Inspection on 17/01/07 for 15 Bramble Close

This inspection was carried out on 17th January 2007.

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

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

Other inspections for this house

15 Bramble Close 14/12/05

15 Bramble Close 08/06/05

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

Bishop Herbert House

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

CARE HOME ADULTS 18-65 15 Bramble Close Chigwell Essex IG7 6DR Lead Inspector Sharon Thomas Key Unannounced Inspection 17th January 2007 09:30 15 Bramble Close DS0000061937.V328909.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 15 Bramble Close DS0000061937.V328909.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. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 15 Bramble Close Address Chigwell Essex IG7 6DR 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) 0208 502 7678 www.essexcc.gov.uk Essex County Council Peter Leslie Burrows Care Home 4 Category(ies) of Physical disability (4) registration, with number of places 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a physical disability (not to exceed 4 persons) 14th December 2005 Date of last inspection Brief Description of the Service: Bramble Close is a new purpose built habilitation unit located in Chigwell. It provides accommodation for 4 residents over 18, with varying degrees of physical disabilities. Bramble Close is a one-storey bungalow style building and accommodation is provided in single bedrooms, with en-suite facilities. The home is located on the outskirts of Chigwell, and it is accessible through the local bus service. It is able to address the needs of individuals with high dependency levels and provides the appropriate aids, adaptations and equipment to enhance the safety of the residents. The home aims to provide the residents with a range of activities and experiences in order to maximise their personal development and independence. The staff aim to provide a service that is driven by equal opportunities, autonomy and maintaining the rights of the resident. The home has strong links with the local primary health care team and it uses the support and advice of professional teams linked to the home. The charges on the day are as follows: £1144.00 per week. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on January 2007, over 5 hours. Twenty-two of the forty-three National Minimum Standards were inspected and all of these were met: twelve of which exceeded the National Minimum Standard. For the purpose of this report the individuals living in Bramble Close will be referred to as service users or residents. The inspector had the opportunity to speak with two service users, the manager, and two members of staff. Care practices were observed throughout the visit and the relationships between staff and residents were appropriate, sensitive and highly professional. The inspection process also included: a tour of the premises including observation of two bedrooms, all of the bathrooms and toilets, the communal areas, the kitchens and the laundry. The inspection also included the examination of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). The staff have built positive relationships with the residents in their care. They were observed giving care in a sensitive and professional manner. The staff are aware of their roles in the home and the aim of home to provide the residents with opportunities for personal growth. The home is warm, clean and tidy and provides a progressive, pleasant and caring environment for the residents to live in. The staff are to be commended for the effort that has been made to address the requirements from the previous inspection. The manager and the staff have a vision for the home and the residents that live there. The ethos of the unit is to promote independence and from the observations on the day this is being achieved. The staff see their role as enablers and supporters of residents where the aim of the care is to encourage autonomy and choice. What the service does well: The information held regarding the individual need and the care required is clear and concise. The information includes clear and comprehensive direction for support staff to deliver safe and appropriate care. The care plans contain detail of personal preferences, how and by whom decisions are made, and the daily records reflect the care that is being provided. The documents are easy to follow and provide staff with information including small details of the needs of the individual. The information held on individual service users contained detailed assessments that indicated that all aspects of care had been assessed prior to 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 6 any decisions regarding admission had been made, so ensuring that the home is able to manage the individual’s care needs. Service users spoken with during the inspection process spoke highly of the standard of care they receive in Bramble Close, and were satisfied with the team of carers allocated to them. Bramble Close has a good caring staff team, and has a low staff turnover. The staff group in the home are enthusiastic, well trained and skilled. Staff are cheerful, attentive and keen to provide a good service. The standard of care is good, and the residents appeared happy with the way they are cared for and were observed looking relaxed in their surroundings. The home has close links with the health care team in the area, and works with both professionals and residents to promote and maintain the residents’ health. The home promotes the rights of the residents, and staff provide care that ensures privacy and dignity. The residents interacted comfortably with the staff. The home enables residents to enjoy a fulfilling social life. The staff team are knowledgeable regarding the needs and issues of the residents and are provided with the support that they require. The staff team showed a genuine commitment to the residents in their care and provide a high standard of care that is promoted by the training that they receive. What has improved since the last inspection? The registered person has ensured that care plans are fully completed and include all aspects of identified need and care provision. The care plans have been developed and contain a resident medication consent form. The registered person has ensured that care plans are reviewed on a monthly basis and provide evidence that residents are involved in the care planning process. The registered person has ensured that the daily records reflect the actual care provided. Care plans have been developed and contain a risk assessment that details the risks, the action and the outcome of care. The registered person has ensured that all recruitment information is received prior to appointment. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 7 The registered person has ensured that Bramble Close has implemented a quality assurance programme. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 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. 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. The home has a thorough pre-admission system in operation that ensures that the needs of prospective residents are fully assessed and can be met. EVIDENCE: Two resident’s care plans including the newest admission to the habilitation unit and both of these contained the information required for an appropriate and effective admission into the home. Comprehensive social services and/or hospital discharge assessments were found on the files along with the homes own pre-admission document. The home’s pre-admission assessment document included information covering all aspects of the resident’s care needs both present and future. One of the residents commented that they were fully involved in the pre-admission planning process, and stated that the staff had been very ‘supportive and asked me what I needed’ and that ‘since I moved here things are changing and my needs are changing, the staff are up to date with everything’. The care plans are generated by the pre-admission information resulting in the care plans being full of detail, directive to staff and provide a holistic picture of the individual. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, & 9: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents’ care plans are detailed and highly maintained. Residents are encouraged and supported to make informed choices regarding their care. Residents are supported to take risks both in the home and outside the home. EVIDENCE: Two care files were examined and contained detailed information regarding the resident’s need, the action to address this need, and the long-term outcome of the care given. The care plans covered all aspects of a resident’s physical, mental and social needs. The care plans were reviewed on a monthly basis and were found a little sparse this issue was discussed with staff that agreed that more detail if required would be helpful. The care plans contained detailed risk and manual handling, OT and Physiotherapy assessments. There was evidence that residents signed care plans and were involved in the planning process. Staff were observed treating residents with care and respect, and were providing care that was detailed in the care plans. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 11 From discussion with staff, residents and observation of care practices in the home, it was evident that the residents in the home are enabled and supported to make decisions and choices regarding their lives. Promoting independence is key to the aim of the service and one resident stated that ‘making my own decisions came a s a shock in the beginning’. The care plans provided information of how decisions had been made and by whom. Records seen indicated that the home provides the residents with a range of opportunities and experiences that supports their independence. Care plans recorded any aspect of care that may infringe on the rights of the individual. The residents reported that they are in control of their every day lives but have the support of staff if any of the activities that they are unable to achieve at this point in time. On the day of the inspection, the residents were undertaking a variety of tasks and leaving the home at various times. The staff did not interfere with the resident’s choice of activity and the residents were comfortable in making decisions. The staff spoken with confirmed that they were provided with information regarding risk when they were drawing up and reviewing resident care plans. General and specialist risk assessments were found on individual care plans. Residents are able to leave the home alone or are escorted by a member of staff if required. The home’s aim and objective is to promote independence, and prepare the residents for living independently. Therefore risk taking is central to the service. The residents in the home are obviously ‘in charge’ of their own lives and support staff only provide care and support should it be required. There was an overwhelming feeling that support staff are in the background of the home and are clearly available to provide care, as it is required. This has the effect that the residents residing in Bramble Close are in control of their own lives. This aspect of care is well planned and hazards are identified and addressed. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, & 17: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have opportunities for personal development. They take part in activities that are appropriate to their needs and they are enabled to build and maintain relationships with both families and within the local community. The residents’ benefit from a well balanced and varied diet. EVIDENCE: The home aims to be part of the local community. It does not restrict residents to specified groups or activities. The residents access many local facilities that included: garden centres, cinemas, shops, pubs and restaurants, and colleges. The home has access to a minibus and this enables external activities to be maintained. One resident has their own car and will employ their own carer at the weekend to enable them to use the car. The staff spent time outside the home with the residents, and additional staff cover if required is provided to account for this provision. The staff spoken with were aware of the social needs of the residents and worked hard to encourage them to have a full range 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 13 of social opportunities within the community. The staff spoken with confirmed that communal activity would only be undertaken at the request and planning of the resident. They were aware of the issues in access to the community and were aware of local facilities and events that may benefit the residents. Ultimately the residents make decisions regarding the type and amount of time they spend undertaking activities. Bramble Close provides support to residents to participate in local community activities. The residents’ care plans indicated that choices made by individuals are respected and valued and there are flexible routines that meet the preferences of the residents. The home does have access to an advocacy service if this is required. Staff are available throughout the week and weekends to provide escort and support services to residents outside the home. Care plans examined on the day indicated that staff support residents to maintain links with their families. Residents are enabled with the assistance of the staff to visit their family home and take holidays with their families. The manager and the resident spoken with confirmed that relatives are welcomed into the home at any time. Families and friends are invited to events held in the home. The care plans indicated where a relationship had been built up outside the home and how this is maintained. The residents are able to meet people in the community through the choices that they make. Residents living in Bramble Close are encouraged and supported to purchase their own food and prepare their own meals, snacks and drinks with the support or supervision of staff if and when required. The residents are encouraged to have a well-balanced diet and they write up a weekly menu based on their own choice and preference. The staff monitor the food intake of the resident to ensure that they have a well-balanced and nutritional diet. The manager confirmed that residents are aware of the nutritional values of food and are supported by staff to monitor these when shopping. The fridges and freezers are well stocked and clean. The home had stocks of fresh, frozen and processed foods to be used by the residents if required. Residents choose when and where they eat and details of this are recorded in the care plans. The kitchen is specially designed so that the residents can use all of the equipment available. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 &20: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides personal care that promotes privacy and dignity. It meets the physical and healthcare needs of the residents and has systems in place that ensures the safe administration of medication. EVIDENCE: All of the residents living in Bramble Close currently require support with their personal care. The care plans examined on the day clearly indicate the support and assistance required by the residents for their daily care and small detail is beneficial to both residents and staff delivering the care. Routines are flexible and take into account the preferences and needs of the individuals living in the unit. Observations made on the day confirmed that positive relationships had been formed and that staff treat the residents in a sensitive and appropriate manner. Staff are patient and genuinely interested in the welfare of the people living there. The community nurse, OT, speech therapist and physiotherapist are involved in the care of some of the residents and details of this input is found in the care plans. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 15 The residents health care needs are recorded in individual care plans. Residents are supported to take decisions regarding their health care needs and these decisions are recorded in individual daily records. Resident’s health issues are monitored and reviewed and any changes in health would be reported to the GP and/or Community nurse team. The home has strong links with the local primary health care team. Policies and procedures were in place for the administration of medication and all medication is kept locked in secure facilities. The records for the administration, receipt, and disposal of medication are accurate and well maintained. All of the care plans examined contained consent to medicate document. The home’s medication policy was satisfactory. The staff designated to administer medication have received the required training. Staff had a sound working knowledge and clear working practice regarding medication and the systems in operation. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a clear and concise system for dealing with complaints that enables both residents and relatives to make complaints. Overall the home operates appropriate practices and procedures to protect vulnerable adults. EVIDENCE: Bramble Close has a clear and informative Complaint Policy and Procedure that has been maintained since the previous inspection. The home had a complaint log ready for use and had developed this to record and report the issue, the action taken by staff and the outcome of the complaint. Residents spoken with reported that they were aware of a Complaint procedure and that they were clear that they could report a concern or complaint to a member of staff or the manager. The residents reported that they felt that complaints would be taken seriously and that they would feel comfortable making a complaint. One resident stated that when they would ‘have no concerns reporting a complaint’. The home maintains a comprehensive and clear set of protection of vulnerable adult abuse policies and procedures. The home has clear guidelines for staff to follow should an allegation of abuse be made. Copies of the relevant national guidelines are available to staff. No allegations of abuse have been recorded since the previous inspection. The manager is skilled and knowledgeable regarding the procedure to take should an allegation of abuse be made. On inspection of the training records it was found that all of the support staff have 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 17 received POVA training. Staff spoken with were able to describe what abuse was and what they would do with the information and how they would protect the individual. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. The home’s environment is suitable for the residents living there. It has state of the art equipment that enables residents to develop their independence. The home is warm, clean and well maintained. EVIDENCE: Bramble Close is located in a quiet area in Chigwell and is keeping with the local area. On touring the home all areas were found to be clean, tidy and free from odour. The furnishings and decoration were of a high standard and gave the home a warm and welcoming feeling. The bedroom sizes are over and above the requirement set out in the National Minimum Standards. Bedrooms are highly personalised and contained many items of the resident’s personal furniture and possessions. The home’s communal and private areas are naturally ventilated. All bedrooms are centrally heated and radiators are guarded to ensure the safety of residents. The residents spoken with reported 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 19 that the ‘home is always clean and tidy’ and ‘it is up to me when I clean and tidy my room’. Bramble Close has state of the art equipment available to the residents that decrease the risks and enhance their skills. The home’s laundry facilities are located away from communal areas and individual bedrooms reducing the risk of cross infection. The equipment in the laundry is suitable for the needs of the residents. The home did not have a sluice, however the washing machines in operation had sluicing facilities. Residents confirmed that they were supported by staff to do their own washing in preparation for an independent lifestyle. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 20 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. The home provides residents with a skilled and competent staff group.The recruitment procedure in the home is robust and provides the safeguards to ensure that appropriate staff are employed. The staff are provided with an appropriate programme of training. EVIDENCE: During the inspection the support workers were observed interacting with the residents in their care. It was evident that warm and genuine relationships had been formed with the residents. The support worker was observed to be aware of the needs of the individual resident and the client group as a whole. The home works within a multi-disciplinary framework and residents benefit from the support of the Essex County Council Enablement Team, the Occupational Therapists, Physiotherapists, Speech Therapists and any other professional agency identified within the individual care plan. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 21 The home has not recruited any new staff since the previous inspection. The personnel file of the only new member of staff employed was inspected on the last inspection and contained all of the information necessary to ensure the safety of residents through the recruitment process. The file contained an application form, the two required references, a Criminal Reference Bureau check and three forms of identification. Staff receive key training in the home that includes first aid, fire training, food hygiene and manual handling. Additional training includes: protection of vulnerable adults, medication training, managing aggressive behaviour, and COSHH training. The home provides a thorough induction and foundation programme that meets the Skills for Care specification. The home has a training budget and the manager is taking the lead role in staff training. Records are available that indicated the programme of training provided by the home. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident’s benefit from living in a well run home. The home has as established quality assurance programme. The health and safety of residents and staff is promoted and well maintained by the home. EVIDENCE: The manager has many years experience working with adults with physical disabilities. The manager confirmed that he regularly undertakes training to update his knowledge and skills. The manager also confirmed that he is responsible for ensuring that the aims and objectives of the home are achieved, and that policies and procedures are implemented. From discussion with the staff it was clear that lines of accountability are evident within the home. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 23 The home has now implemented a quality assurance programme. This issue was discussed on the day and the manager agreed that the results and analysis would be sent to the CSCI. The manager has a strong commitment to the health and safety of both residents and the staff team. The home provides Health and safety training for staff, and the home has a range policies and procedures relating to health and safety practices. A health and safety audit check was examined and was seen to be undertaken on a monthly basis. Individual resident risk assessment and premises assessments were examined. The manager presented a Health & Safety file that contained a variety of certificates and records. Evidence was available to indicate that every effort was made to ensure the health, welfare and safety of residents. 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 24 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 4 23 4 ENVIRONMENT Standard No Score 24 4 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 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 3 X X 4 X 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 15 Bramble Close DS0000061937.V328909.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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