Inspection on 16/05/06 for Warwick House

This inspection was carried out on 16th May 2006.

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

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

Other inspections for this house

Warwick House 20/02/08

Warwick House 14/11/05

Warwick House 31/05/05

Warwick House 21/10/04

Warwick House 24/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Warwick House 11-17 Warwick Gardens Worthing West Sussex BN11 1PF Lead Inspector Mr D Bannier Key Unannounced Inspection 16th May 2006 09:30 Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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 Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Warwick House Address 11-17 Warwick Gardens Worthing West Sussex BN11 1PF 01903 235488 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) Mrs Jean Florence Harrity Miss Christine Cerina Winifred Lewis Care Home 35 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (27), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: Warwick House is a care home registered to accommodate up to thirty five service users with a mental disorder, eight of whom may be over the age of sixty-five. It is a row of four attached houses situated in the centre of the town of Worthing, West Sussex. The accommodation is located close to shops, the sea and local transport links. Service-users live on the ground and first floors. The private accommodation for service users is predominantly for single occupancy, although there are six shared rooms. The fees for this care home range from £303 to £550 per week. Mrs Jean Harrity privately owns the service. The registered manager, responsible for the day to day running of the service, is Christine Lewis. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using new methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place. For example, information has been used from the registered provider’s action plan that sets out how the requirements from the last inspection will be met; information has also been used from written reports of visits to the care home made by representatives of the registered provider. This visit was unannounced and started at 9.30am. It took place over five and half hours. The inspector spoke to six of the thirty two residents who are currently living at Warwick House. This gave the inspector a picture of how it is to live at this care home. The inspector also spoke to three staff who were on duty. This helped the inspector to gain a sense of the work staff are expected to do. The inspector saw the communal areas and some of the private accommodation, with the permission of the residents living there. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. Christine Lewis, the registered manager, was present throughout the inspection and kindly assisted the inspector with his enquiries. What the service does well: This is a care home where people with mental illnesses are well looked after. Residents are encouraged to play a part in the day to day running of the care home. They are also supported by the manager and her staff to take a part in the local community and to enjoy, as far as possible, the lifestyle they have chosen. Staff on duty were very caring and considerate and the atmosphere was very homely. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: The manager should make sure care plans provide staff with clear directions and guidance regarding how residents should be supported. This will mean that the support provided will be consistent and in line with residents’ wishes. The manager should provide staff with training in the understanding and awareness of mental illnesses. This will mean staff will improve their knowledge and skills in providing support to residents. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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 Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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 and 2 The manager has ensured up to date information is available for prospective residents so they can make an informed choice about where they live. No new residents have been admitted since the last inspection. It was, therefore, not possible to determine whether this is given to prospective residents. The manager has ensured there is an appropriate means of assessing the needs of prospective residents. Prospective residents are subjected to a comprehensive assessment to identify their needs and aspirations. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The manager informed the inspector that she is currently, undertaking a review of the home’s Statement of Purpose to ensure residents, their families and other agencies are provided with all the necessary information required. It has also been confirmed that copies of the revised document will be sent to the Commission and to the residents, their relatives and other agencies in due course. No new residents have been admitted since the last inspection. However, at the last inspection there was evidence to confirm the manager has an appropriate means by which to assess the needs of prospective residents. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Residents know their assessed and changing needs and personal goals are reflected in their individual care plan. Residents are able to make decisions about their lives with assistance as needed. Residents are supported to take risks as part of an independent lifestyle. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The inspector spoke to two residents about their care plans. One resident said that they were aware that they had a care plan. This person said that, “A care plan records your goals for the future. I filled my care plan out a long time ago.” The second resident was seen talking to the manager about their care plan and was in the process of signing it to confirm they had been consulted about its review. Following discussion, the resident clearly understood what the care Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 11 plan was for. The resident said, “My plan shows staff how I like to be supported.” The inspector examined two care plans. The manager informed the inspector that she was currently in the process of reviewing them for the first time since she had changed their format. The format allows each care plan to be developed around the individual needs of each resident. Following discussion, the inspector recommended to the manager that she should monitor the words used to describe what staff should be doing as it was essential that staff were clear about what was expected of them. It was recommended that the manager ensures there is clear instructions or directions to staff with regard to how they should support each resident. This should ensure staff will be able to provide support and care to residents in a consistent and continuous manner. It should also ensure it is in line with the resident’s wishes. The manager advised the inspector that she is aiming to review care plans at least every three months, with the understanding that, should it be necessary, this will be more often. Care plans seen demonstrated that the manager had reviewed them three months after they had been drawn up. Staff spoken to confirmed they were aware of the contents of residents’ care plans and understood how individual residents’ needs should be met. This was confirmed by direct observations of care practices and discussions with residents. One resident said “We get support from staff when we need it.” One resident, told the inspector they were planning to go to see a friend and have an overnight stay with them. The resident was clearly looking forward to this event. Another resident told the inspector they were planning to go over to Germany with their friend for the Grand Prix in the near future. The resident also told the inspector that they enjoy going out and making use of the local facilities, especially the local snooker club. Care plans included sections such as accessing local facilities, community presence and relationships. Care plans provided staff with information about how residents should be supported in making decisions about their own lives. Staff were able to discuss with the inspector how support is provided to each resident. Care records also include risk assessments and how staff can support residents in taking risks as part of an independent lifestyle. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Residents are enabled to take part in appropriate activities. Residents are encouraged to be part of the local community. Residents have appropriate personal and family relationships. Residents’ rights are respected and responsibilities recognised in their daily lives. Residents are provided with a healthy diet and enjoy their meals and mealtimes. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Facilities are available for residents to enjoy a range of activities, including darts, pool and table tennis. During his visit, the inspector did not see Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 13 residents using the facilities. Residents told the inspector they prefer to use these facilities during the evening. An activity programme has been set up for residents. This includes gentle keep fit, bingo, board games, crafts, group chat and cake making. However, residents and staff told the inspector that no one is really interested. Residents told the inspector of the activities they enjoy on an individual basis. There is no mention of residents’ individual interests or hobbies within the care plans. Following discussion, the manager was advised to ensure they are recorded so that, where necessary residents can be supported and encouraged in continuing individual interests. The inspector saw balloons had been put up in the dining room. Staff told the inspector that a party had been arranged to celebrate the birthday of a resident. From direct observation, the inspector noted that residents come and go freely from the care home. Residents told the inspector that they continue to enjoy the local facilities and amenities such as pubs, clubs and cafes. Two residents attend a local college. They are attending English, mathematics and computer skills courses. In addition several residents attend local day centres. Staff clearly knew what interested each resident and how they needed to be supported. At the last inspection, residents told the inspector they are able to continue relationships with family and friends as they choose. The inspector also spoke to two visitors, who said they are made welcome. The home’s Statement Of Purpose states that families and friends are encouraged to visit regularly and maintain contact by letter or phone when visiting is not possible. Staff will provide help when necessary. Residents told the inspector they enjoyed living in this care home. The atmosphere is very relaxed. One resident said, “We are like one happy family.” One member of staff told the inspector that they understood that the manager assesses prospective residents very carefully to ensure they fit in with the group. From direct observation of care practices staff operate in a manner that ensures residents’ rights are respected. The manager informed the inspector that there are occasions, should it not be in the interests of the resident, when basic rights are denied. For example the Service User’s Guide includes a section entitled “Smoking and Alcohol.” This states that residents may not drink alcohol on the premises except with the express permission of the manager. The manager confirmed that this is to ensure the safety and wellbeing of all residents in the care home. The mental health of some residents may be at risk if alcohol was consumed freely. The Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 14 manager said that, should a resident want to do so, a risk assessment would undertaken and agreements reached with the resident to find a way to guard against this. Such risks are identified in care plans, together with specific instructions to staff regarding how the residents should be supported. Residents participate in the preparation of meals and clearing away afterwards. There is a rota for these tasks that has been set up and agreed by the residents themselves. One resident explained to the inspector how it works and what each task entails. On arrival, the inspector saw one resident in the kitchen peeling potatoes in preparation for the evening meal. The inspector joined residents for lunch. This meal consisted of soup followed by a selection of filled rolls. Several residents commented that they were satisfied with the food. One resident said, “The food is very good here.” According to the menu from Monday to Saturday, the midday meal consists of a light meal, whilst the main cooked meal of the day is served in the evening. On Sunday the main meal is served at midday with a light buffet meal served in the evening. Residents are encouraged to discuss and make suggestions for the menu at their meeting. One resident told the inspector, “The food here is good.” Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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 20 Residents receive personal support in a way they prefer and require. Residents’ mental and emotional health care needs have been met. Residents can retain and administer and control their medication where appropriate. Residents have also been protected by the home’s policies and procedures for dealing with medicines. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents told the inspector that they supported in the way they prefer. One resident said “We get support from staff when we need it.” Information provided in care plans confirm that residents’ wishes and preferences regarding the care they need has been recorded. Residents have signed care plans to confirm they have been consulted. Following discussion, the manager informed the inspector that for identified residents, such consultation would not be in their best interests. The inspector noted that risk Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 16 assessments would reflect when this would be the case and the action staff should take to ensure the wellbeing and safety of the resident. Staff on duty were able to clearly demonstrate they understood the needs of residents and how they should be supported. At the last inspection it was noted that residents’ physical and mental health care needs have been met. There was evidence of input from a variety of healthcare professionals including psychiatrists, psychologists, and the local community health team. This was also confirmed following discussions with residents. At present no one is fully self-medicating. However, some residents look after their own creams, inhalers and multi vitamins. Medication records show when residents have been given such medicines and how much they have been given. Residents have also been provided with appropriate storage in which to keep medicines safely. Staff told the inspector that they have received training from the local dispensing chemist in administering medicines safely. However, they have also said were very unhappy with the quality of training provided. The manager told the inspector she intends to find another source so that staff can be provided with appropriate training. The inspector noted that, during the course of his visit, one member of staff was counting and recording unused medication that was to be returned to the dispensing chemist for disposal. Following discussion, the manager told the inspector that, where necessary, episodes where a resident is refusing to take medication would be recorded in the resident’s care plan. At this visit, there was no evidence that confirmed this was necessary. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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 Residents’ views have been listened to and acted upon. Residents have been protected from abuse, neglect and self-harm. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The last inspection identified that a written complaint procedure has been drawn up; this has been included in the home’s Statement Of Purpose and in the Service User’s Guide. These documents have been made available to residents. There were no recorded complaints at the last inspection. The manager stated that wherever possible complaints are dealt with immediately. Residents are able to call a house meeting at any time to discuss issues. According to records seen the last meeting took place on 4th May 2006. The meeting included discussions to sort out household matters before they become complaints. Residents’ views are sought, for example with regard to menu choices and the purchase of items such as a new stereo/radio system for the lounge. It has also become the practice for residents to select representatives who liaise with and represent the views of residents to the manager and the registered provider. The manager confirmed that staff have received training in identifying and reporting abuse. Staff records also provided evidence of the training provided. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 18 Staff spoken to were able to describe the various types abuse the might encounter and the signs they need to look out for. Staff were also to confirm what they would do if they suspected a colleague or the manager was abusing a resident. Residents spoken to said they felt safe and well cared for by the staff employed in the care home Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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 and 30 Residents live in a homely, comfortable and safe environment. The home is clean and hygienic. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The inspector visited the bedrooms of three residents, with their permission. The residents told the inspector that they are able choose their own furniture and make their rooms as individual and homely as possible. Rooms seen appeared well maintained, clean and well decorated. There was evidence that one bedroom had been redecorated and refurbished in line with the current programme of refurbishment of the whole care home. The inspector was informed that two more bedrooms have been identified as the next areas to be refurbished. Residents will move to vacant rooms whilst redecoration takes place. One resident said, “They (the providers) are always Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 20 ploughing money back into the place. They are always spending money on new furniture and new curtains.” The inspector also viewed communal areas including one lounge, the smoking room, the dining room and the games room. These rooms also appeared to be maintained and decorated to a good standard. The atmosphere throughout the care home was relaxed and felt very homely and welcoming. The inspector also viewed the kitchen and the laundry area. These areas, residents’ bedrooms and communal areas were clean and hygienic. The inspector noted a pile of furniture stacked against a wall to the rear of the premises. This was furniture from residents’ bedrooms that had since been replaced. The manager confirmed that she had contacted the local district council to arrange for this to be collected. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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): 32, 34, 35 and 36 Residents are supported by competent and qualified staff. Residents are supported and protected by the home’s recruitment policy and practices. Residents individual and joint needs are met by appropriately trained staff. Residents benefit from well-supported and supervised staff. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents told the inspector that staff are kind and understanding with regard to their needs. A resident said, “We get the support from the staff when we need it.” From discussion with staff on duty, it was clear they understood the needs of residents and how to support them. This was also confirmed by observation of care practices. Following discussion, the manager identified three members of staff whose criminal record checks had not yet been returned. The manager confirmed Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 22 that, until the checks had been returned, she had ensured, where necessary, staff do not work with residents unsupervised. This is to ensure residents are protected from possible abuse. There was evidence that staff had received training in a range of subjects including fire safety, health and safety, food hygiene, identifying and reporting abuse, identifying and dealing with challenging behaviours, and manual handling training. Staff on duty who were spoken to confirmed the training they had received and were able to explain to the inspector how it can be put into practice. However, there was no evidence that confirmed staff had received specific training in understanding mental illnesses and how to support people with them. The manager said that she provides them with guidance and advice as necessary. Following discussion, the inspector recommended that staff are provided with such training in order to develop the knowledge and skills required to do the work expected of them. At this visit the inspector saw evidence that the registered provider has supervised staff of a regular basis. These sessions have been fully documented and include feedback from the previous session, points for discussion, areas for development and action required by the supervisor and supervisee. The manager said that she intends to take responsibility for this task in the near future. The registered provider had commenced supervision as a way of assisting the manager in completing the large number of requirements and improvements required at the last inspection. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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, 39 and 42 Residents are benefiting from a well run home. Residents’ views do underpin all self-monitoring, review and development by the care home. The health, safety and wellbeing of residents have been promoted and protected. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Clear improvements have been made to the management of this care home since the last inspection. Many of these have been identified during the last monitoring visit. At this visit the inspector saw evidence that the registered provider has supervised staff of a regular basis. There was evidence that staff Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 24 had received training in a range of subjects in order to do the work required of them. There was evidence that the manager has arranged meetings with staff and with residents, which have been fully recorded. The manager has used meetings to communicate with staff and residents, to inform everyone of future plans and intentions and also to seek their views with regard to how the running of the care home can be improved upon. Residents told the inspector that the manager “will bend over backwards for you,” and “we get supported by the staff when we need it.” The registered provider has been sending Regulation 26 reports to the Commission regularly. Reports of these visits indicate that the registered provider does speak to residents to determine their views and opinions regarding how the home is being run. The registered provider was also invited to attend an informal residents meeting that took place on 2nd February 2006. This was identified in the provider’s monthly report of the same date. The minutes of the meeting were not seen so the inspector does not know what was discussed. Following discussion, the inspector advised the manager to ensure reports continue to be sent to the Commission for the time being. This will enable the inspector to continue to monitor improvements made to the care home regarding requirements made during the last inspection. From direct observation of care practices and also following a tour of the premise there was clear evidence that the health, safety and wellbeing of residents have been promoted. In addition the following records were examined: care records, staff rotas, residents’ financial records, minutes of staff and resident meetings, and accident records. Records seen confirmed that residents’ health, safety and wellbeing have been promoted. Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 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 Standard No Score 1 3 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 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Warwick House DS0000014822.V292630.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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. 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