CARE HOME ADULTS 18-65
2 Cowley Way Bentilee Stoke-on-trent Staffordshire ST2 0RB Lead Inspector
Wilkes Irene Unannounced 29 June 2005 09:30 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 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 Stationary 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 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service 2 Cowley Way Address Bentilee Stoke-on-trent Staffordshire ST2 0RB 01782 596047 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Choices Housing Association Limited Mrs Andrea Abbotts CRH 8 Category(ies) of LD (8) registration, with number of places 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 8 September 2004 Brief Description of the Service: 2 Cowley Way is a detached purpose built domestic style property that is registered to provide 24 hour care for up to 8 adults with a learning disability. The home provides accommodation on 2 floors, each for 4 gentlemen currently. The ground floor of the home comprises a lounge/diner, domestic kitchen, laundry, 4 single bedrooms each with a wash basin, and a shower room/WC and an assisted bathroom/WC. It has been designed throughout this level to meet the needs of people with a physical disability. The first floor is a replica of the ground floor, save for the absence of a laundry and there is a standard bathroom/WC. Grab rails have been fitted throughout the home as required. There is a small private garden and limited off road parking. The design and location of th ebuilding fit in well with the other surrounding properties. The home is on the edge of a large housing estate and there is good access to shops and a local supermarket. There is easy access to the main bus route to Hanley and Longton town centres. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a part day in June 2005. 8 gentlemen currently live at the home. There have been no new admissions since the last visit. A tour of the home and grounds was undertaken. 3 service users were case tracked for inspection purposes and the other 5 service users were each spoken with in a more limited way. The manager and 2 staff were on duty at the visit. Full discussion was held with the manager and the other 2 staff were spoken to in varying degrees. The line manager for the home from Choices organisation also made an unannounced visit. A service user from another home was just arriving at the conclusion of the inspection. The care plans of 3 gentlemen were examined in detail. The information contained in them was cross referenced with the service users to further confirm this evidence, and further clarification was sought from the manager and a staff member about their role in supporting the service users. In this way a full picture of the service users’ needs and aspirations and if these were being met was built up. Staff practice was observed throughout the inspection. Staff records regarding personal files and training were seen, as were records relating to medication, food, residents meetings, staff rotas, complaints and maintenance. What the service does well:
All of the service users said that they were happy at the home. ‘It’s alright here. The staff are alright. They look after me’ was a comment made by a service user who does not talk much but responded in his own way about how he is treated at the home. His body stance and facial gestures of smiling and laughing when talking to staff spoke as well as his words. There is a relaxed atmosphere in the home where the gentlemen are supported in personal care in a way that they wish and are encouraged to make their own decisions in a supportive environment. It was clear from observation of the staff speaking with each service user that they had an excellent rapport with each of them. All of the gentleman smiled and/or laughed with the staff on duty and they were clearly relaxed. Every effort is made by the home to ensure that the wishes of the service users are met. There are up to date person centred plans that are developed with the full involvement of the service users and are reviewed regularly to check on the progress being made. The 3 service users spoken with more fully each confirmed in their own way that they are well supported by the staff who assist them to access hobbies and become a part of the community and who
2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 6 also provide advice as needed. The manager and a member of staff were also asked about the needs and interests of each person and they had an excellent understanding of each individual. The service users at Cowley Way have varying interests and abilities, and their individual plans and lifestyle reflected this. One enjoys his weekly walk with a rambling club, another goes to a line dancing club, most enjoy shopping and visits out to the pub, restaurants and occasionally the theatre, while one service user said that he much prefers being at home to enjoy his cowboy videos, look at magazines or have visitors. Whatever the chosen lifestyle, the service users are supported to maintain this. The service users said that they enjoy their food. Individual choices are made at breakfast and lunchtime, with service users coming and going dependent on their activities on that day. They all choose the menus for the main meal on a periodic basis via the house meetings, but confirmed that they could change their mind and have something else if they wished. Each service user has an ‘OK Health Check’ that addresses both physical and mental health needs, and any professional appointments needed are followed up and acted upon. Records were seen for all health appointments and the follow up action needed. There is an experienced manager at Cowley Way who is a qualified nurse. There is a strong focus on staff training and the manager leads a well trained staff team who all work hard together to provide the support required by the service users. There was obvious trust and an excellent rapport between service users and staff. What has improved since the last inspection?
Cowley Way has consistently operated as an excellent home since the national minimum standards were introduced. At the last visit the only requirement that the home had direct control over (there are wider organisational issues that are being addressed) was an issue linked to the deployment of staff, as at the inspection due to outside visits being made by other staff with service users there was only one staff member in the home for some considerable time, and the inspector felt this to be an issue at this particular time. Prior to this visit now being reported on the manager had communicated to the inspector how she had addressed this, and the action taken was well thought out and was clearly being implemented. Other issues raised at the last inspection were recommendations only, but it was pleasing to note that these too had been addressed. These were a continued review of care hours to ensure that the needs of service users were being met (ongoing) and a review of service user files and risk assessments that were clearly being addressed on a continued basis. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 7 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 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 There have been no new service users at the home for some time, but the records in place for the current service users evidence that the needs and aspirations of any prospective future service users would be assessed. EVIDENCE: The care plans of 3 of the service users were looked at in the process of case tracking. These showed that each person had received an assessment of their needs before they moved into the home that contained appropriate information about their needs and aspirations. Case tracking of other service users at previous visits has also confirmed that this takes place. Discussion with the manager confirmed that the same sort of information would be obtained for any future prospective service user. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 The service users are supported in their individual needs and enabled to make choices about their life that are appropriately recorded in their individual plan. The taking of risks is considered to be an integral part of an independent lifestyle that is promoted at this home, but all risks are assessed with service users and suitably managed to minimise the risk as far as possible. EVIDENCE: All 8 of the service users were at home at some part of the visit, either enjoying activities in the home for the day, or going out to individual activities within the community. All 8 gentlemen were spoken with at some point, while the care of 3 service users was tracked for inspection purposes. 2 service users were happy to chat at length, another service user chooses not to talk, but acknowledged that he was comfortable with the inspector looking at his file and checking things out with him by him gesturing. The personal files of the 3 men identified above were looked at and their content was cross-referenced to the outcome of the accompanying discussions. The manager and staff also discussed the individual needs of each of the gentlemen and their written plans. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 11 Discussion with the service users evidenced that they had some awareness of their personal plans and their content. There was a 24 hour plan of care in place for each of them, and they knew to an extent about this. One chatty gentleman talked about his life and what he said was also recorded in his person centred plan. There were also relevant risk assessments in place relating to his needs. He spoke about preferring to be in the home most of the time, and confirmed that staff had discussed this with him, and he was aware that he would be supported to go out more if he chose to. Another gentleman nodded in agreement about his care and person centred plan. The third gentleman has chatted in depth previously, but his care plan was checked again on this occasion as he has recently had some change in needs. He was aware of the revised information recorded about him, and what this meant in practice regarding his lifestyle. The files showed that each person had a major review of their person centred plan (PCP) in May of this year, and that progress towards what had been decided at that planning meeting was evaluated monthly. Each file contained comprehensive details about the goals that each person was working towards in terms of greater community presence, meaningful activities to secure a valued lifestyle etc. The files each contained relevant recording of any risks related to the service users chosen lifestyles. For example, there were risk assessments in place relating to accessing the community alone, accessing taxis, etc. These risk assessments showed the hazards for the individuals associated with these activities, but the steps that were put in place to minimise each hazard and confirming that the level of risk was justified to secure as much independence as possible. The plans, risk assessments etc were also discussed with the manager and staff who confirmed how they supported the gentlemen to live independent lives, but also described the support systems in place to offer advice, minimise risk etc. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, and 17 Service users enjoy a range of activities and hobbies linked to their individual interests that they enjoy both within the home and within the wider community. Friendships with relatives and friends are encouraged and supported. EVIDENCE: Discussion with the service users and inspection of their care plans evidenced that they are encouraged to take part in a range of activities linked to their individual interests and to be a part of the local community. For example, service users interests ranged from being a member of a local rambling club, enjoying line dancing on a weekly basis, to shopping and for the service user more content with staying at home watching cowboy videos, helping to prepare meals and reading magazines. Each gentleman said that they enjoyed a lifestyle of their choice. The person centred plans also showed that whilst each gentleman is part of the local community their plans also addressed how this could be developed further. At least monthly visits to the pub and restaurants are arranged, and
2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 13 variously theatre trips, days out and holidays are planned at the 6 monthly review. The service users all said that they enjoyed the activities that they took part in. ‘It’s alright here. The staff are alright. They look after me and help me with things.’ Relationships with relatives and friends outside the home are encouraged. 1 service user spoke about his relatives visiting and how he visited them. The quieter service user nodded in confirmation that he visits his mother by taxi on a weekly basis and that his mother also visits the home. The third gentleman had a very active social life with outside friends that he has talked about in the past, and although due to a fall some of his confidence has left him he still manages to get out to visit. The service users also attend coffee mornings and events at other of the Choices homes, and at the end of the visit someone from another home arrived to see his friends at Cowley Way. Their meals were discussed with the service users and they confirmed that they had what they wanted and enjoyed the food. They generally choose their own breakfast and lunch on a day to day basis and decide on an evening meal collectively, but it was confirmed that they can have an alternative should they change their minds. The menu book was seen that confirmed a range of nutritious food. The residents meeting book also recorded that menu plans were discussed on a regular basis. The lunchtime buffet meal was chosen during the visit and the food seen was fresh and healthy. The dining table was appropriately set and lunch appeared a relaxed and enjoyable affair. 2 service users returned from a food shopping trip during the earlier part of the visit and confirmed that they had been shopping for the food that all in the home had chosen. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Service users receive the support they require in personal care in a way that they wish. All aspects of their physical and mental health are assessed and appropriate actions taken to follow up any issues. Medication procedures are sound. This all results in any health issues being dealt with promptly by the home to the benefit of the service users. EVIDENCE: Care plans evidenced that service users are consulted about the personal care that they receive and about the way in which they prefer this support to be given. For example, support for bathing and the risk assessments that were in place to ensure that any risk was minimised as far as possible. The service users confirmed that this was correct. A member of staff was asked about the care needs of individual service users and he had a good understanding of the type of support that they required. All service users have an annual ‘OK Health Check’ that reviews the physical and mental health of the service users and identifies any health issues requiring attention, that are then acted upon, with referral to other health professionals as appropriate. Full health records are maintained for GP, chiropody, optical etc. appointments and the outcomes recorded. Care plans are in place for any individual issues requiring care and monitoring, such as a
2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 15 skin problem, deteriorating eye sight, etc. these are recorded and monitored and evaluated on a monthly basis with a more complete 6 monthly review. A service user had a severe fall, and in addition to full recording about District Nurse visits, the file showed that the 24 hour support plan had been appropriately revised due to a change in need. The staff member questioned had a good understanding of the health needs of the service users. Medication storage and procedures have been inspected in detail at previous inspections and identified that all aspects of medication provision is sound. The manager is a qualified nurse. The staff team receive both internal and external medication training. At this visit it was seen that the same systems as before are in place for medication storage and procedures. The inspection this time was more cursory but a small sample check of MARS charts was undertaken which showed that they had been completed appropriately. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has an appropriate complaints procedure in place and service users are aware of their right to complain. Staff have a good understanding and are aware of their responsibilities in protecting service users from any form of abuse. This attention to advising both service users of their rights, and training staff in their responsibilities ensures the protection of the service users. EVIDENCE: The home has an appropriate complaints procedure and each service user has a copy in the handbook (service user guide). 1 service user was asked what he would do if he wasn’t happy about something in the home, and he understood about his right to complain. The home has not received any complaints since the last inspection. On the day of this visit the manager reported that on that morning a service user had complained to her line manager about Choices organisation’s new approach to transport and finances. The line manager was taking up the complaint directly, but the manager was set to record the detail in the complaints log at the end of the visit. 1 staff member was spoken to about his understanding of signs of abusive practice. He confirmed that he had received training about abuse during induction and that he had a good understanding of his responsibilities. Training records were examined and showed that all staff had had training in this area. Service users were asked about how staff treated them and in every case they confirmed that they had a good relationship with all of the staff. The service user handbook contains details in pictorial format about what service users should do if they are not happy at any time with the way that they are being treated. A house meeting also takes place on a monthly basis, and the records showed that this topic had been discussed with service users.
2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 17 Discreet observation of staff and service user interaction throughout the day gave an impression of mutual respect between them and that service users were relaxed in the home. Appropriate risk assessments are in place for areas where service users may be vulnerable to self harm. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 18 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 standard(s) 24 and 30 Cowley Way provides a spacious, comfortable and safe but homely environment and is very clean throughout. This ensures that the gentlemen living there can enjoy living in a very pleasant home. EVIDENCE: At the last inspection visit the upstairs of the home was about to be redecorated, and this and the downstairs lounge had been completed at this inspection. All areas of the home are well cared for and furniture, fixtures and fittings are of good quality and meet the needs of the service users. The premises provide a very comfortable home in a domestic setting. A tour of the home was made, including a visit to 2 service user bedrooms. These reflected the interests and hobbies of the service users and were well personalised. The gentlemen take part in household chores and all areas of the home were very clean. Appropriate hand washing facilities are in place, and sound systems were in evidence, including protective clothing, for dealing with laundry to prevent the spread of infection. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Choices organisation has a strong focus on training of staff and this policy is implemented at Cowley Way. This awareness of the need for well trained staff results in a confident staff team, with an awareness by service users of staffs’ understanding of them. EVIDENCE: The training records showed that all staff had received appropriate induction, mandatory and specialised training as required. A training matrix was in place to show when training had been completed, with dates for when revised training was due. A member of staff was asked about the training he had completed and questioned about some areas, such as abuse, confidentiality and fire procedures. He confirmed the training that he had received which matched that shown in the training record, and he had a good understanding in all of the areas asked of him. He was also questioned about the needs of individual service users and his knowledge was sound when cross- referenced with care plans and in discussion and observation of the service users. Throughout the day discreet observation of staff and service user interaction showed that each afforded the other mutual respect, and the service users
2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 20 needs were met in a calm, efficient and inclusive manner that respected service users’ wishes. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Cowley Way is a very well run home. Choices organisation has sound procedures in place to maintain the health, safety and welfare of service users, and these procedures are closely adhered to by the manager. This leads to a safe environment for the service users. EVIDENCE: At the visit a sample check was made of COSHH storage, fridge and freezer temperatures and food probing checks and all of these had been maintained appropriately and showed no obvious problems. All mandatory training for staff was up to date. Fire records were sampled and these were sound. They also showed that a fire drill is held on a monthly basis. The manager explained that this was to ensure that during a 3 monthly period all staff attend at least 1 fire drill, and this is viewed as good practice. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 22 Maintenance records were seen and these showed that any issues are reported to head office which then take action to resolve the problem. Examination of a sample of faults that had been reported showed that the issues had been timely addressed. The manager confirmed that all annual maintenance checks were in date and that these are arranged by the head office. A discussion was held with the manager suggesting that a log of when maintenance checks are due could perhaps be kept at the home. Daily and weekly checks of the environment are undertaken which ensures that any issues are identified at an early stage. Risk assessments both for the environment and on an individual basis were in place and were very thorough and well thought through. 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 4 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
2 Cowley Way Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement NO REQUIREMENTS Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations NO RECOMMENDATIONS 2 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Cowley Way E51-E09 s.8213 Cowley Way v. 236067 29.06.05 Unannounced Stage 4.doc Version 1.40 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!
