Inspection on 03/08/05 for 139 Homefield Road (Homefield College)

This inspection was carried out on 3rd August 2005.

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

The inspector 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

139 Homefield Road (Homefield... 03/06/08

139 Homefield Road (Homefield... 26/09/06

139 Homefield Road (Homefield... 17/01/06

139 Homefield Road (Homefield... 07/12/04

139 Homefield Road (Homefield... 17/08/04

139 Homefield Road (Homefield... 10/03/04

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Hunter`s Lodge

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

CARE HOME ADULTS 18-65 139 Homefield Road (Homefield College Limited) 139 Homefield Road Sileby Loughborough LE12 7TG Lead Inspector Sharon Treadwell Unannounced Inspection Wednesday, 03 August 2005 at 16:00 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 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 Stationary 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. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 139 Homefield Road Address 139 Homefield Road Sileby Loughborough LE12 7TG 01509 814827 01509 815696 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Homefield College Limited Ms Mandy Potts Care Home 4 Category(ies) of LD Learning disability(4) registration, with number of places 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7/12/04 Brief Description of the Service: 139 Homefield Road is a four bedroom, semi-detached bungalow situated on a pleasant residential road in Sileby. The home is one of seven, which are annexed to Homefield College. The college is a specialist provision whose underlying philosophy is that of Inclusive learning. The college and the houses provide programmes of care aimed at personal, social and educational development, which are focussed on the acquisition of independent living skills as well as educational and vocational skills.Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence. Students at the college are placed and funded by the Learning Skills Council. These placements are generally term time only and limited to 3 years. However, some students continue to be funded by Social Services Departments and their placements become long term.Each of the seven houses is populated either by long-term (Social Services funded) students or by students on fixed term placement (funded by the Learning Skills Council). 139 Homefield Road falls into the former category.All four of the students currently placed at Homefield Road are long term residents, having been accommodated at the college between ten and sixteen years and all are femaleThe home is clean, comfortable and well furnished and all four students are accommodated in single rooms. Shared accommodation consists of a large lounge (with office accommodation at one end), dining kitchen, and enclosed, lawned garden. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out at 4pm on a weekday afternoon. Prior to the inspection the inspector had received a completed pre inspection questionnaire from the manager and also completed comment cards from all four of the young people currently accommodated at the home and from four relatives. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this inspection was that of case tracking, which involved selecting two of the young people currently accommodated at the home and tracking the care they received through looking at their records and observation and discussion with young people and staff at the home. This inspection took three hours, during which the inspector spoke with three of the young people and with two members of the staff team on duty at the time of the inspection. One of these was a newly appointed member of staff completing a shadow shift. Subsequent to the inspection the inspector spoke with the Registered Manager of the home by telephone. What the service does well: What has improved since the last inspection? The home has an ongoing programme of refurbishment and redecoration. During the previous inspection two areas of the home were recommended for prioritisation and this recommendation has been implemented by the home. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 6 No requirements were identified during the previous inspection of the home. 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. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The home ensures prior to admission, that it is able to fully meet the identified needs of any service user admitted and places heavy emphasis on compatibility with young people already in placement. EVIDENCE: The inspector is aware from previous inspections of all of the Homefield homes that the process of initial assessment at the point of admission to the college is an extremely comprehensive one. Admission is after an assessment process involving an interview, an initial assessment day and a two-day residential assessment. Subsequently, during the young person’s first term a thorough assessment is undertaken in four main areas of Independent Living, Basic Skills, Vocational; Learning and Social and Personal Development. Learning goals are then identified and a comprehensive young person programme compiled. The accommodation provided by the college has a clear route of progression for young people whose placements are long term, the final stage of which is one of the Homefield houses. The four young people currently accommodated at this home have been in placement for some years and there are no plans for any changes to the current client group. Observation and discussion with staff and young people during this inspection evidenced good relationships. The files examined during this inspection clearly evidence that the identified needs of these young people are being well met by the home. However the files do not contain written 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 9 evidence of any meeting/review to determine that a move (either from the College or from one of the other houses) to this home would best meet the young person’s identified needs. The inspector would remind the manager that, in the case of any future admissions, the young person’s file should contain clear evidence of how the decision to relocate a young person to 139 Homefield Road was made and who was involved in the decision making process. The care planning process utilised throughout the Homefield network incorporates a commendable continuous assessment of each young person’s functional capacity and incorporates the identification of achievable goals. The home does not take emergency or direct admissions. All placements are made through Homefield College. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9. Care planning, written guidelines detailing individual support needs in all areas of personal care and comprehensive individual risk assessments facilitate the provision of very individualised care. EVIDENCE: Care planning follows the same format throughout the Homefield provision and is undertaken to a commendably high standard. The Care Plan is drawn up in negotiation with the young person, the family and the placing authority and is signed by all parties. Both care plans viewed during this inspection had been signed by the young people and young people confirmed that they were consulted when their care plan was being reviewed: ‘My support worker asks me questions about what I want and writes it down’. One of the care plans examined during the inspection was much overdue for review (dated 2/1/04). Whilst discussions with the service user and staff and examination of the care plan indicated that it remained largely appropriate the home is reminded that care plans should be reviewed every six months and agreed changes recorded and appropriately actioned. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 11 Care plans examined and young people spoken to evidenced that staff at the home work consistently to develop young people’s self help skills and confidence by encouraging the acquisition of domestic skills, independent travel, access to learning opportunities through college courses, access to a range of leisure activities and efforts to secure appropriate employment options. A comprehensive individual risk assessment, undertaken as part of the care planning process, ensures that these opportunities are accessed with appropriate support. The home is commended on it’s comprehensive policy on risk taking, which stresses the empowerment of the service user and the requirement for consensual agreement about what constitutes reasonable risk. A risk assessment completed in relation to one of the young persons, who has en suite facilities, getting into the bath without staff knowledge resulted in the fitting of a buzzer system, which warns staff when the bath is being filled. The young people accommodated at the home spoke easily to the inspector and their confidence to voice their opinions indicated that they were encouraged to do so within the home. During the inspection staff were noted to listen and take notice of young people’s views, to value their opinions and to engage in appropriate discussion about the issues raised by the young people. A young people’s meeting is held at the home most Sunday evenings. The young people at 139 Homefield Road are very actively involved in the day to day running of the home, preparing menus, selecting items for the weekly shopping, determining evening activities. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16, 17. Service users are encouraged and facilitated to make full use of community facilities and to participate in a wide range of social, leisure and educational activities. EVIDENCE: The inspector has visited the young people at this home on a number of occasions and interaction with them confirms the evidence in their records of progressive development of confidence and ability. Three of the young people accommodated at the home attend a local church service every Sunday. Staff and young people are regularly involved in events staged by the church. During term time all of the young people accommodated attend local colleges of further education for programmes of their own choosing, which are either education or skill based. The young people told the inspector that they did not like the holidays because they really missed their college courses. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 13 One of the young people told the inspector that she really missed working in one of the local charity shops, which has closed down. The staff explained that the manager of the home was currently trying to identify appropriate employment opportunities for some of the young people at the home but that opportunities locally were not good. Young people at this home are able to access a range of leisure opportunities, which are available to all Homefield students such as a Tuesday evening club and regular day trips as well as annual holidays. One of the young people at the home has recently taken part in a group trip to Euro Disney and showed the inspector some of her souvenirs, another has stayed in a Skegness hotel and a third is going to Spain later in the year. Two of the young people are members of the local swimming club and both have recently been awarded swimming medals. Most of the young people retain good contact with family. On the occasion of this inspection two of them spoke with family members on the telephone and one young person was staying with her parents for a few days. One of the young people showed the inspector a photograph of a recent birthday party, held at her family home, which both staff and the other three young people attended. All of the young people have a key to their own bedroom and during this inspection staff were noted to knock on young people’s bedroom doors and wait to be invited in. One young person has a key to the front door of the home (this is determined through risk assessment) and she told the inspector that she was ‘learning to access the house independently and safely’. A house meeting is held each Sunday evening and the menu for the week is decided on during this meeting and a shopping list compiled. Students’ involvement in shopping and cooking is determined in accordance with their individual capabilities and forms part of their individual programmes. On the evening of this inspection one young person assisted with preparing the tea whilst the other two were responsible for clearing up afterwards. The young people explained that they took turns in preparing the evening meal with help from the staff. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20. Young people are provided with a very individual service, their specific and very individual health and personal support needs are clearly identified and well met. EVIDENCE: Young people’s care plans clearly address health issues and areas where personal support is needed. None of the students currently accommodated at the home require intimate personal care although staff retain an awareness of the need to monitor and encourage personal hygiene. The files examined contained a full record of all medical appointments and prescribed treatments. A standard pro forma is completed by staff in respect of each medical appointment attended by a young person at the home, which details the reason for the appointment and the action resulting from it. These forms were examined in relation to the young people tracked and were found to comprise a commendably comprehensively record. Each young person has an allocated support worker at the home and individual sessions are held weekly. The records of these evidence that health and personal support issues are regularly discussed with each young person. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 15 The managers of all of the Homefield houses have undertaken training on the storage and administration of medication with the local pharmacist. The managers cascade this training to care staff in the homes. The member of staff on duty at 139 Homefield Road confirmed that she had been subject to assessment by the manager prior to being able to administer young people’s medication. Whilst the inspector notes that this is good practice, none of the current training is accredited. One of the young people at the home retains and administers her own medication. This is fully detailed in her care plan and individual risk assessment. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 The homes policies and practices offer effective protection to young people who are supported and encouraged to voice their opinions. EVIDENCE: The three young people spoken to during the inspection were noted to be confident to state their views both to the inspector and to the staff. The home has a comprehensive policy on Abuse, which clearly defines the various types of abuse and also clearly states action required. The home has a separate, equally comprehensive policy on reporting and preventing sexual abuse. This policy clarifies what constitutes sexual abuse and also the principles for the legal determination of inability to consent. The member of staff spoken to during the inspection confirmed that she had received training on both vulnerable adult procedures and on child protection and that she had found this very useful. All the young people are given both guidance and assistance with finance management skills. The nature of support required is appropriately recorded in the care plan. All the young people have bank accounts. One young person showed the inspector the records, which she was keeping of her own finances, with assistance from the staff, to monitor her spending. The home has a comprehensive complaints procedure, clearly detailing responsibility within the Homefield College network. One complaint has been received by the home since the previous inspection and this was appropriately handled. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 30 The home is decorated and furnished to a good standard and service users are provided with well equipped personal and shared space. EVIDENCE: Two of the young people’s bedrooms were viewed during this inspection. Both were highly personalised and young people are encouraged to bring personal belongings. Each of the young people has a TV in their bedroom and one young person has her own computer equipment. One bedroom at the home is en suite. This bedroom is separated from the others and is accessed through the kitchen. This young person has a Jacuzzi bath, requested and partially funded by her family. The home also has a main bathroom shared by the other three young people. Shared areas of the home were found during the inspection to be clean and comfortable. Some of the young people expressed pride in the part they played in keeping the home clean and making sure it was welcoming to visitors. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 18 The home is clean and hygienic throughout. All staff undertake basic food hygiene training. Young people are encouraged and, where necessary assisted, to deal with their own laundry. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 36. Staff are encouraged and supported to undertake training relevant to the client group accommodated. EVIDENCE: The Registered Manager of the home holds responsibility within the college network for co-ordination of induction and foundation training within the Learning Disability Award Framework (LDAF) and for National Vocational Qualification (NVQ) training. She is currently completing the Registered Managers Award. Within the pre-inspection questionnaire submitted prior to this inspection the manager confirmed that two of the current group of eight staff were qualified to NVQ level two and during the inspection she additionally confirmed that all other staff were currently completing LDAF induction/foundation training and would progress to NVQ. The member of staff spoken to during this inspection told the inspector that she was just at the point of completing the LDAF programme and had found it useful and informative. The other member of staff on duty at the time of this inspection had been newly recruited (one week in post). She detailed the requirement to complete a one month in-house induction programme prior to commencing the LDAF programme. This entails working shadow shifts with 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 20 more experienced staff and reading policy documents, young people’s care plans and Health and Safety policies and procedures as well as getting to know the young people personally There have been a number of additions to the staff team recently, which young people at the home admitted that they were struggling to adapt to. The medical conditions of some of the young people accommodated make it difficult for them to adapt to change and new staff combined with the cessation of term time programmes and the less predictable daily routines of holidays have unsettled some of them. The inspector’s unannounced visit caused one of the young people great disturbance and the inspector spent some time explaining the reasons for unannounced visits to all of the young people. The staff on duty evidenced good understanding of young people’s current feelings and demonstrated a good ability to talk through these issues. Working rotas supplied to the inspector with the pre-inspection material evidenced appropriate cover. Both members of staff spoken to during the inspection spoke of the manager as approachable and accessible and of good formal and informal support systems and good internal training opportunities, which support LDAF and NVQ training. It was noted during this inspection that the staff spoken to had a very limited knowledge of the Care Standards Act or of the National Minimum Standards and of the their implications for care practice. The staff additionally did not have a full appreciation of the role of the Commission for Social Care Inspection. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 41, 42. The manager and staff team of this home evidence a commitment to operating it in a manner which best serves the interests of the young people accommodated. EVIDENCE: The home has a fire safety risk assessment, fire fighting equipment is subject to annual service by an approved contractor and records of fire alarm testing and fire drills are appropriately completed. The young people were able to describe to the inspector what they would do if there was a fire at the home. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 22 The home has a wide range of Quality Assurance systems to enable appropriate monitoring of service provision. A quality assurance checklist is issued to the manager of the home detailing records and practices to be monitored and a weekly report sheet is completed by the manager in line with this checklist and submitted to the Homefield Directors. The manager is additionally required to complete a weekly house maintenance report, which is also forwarded to the directors. Young people at the home are regularly consulted with regard to their views at weekly house meetings. The files examined during this inspection were appropriately stored, well organised and contain all the information required under Schedule 3 of the Care Homes Regulations 2001. The young people confirmed their right of access to their records and the two young people tracked sat with the inspector for part of the time that their files were being examined. Policies and procedures are openly stored and are easily accessible to staff, young people and visitors. Young people are encouraged and helped to have a full awareness and understanding of the home’s policies, for example by discussion of relevant documents at house meetings. Provider monitoring visits under Regulation 26 of the Care Homes Regulations are taking place and reports of these visits are available at the home and have been forwarded to the Commission for Social Care Inspection as required under Regulation 26. However these visits are not currently being made at the required frequency (once a month) 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 139 Homefield Road (Homefield College Limited) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 3 x C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 24 none 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 6 20 39 35 Good Practice Recommendations The home is recommended to evidence that young peoples care plans are subject to appropriate review. The home is recommended to implement accredited training for all staff responsible for administering medication. The home is recommended to ensure that monitoring visits by the provider are undertaken at a minimum frequency of one per month. The home is recommended to develop staff awareness of the role of the Commission for Social Care inspection and of the implications of the Care Standards Act and the National Minimum Standards for care practice. 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 25 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 139 Homefield Road (Homefield College Limited) C51 C01 S1645 139 Homefield Rd V242615 030805 STAGE 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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