Inspection on 14/08/07 for 18 Marine Parade

This inspection was carried out on 14th August 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

18 Marine Parade 15/09/06

18 Marine Parade 15/01/06

18 Marine Parade 01/06/05

18 Marine Parade 25/01/05

18 Marine Parade 01/07/04

Similar services:

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

1 Marten Road

Daubeney House

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

CARE HOME ADULTS 18-65 18 Marine Parade Tankerton Whitstable Kent CT5 2BG Lead Inspector Sandra Crosby Key Unannounced Inspection 14th August 2007 10:00 18 Marine Parade DS0000023716.V345928.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 18 Marine Parade DS0000023716.V345928.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. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 18 Marine Parade Address Tankerton Whitstable Kent CT5 2BG 01227 772824 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) marine@mcch.org.uk MCCH Society Limited Mrs Patricia Ellen Rose Westbury Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (7) 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents shall be 35 years of age and over Date of last inspection Brief Description of the Service: The company MCCH runs 18 Marine Parade. The home is registered to provide personal care and support to up to 7 adults with mental health needs. The home is detached and spacious with lounge, dining room, kitchen, office, 7 single rooms and two bathrooms, two shower rooms and toilets. Bedrooms have television points and wash hand basins. Accommodation is on two floors with the first floor accessed by stairs. The home has a large back garden with patio and seating area. The home is situated on the sea front at Whitstable with views from the front of the property overlooking the sea. The home has off road parking with further parking on the road. There are local shops, cafes and a bus stop nearby. The Registered Provider supplies information to prospective service users through a variety of routes. These include the provision of a Service Users’ Guide. This is a brochure which outlines the principal features of the facilities and services available in the Home. Also, there is another more detailed document called a Statement of Purpose, to which service users can refer if they wish to do so. The Registered Provider ensures that a copy of the most recent Inspection Report from the Commission is available for reference in the Home, if requested. The Registered Provider has informed the Commission that the current fee it charges for each of the service user’s residence in 18 Marine Parade, is £747.00 per week. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection visit was unannounced and carried out on Tuesday 14 August 2007 between 10.00 and 14.30. The Inspector spoke with the Registered Manager, support workers on duty and several residents. Various records were viewed and an accompanied tour of some areas of the premises was undertaken. The AQAA documentation that homes are required to complete was only recently sent to the home, so information that would normally be used to inform the inspection process was not available to be included in this inspection report. Information collected in relation to surveys provided comments for example ‘the staff are friendly and the clients appear well looked after’, ‘the staff are easy to talk to and listen to any concerns I may have’ and ‘it is the best care home I have lived in’. It is indicated that the Registered Provider generally operates the home so as to provide the residents in residence with access to the resources they need to enable them to lead normal everyday lives. However, action needs to be taken to review the current staffing level at the home. What the service does well: Residents said that the home provides them with a relaxed and comfortable setting within which to make their home. They observed that they receive all the assistance they need. Also, they said that the support workers are attentive and kind in their manner. Confident informality was observed that characterised the interactions between the support workers and the residents. The residents are assisted to receive promptly any medical attention that might be needed. Residents are provided with adequate and varied meals. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 6 The Registered Provider operates a quality assurance system in the home. This is designed to enable residents to say what they think about their home. This is very important because it is the residents who are the experts on what it is like to live in 18 Marine Parade 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. 18 Marine Parade DS0000023716.V345928.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 18 Marine Parade DS0000023716.V345928.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): Standards 1,2, and 5 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to ensure that prospective residents and their representatives are informed about the home and that they have their needs assessed. EVIDENCE: The Statement of Purpose and Service User Guide for the home were seen and these documents mainly meet the requirements of regulation. Following discussion with the Registered Manager, it was agreed that both documents needed to be reviewed and updated as necessary. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 9 In the absence of any new admissions since the last inspection visit, the Inspector was not able to examine how in practice the Registered Provider ensures that the home is a suitable place for everyone who is admitted. However, it was noted that the Registered Manager is aware of the need to give this matter careful consideration. This is so that a new residents needs for support, can be met reliably from the start of his or her period of residence. The Registered Manager was observed to be familiar with the principal subjects to be considered and it was noted that the Registered Provider has prepared a form that has been designed to guide and to record the process. The Registered Manager has previously said that she informs support workers about the needs of new residents by asking them to read the information she has collected. Also, they are asked to review information received from the relevant care manager (social worker). In addition to this, she said that she briefs support workers orally. This is done so that they can clarify any points of detail as may be necessary. The support workers confirmed this account and they said that they consider themselves to have been informed adequately about the needs of residents admitted in the past. The Inspector asked one of the residents about this aspect of the arrangements made when he moved into the home. He considered that his needs for assistance had been met from the start and that this provision had been in line with his expectations. 18 Marine Parade DS0000023716.V345928.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): Standards 6,7 and 9 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care which residents receive, is based upon their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The Inspector noted there to be various systems in place to enable each resident to liaise with support workers in order to identify and to plan for the provision of the assistance they need. These measures include the preparation for each person, of a written individual plan of care. The residents said that they had been involved adequately in the preparation of their individual plans and also that they had been invited to contribute to their periodic review. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 11 Two of the individual care plans were seen, and it was indicated that all information required by regulation was being recorded. Discussion took place in relation to other information seen contained in a communication book and the Registered Manager agreed to address this issue. The Inspector noted that the support workers keep diary records of how things are going in the home. These records are important because they can reveal patterns in how someone is doing which can be useful both for the person concerned and for support workers. At the previous inspection the Inspector spoke with support workers about various elements of the support provided for some of the service users. They were noted to have an adequate knowledge of the material in question. The Inspector observed episodes when they assisted some of the residents. Their practice was noted to be appropriate and to be consistent broadly with the Registered Provider’s assessment of the needs to be met. Previous information collected indicates that none of the residents are assisted directly by the Registered Provider to manage their financial affairs. What assistance they do receive, is provided by family and by advocates. It is a good idea to keep these functions separate. This is because registered providers should not get involved in more areas of a service user’s life than is absolutely necessary. The Inspector noted at this visit that the support workers retain some of the resident’s personal spending allowance and disburse it to them on request. This is done to help them budget for the week ahead. The residents said that they were satisfied with this arrangement. Suitable records were seen to be in place to record the various transactions involved. The Registered Provider is responsible for assisting the residents to avoid undue risks to their wellbeing. The Inspector noted that the Registered Provider uses a system that involves each resident liaising with support workers in order to identify potential risks so that they can be managed effectively. The Inspector examined a selection of the written records that summarise this process. They were found to describe an adequate arrangement. This, in that particular risk situations were identified and in that basic information was given about the response to be provided. Not everything needs to be written down about day to day life in a residential care home. There is a balance to be struck and it was indicated that the Registered Provider has got it about right in the home. 18 Marine Parade DS0000023716.V345928.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): Standards 12,13,14,15,16 and 17 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activities and to keep in touch with family and friends. Residents receive a healthy and varied diet according to their requirements and choice. EVIDENCE: All of the residents undertake a range of activities each week, some of which have an explicit vocational element. The resident’s who spoke with the Inspector about this matter, said that they are satisfied with their respective calendars of activities. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 13 It was indicated that most of the residents leave the home regularly in order to do various things such as going to shops and visiting friends. The residents said that they are satisfied with the degree to which they can access the local community if they wish to do so. Part of the calendars referred to above, identifies the everyday household activities and leisure pursuits undertaken by each of the residents. The residents said that they are satisfied with the way they undertake these activities. At the previous inspection visit the Registered Manager said that if requested the support workers assist the residents to maintain contacts with members of their families. The Inspector reviewed the circumstances of one of the residents who support workers have assisted to get back in contact with a close relative, after some years when there has not been any contact. This is considered to be an important example of good care practice for which the support workers should be commended. It was indicated that the pace of daily life in the Home is relaxed without there being any unnecessary rules to disturb their experience of a normal domestic setting. They observed that within reason, they can decide on the pattern of their day. They spoke about things such as them being free to decide when to retire to their bedroom and choosing what clothes to wear. The residents said that they are provided with suitable meals. The Registered Manager said that the Registered Provider gives the home sufficient funds to purchase supplies. The record of food provided in the home was consistent with the Registered Manager’s account, to the effect that the residents are offered the opportunity to have a normally balanced diet. 18 Marine Parade DS0000023716.V345928.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): Standards 18,19 and 20 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care is offered in a way to protect resident’s privacy and dignity and promote independence. The health needs of residents are met, and the medication system at this home is well managed promoting good health. EVIDENCE: The residents said that the support workers are kind and approachable in their manner. Also, they observed that support workers are not intrusive and that they respect their needs for private space. During the course of the site visit, the Inspector had the opportunity to observe a number of instances when support workers interacted with residents. It was noted these events to be characterised by a quiet but confident informality, in that the support workers provided a measure of structure which was significant without being obvious. The Inspector recognises this to be an expression of good care practice. This is 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 15 because it acknowledges residents simultaneous needs for both independence and support. The Registered Manager said that the support workers keep a tactful eye open so that residents can be assisted to seek and to follow medical advice should it be needed. It was noted at the last inspection visit that suitable provision had been made available to ensure that the person concerned received the attention he needed. Also noted, was the way in which support workers had continued to monitor discreetly his health in between times. The Inspector noted that the Commission has not received since the last inspection visit, any expressions of concern from the local primary health care team about any aspects of its working relationship with the home. The Inspector noted that most of the residents have elected to have support workers retain and dispense their medication. It is considered that this is a reasonable arrangement given the interests of the residents in residence. The Inspector examined a selection of the administrative arrangements operated by the Registered Provider in relation to this task. They were noted to work sensibly, so as to ensure that residents take medicines in the manner intended. One of the residents has chosen to manage aspects of their medication administration. It is indicated that suitable provision has been made to support him in relation to this practice. 18 Marine Parade DS0000023716.V345928.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): Standards 22 and 23 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system in place, and there are policies and procedures in place to protect residents from abuse, neglect and selfharm. EVIDENCE: There is a complaints procedure that explains how residents and other stakeholders can make a complaint about any aspect of the facilities and services provided in the home. Residents said that they are confident that any matter they raise will receive serious attention and that if possible they will be addressed. The Registered Manager said that the Registered Provider operates various systems that should enable all complaints to be investigated promptly and fully. It was reported at the last inspection visit that the support workers were noted to have a good understanding of what constitutes good care practice. As part of this, they were aware of the need to be alert to instances that might jeopardise the well-being of a resident. None of them said that they had witnessed anything in the home that had given them cause for concern. The residents said that they feel safe living in 18 Marine Parade. They observed that they are confident that support workers will act in their best interests. 18 Marine Parade DS0000023716.V345928.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): Standards 24,29 and 30 were inspected at this visit. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical layout of the Home enables service users to live in a generally well-maintained and comfortable environment, which promotes independence. EVIDENCE: Residents said that they are comfortable living in 18 Marine Parade. The Inspector noted that in general the accommodation is welcoming and pleasant. The staff and residents have worked hard in the garden area to provide a suitable and pleasant area to enjoy weather permitting. It was noted that the home complies currently with the principal requirements of the local Department of Environmental Health. This means that the kitchen is equipped and used appropriately. The Inspector noted that the kitchen area was clean and organised. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 18 The Registered Manager said that none of the residents experience significant difficulty when getting around the building. The residents confirmed this account. The support workers said that they have all the equipment they need to help people get into and out of the bath. The residents said that support workers assist them to put their clothes in the washing machine, to dry them and to iron them. The Inspector noted that the residents were dressed appropriately in clean clothes of their own choice. The Inspector understands that the laundry is equipped adequately. 18 Marine Parade DS0000023716.V345928.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): Standards 32,33,34,35 and 36 were inspected at this visit. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. It was indicated that sufficient numbers of staff are not always available to assist residents. Staff are appropriate people and on the whole are suitably skilled. EVIDENCE: It was indicated that there are at least two support workers on duty from early in the morning until the night cover arrangements start. However recently the Registered Manager undertakes more of her time working as one of the support workers in order to maintain the level of two support workers during the daytime hours. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 20 The Inspector noted that various systems are used effectively in the home to ensure that support workers assist residents in a coordinated and consistent manner. This is very important because residents need to experience a reliable and predictable response to their needs for support. It was previously reported that the Registered Provider is responsible for ensuring that all members of staff are trustworthy people who are suitable to have unsupervised access to residents who may be vulnerable. One of the ways this is done is by completing various security checks in relation to prospective new employees. The Registered Manager said that the Registered Provider completes all of the checks specified in the Regulations. Evidence of the checks made was not available at the time of the inspection visit. The Registered Provider is responsible for ensuring that all support workers are confirmed as having the knowledge and skills necessary to enable them to support effectively the residents currently in residence. The Registered Manager said that all new support workers receive introductory training. This is designed to ensure that they have the basic competencies necessary to enable them to work without direct supervision. Naturally, this is important because it affects directly the quality of the care they are able to provide for the residents. It was indicated that the Registered Provider has developed a new written form that is used to guide and to record this process. This is based upon a model that is recognised by the Commission to constitute good practice. However, in the absence of any new appointments that have been through the new exercise, the Inspector could not examine the adequacy of how the model will be used in practice. In addition to the introductory training, existing support workers undertake a number of training courses. These are designed to develop further their capacity to deliver care. Evidence was seen of some of the subjects covered and it was noted them to be relevant to the care provided for the residents currently in residence. It was discussed that an up to date training matrix when completed would provide at a glance the training undertaken and any training booked for the staff group at the home. The Registered Manager reported that a suitable number of the support workers have acquired a particular formal qualification. The Commission recognises this to be a useful way in which to consolidate and to extend good practice in the provision of residential care services. The Registered Manager said that she considers each of the support workers to have the knowledge and the skills they need in order to able to respond to the present residents needs for assistance. The Inspector did not identify any practical evidence that contradicted this account. 18 Marine Parade DS0000023716.V345928.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): Standards 37,39 and 42 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the Home generally is effective. Resident’s rights and best interests are safeguarded by the homes record keeping, policies and procedures. The health, safety and welfare of residents are promoted and protected. 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 22 EVIDENCE: It was noted that the Registered Manager has established a number of systems to enable her to oversee effectively the day to day running on the home. Plainly, she knows what is going on in the home. She has acquired both of the formal qualifications that the Commission recognises to be useful for confirming good practice in the management of residential care provision. As noted earlier in this Report, the residents said that the support workers consult them about various aspects of the day to day running of the home. It was indicated that the Registered Manager complements this largely informal arrangement, by asking residents to complete an annual questionnaire. Also, that the results of the consultation exercise are summarised in a Quality Report that is then used to consult further with the residents. The Registered Manager said that she is aware of the need to keep this process under careful review. This is to be done so that undue reliance does not need to be placed upon the filling out questionnaires, which some people might not want to do. For these people, other methods of consultation may be more appropriate. An up to date fire risk assessment has been undertaken, and relevant documentation has been completed. The Registered Manager said that she reviews regularly the premises so that any potential significant hazards that might cause someone to have an accident are identified and addressed. She said that no such problems were outstanding. The Inspector did not notice any obvious hazards when he was about the place. 18 Marine Parade DS0000023716.V345928.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 2 2 3 3 X 4 X 5 3 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 3 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 24 YES 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. 1. Standard YA33 Regulation 18 Timescale for action The home has an effective staff 31/08/07 team with sufficient numbers and complementary skills to support service users’ assessed needs at all times. Staff numbers/hours relating to the needs of service users are based on guidance recommended by the Department of Health Requirement 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 18 Marine Parade DS0000023716.V345928.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 18 Marine Parade DS0000023716.V345928.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. 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