff members spoken with were able to provide a good account of how to respond to allegations to safeguard service users. Staff members also confirmed that they have been made aware of the whistle blowing policy. There are clear records regarding service users’ money to ensure safe handling and accounting. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. A clean and comfortable home is provided, although a number of areas in the home remain “tired” and “shabby”. Service users’ bedrooms reflect individuality. The design and layout of the home, inclusive of adaptations for one individual, meet the needs of service users. The home is clean and hygienic. EVIDENCE: The home is a semi-detached property, close to local facilities and shops. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 21 All parts of the home were seen with the permission and assistance of service users. Communal areas were bright and warm and decorated to a reasonable standard. All of the shared spaces within the home are accessible to service users for shared and private use. The lounge is comfortable due to two leather sofas being available, but the room looks shabby and is in need of redecoration. Wallpaper was seen to be torn and peeling. The skirting board and wall near the patio doors has black staining and looks unsightly. The curtain rail has clearly been replaced as the drilled holes for the previous rail remain and this again looks unsightly. The light fitting had one working light bulb instead of three. Staining on the carpet was also seen. The kitchen and dining room are open plan and provide a social area for service users. The main bathroom offers a bath, sink and toilet and contains an airing cupboard. There is no blind at the window and whilst obscured glass provides some privacy it does not provide total privacy to service users. The bathroom was clean but again looks tired and shabby. The radiator was rusty in areas. The wooden toilet seat was clean but looked worn. There was staining in the sink and the plating on the plughole was flaking and looks unsightly. The manager recognised that there are a number of areas within the home that need to be updated and redecorated and that service users are, and will be, included in the plans for redecoration. A large crack has appeared in the stairwell wall adjacent to the next property. Repair to the wall is dependent on the outcome of a surveyor’s report and insurance assessment. The manager stated that this does not currently present a risk to service users and will be addressed as soon as possible. Service users’ bedrooms reflect individual tastes, containing personal effects that ensure that individuality is recognised. Service users commented that they think the house “is a nice place…I like my room, these are all my things…I help to clean my room.” The home was bright, clean, tidy and warm. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 22 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are attentive and respectful promoting communication and independence in relation to need. Competent and qualified staff work at the home. Training provided to staff ensures that they are competent and qualified to meet service users’ needs. Staff records indicate that the recruitment process ensures the protection of service users. EVIDENCE: Two people were on duty at the start of the inspection (the manager and deputy manager). The deputy manager had worked at the home for some time and knew service users well. No agency staff were being used at the home at the time of the visit.
136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 23 The inspector had the opportunity to speak with the two members of staff to explore their knowledge of supporting service users. Both staff members demonstrated a sound knowledge of the needs of service users, had a clear understanding of care needs and the importance of promoting choice and individuality. There are six members of staff, including the manager, who are available to support service users. Three staff members are employed on a part-time basis at the home and the remaining three are employed on a relief basis. All staff members are well known to service users. Recent changes in the number of hours required to support service users during the week and at weekends has allowed for people to access the community more regularly. The training programme offered by Prospects underpins staff members’ knowledge base. The manager was updating records; records showed that staff had updated their knowledge during the year. Interaction with service users was positive and respectful. Staff recruitment records are held at the home and contain the relevant information for the protection of all house members. As Prospects is a voluntary Christian charity, staff are required to sign an ‘Article of Faith’ demonstrating that they are a committed Christian and are able to uphold the principles and faith of the charity. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 24 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 adequate This judgement has been made using available evidence including a visit to this service. The home is effectively managed, to ensure that care needs are consistently met, although the absence of a registered manager does not ensure the welfare of service users. There is regular monitoring by the provider, to ensure that the home is efficiently run and providing good standards of care. Records are generally well maintained, safeguarding service users’ best interests. Effective management of health and safety ensures the continued welfare of service users, staff and visitors. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 25 EVIDENCE: A new manager was appointed to the home in November 2006. The CSCI has not received an application for registration from the new manager. An application must be received at the CSCI to ensure the protection of service users. The manager described a range of skills and experience for the support of the service user group and has achieved the Registered Manager’s Award. The manager’s training records indicate that periodic training is undertaken to refresh skills. Regular monthly visits have been undertaken by the provider to evaluate quality of care and reports of these visits are routinely held at the home. The manager stated that Prospects is considering using quality-monitoring tools that are based on nationally recognised standards, which use the experiences of residents to guide the outcome. Records examined within the inspection were generally accurate and up to date. Appropriate health and safety checks are carried out at the home. The fire log showed that routine tests are carried out and that maintenance and servicing takes place. Additionally a fire based risk assessment was in place. Records were being maintained of any accidents and incidents around the home and actions taken in response to these. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 2 X 3 X X 3 X 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 27 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. 1. Standard YA37 Regulation 8 (1) Requirement The registered person must ensure that a manager with appropriate qualifications and experience makes an application for registration to the CSCI as soon as possible to ensure the continued welfare of residents Timescale for action 30/04/07 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. 3. 3. 4. Refer to Standard YA6 YA7 YA19 YA20 YA24 Good Practice Recommendations The manager should ensure that care and support plans are fully completed to support the needs of service users. The manager should ensure that staff use appropriate techniques and language when supporting service users’ behavioural support needs. The manager should ensure that all aspects of service users’ health needs are monitored appropriately. The manager should ensure that staff knowledge regarding medication is used when considering the healthcare needs of residents. The manager should ensure that the decoration of the home is of a good standard, offering service users a well
DS0000011064.V330988.R01.S.doc Version 5.2 Page 28 136 Grovelands Road maintained environment. 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 136 Grovelands Road DS0000011064.V330988.R01.S.doc Version 5.2 Page 30 - 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!
