Inspection on 20/06/06 for 163 Newington Road

This inspection was carried out on 20th June 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

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 163 Newington Road 163 Newington Road Ramsgate Kent CT12 6QB Lead Inspector Brenda Pears Key Unannounced Inspection 10:00 20th June 2006 163 Newington Road DS0000065732.V296138.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 163 Newington Road DS0000065732.V296138.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 Older People and 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. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 163 Newington Road Address 163 Newington Road Ramsgate Kent CT12 6QB 020 8541 1147 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) Sense South East Jill Helen Sutton Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: 163 Newington Road is a new, purpose built, bungalow situated close to Ramsgate town centre, with local bus routes close by. There is allocated parking to the front of the building with ample on road parking also available. There are four bedrooms that are large, all have an en suite, and there is ample space for armchairs and desks if required. There is a paved area surrounding the building for wheelchair access to all external areas. Internal corridors are wide and the building offers a homely, comfortable and welcoming atmosphere. The fees for support provided by the home are agreed during the assessment period. Fees are set to the needs of the individual service user, depending on the level of support required and the staffing numbers provided. This range could vary greatly and, for example, could range between £7,000 - £9,000 per four weekly period. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the process consisted of speaking with the management team, staff members, a review of records and speaking directly with three service users. Service users, staff and families also received questionnaires and these responses provide valuable feedback that informs and supports the findings in this report. This is the first inspection as the home has been fully operational for only a short time. The bungalow has a large kitchen/diner, two lounge areas, a small office and four service user rooms. Two service users were found to be in the back garden, enjoying a game of wheelchair football. Both were happy and appeared relaxed and comfortable to welcome the inspector and explain which football team they supported. Staff were laughing and ensuring the full participation of both service users at this time. What the service does well: Service users develop their own Person Centred Plans (PCPs), using visual displays that are developed with the assistance of staff. The PCPs clearly present the goals that are decided by the service user and the steps and timing of each move and section to achieve this goal. The presentation of these goals is given by the service user who also decides who will be present at the meeting to review the care plan. Pictures also explain who is important to the individual service user and who is in contact with service users in a lesser way. Families/important friends are in regular contact with the home, discussing events and participating in special events in the home and with individual service users. This ensures close contact and much needed support for service users, while ensuring that any matters of concern or needing clarification are immediately dealt with. All activities are decided through consultation with the individual and clearly set out in both person centred plan and supported by appropriate staffing levels. Service users enjoy their chosen activities and college is attended along with activities in the community that include swimming, watching horse racing, crazy golf and visits to the local pub and eating out. Relevant equipment is in place to support service users to be independent, including – access lights prior to entry into personal rooms, fire alerts and indicators that the door bell is ringing. Adjustments are to be made to the doorbell alert as these currently flash very quickly and constantly, causing a risk to anyone suffering from epilepsy. 163 Newington Road DS0000065732.V296138.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. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 A full assessment is undertaken prior to the completion of any agreement, ensuring the home is able to meet the needs of the service user. Quality in this outcome area is good. This judgement has been made using available evidence. This included a review of three service user files, through a sampling of records and direct discussions with the manager and three members of staff. EVIDENCE: All initial assessments are undertaken with multi agency participation, including care managers, service users, families/advocates if chosen by the service user. Assessments include risk assessments, full assessment of needs, 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 9 what the service user wants to achieve and a detailed support plan. Also included are guidelines on communication needs, interventions and minimising risks and implementing safeguards. A ‘Personal Passport’ is developed for each service user with communication needs, important family and friends to service users and what is not liked, all this relevant information in a small booklet. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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, 9 All activities are undertaken following discussions with each service user, completing risk assessments and allocating the appropriate staffing levels, supporting choice and complete autonomy. Quality in this outcome area is excellent. This judgement has been made using available evidence. This included a review of person centred plans, service user records plus direct discussions with the manager and 2 members of staff. EVIDENCE: 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 11 Service users develop their own Person Centred Plans (PCPs), using visual displays that are developed with the assistance of staff. The PCPs clearly present the goals that are decided by the service user and the steps and timing of each move and section to achieve this goal. The presentation of these goals is given by the service user who also decides who will be present at the meeting. Pictures also explain who is important to the individual service user and who is in contact with service users in a lesser way. This explains the life and needs of the service user and also acts as a reminder of who is important and where support comes from. This gives service users complete autonomy with regard to their PCP and also presents a pictorial reminder of how goals are to be achieved and who will be involved. Regular reviews are undertaken with service users and all other appropriate agencies, agreed by the individual. Each service user chooses pictures to explain their dreams for the future, to describe the important people in their lives and who is in their ‘Circle of Friends’. Pictures explain and show details from birth, from childhood, covering important events and people who make up social and family members. Both large and small goals are developed with service users, who decide exactly what is important in their lives. Risk assessments are undertaken to ensure the safety of both service users and staff prior to any activities being undertaken. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) 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, 17 Service users enjoy their chosen activities, many of which are undertaken in the community, supporting both choice and independence. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 13 Quality in this outcome area is currently excellent. This judgement made after reviewing current evidence, including daily records, observations, discussions with staff, management and three service users. EVIDENCE: Service users attend college and enjoy activities including theatre trips, holidays, bowling and archery. Families/important friends are in regular contact with the home, discussing events and participating in special events in the home and with individual service users. Pictures evidence the enjoyment of service users at a recent holiday. Service users decided upon a caravan holiday, following the review of numerous brochures for abroad and for holidays in this country. At the time of the inspection, service users were taken to the shops to choose what they wanted. Meals are decided on a daily basis and if the weather is right, meals are enjoyed in the garden area or, if service users choose, meals are eaten out. Visual prompts/suggestions are made with pictures if support is needed. Meals are also decided around the activities programme. For example, the current England football matches, take away or finger food is enjoyed to ensure matches can be watched. All activities are decided through consultation with the individual and clearly set out in both person centred plans and supported by appropriate staffing levels. Service users enjoy their chosen activities and college is attended along with activities in the community that include swimming, watching horse racing, crazy golf and visits to the local pub and eating out. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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, 20 All needs and preferences are clearly recorded on person centred plans, ensuring choices made by each individual are supported. Medication is appropriately stored and administered by staff to ensure the full health and safety of service users. Small medication cabinets have been installed into each service user room to support control and autonomy. Quality in this outcome area is good. This judgement made after reviewing current evidence, including daily records, observations, discussions with 2 members of staff and also with management. EVIDENCE: 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 15 There is a policy on the administration of medication, all staff are trained and assessed prior to dispensing. Information is clearly recorded on medical record sheets (MAR sheets) and all medication files have full information regarding the reason for medication being taken and any side effects that may occur. Any change in mediation is set out on a new MAR sheet to avoid any incorrect administration. All service users have access to appropriate healthcare professionals and visits are recorded in care plans. Service users have individual medicine cabinets in their rooms that are locked and keys are retained in the office. This fully includes service users in this routine and empowers the individual, while maintaining appropriate controls on medication. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) 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, 23 Service users are protected and supported by policies, procedures and training in the home. Quality in this outcome area is good. This judgement made after reviewing current evidence, including policies and procedures, training programme, observation and discussions with 2 members of staff and also with the manager. EVIDENCE: There is a complaints policy in place to support service users and staff. Observations evidenced staff and service users interacting in a relaxed manner and service users appeared confident and comfortable when discussing recent events that have been enjoyed. Families work closely with staff to support service users, ensuring continuity and appropriate support is agreed. Staff have regular contact with families by telephone, supporting and encouraging discussion at all times. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 17 Regular, formal service user meetings are undertaken but discussions are also undertaken on a daily basis, when taking meals or individually where necessary. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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 home provides spacious, safe and homely accommodation. Service user rooms are personalised and respected as an individual’s own space. Quality in this outcome area is good. This judgement made after walking the site, undertaking observations and viewing service user rooms. EVIDENCE: 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 19 There are four bedrooms that are large, all have an en suite, and there is ample space for armchairs and desks if required. There is a paved area surrounding the building for wheelchair access to all external areas. Internal corridors are wide and the building offers a homely, comfortable and welcoming atmosphere. There are two lounge/quiet areas, a large kitchen/diner that accommodates wheelchair users, a small office and a sleeping in room for staff. Appropriate equipment is in place to support service users to be independent, including – access lights prior to entry into personal rooms, fire alerts and indicators that the doorbell is ringing. Adjustments are to be made to the doorbell alert as these currently flash very quickly and constantly, causing a risk to anyone suffering from epilepsy. In communal areas, there are paper towels and pump soap for the control of infection. There are also towel rails with a towel available if necessary to provide a homely atmosphere. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) 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 Service users are supported and protected by the staff training, recruitment and supervision process. Quality in this outcome area is good. This judgement made after a sampling of staff records, discussions with 2 staff members and the manager. EVIDENCE: 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 21 Prospective staff member is asked to spend time with service users, providing an idea of how they will interact and undertake their duties. This also enables staff to observe interaction and service users are able to give their impression of the person themselves. Decisions in the home are only made after gaining the opinion of service users. All staffing levels are set after an assessment of daily needs is undertaken. Depending on the daily activities, the rota then reflects the service user support that is required. Training is decided and driven by service user needs. The induction programme supports both service users and staff. The induction is undertaken through the organisation in the first instance and then continues in the allocated home until the member of staff is assessed as being fully competent in all areas. CRB and POVA checks are in place prior to any new person starting work in the home, ensuring the full safety of service users at all times. Staff files sampled at this time contained all appropriate paperwork including identification, CRB, equal opportunities forms and details of the induction. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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, 42 The home protects and promotes the safety and well being of service users and is run by an experienced, registered manager. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 23 The home is run in the best interests of service users with their choices and goals at the centre of all care delivered. Quality in this outcome area is good. This judgement made after a sampling of staff records and discussions with 2 staff members and the registered manager. EVIDENCE: The managers operates an open management style and observations and discussions undertaken evidence that service users and staff are confident and comfortable to speak to the manager. Regulation 26 visits are regularly undertaken and copies forwarded to the Commission for Social Care Inspection. This monitors the quality of the service and identifies any areas needing development or improvement. The health and well being of service users is considered at all times and staff expressed a thorough knowledge of service user needs. One staff member explained the person centred plans and how these are developed, providing an opportunity for service users to take control of their own future. The enthusiasm that was injected into this explanation clearly confirms the support that service users received and that their best interests are at the centre of the service given. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 x 4 4 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 163 Newington Road Score 3 3 3 x DS0000065732.V296138.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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. 163 Newington Road DS0000065732.V296138.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!