Inspection on 06/10/05 for 15 Preston Drove

This inspection was carried out on 6th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

15 Preston Drove 24/07/07

15 Preston Drove 07/04/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 15 Preston Drove 15 Preston Drove Brighton East Sussex BN1 6LA Lead Inspector Jenny Blackwell Announced Inspection 6th October 2005 10:00 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 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 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 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 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 15 Preston Drove Address 15 Preston Drove Brighton East Sussex BN1 6LA 01273 555291 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) Brighton & Hove City Council Mr Roger Charles Hewitt Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th April 2005 Brief Description of the Service: The home is registered to support up to five adults who have a learning disability. The home is a detached two-storey building set in the Preston Park area of Brighton. Although the home was not purpose built for people with disabilities adaptation have been made to the home that includes a passenger lift and accessible bathrooms. The home is opposite Preston Park and close to local shops, pubs and sports clubs. The home has its own mini bus with a tail lift that enables people who use wheelchairs to access their local community. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this summary the people who live at the home will be referred to as people/person, and the people who work at the home as staff or by their job title. This was an announced inspection of the home under the Care Standards Act. The people who live at the home, some of the staff team and the manager were present during the inspection. Time was spent with two of the five people who live at the home and the other people where seen briefly in between trips out. The manager was spoken to individually and four staff were spoken to throughout the day. The people who live at the home and the staff were helpful throughout the inspection and contributed to the report where possible. What the service does well: The manager and staff arranged daily activities with the people at the home and a daily shift planner was seen which detailed outings and activities for each individual with a named staff member. During the inspection all the people who live at the home were involved in a variety of activities. One person went out swimming, another person attended a day service and another had a bike ride. During the day staff were seen to interact respectfully with the people who appeared to respond positively. In one instance a staff member was taking time in supporting a person with a meal paying particular attention to his responses to the food and offering an alternative. The records looked at during the inspection where of a reasonable standard which included particularly positive description of peoples personal information, likes and dislikes and interest in their care plans. The permanent members of staff had faced many months of being short staff and often being the only member’s permanent staff on duty. Despite this staff were seen to interact respectfully with the people, were up beat and ensured that they consulted the people about their choices. It was also noted that the agency staff present had good knowledge of the people at the home and appeared to work well with the staff. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The staff team continue to carry vacancies for an extended period of time and despite considerable efforts from the manager and senior managers to fill vacancies with permanent staff, relief and agency staff are relied on to fill shifts. This situation cannot be allowed to continue. As a matter of urgency the manager and organisation need to address the in balance of agency workers to permanent staff. A requirement was made for the organisation and manager to demonstrate how they were going to address this shortfall. The home’s decoration is in a poor condition and continues to fall below standards. Some agreement had been made with the organisation to have parts of the home decorated but the manager was unable to give dates on when this work would commence. Carpets needed to be replace large areas of the home needed refurbishment and decorating. Some documents needed updating to reflect the changing needs of the current group of people living at the home. In another case some health and safety records were not held at the home but by the organisations maintenance department. It was required the manager had these documents to ensure the utilities services at the home were deemed to be safe. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 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. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 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 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 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 the following standard(s): 1,2,4 and 5 The home provides adequate information for perspective people moving into the home although the Statement of Purpose will required reviewing due to the changes in the service. The assessments of the people living at the will be conducted regularly as their care management support had been transferred to Social Services. The manager now ensures that the organisation’s moving in policy is adhered to. As the transferre of support has been conducted each person will have a contract with the home. EVIDENCE: The Statement of Purpose was looked at during the inspection. The manager stated the document would need to be reviewed soon as he was intending on having specific information about what age of service user the home could support. It was required the manager ensures the statement of purpose reflects the function of the home. Three peoples care plan were looked at. None had assessments carried out by social workers or reviewing officers. The manager stated this was due to the people being supported and funded by an N.H.S trust. Their support was transferred in April ’05 to Brighton and Hove Social Services. However at the time of the inspection no community care assessments were available to view. This will be monitored during the next inspection. The manager and staff ensure that the each person has a review of their support. As the people at the home did not use words for communication, time was spent with people observing their movement around the home, their 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 10 access to staff, and the general interaction with staff. It was noted that the home appears to meet the current assessed needs of the people. However it two people spent extended periods of time in one place, with limited staff interaction. This will be evidenced further in the staffing standards in the report. The manager stated that each person will have a contract stating the terms and conditions of living at the home. Support of the individuals was transferred to Brighton and Hove City Council in April 2005; as yet contracts have not been set up. It is required the manager ensures that the individuals are provided with terms and conditions of residency which are signed by them or their representatives. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 The persons individual care plans contained detailed information including likes and dislikes, activity arrangements and guidence on supporting people with personal care and health needs. The staff and managers approach individuals sensitively and offer choice to people in their daily lives. The people were consulted on daily activities in the home but did not participate in all aspects of life in the home. The staff suuported the individulas to take measured risks in their lives. The information held by the satff was handled and stored appropriately. EVIDENCE: Each persons care plan was looked at. They contained photo’s of people and included “Pen Pictures” which briefly discribe a persons interest, likes, dislikes, family and friends connections, basic health and social care needs. These were a good quick references tool for staff. The aims and purpose of the plans were set out. Activitiy time tables were in the plans and were tailored to each person interest. Contributions to the plan was seen by the keyworkers and other staff and care was taken in describing some peoples health care support. One person had recently had significant health care changes which required staff to support her with certain proceedures. These were deatiled in her plan 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 12 and good promting noted ensured that the staff would read the guidelines of support. The staff were seen to ask people directly about choices and decisions throughout the day. During lunch a staff member was sensitive to the persons responces to the food he had been given offering alternatives when the person appeared not to like his choices. As some people did not use words to communicate staff were seen to talk to the people offer them choices and observe their responces to the choices. The manager and staff do not have systems inplace to involve people in decision making about the running of the home. Due to the peoples varing levels of abilities it was seen by staff not to be relevent for some individuals. However the inclusion process will be continued to be moniotered during the inspection schedule for the home as further inclusion options could be used by the staff team. This is currently being affected by the difficulties with recruitment and retention of staff. This will be looked at in the staffing standards. Risk assessments for each person are recorded in the plans and the home stores the peoples records appropriately. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 13,14,15, 16 and 17 Each person was part of their local community, engaging in appropriate leisure activities supported by staff. The staff were sensitive to each persons family connections and support them were appropriate. The individual’s rights was generally understood and supported by the manager and staff, although the use of a listening devise was not appropriate. Service users were offered a diet bases on their preferences that appeared healthy. EVIDENCE: In each persons care plan the keyworkers had devised an activity planner which listed daily interest and activities of the people. Although some people used session at day centre’s the majority of activities were tailor made for them. For example one person had massage sessions, went swimming and attended sessions run by a group providing art based day activities for people with learning disabilities. Another person was attending music sessions, participation in gardening and had been on an arts and craft trip in the minibus. Although staff arranged most of the activities they stated that the sessions had been devised by trying out with the person to see if they enjoyed the activity. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 14 During the inspection staff took out one person to a hydrotherapy pool and another person attended a day service. One person was being monitored by a “baby” listerning devise that was placed in her bedroom and monitored in the lounge where other people sat. When questioned the manager stated the monitor was not being used as originally intended and he belived it was no longer needed. The use of these devisies should not be used in a registered care home unless specifically requested by the individual and it can be demonstrted the rights of that individual is protected in law. It was required the manager remove the listerning devise. It was noted that some of the people who stayed at home spent extended periods of time on their own whilst staff were busy with other duties. This was observed as time was spent with the people in the kitchen and lounge. This was pointed out to the manager at the time and he acknowledged this had happened. The home has had difficulty in maintaining staff numbers and uses a high number of agency staff. This resulted in the one permanent member of staff who was on duty being responsible for running the shift. The manager needed to ensure the staff team were able to engage with individuals generally throughout the day and not just when a particular activity had been arranged. It was required the manager ensures the individuals are not left for extended periods with out interaction from staff. The staff prepare and cook the meals for the people who live at the home. The manager ensures that all staff undertake food hygiene training and specialist training on specific dietary requirements when needed. The staff spoken to stated that the menu was devised from the preferences of the people. Consideration was taken to ensure the menu was balance and provided the people with a healthy diet. The inspector had lunch with two people on the day. The lunch was unhurried and relaxed. A staff member was seen to work sensitively with a person when helping him with his meal. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 18,19 and 21 The people who live at the home receive personal care in the way that they preferred. The manager and staff ensured that people received the physical and were possible the emotional support they needed. Particular care was given to support ageing and illness of the people at the home. EVIDENCE: Each person had detailed personal care support details in the support plan. The plans described the morning and evening routines for each person including their personal support requirements. This information enabled staff to provide continuity of care. Recently one person has had major changes in her health care needs. This has meant the staff are now using specialist equipment to support her dietary requirements. The staff have been trained by specialist health care professionals to ensure they were able to support the person appropriately. The keyworkers have written detailed instruction is the persons plan to ensure that all staff have written guidance on the procedures. The staff were seen to support the person competently, those spoken to were confident in supporting her and were knowledgeable on the procedures they should follow. The home have good links with health care professionals such as dietician’s speech and language therapist G.P’s and physiotherapist. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 16 The manager has been adapting the support provided to the people living at the home to ensure that their changing health care needs are met. The care plans focus on supporting the individuals well being. The Statement of Purpose will be changed to describe the current support that is provided to the people. The current group of people who live at the home are ageing and are experiencing changing health needs. The home’s staff have adapted well to these changes and are developing their skills and knowledge to provide specialist support to this type of service user group. The registration category of the home will be changed so that new people moving to the home will be of similar support needs to the current people. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 17 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 the following standard(s): 22 and 23 The homes complaints systems allow the people and their representatives to have their views listen to and acted on. The people are protected by the organisation policies and procedures, training and systems for reporting abuse. An agreed procedure on how the people pay for staff when out in the community did not protect the people from financial abuse. EVIDENCE: The complaints log was looked at during the inspection along with the organisations policy. The manager was able to describe the process he would go through if he received a complaint and new the organisations and the National Minimum Standards requirements on responding to complainants within 28 days. The home or the Commission had not received any complaints since the previous inspection. The majority of the permanent staff had been on adult protection training and those who are undertaking and N.V.Q also cover the issues. The organisations policy has an easy to follow diagram about how the staff should deal with evidence of abuse. A staff member spoken to stated that issues of protecting vulnerable adults are discussed at the weekly staff meetings with manager. For example one person may need to have support straps for his wheelchair to help his posture, the staff and the O.T are ensuring that issues of restraint are being considered. The manager runs a transparent system of handling the people money. The system had an easy audit trail from receiving benefit moneys to cash transactions. However during a money check it was noted that when a service user was being supported in the community by two staff, they would pay for one staff lunch. This is an inappropriate use of the people money and it is 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 18 required that manger ensures that the people do not pay for staff from the own money. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 19 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 the following standard(s): 24-30. The people at the home do not live in a homely, comfortable and safe environment. The people’s bedrooms suit their needs and reflect their personalities. The toilets and bathrooms in the home provide privacy and generally meet the needs of the individuals. The shared spaces provide extra space for the people although they are in poor condition. Specialist equipment is available to the people and staff to ensure that supported appropriately. The home was much cleaner that the previous inspection. EVIDENCE: Since the previous the home had been cleaned and some improvements had been made. However the home is generally still in a poor condition. The manager showed evidence of the correspondence he had had with the maintenance department of the organisation. Some works required in the previous inspection had been undertaken such as fitting a water temperature control on a bathroom tap. The manager reported that agreement had been reached to decorate the dining room and repair the flooring although he had not been given a specific date. The dinning room area was in poor condition with dirty damage paintwork and split flooring. The carpets in the lounged needed replacing as they were heavily stained. It was noted that some of the restrictors on the first floor were missing or broken. It was required that these should be replaced. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 20 On the day of the inspection the fire alarm control panel was being removed form a person’s bedroom into the hallway of the home. The process required the contractors to use many lengths of electrical cable. Whist this work was being undertaken the cables where across the floor of the main hallway to the kitchen, lounge and downstairs toilet. On two occasions a person living at the home was seen to trip on the cables. The manager and staff team had not made provision for the people staying at the home to be away from this area whilst the work was being undertaken. It is required the manager forward a schedule of works programme for the required improvement and replacements in the home, detailing the steps to be taken to ensure the safety of the people living at the home. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, and 36. Due to the short numbers of the permanent staff the roles and responsibilities are not clear in the home. The organisation provides training for all permanent staff. The home recruitment procedures support and protect the people however the manager and organisation has not been able to recruit to sufficient numbers. The staff meet regularly for supervision and staff meetings. EVIDENCE: The home has not met the previous requirement of having sufficient permanent staff on duty. On the day of inspection the morning shift consisted of one permanent member of staff and four agency staff. The agency staff had worked at the home previously and appeared to know the people. The manager was working and admin shift to facilitate the announced inspection. The observed result of this staff mix is that the permanent members of staff ran the shift and took on the functions of the shift such as directing staff to take people out, administer the medication, and deal with telephone enquiries. Over the day two staff said it was difficult to be running the shift and found it stressful, although the agency and relief staff were competent. They stated that not knowing when the situation would improved added to the stress of the permanent staff. It is required the manager provides a recruitment plan as a matter of urgency. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 22 The supervision of the staff takes place regularly and a staff member said that attending the weekly staff meetings provided a forum to discuss issues of concern. The organisation has a training plan that meets the standards and ensures that all new staff follow an induction. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-43 The home was generally well run with the manager ensuring that the staff team receive supervision and support. The manager’s ethos of the home to support people as individuals was reflected tin the staff team. The home did not have a clear quality assurance tool although audit checks such as health and safety were carried out. The home has two sets of employees one social service staff and the other NHS Trust staff, therefore two set of policies. This was confusing for staff. Health and safety of the people is not fully protected. The organisation monitors the financial viability of the home. EVIDENCE: The staff reported that the manager is approachable and supportive. They reflected the manager’s ethos for the home in their own work practices. The staff had access to the manager through supervision and staff meetings. Some issues were raised with the manager on how he ensured he had an understanding of what was happing during the shifts. The manager and inspector discussed some situations that were observed around the home, such as people being unattended for periods of time and overseeing 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 24 contractors safety practice. These were indicators of issues the manager needed to be aware of in the home whilst he was in the house. The organisation undertakes different audits in the home to check for the quality of service the home provides. It was not clear if the organisation and home has a quality audit tool to met the standard. It was required that manager provides a quality audit tool to demonstrate the organisation and home monitors the quality of service provide. The manager reported that the home has two policies and procedures it works to as the staff team are made up from social service employees and N.H.S Trust employees. He demonstrated good knowledge of the procedures and ensured that the staff were working as closely as possible to ensure people experienced continuity of care. The home’s health and safety records were viewed. The fire detection tests, drills and fire risk assessment all met the required standards. Since the previous inspection the manager has ensured that in house checks on water temperatures and fire drills are carried out and recorded. The manager showed the inspector correspondence he had had with the maintenance department of the organisation requesting information and safety checks. They undertake the required safety checks for gas and electrical safety. However the department keeps the records/certificates of the checks and any recommendation from them, therefore the manager was unable to produce evidence that the systems in the house were safe. It was required that the manager obtains evidence that checks are being carried out and certificates of compliance are being issued. 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 25 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 2 2 3 X 2 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score 2 2 1 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 15 Preston Drove Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 2 3 2 2 3 1 3 DS0000060468.V249681.R01.S.doc Version 5.0 Page 26 Are there any outstanding requirements from the last inspection? YES 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 YA1 Regulation 4(1) Requirement The manager ensures that the home has a statement of purpose that accurately describes the function of the home. The manager ensures that each service user has a standard form of contract with the home. The manager removes the listening devise used to monitor a service user. The manager ensures that service users do not pay for staff meals or the home financially benefits from service users personal money. That the lounge carpets are renewed. The manager produces a refurbishment plan with dates, and details of how the service users will be safe during the works. The manager ensures that window restrictors are in place on all windows that present a risk to the service users. The manager ensures that at all times experienced persons are working in such numbers as DS0000060468.V249681.R01.S.doc Timescale for action 30/11/05 2 3 4 YA5 YA16 YA23 5(1)(c) 12(4)(a) 13(6) 31/12/06 06/10/05 06/10/05 5 6 YA24 YA24 23(2)(d) 23(2)(d) 31/01/06 30/11/05 7 YA24 13(4)(a) 30/11/05 8 YA33 18(1)(a) 06/10/05 15 Preston Drove Version 5.0 Page 27 9 YA39 10 YA42 appropriate for the health and welfare of service users. 24(1)(2)(3) The manager ensures that the 31/01/06 quality of care provided at the home is reviewed at appropriate intervals. 13(4)(a) The manager ensures that gas 30/11/05 23(2)(c) and electrical certificates, documents and maintenance work sheets are available to him at all times. 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 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 15 Preston Drove DS0000060468.V249681.R01.S.doc Version 5.0 Page 29 - 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. 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