Inspection on 28/11/06 for 2 Abell Gardens

This inspection was carried out on 28th November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Abell Gardens 30/10/08

2 Abell Gardens 24/10/05

2 Abell Gardens 21/04/05

2 Abell Gardens 15/12/04

2 Abell Gardens 24/06/04

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 2 Abell Gardens Furze Platt Road Maidenhead Berkshire SL6 6PS Lead Inspector Stewart Mynott Unannounced Inspection 28 November 2006 11:00 th 2 Abell Gardens DS0000046689.V305972.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 2 Abell Gardens DS0000046689.V305972.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. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Abell Gardens Address Furze Platt Road Maidenhead Berkshire SL6 6PS 01628 780975 020 8568 9783 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) Owl Housing Limited Post Vacant Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: 2 Abell Gardens is a residential home offering twenty-four hour care. The home is registered for six residents with learning and associated physical difficulties. Service users are between 25 and 81 and most have been resident in the home for several years. Owl Housing Ltd, a non-profit making charitable society is registered to provide accommodation. The house is a bungalow with six bedrooms; all of the bedrooms are single and although none of them have en-suite facilities, they all have hand-washing basins. There are two communal toilets and one communal bathroom and there are a variety of aids and adaptations around the building to allow residents to move about more independently. The home has its’ own transport. The fees in respect of this service (correct at the time of this inspection) are £1208.24 per week. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over a four-day period between the 1st and 30th November 2006, with an unannounced visit to the establishment occurring on the 28th November 2006 lasting for 6 hours. During the site visit a full tour of the premises was facilitated. Over 50 of the visit was spent with all the service users, who were present at different times during the day, as well as the staff on duty observing the everyday life at the home. Discussions took place with most of the service users to gain their views and experiences living at the home, two service users have difficulty communicating verbally and their views about their experiences were gained indirectly through observations and interactions with staff. Discussions also took place with all staff on duty, including the recently appointed manager. Some of the service users and the homes records were examined to support observations made during the day. The inspection also included reference to documents completed and supplied by the home to include a pre inspection questionnaire and staff training record. What the service does well: What has improved since the last inspection? Areas within the home have been redecorated since the last inspection to ensure service users benefit from clean, comfortable and homely surroundings. The home continues to retain an effective and stable staff team with a good mixture of skills and experience, which benefits the service users. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 6 The home has ensured that the requirement and recommendation from the previous inspection were considered and met in relation to further staff training in adult protection procedures and being able to evidence that recruitment procedures are protective of service users. 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. 2 Abell Gardens DS0000046689.V305972.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 2 Abell Gardens DS0000046689.V305972.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5 Quality in this outcome area is good. Prospective service users needs are fully assessed with the opportunity to visit and “test drive” the home prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear policy on the admission process for prospective service users and has an appropriate statement of purpose and service users guide. Since the last inspection a new service user has recently moved into the home. The deputy manager explained the process undertaken to assess and introduce the service user to the home, to ensure a decision could be taken to ensure all care and support needs could be met. The documentation on file contained appropriate assessments completed by the care management team and the homes staff. A transition plan had been implemented and there was at least four opportunities for the service user to visit the home to meet with staff and other service users at different times of the day. The home provides a welcome pack for new service users to include the service users guide, which is also available in audio version. The service user had a copy of this welcome pack together with confirmation of listening to the audio version and appropriate terms and conditions of the placement. The service user spoken to confirmed that they had visited the home and stated, “I like it here”. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. Service users current and future anticipated support needs are understood and recorded, to a good standard in their lifestyle plans. Service users are appropriately supported by the staff team with their daily decisions with an appropriate management of associated risk within their individual abilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home uses an essential life style plan approach for each service user. Three service user’s lifestyle plans and associated support guidelines were examined to reflect the diversity of individuals living at the home. Two of the lifestyle plans included all relevant information about how the person is to be supported, taking into account their preferences and lifestyles. Photographs had further illustrated these. Further support guidelines were viewed to include daily routines, personal care, social care and specific support guidelines for each individual. These plans had been reviewed with the involvement of the service user and relevant representatives. Further information confirming each person’s current and future aims and how these could be achieved were also clearly detailed. One service user who has recently moved into the home also had clear and documented support guidelines and a lifestyle plan completed, 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 10 but still being further developed as further information is gathered. This further evidences the homes philosophy of placing service users at the centre of their care planning. Two service users were able to confirm that they are supported to make decisions within their daily life with the assistance of staff support as required. This included participating in social and recreational activities, personal interests, personal care and relationships with other service users and relatives. During the inspection staff were observed to support all service users with their preferences and abilities in line with recorded information on individual support plans. Staff and service users confirmed that they attend weekly meetings at Abell Gardens. They discuss menus and events they wish to attend. There are detailed risk assessments recorded on each service users care file to support service users to be as independent as possible. Three service users were case tracked and the assessments in place covered all significant areas of potential hazard and risk to include physical health, personal safety and emotional well-being in sufficient detail and these had been kept under review. Staff spoken to were clear about their importance and use to ensure service users independence and ongoing safety in their daily life. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. Service users are supported to have an enjoyable and fulfilling lifestyle, which includes suitable activities. The daily life in the home is relaxed and inclusive with service users support needs taking priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information gained from the pre inspection questionnaire confirmed that a good range of organised activities and interests are provided for each individual service user. These included attendance at day centres, use of facilities in the local community and local clubs during the day and evenings. During the visit to the home service users were seen to be attending organised events such attendance at the local day centre, support to visit a place of interest and for one service users swimming at the local sports centre with their relatives. One service user confirmed that they enjoyed the activities at the day centre and showed the inspector an array of certificates of achievement for their particular interest. Another service user confirmed the activities they enjoyed to include some artwork recently completed. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 12 One service user also described their attendance at weekly church meetings and a nearby club for local residents in the community stating that they enjoyed attending. Staff described that there is a schedule for planned events and further activities do occur dependant on service users choice for that day. Three service users confirmed that they are able to maintain their personal relationships with their relatives with the assistance from either their key worker or staff on duty as required. Staff spoken to were knowledgeable about ensuring individuals preferences and abilities when assisting with contact of friends and relatives. During the visit the daily routines within the home was closely observed. Service users were seen to be able to choose where to spend their time at home with staff providing support to encourage the individual in line with their own ability, for example, preparing to go out. Staff were seen to interact with service users particularly in the main lounge in a friendly and relaxed, yet professional manner. Staff were respectful of all service users to include using their preferred name and when entering service users personal space. Staff confirmed that service users are encouraged within their ability to participate in general housekeeping tasks and are given the choice. One service user has a written plan of tasks that they are able and willing to undertake. The service user commented that they enjoyed participating with organising their room and helping out in communal areas and stated “I prefer to be busy and they (the staff team) don’t do these things for me, which I like”. Service users choose the menu a week ahead during the service users meetings at the weekend. The menu for the following week was viewed and contained a good variety of food choices. Staff confirmed that they provide assistance to ensure service users choose a balanced diet and for two service users that they are encouraged to follow their dietary support plans in place. During the visit lunch was observed for the majority of service users eating at slightly different times in accordance with their chosen daily routine. Lunchtime was relaxed with service users provided with an appropriate level of support to eat their meals. Two service users stated that they enjoyed their meals at the home and particularly enjoyed the choice of takeaways on Saturday evenings. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. Service users personal, physical and healthcare needs are met with support from the staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users that were able to confirmed that they receive a good level of personal support from the staff team. They confirmed that timings for going to bed, rising, meals and other activities are flexible in accordance with their preference. Three service users require additional equipment to assist them with moving around the home. Equipment particular to the individual need was seen to be in place and staff were able to clearly explain how this was used. Service users and staff confirmed that personal care is provided in line with individual guidelines in private. Two service users described the additional support received from their key workers. Daily records viewed for four service users provided further evidence of a good level of personal support. One service user has limited speech and uses their own version of Makaton. One staff member spoken to was able to understand these signs and showed the inspector the record containing photographs and meaning for the signs used by that service user. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 14 The deputy manager described the current arrangements to monitor individual service users health. Records viewed for four service users confirmed access to local NHS care facilities to include a record of GP and hospital appointments, and access to the dentist and optician. Three service users also have regular access to more specialist care to include occupational therapy, dieticians and psychiatrist support. The home keeps a record of ongoing health issues and evidence of annual reviews to include medication was also documented. The deputy manager explained how service users medication is managed within the home. There are appropriate systems for the ordering, collection, administration and disposal of medicines. Records relating to the administration of medicines for four service users were examined and completed clearly with no evident gaps over the past two weeks. There are individual guidelines in place for the use of “as and when required” medicines. In addition medication administration is witnessed during the day and records seen correlated with the administration records viewed. There is an up to date staff signature sheet to enable staff initials to be easily identified. The pre inspection questionnaire indicated that currently there are eleven staff responsible for administering medication. Training records viewed indicated that all staff have received the relevant training to be able to undertake this function. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. Service users and their representative’s views will be listened to and acted upon. Service users are protected from abuse by the homes robust polices and procedures, that are fully understood by the staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an appropriate policy and procedure for dealing with complaints also available in pictorial format. Two service users confirmed that they understood how to make a complaint if unhappy and would be comfortable in speaking to members of the staff team. Staff spoken to were also clear on how to deal and report complaints to senior staff members. Form the pre inspection questionnaire there have been two recorded complaints since the last inspection. These had been appropriately recorded and investigated with outcomes recorded. The deputy manager had discussed a complaint made by a neighbour two days before the inspection. This information had been passed to the new manager but had yet to be recorded in the complaints book. The new manager assured the inspector that this complaint would be recorded appropriately. There have been no concerns or complaints received by the CSCI in respect of this service. The home has appropriate policies and procedures in place to respond to allegations of abuse and adult protection. The home adopts the Berkshire inter agency policy and a copy of this is available in the main office. Staff spoken to were clear about how to respond and recognise potential signs of abuse and confirmed that they have received training. Training records viewed indicated that staff have received appropriate training in this area. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 16 There has been one allegation of abuse that the CSCI was made aware of since the last inspection. This allegation was not upheld and the prior registered manager and staff team had fully investigated and followed the correct procedures in line with accepted good practise. Two service users that were able to give an informed opinion stated that they felt safe living at the home. Staff at the home confirmed the arrangements in place to safeguard service users finances. At each handover individual service users monies are checked and signed as correct. 2 Abell Gardens DS0000046689.V305972.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. Service users are able to enjoy a homely, comfortable, safe, clean and hygienic environment. It is recommended that the manager considers developing a plan of improvement and should consider practical enhancements to maintain the appearance of the rear garden, including the lawn, for service users use and enjoyment in warmer months. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The deputy manager and later two service users gave a full tour of the home. The home is a single story dwelling which is purpose built and fully accessible to service users. Information provided in the pre inspection questionnaire indicated that many areas had been redecorated just over a year ago. The home has a separate lounge and dining room which service users were seen to enjoy using during the visit. The home was clean and tidy with a homely feeling enhanced by the furnishings and pictures. It was noted that in the communal hallway in particular, there had been damage to walls from the service users use of wheelchairs. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 18 The home benefits from a private rear garden with a patio area. Whist the garden was viewed in winter months it was noted that the garden was slightly untidy with the lawn containing a high proportion of weeds and not being even in places. One staff member confirmed that they have a new lawn mower and it was currently the staff responsibility to maintain the garden, which was time consuming. It is recommended that the manager consider developing a plan of improvement and should consider practical enhancements to maintain the appearance of the rear garden, including the lawn, for service users use and enjoyment in warmer months. All service users bedrooms were well maintained, clean, decorated and furnished to individual tastes. Two service users showed the inspector their rooms and these were individually decorated with personal possessions evident. One service user further commented, “I really like my room it has all my things and I like to watch TV on my own. The laundry facilities were examined and found to be clean and clear. Staff explanation and observations during the inspection confirmed there are systems in place to prevent the spread of infection and maintain a good level of hygiene noted throughout the home. 2 Abell Gardens DS0000046689.V305972.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is good. Service users are supported by an effective staff team, present in sufficient numbers, which are supported in their role through a good training program. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection visit service users confirmed that staff are approachable, kind and friendly with comments received to include, “They are friendly and good” and “They treat me well”. During the visit staff were seen to interact in a positive and professional manner with both staff and service users observed to be relaxed. During conversation and observation with staff members on duty all staff demonstrated the necessary skills and knowledge of individual service users needs and abilities. The staffing levels at the home were provided in the pre inspection questionnaire and examination of four weeks rotas. On the day of the visit there were three support workers during the morning and afternoon shift. From the rota there is one waking night staff provided. The manager described the recruitment and selection process for new staff to the home. There is a coordinated process with the organisations head office to ensure the implementation of the recruitment policy and procedures are adhered to. The manager described the recruitment process to include 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 20 assessment days for prospective staff and a visit to the home. One service user confirmed that they meet prospective staff but are not formally involved with the interview process. The new manager highlighted that this is an area that is subject to further development in the future to fully involve service users in this process. The recruitment records for all staff are held centrally at the head office. A recruitment checklist is retained in the home to evidence that all pre employment checks have been taken and received prior to employment. The records for the last two staff recruited to the service were examined evidencing that appropriate good practise is followed to safeguard service users welfare. The staff at the home commented that they felt that there is a good range of training available from the organisation and that they had attended all mandatory and some more specialist topics. Training records for all staff on duty were examined and found to contain copies of certificates, confirming staff have received appropriate training to the current needs of the service users to include regular refresher training as required. The new manager has recently produced a “training matrix” to identify current training completed by the staff as a whole and to identify and plan for training in the next year. There are fourteen staff currently employed excluding the new manager. Records seen indicated that six staff hold an NVQ level 2 or equivalent with a further three progressing through this qualification. 2 Abell Gardens DS0000046689.V305972.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. Service users benefit from a well managed home which is run in their best interests, however the new manager is required to submit an application for registration with the CSCI in due course. The home promotes and protects service users health, safety and welfare, although a review of the some of the COSSH assessments in place is recommended. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is now a newly recruited manager at the home following the resignation of the previous long-standing manager. The new manager confirmed that he holds the relevant qualifications for this position and prior to appointment worked for the organisation at another home. The manager advised the inspector that he planned to apply to the CSCI to become the registered manager in due course. It is a requirement that this application is received in a timely fashion. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 22 Staff and service users spoken to were positive about the new managers arrival. The manager described the processes and systems for monitoring and developing the quality of services at the home for the service users. The manager explained that regular quarterly audits are completed and information is analyzed and formulated into an action plan. One such recent audit was examined to evidence this. In addition head office representatives complete regular regulation 26 visits. The new manager advised that an action plan based on service users and their representative’s view would be developed in due course. From information contained in the pre inspection questionnaire, all relevant checks and servicing of equipment has been completed to ensure the continued health, safety and welfare of service users and staff. During the inspection visit a sample of records was viewed to crosscheck information already provided. Records viewed included fire safety records, COSSH assessments and hot water temperature monitoring and food storage records. All records viewed were up to date and appropriately maintained; although some of the COSSH assessments may benefit from a reassessment to ensure that the information is relevant to products being currently used. Staff observed during the day were seen to work in a safe manner and able to describe their knowledge in relation to the safety and welfare of service users. 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 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 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 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 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 2 X 3 X X 3 X 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA37 Regulation 8 Requirement That the responsible individual ensures that the new manager completes and submits an application to become the registered manager to the CSCI. Timescale for action 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations That the manager considers developing a plan of improvement to consider practical enhancements to maintain the appearance of the rear garden, including the lawn, for service users use and enjoyment in warmer months The manager should review the COSHH risk assessments that have not been reviewed in the past year, to determine if they are relevant to the products currently being used in the home. 2. YA42 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House, 4630 Kingsgate, Oxford Business Park South, Cowley, Oxford, OX4 2SU 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 2 Abell Gardens DS0000046689.V305972.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!