Inspection on 05/12/06 for 150 Community Drive

This inspection was carried out on 5th December 2006.

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

150 Community Drive 17/07/07

150 Community Drive 02/12/05

150 Community Drive 04/07/05

150 Community Drive 21/02/05

150 Community Drive 19/07/04

150 Community Drive 06/01/04

Similar services:

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

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

CARE HOME ADULTS 18-65 150 Community Drive, Smallthorne Stoke-on-Trent Staffordshire ST6 1QF Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 5 December 2006 13:30 150 Community Drive, DS0000008212.V321968.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 150 Community Drive, DS0000008212.V321968.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. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 150 Community Drive, Address Smallthorne Stoke-on-Trent Staffordshire ST6 1QF 01782 839349 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) Choices Housing Association Limited Mrs Gillian Hussey Mrs Sally Ann Pritchard Care Home 8 Category(ies) of Learning disability over 65 years of age (8), registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (8) 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd December 2005 Brief Description of the Service: 150 Community Drive is a large detached house registered to provide accommodation for eight younger and older adults who have Learning Disabilities, or Mental disorders other than Learning Disability or Dementia. It is situated close to local shops on the edge of a residential estate, and is not identified by any stigmatising signs, names, or notices, and easily blends into the locality. The home is owned by Choices, a company that operates a group of homes for people with Learning Disabilities. The current group of Service Users are all male, ranging in age from the early fifties to the late seventies. They live on two self-contained floors, each housing four residents. There are generous communal areas inside the property, and a secluded garden outside, where some of the resident service users have established an allotment, as well as the usual lawns and shrubs. Young plants are brought on in the greenhouse. This had recently been renewed. Public transport buses pass the end of the Drive. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection for 2006/2007 was carried out during the afternoon of Tuesday the fifth of December. The Registered Care Manager was not on duty during the inspection, and the service was being maintained by a senior support worker on the permanent payroll, and a member of bank staff whose name appeared regularly on the rota, and who was both well known to the men, and knowledgeable about their needs and choices. Throughout the inspection residents were continuing with their daily activities, visiting the local community and other parts of the Potteries conurbation for the purposes of visiting, attending health centres, shopping, or spending time out to fulfill their personal choices. One resident was restricting his access to the immediate vicinity of the home following a routine eye operation, and was looking forward to the stabilisation of his vision as he convalesced, so that he could resume a wider range of access and activities. When it came to teatime, several different alternatives were being produced in line with the differing choices of the individual residents. The home was clean, tidy, well maintained, and warm, and the interactions observed between staff and residents were both appropriate and friendly, and those sampled care plans examined demonstrated relevant intervention in, with, for, and on the half of, the gentlemen resident in the home. In a pre-inspection questionnaire returned to the commission by the Registered Care Manager the current charge for accommodation was stated to be £449 per week. What the service does well: This service continues to provide good quality accommodation and care for (currently) eight male residents who have a Learning Disability as their primary diagnosis, with or without any other form of psychiatric or physical challenge to their well being. The home provides this service in the middle of a local community within the wider Potteries conurbation, in the most domestic style that can be achieved for a group of people linked not by ties of family, but by diagnosis. The input of staff support, and property maintenance, complements the goal of encouraging the highest possible and reasonable level of independence for these residents. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The quality outcome for this group of residents in this area was good. This judgment was made using all available evidence including a visit to the service. The home’s Statement of Purpose and Service User Guide was good, providing service users and prospective service users with details of the services the home provides, thus enabling an informed decision about admission to be made. EVIDENCE: A sample care plan was examined in depth, with particular regard to the details of assessments done prior to the residents being admitted to the home. It was clearly demonstrated that the views of professionals engaged in his care had been taken into account when assessing whether the home would be able to meet his needs or not. Further, input from the resident himself, members of his family and significant others, and his social worker, had all been used to build up a picture of his individual likes and choices, to ensure that they too could be accommodated if he were to be admitted to the home. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 9 This assessment had been managed by the social worker under the Care Management Arrangements set out in the National Health Service and Community Care Act 1990 for the multidisciplinary gathering of information to reach the most propitious decision regarding recommendations to an individuals future care. These plans and their attendant risk assessments had been reviewed on a regular basis, or as and when needed, and included contributions from the resident, significant others in his life, and health and social care professionals charged with his care. 150 Community Drive, DS0000008212.V321968.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, and 9. Quality outcome for this group of residents was good. This judgment was made using all the available evidence, including a visit to the service. This was based upon comprehensive personal care plans, and finding that residents had been assisted to make what decisions they were able to, and to take any risks that were appropriate. EVIDENCE: In the personal care profiles (Care Plans) reviewed there was ample evidence supporting the resident in believing that his own personal choices and changing needs were known, and were being detailed. This was verified by discussions with both the residents and those members of staff on duty at the time of the inspection. One gentleman said with delightful candour: I tell them what I want, and then they know.” It was discussed with a member of staff on duty there is a fresh risk assessment in respect of community access had been undertaken after one 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 11 gentleman had been into hospital for the removal of a cataract. The outcome of this was that he was not venturing so far afield as he had previously, but was reported to be looking forward to an improvement in his vision, so that he could resume his former lifestyle. Care plans and discussion highlighted a wide range of venue chosen by the individual residents for the purpose of their Christmas shopping, some which they would be able to undertake on their own locally, and others would require arrangements making with them so they could be taken to; Manchester (the Trafford Centre) Shrewsbury, and Birmingham. Person Centred Planning was done under a 22-point scale based on the best practice of the British Institute for Learning Disability life experienced checklist, and their key values. As stated in the previous section, plans were founded upon a multidisciplinary care management assessment made prior to the admission to home, and were seen to be reviewed and amended both as and when necessary, and at appropriate minimum intervals. The plans stated who the key worker for each resident was, and included behavioural risk assessments, and details of contact with family and friends. 150 Community Drive, DS0000008212.V321968.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, and 17. The quality outcome for this group of residents was good. This judgment was made taking into account all available evidence, including a visit to the service, and because they are enabled to have a community presence, to be occupied and stimulated, to maintain affiliate links, to go on holiday, and to have healthy and enjoyable meals. EVIDENCE: During the afternoon of the inspection visit one man was taken to the GPs surgery for a routine appointment, and another travelled into Hanley to undertake a bit of shopping. A third resident had gone out to have lunch at a nearby public house, and his care plans showed that recently he had also been on a visit to the National Tramway Museum in the Derbyshire village of Crich. Other venues noted for trips out this last summer had been the Cheddleton Railway Centre, Bakewell, Ford Green Hall, in addition to more regular visits to pubs, cafes, cinemas, theatres, the local working mens social club, community centres, church groups, support groups, car boot sales, libraries, general shops, and luncheon clubs. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 13 One gentleman had gone with a friend from another home operated by Choices Housing Association, supported by a care worker, on a three-day trip to the city of York, from where they had made excursions to Pickering, and the North Yorks Moors Railway. Most of the men were engaged in preparing for Christmas, and eagerly discussed plans for the Christmas party, including which of their friends and families they would be inviting to attend. None of the men any longer engage in employed activity, and the Father of the house stated with a mischievous grin that he was; Far too busy going around the town (Hanley) to bother with any of that sort of thing. [As he stated several times, he was 80 the following week.] However, like everybody else, he undertook housekeeping tasks around the home compatible with his age and ability. Reference to care plans as well as discussion with the residents demonstrated that they used all local facilities as well as continuing to relate to former fellow patients of Learning Disability Hospitals in the area, some of whom reside in other homes run by the same provider. The visits were shown to be made between individuals, as well as residents going in a group to parties and coffee mornings at other homes, or hosting them at 150 Community Drive. Menus recording what had actually been consumed demonstrated a wide variety including seasonal and local choices, and the likes of the different residents when it came to favourite foods. (This choice was repeated in care plans in respect of venues for places to eat out) The two kitchen/diners were clean and tidy, and the cupboards were well stocked with named brand goods. Fridges and freezers were also examined and were similarly well stocked with good quality food, and contained thermometers from which a record of temperatures had been recorded at least daily, together with the temperature of any meats brought into the home. As the afternoon progressed staff were engaged in producing a variety of evening meals to suit the individual needs and timings of the residents. Those planning to go out for the evening said that they usually had their meal slightly before those who were going to stay in and watch television, or engage in a hobby or favourite pastime. 150 Community Drive, DS0000008212.V321968.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, and 20. The quality outcome for residents in this area was good. The judgment was arrived at using all the available evidence including a visit to the service, and was formed because residents were seen to be receiving comprehensive Social and Health care support, in line with their assessed needs and choices, and their programs had been reviewed regularly, as demonstrated by the record in their Personal Care Profiles. EVIDENCE: The care plan reviewed in detail and those others accessed less minutely demonstrated sensitivity in helping the residents to meet their various care needs. Each person was, of course, in single accommodation, and thus able to maintain their privacy and dignity by keeping their bedroom doors locked if they so chose, and staff were observed to routinely seek their permission before entering. Observation of the staff/resident dynamic clearly brought out the sensitivity between accepting all demands made by individuals, and ensuring that nobody stigmatised themselves by being unacceptably inappropriate. Discussion with carers on duty determined where some residents liked to keep set routine of going to bed early and rising at the time of their choosing, where 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 15 others may elect to stay up late doing such things as watching television programmes. Those care plans reviewed contained a whole raft of entries relating to maintaining general and physical health, and to the best practices recommended by the British Institute for Learning disability. Appointments had been made and, where necessary, residents had been supported to see the GP, the district nurse, a hospital consultant, and various clinicians, both locally and at various health centres, and with support and transport if necessary. The tertiary Healthcare practitioners are also seen to have been visited at regular and/or appropriate intervals, and these included the optician, the chiropodist, the dentist, and specialists in hearing loss, and each man was registered with a G. P. surgery and was recorded as having Well Man annual health checks, as well as flu and pneumonia vaccinations. A man spoke about managing his own medication, and reference was made to his care plan which showed that appropriate, recognised, and safe protocols were in place to monitor this, and ensure he came to no harm. In another care plan there was an impressive policy regarding bathing the individual in a manner that did not compromise his care needs or dignity. There were various instances of intervention techniques being recorded for known or potential behaviours, following the assessment of the alternative risks of allowing the residents to continue, or imposing the minimum restriction upon him. Particularly impressive was the use of a matrix recording those behaviours essential for life, and explaining some that were confined to the individual, both what experience had determined that they meant, and why they occurred. During the afternoon staff were observed using their skills to minimise the appearance of their regular intervention with one resident, using de-escalation and diverting techniques to ensure the peace and safety of others in the home. 150 Community Drive, DS0000008212.V321968.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, and 23. Quality for the outcome for this group of residents was good. This judgment was made using all the available evidence including a visit to the service. It was made because staff were seen to be well-trained, and because sound policies and procedures had been in place to protect these vulnerable adults. EVIDENCE: Examination of records showed that at the last team meeting held on 22/10/06 there had been a question and answer session on the current abuse policy. Training records show that 100 of the staff at the home had undertaken the providers in-house training on how to recognise, deter, and deal with, any suspicion of abuse. The visiting principal officers report showed that there had been no complaints received via the suggestion box, but the care manager recorded that 10 minor complaints have been dealt with internally since the last inspection, and with in the timescales given in the complaints policy of the home. No complaints have been received by the Commission for Social Care Inspection in respect of this home, and a copy of the complaints procedure, suitably amended with pictorial aids to assist residents, was found in those care plans accessed. A standard version of the procedure had been framed and hung on the wall in the entrance hall, for the benefit of anybody visiting the home. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, and 30. The quality outcome for this group of residents was seen to be good. This judgment was reached using all the available evidence including a visit to the service and was made as the residents were seen to be living in a homely, comfortable, and safe environment, with personal and communal space that met their needs and lifestyles, and helped to promote their independence, in an environment that was well maintained, clean, and hygienic. EVIDENCE: And extensive tour of all the internal environment was made during this inspection. The home had been decorated ready for Christmas, with Christmas trees in both lounges, and other decorations around the home. A resident who was staying in during the afternoon was pleased to display his bedroom, which was not only large enough to accommodate his needs, but also was furnished to reflect his taste and choices. He had his own TV and DVD player, and selection of music centres, and the whole was tastefully done out in his favourite colour of blue, with good quality furniture and fixtures, 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 18 covered radiator, wash basin, and well fitted and good quality carpet. None of the bedrooms is 150 community Drive have ensuite facilities, but none are more than a few paces from toilets and bathrooms. Another resident invited the inspector to examine his room, and he too used his personal key to unlock the door, on which there was noted to be an appropriate mechanism for maintaining the door open if he so desired, but which would release the door if the fire alarm was activated in any way. This residents main interest was obviously music, and various storage systems were in place in the room to enable him to keep his vast music collection safely and tidily. In one of the toilets the hot water was measured by a thermometer belonging to the home recorded 52°C. Other taps throughout the home were then tested with the same thermometer, and the majority of these recorded 40°. There will be a recomendation that steps are taken to ensure that the temperature of water delivered through taps to which the residents have access is always maintained at a safe level. The laundry room had recently been refurbished with new cupboards, and the most recent washer was observed to have an appropriate sluice facility. The radiator in this room was not covered, and one resident was using the space as a smoking area. The locked cupboard for containing substances hazardous to health was situated in this room. In spite of the season of this visit (early December) the gardeners among the residents and staff had managed to produce a spectacular array of white chrysanthemums in the greenhouse. The home was clean, warm, and tidy throughout, and the were no issues of odour with in the home. An extremely cursory visual examination of the exterior of the home did not find anything at fault, and the whole looked to be maintained in extremely good order. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35. The quality outcome for this group of residents was good. This judgment was made using all evidence available including a visit to the service. It reflects an adequate staff to resident ratio, and there have been sufficient and appropriate training of, and employment of, experienced and qualified staff. EVIDENCE: According to the care managers records, in the period under review, in addition to all a mandatory training and refreshment of training, additional training has been given to staff in the following subjects: continence care, nutrition, foot care, abuse, confidentiality, record-keeping, safe handling of medications, and health and safety. Individual members of staff have undertaken training to become NVQ assessors, and also to become safe handling assessor/trainers. Other training planned before the end of the current financial year include epilepsy awareness, acquired brain injury awareness, risk assessment training, computer use training, further continence training, and mandatory refreshment for those people whose certificates are due to expire during this time. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 20 Examination of the minutes of the last team meeting revealed that part of the time had been spent on abuse training, and another period had been put on one side to reiterate the principles of Moving and Handling. Their guest speaker on this occasion had been a chiropodist who had been initiating them into good practice in foot care that they could undertake within the home. Changes in staffing over the period had included the resignation of a carer no longer wished to work shifts, and the introduction of a new staff during the two months previous to the inspection. One person has reduced her contracted hours so that she can undertake nurse training, and the change was made from sleep in staff to waking night staff due to the changes in the health and support needs of two of the residents. The care manager states that she is looking to see this change made permanent. During the inspection there are always sufficient staff available to meet the assessed and individual choices of the residents, all of who spoke extremely highly of the staff who were looking after them. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. The quality outcome for residents in this area was good. This judgment was made using all available evidence including a visit to the service. The management have always maintained close liaison with the Commission for Social Care Inspection, and reported any untoward events that took place. EVIDENCE: The only untoward matter noted during this inspection was the temperature of hot water discharged from the In one of the toilets. This was recorded on the homes own thermometer as being 52°. The person in charge of a home at the time immediately phoned through to the headquarters of the providers and left a message for somebody from maintenance to come out to the home without delay and rectify this concern. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 22 Fire prevention records were examined and it was found that the alarms were tested on a weekly basis, and that the emergency lighting was correctly tested every month, and that their was sufficient training for staff in what they should do, if a fire should be discovered. There were sufficient people qualified in first aid to ensure that there was always a qualified member of staff on duty (currently every permanent member of staff holds at least an emergency first aid certificate), and the records for the servicing of equipment used in the home, including portable electrical appliances and gas appliances showed that these had been done at the recommended intervals, and that their certificates of worthiness were current. There was evidence of regular input for all relevant training, and no other hazards were observed during the tour of the environment other than the water temperature mentioned above. Risk assessments were in place not only in relation to the health care needs of the residents, but also for activities of daily living which they chose to undertake. It was pleasing to note the amount of time and effort expended by the carers in ensuring that guidance, training, monitoring, and support, was put in place to enable residents, rather than to allow the risk that had been identified to further disable them. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 4 29 X 30 4 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 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 X 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA42 Good Practice Recommendations The only recommendation being made as a result of this inspection it is that steps should be taken to ensure that the temperature of water discharging from hot taps to which the residents have access should be regularly monitored to avoid the danger of scalding. 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 150 Community Drive, DS0000008212.V321968.R01.S.doc Version 5.2 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!