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Inspection on 06/06/05 for 140 Gloucester Road

Also see our care home review for 140 Gloucester Road for more information

This inspection was carried out on 6th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home was well led with the manager providing good leadership and providing an open door style of management. Staff were motivated and benefited from good support and supervision. There were positive relationships between staff and residents and residents stated that they like the staff. Generally the home has comprehensive support plans in place and the residents were involved in developing these. Plans were reviewed and evaluated. Residents` personal care and health needs were being met and the home was administering medication appropriately. Residents` choice, independence and individuality were being promoted. Bedrooms were lockable and residents liked to be able to lock their rooms. Residents had personalised their bedrooms so they reflected their personality and individuality. Residents were involved in day-to-day activities around the home such as cleaning and tidying their bedrooms and helping with meal preparation, making drinks and clearing and laying the table. The residents` views were sought both individually and through regular resident meetings. All the residents stated they liked the meals and confirmed that they were provided with choice. The home provided a high quality environment that was domestic in style and well decorated, furnished and maintained.

What has improved since the last inspection?

Since the last inspection the home`s refurbishment has been completed providing a high quality environment for the residents. A number of bedrooms have been decorated and new carpets laid. A level access shower was soon to be available. Confirmation was gained that satisfactory police checks and references were maintained on staff files. A process of training in adult protection had commenced and more comprehensive training in medication was being undertaken. The home had increased the level of involvement of residents managing their own finances with more residents going to the bank to collect their own personal allowance.

What the care home could do better:

Whilst this inspection was very positive it was required that the home ensured that all elements of support plans were up to date and that basic plans were in place for new residents to ensure that staff were aware of their needs on admission. In addition the home was required to ensure that risk assessments were dated and that they were reviewed. The standard of service provided would be improved if the following recommendations were undertaken, increasing the participation of the residents in aspects of running the home in areas such as shopping and policy development and increasing the number of qualified staff.

CARE HOME ADULTS 18-65 140 Gloucester Road Kidsgrove Stoke on Trent Staffordshire ST17 1EL Lead Inspector Jane Capron Announced 06 June 2005 11:00 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. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 140 Gloucester Road Address Kidsgrove Stoke on Trent Staffordshire ST17 1EL 01782 782596 01782 775918 Linda.Foden@staffordshire.gov.uk Staffordshire County Council 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) Linda Foden Care Home 17 Category(ies) of DE - 2 registration, with number DE(E) - 2 of places LD - 17 LD(E) - 6 MD - 2 PD - 4 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29 November 2004 Brief Description of the Service: 140 Gloucester Road is a home providing 24 hour care for 17 service users with a learning disability. A number of service users have additional needs including physical, sensory, challenging behaviour and mental health. The home is owned by Staffordshire County Council and managed by the Social Care and Health Department. The home is located in Kidsgrove not far from local shopping facilities. It is set back from the road in large grassed grounds. The home had two houses in the grounds for service users supported through the domiciliary services and their management is unconnected to the home. The home provided all single bedroom accommodation of which eight were downstairs. A number of downstairs bedrooms were suitable for wheelchair users. The home did not have a lift. The home had one large communal lounge and an industrial kitchen and three lounges with kitchens. The service users were divided into small groups and the groups spent time in their own lounge and eat together in their kitchen diner. All the service users attended Kidsgrove day services. The home had recently been refurbished and all bedrooms were lockable and had TV aerial points. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over a six-hour period. The inspection included discussions with the manager and a number of care staff. The views of residents were sought during the inspection. A range of documentation including a sample of support plans was examined. The arrangements for the administration of medication was inspected and the environment was examined. A survey, undertaken prior to the inspection, provided additional views from residents, relatives and one social care professional. Prior to the inspection a sample of personnel files were examined at the human resources department of the local authority. This was a very positive inspection, the home being well managed and having well-motivated staff. The home maintained the welfare of the residents as paramount and provided them with an environment that promoted the principles of choice, independence and empowerment. Residents were encouraged to make decisions over their lives and to be involved in day-to-day activities associated with running the home. All comments received were positive and residents without exception stated they liked living at the home and liked the staff. What the service does well: The home was well led with the manager providing good leadership and providing an open door style of management. Staff were motivated and benefited from good support and supervision. There were positive relationships between staff and residents and residents stated that they like the staff. Generally the home has comprehensive support plans in place and the residents were involved in developing these. Plans were reviewed and evaluated. Residents’ personal care and health needs were being met and the home was administering medication appropriately. Residents’ choice, independence and individuality were being promoted. Bedrooms were lockable and residents liked to be able to lock their rooms. Residents had personalised their bedrooms so they reflected their personality and individuality. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 6 Residents were involved in day-to-day activities around the home such as cleaning and tidying their bedrooms and helping with meal preparation, making drinks and clearing and laying the table. The residents’ views were sought both individually and through regular resident meetings. All the residents stated they liked the meals and confirmed that they were provided with choice. The home provided a high quality environment that was domestic in style and well decorated, furnished and maintained. What has improved since the last inspection? What they could do better: Whilst this inspection was very positive it was required that the home ensured that all elements of support plans were up to date and that basic plans were in place for new residents to ensure that staff were aware of their needs on admission. In addition the home was required to ensure that risk assessments were dated and that they were reviewed. The standard of service provided would be improved if the following recommendations were undertaken, increasing the participation of the residents in aspects of running the home in areas such as shopping and policy development and increasing the number of qualified staff. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 7 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. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 8 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 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 9 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) 2,4 All prospective residents’ needs were assessed and they were able to visit the home prior to admission thereby ensuring that the resident or significant others knew what the home could offer and that it could meet their needs. EVIDENCE: The resident files examined showed that assessments were completed prior to any consideration of admission. These covered the areas of health and personal care, social, educational, domestic and spiritual and cultural needs. At the time of the inspection the home was in the process of assessing three prospective residents. It was confirmed that prospective residents had a programme of introduction whereby they visited the home for meals and could stay overnight before a decision was made over moving to the home. Residents spoken to said that recently prospective residents had visited for tea. Records showed that all placements were only made permanent after a trial period and a review that included the resident. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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 Although the home, with the residents, developed comprehensive support plans that were evaluated and reviewed there were some elements that needed to be kept up to date and new residents needed basic plans to ensure that staff were provided with the relevant information they needed to satisfactorily meet residents’ needs. The home systems for encouraging choice and resident participation were good providing residents with the opportunity to develop and have influence over their daily lives. Whilst risk assessments were in place the absence of some dates and reviews could lead to inappropriate actions being taken by staff that could adversely affect the residents. EVIDENCE: Sampling of resident documentation confirmed that the home developed comprehensive support plans. Discussions with residents confirmed that they were involved in putting these together. These identified the needs of the resident including personal and health care, educational needs, spiritual and needs relating to personal development. The plans included both written and 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 11 pictorial elements. Although on the whole these were fully completed there were a few elements that needed to be updated. The recently admitted resident had no support plans in place. Plans were being evaluated on a monthly basis and twice-yearly reviews were held that included the resident and other relevant people. Residents were encouraged to make decisions over their daily lives. Staff were able to describe how they supported residents to make choices. Residents confirmed that they could go wherever they wanted in the home and could go to their rooms at any time. A discussion with one resident confirmed that residents were able to choice how they decorated and furnished their rooms. Residents that were able were more involved in their own finances going to collect their own personal allowance and making decisions over how to spend it. Residents participated in a range of aspects both relating to their own lives and over running the home. Residents participated in menu planning, undertaking domestic tasks such as cleaning and tidying. They were consulted over leisure and social activities and were informally involved in staff recruitment. They views were sought as part of the ongoing review of the service. They was scope for further involvement and the home advised that the Local Authority was currently undertaking a pilot scheme of formal user involvement in staff recruitment. The home had developed a range of individual risk assessments but these were not always dated and reviewed. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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) 12,13,14,17 All the residents regularly access the community and had the opportunity to engage in a range of social and leisure activities providing them with a varied and fulfilling lifestyle. The meals provided both choice and variety ensuring that residents had a interesting and nutritious diet. EVIDENCE: All residents attended the local authority day services five days a week where they participated in a range of educational, occupational and social activities. Residents regularly accessed the community through the use of public transport or taxis. Visits included accessing health care services, going to the hairdresser, shopping, out for meals and a range of social activities. Residents stated that they enjoyed going out and particularly enjoyed shopping and going to a social club every week. Records confirmed that residents regularly accessed the community and took part in a number of activities. Within the home the residents undertook such activities as baking, jigsaws, knitting, watching TV and videos/DVDs and beauty sessions. On the day of the inspection a resident had chosen to have a party to celebrate their birthday. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 13 Residents confirmed that the home arranged trips out and that they had recently been on a day trip to Blackpool. Residents were offered the opportunity to go on holiday and they funded this themselves. The home had an industrial kitchen that at the time of the inspection was cooking the main meals for all the residents and all meals for the residents that used the main lounge area. The other residents prepared snacks, easily prepared meals and breakfasts and ate in their flatlets with the support of staff. All residents stated they liked the meals and that there was a choice. The home provided three meals a day and snacks between meals and a supper. The menus showed a varied menu that contained fruit and vegetables and included a range of home baked food. The home monitored the dietary needs of the residents. Residents laid and cleared the table. Currently no residents were involved in shopping and this area is one where resident participation could be developed. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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 The health and personal care needs of the residents were met and the home involved relevant health care specialists. The medication procedures at the home were being correctly undertaken ensuring that the medication needs of the residents were being met. EVIDENCE: The personal and health care needs of the residents were identified in their support plans. These identified the actions needed to ensure that the needs were met and showed how the resident liked the tasks being undertaken. Residents spoken to felt that staff were very helpful and confirmed that they attended the doctors, dentist, chiropodist and optician. Records confirmed this. Observation showed residents to be wearing age and weather appropriate clothes and that their hair care was being met. Nails were manicured with a number of females having nail polish applied. Residents spoken to stated that they went shopping for clothes and that the staff helped them to get the correct size and clothes that matched. Times for getting up and going to bed were flexible but took account of each resident’s individual’s activities. The home had a system of key workers and discussions with several staff confirmed that they were aware of the tasks this entailed. Individual health records were maintained and these confirmed that residents had regular health checks and that the home involved appropriate specialist 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 15 staff including community nurses, psychiatrists, physiotherapists and audiologists. The home had the necessary medication procedures in place and was keeping accurate records. Sampling showed that medication was being recorded, stored and administered correctly. The staff that administered medication had received some training but this was being further developed with staff undertaken a more comprehensive distance-learning programme. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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 home had both procedures in place, and provided training in complaints and adult protection providing an environment where residents could feel they were listen to and issues acted upon. EVIDENCE: The home had a complaints procedure that was in pictorial form. This was displayed in the entrance hall and all residents had been given a copy. Residents spoken to stated that they would tell staff of any concerns and were confident that they would sort it out. All residents had access to other people who they could talk to about concerns. The home maintained records of complaints and there was evidence that action was taken to respond to any issues raised. The home had an adult protection procedure and discussions with staff confirmed that they were aware of issues relating to adult protection. Training in adult protection had recently occurred. A discussion with the manager confirmed that she would act on any concern that may affect the welfare of the residents and had acted appropriately to a recent incident. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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 The home provided an environment of a high standard with residents benefiting from well furnished and suitable communal accommodation and private accommodation that promoted their independence and individuality. EVIDENCE: The home, although large by today’s standards, was suitable to meet the needs of the residents. It had recently been refurbished providing residents with a high quality environment. Decorations and furnishings were of a high quality and were domestic in style. All toilets, bathrooms and bedrooms were lockable. Residents spoken stated they liked being able to lock their room. Since the last inspection several bedrooms had been decorated and a number of new carpets laid. The installation of a level access shower will be a positive addition to the home. Bedrooms had suitable furniture and were well decorated in keeping with the choice of the occupant. Bedrooms had been personalised by their occupants. One resident stated she had chosen to buy her own furniture. There were adequate numbers of bathrooms and toilets. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 18 The home had suitable communal rooms. There was a large lounge and conservatory as well as three flatlets each with an open plan kitchen/ diner and lounge. The home had a laundry and a large industrial type kitchen which provided all the main meals. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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) 31,32, 33,34,35,36 The home had suitable levels of staff on duty that were well motivated and worked positively with the residents to enhance their quality of life. The systems in place for staff training and staff support provided staff that had a good understanding of service users’ needs and provided residents with a service that met their needs. The home’s recruitment practices and the checking and vetting of prospective staff provided a system that should safeguard the welfare of the residents. EVIDENCE: All staff spoken to were aware of their role in supporting the residents and achieving the aims of the home. Staff were provided with job descriptions and statements of terms and conditions. An examination of a sample of staff files showed that the necessary pre employment checks had been completed with staff having satisfactory CRB checks and two written references being provided. Records showed that all new staff undertook a comprehensive induction programme and that all staff undertook regular training and had a training plan. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 20 The home provided staff with the support needed to undertake their role. All staff spoken to confirmed that they received formal individual supervision and that there were regular staff meetings. Discussions with staff, and residents and observation showed staff to be highly motivated and related positively with residents. Staff interacted with residents in a relaxed and friendly manner and residents were at ease in their presence. Staff spoken to were fully aware of the residents needs and about their likes and dislikes. The home had five staff that had completed NVQ level 2 or above and a further four in the process of taking the qualification. The staffing levels at the current time were for four staff on duty first thing in the morning and four when residents returned from day services. There was always a senior staff member on duty. At night there were two staff on duty. The current level of staff was adequate to meet the needs of the residents as there were four vacancies. When the number of residents increases a higher level of staff will be needed to ensure that the residents full needs, including social and leisure, are being met. The rosters showed that there was flexibility in the staffing levels ensuring that a higher number of staff were on duty in the evening and at the weekend when residents were at the home. The home also had sufficient ancillary staff including catering, domestic and maintenance. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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) 37,38,39,42,43 The manager, supported by the senior staff, was providing good leadership providing residents with a home that was well run and able to meet their needs. The home regularly reviewed and evaluated its performance to develop plans to improve the service provided to the residents. EVIDENCE: The Care Manager had the necessary skills, knowledge and experience to be an effective manager. She had undertaken periodic training to keep up to date. She had responsibility to manage the home to ensure that it met the necessary standards and legislation. The manager was well thought of by staff and operated an open style of management. She had regular contact with residents and residents were observed approaching her and talking with her. The manager provided opportunities for staff and residents to express their views through seeing her individually or through the regular staff and resident meetings. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 22 The home had a quality assurance system in place to improve the level of service provided. This involved an external review of the service on a regular basis. Residents’ views were sought through individual interview as well as through resident meetings. The results of the review were assimilated and formed the basis of the home’s further action plan. The home had a health and safety policy and home had a programme in place to ensure that staff received the required mandatory training. Staff received internal fire training at the correct intervals. The necessary testing was being undertaken including weekly fire alarm tests. The home had a range of general risk assessments in place for safe working practices. Hazardous substances were maintained safely. The home had been inspected by the environmental health department recently and the one action identified had been addressed. The home had the necessary insurance in place and had the local authority systems in place for financial planning, human resource planning, quality assurance and supervision. The manager of the home received regular supervision from her manager. There were clear lines of managerial accountability in place that were well known to the staff. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 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 2 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 x x Standard No 11 12 13 14 15 16 17 x 4 3 3 x x 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 140 Gloucester Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 4 4 x x 3 3 E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 24 no 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 6 Regulation 15(2) Requirement To ensure that all elements of plans are kept up to date and that new residents have basic support plans in place. To ensure that risk assessments are dated and regularly reviewed. Timescale for action 6.7.05 2. 9 13(4)(b) and(c) 20.7.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 8 33 42 Good Practice Recommendations To develop further the participation of the residents in aspects of the running of the home To increase the number of staff qualified to NVQ level 2 or above It is good practice to ensure that fire training is undertaken by an external fire specialist once a year. 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Stafford Office - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 140 Gloucester Road E09 E51 S28867 140 Gloucester Road V226650 060605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!