Inspection on 17/06/08 for 2 Seafarer`s Walk

This inspection was carried out on 17th June 2008.

CSCI found this care home to be providing an Good service.

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 Seafarer`s Walk 10/07/07

2 Seafarer`s Walk 15/06/06

2 Seafarer`s Walk 22/11/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 2 Seafarer`s Walk Sandy Point Hayling Island Hampshire PO11 9TA Lead Inspector Ian Craig Key Unannounced Inspection 17th June 2008 14:30 2 Seafarer`s Walk DS0000064967.V365152.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 Seafarer`s Walk DS0000064967.V365152.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 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Seafarer`s Walk Address Sandy Point Hayling Island Hampshire PO11 9TA 023 9246 8343 023 9246 8343 2seafarerswalk@c-i-c.co.uk www.c-i-c.co.uk Community Integrated Care 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) Miss Helen Cassandra Smith Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only (PC) - to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD) The maximum number of service users to be accommodated is 5. Date of last inspection 10th July 2007 Brief Description of the Service: The home is situated in a quiet residential area of Hayling Island and within easy reach of the beach. It is adjacent to a nature reserve. Local shops and amenities can be accessed and the home has its own transport for getting to facilities further afield. There is parking at the front of the home. The home is purpose built with suitable adaptations and all of the facilities are provided on one level with the exception of the garden. The home is suitable for people who have physical as well as learning disabilities. All of the service users have single rooms. They have use of the kitchen/diner, a lounge and a sensory room. The building is managed by Downland Housing Association who are responsible for the maintenance of the home. The current fee is £1155.87 per week. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection was unannounced and lasted for 2 hours and 15 minutes. Discussions took place with the registered manager and 2 staff were interviewed about their work at the home. A tour of the premises took place, which included seeing each of the resident’s bedrooms and the communal areas. Records, residents’ care plans, policies and procedures were also looked at as part of the inspection. Staff were observed with the residents. Surveys were sent by the Commission to relatives asking for their views on the service provided by the home. These were returned to the Commission by the service but were not available at the time of the visit. The needs of the residents meant that it was not possible to interview them. The Commission requires that services complete and Annual Quality Assurance Assessment. This was completed by the home and information contained in it has been used for this report. What the service does well: Anyone referred for possible admission is able to visit the home to help him or her decide whether or not to move in. Each person living at the home has a personal file containing comprehensive details about their needs. Care plans are written in an ‘easy to read’ format and use pictorial diagrams to help residents understand the contents. Pictorial diagrams are also used to aid communication with the residents in the complaints procedure and for other information about the home such as the Statement of Purpose and Service Users’ Guide. The health and personal care needs of the people who live at the home are met. The home liaises with health care professionals such as general practitioners, dentists and community health teams in arranging appropriate medical and health care. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 6 Residents’ personal records and discussions with staff show that individual needs and preferences are catered for in how care is provided, and in social and leisure pursuits. Each person has a programme of various activities and social events. Community Integrated Care (CIC) provides a budget so that each person can have a holiday accompanied by staff. The home is well maintained, providing good facilities. Decoration and furnishings are homely and reflect the choices of the residents. The environment shows that the residents are able to express themselves in their rooms and communal areas, which contain many items of personal interest for interest and stimulation, such as a sensory room. There is an outdoor area for the residents to use with views across a nature reserve to the coast. Staff are provided in sufficient numbers to meet the needs of the people living there. Staffing levels can be increased so that residents can go out, such as on an annual holiday. Checks are carried out on the suitability of any newly appointed staff to work with the residents. 11 of the 14 staff are qualified at National Vocational Qualification (NVQ) in Care Level 2 or 3. In addition to this there is a programme of training for staff in subjects such as first aid, dealing with challenging behaviour, medication, and adult protection. The health and safety of residents and staff are promoted. There are risk assessments for each resident outlining how staff should take steps to minimise any identified risk. What has improved since the last inspection? The home’s manager is now registered with the Commission. The garden patio has been improved so that residents can safely use it. The home’s Statement of Purpose is now in audio form on a compact disc. The complaints procedure is also in pictorial and audio format. Care plans have been developed and now include pictorial diagrams for easier understanding. Recording of residents’ activities has improved. Staff training continues to improve with staff attending a variety of courses. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst the home has not admitted any new residents since 2004, there is a procedure for ensuring that should this happen a full needs assessment will take place and that there are opportunities for potential residents to visit the home to see if they would like to move in. EVIDENCE: The home has a Statement of Purpose and a Service Users’ Guide, which give information about the services, provided, the staff, the complaints procedure, the aims and objectives, the philosophy of care and meeting religious needs. These are in an ‘easy to read’ format using pictorial diagrams so that residents may be able to comprehend. The Statement of Purpose is also available in an audio format on a compact disc. Each person has an Information Folder, which has details about the home in pictorial formats. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 10 There is an admissions procedure which sets out how that any referral for possible admission will involve the home assessing the person’s needs and that there will be an opportunity for a visit to spend some time at the home. Residents are provided with a contract with the service, which outlines the terms and conditions of the stay at the home. These are called Licence Agreements. There is also a contract between the service, the resident and social services. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 11 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): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person’s care plan is of a very good standard containing details of how complex care needs are to be met, including when dealing with risks. Residents are supported to make choices in their lifestyle and are involved in much of the decision making in the home. EVIDENCE: The home maintains comprehensive records for each person who lives there. These include the following: • Care plan • Risk assessments 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 12 • • • • • • • • • • • Handling risk assessments My Health Health action sheets Essential Lifestyle Plan Accident/incident reports Care agreement Financial assessment Social services’ review 6 monthly and annual review Key workers report Evaluation report Care plans for each person are subdivided into the following: • Medication • Communication • Personal hygiene • Going to the toilet • Dressing • Eating • Menu • Health • Posture and movement • Maintaining a safe environment • Working and recreation including the person’s choices and preferences • Social relationships • Sexuality • Sleeping • Independent travel • Educational skills • Basic dicimination skills • Cooking skills • Use of community facilities Pictorial diagrams are used for recording the care plans and for other documents for easier understanding. Information is clearly recorded in plain English, setting out how needs are to be met by the staff. Each staff member signs a record to acknowledge that they have read and understood the care plan for each resident. Care plans are reviewed each month. Where it is not possible for the resident to fully understand his or her care plan a relative signs to agree its contents. Risk assessments are carried out and recorded where a there is risk in any activity, such as going out, swimming or bathing. Guidelines are set out for staff to follow so that the risk is minimised. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 13 Records show that residents have choice in how they spend their time. Guidelines are recorded regarding each person expressing choice. Staff explained that they know the residents’ individual needs and choices well, and have developed ways of identifying how each person expresses him/herself. Residents attend a variety of activities based on their choice and needs. For instance, holidays are arranged to suit the individual. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 14 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): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have opportunities for personal development and lead full lives, attending a variety of activities, both inside and outside the home, and based on their individual needs and wishes. The home provides a nutritious diet that takes account of individual tastes. EVIDENCE: Records show that each person’s social, leisure, educational and occupational needs are assessed in an ‘Essential Lifestyle Plan.’ Each person also has an Activities Folder showing photographs of recent activities attended by the resident, including trips to television shows, a local greyhound track, car events at Thruxton and Goodwood. The residents attend activities based on 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 15 their preferences, which are recorded. For the 2 weeks preceding the visit the following activities were attended: bowling, swimming, a Motown tribute concert, lunches out, visits to a café, and various pastimes in the home such as a Chinese evening and foot spas. One person attends a day centre 5 days a week and residents also go to social clubs where they can take part in activities with other people. CIC provides a holiday budget of £358.00 a year for each person. Staff accompany residents when they go on holiday to places such as holiday camps. The home has its own vehicle so that residents can go on excursions. Staff were seen interacting with the residents providing stimulation. The 2 care staff interviewed confirmed that residents have access to varied activities and that the holidays are successful. The communal areas of the home include photograph displays of events that residents have taken part in. A resident was seen relaxing in the sensory lounge. Staff were observed coming and going from the home with individual residents. Individual needs regarding social relationships are assessed and recorded including sexuality. Assessments are also carried out regarding residents travelling in the community with guidelines for staff to follow. The home has a menu plan and also maintains records of food provided to each person on an evaluation sheet. A notice board displays the day’s forthcoming meals. Fresh fruit is available. At the time of the visit the evening meal was being prepared of roast chicken, potatoes and 3 vegetables. Staff state that they know what foods the residents like and don’t like. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 16 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): 18, 19, 20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health and personal care, as well as emotional, needs are met. EVIDENCE: Each person has a folder entitled, My Health. Details of each person’s personal care needs are detailed in care plans with guidance for staff to follow in providing support and assistance with personal hygiene routines. Records show that there is frequent liaison with health care professionals and the manager reported how specialist services are contacted for advice and treatment. This includes the district nursing service and the epilepsy clinic. Clear guidance is held on resident’s records about how to deal with neurological needs and the administration of rectal medication. Staff are trained by the community nursing team in administering rectal medication which may be needed on an occasional 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 17 basis. Certificates of competency for each person are awarded by the district nursing team. Medication procedures were looked at. Staff sign a record each time medication is administered and medication is appropriately stored. The home does not hold any medication requiring a specified controlled drug cupboard. The home should be aware of the latest Commission pharmaceutical guidance should this situation occur. Records also show that residents have regular dental and eyesight checks. Staff state that residents’ care needs are met. Where relevant, care records include needs relating to ageing and death. The manager has plans for staff to receive training in bereavement. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 18 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home takes steps to ensure that residents’ views are listened to and that they are protected from any possible harm. EVIDENCE: The home’s complaints procedure is in various formats, such as in picture and audio form, to help residents understand it. Examples were found at the visit where the home uses communication tools to understand the views of the residents, such as notice boards and pictures. Staff explained that they have known the residents for some time and that they are aware of each person’s needs and are able to tell if the resident is communicating that he or she is not happy about something. There have been no complaints about the home for at least the last 12 months. Each of the staff attends training in adult protection. CIC have a training officer who specialises in adult protection procedures. This was confirmed from training records, from the staff and from the manager. The home has copies of literature from the Department of Health and local authorities on adult protection procedures. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 19 Care plans detail how staff should deal with any challenging behaviour needs. CIC provides training for its staff in dealing with challenging behaviour entitled, Non Violent Crisis Intervention Prevention. Records are accurately maintained where the home handles any resident’s finances, with the exception of disability living mobility allowance, which is paid directly to CIC’s head office. There are no records of how this money is spent or processed. Each person pays £30.00 a month for the home’s transport. There is an agreement to this, which is signed by the resident’s representative. It is not clear if the mobility allowance is used for this purpose. Correspondence was sent to the Commission following the inspection which included financial records, but this does not show how the home handles monthly mobility allowances. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 20 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): 24, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, clean, well-equipped and well-maintained environment that promotes their dignity and privacy. EVIDENCE: Each resident has his or her own bedroom decorated in colours of their choice. Privacy locks are provided but residents are not able to use because of their needs. Bedrooms contain many personal items such as television, ornaments, compact disc players, posters and pictures. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 21 There is a lounge/dining room with seating and a television. This opens onto a paved area through patio doors. Ramps have been used to help residents’ movement in the garden and there is a summerhouse for the residents to use. A resident was observed in the sensory room, which is equipped with beanbags and various lighting devices to provide gentle stimulation. The home has one bathroom with a toilet and a bath with an overhead hoist for those with mobility problems. Overhead hoist are also provided in bedrooms. There is a separate toilet, which the staff said could be converted into a small shower room with a toilet to give better facilities for the residents. The home was found to be clean. Staff are trained in infection control. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 22 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): 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home benefit from a well trained and motivated staff team supplied in sufficient numbers to meet their needs and wishes. EVIDENCE: The home aims to provide at least 3 care staff from 7.30am to 10pm each day with one ‘waking’ and one ‘sleeping’ staff at night. The manager works in the home in addition to these staff. The staff rota and observation confirmed this was being provided. Care staff state that the home has staffing levels that are able to meet the residents’ needs, but that it would be beneficial if there was a larger pool of relief bank staff to cover staff absences. The staff and manager confirmed that there is a low turn over of staff, which has resulted in the staff team having a good understanding of each resident’s needs. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 23 There is a notice on the wall for the residents so that they can see photographs of the staff who are on duty for the day. 11 of the 14 staff have a National Vocational Qualification (NVQ) in care level 2 or 3. This was confirmed from staff records and from the staff themselves, one of whom states she is studying for NVQ level 3 in care. Staff also attend other courses including the following mandatory courses: adult protection, Crisis Prevention Intervention, first aid, food hygiene, moving and handling and fire safety. Records show that staff also receive training in medication, risk assessment and epilepsy. Newly appointed staff have an induction based on the nationally recognised common induction standards. This is mainly completed as part of an ‘on line’ training course, but the manager also maintains a checklist record to show staff have been inducted in the home’s policies and procedures, rules on confidentiality, communication and care planning. The process of recruiting new staff was looked at for two recently appointed staff. Records show that the required checks are carried out before the person starts work, which includes a Criminal Record Bureau (CRB) check and obtaining 2 written references. Records also show that a health assessment is completed and that the person is interviewed and assessed for suitability for the post. Each staff newly appointed member has a probationary period of assessment. Staff confirm that they receive regular supervision, which is recorded. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 24 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): 37, 39, and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people who live there. The health and safety of the staff and residents is promoted. EVIDENCE: Since the last inspection the manager has registered with the Commission. She has completed her NVQ level 4 in Health and Social Care and is due to start the 9 month Registered Manager’s Award course in September 2008. The 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 25 manager explained how she has introduced changes to the home, such as in the recording of care needs. Staff describe the manager as hard working and supportive. Surveys are sent once a year to residents’ parents asking for their views on the service provided by the home. Monthly visits to the home are carried out by a representative of CIC and a report is completed. CIC also carry out an annual audit of the home and an accompanying report. The home does not devise annual development plans. Staff are trained in moving and handling and there are plans regarding individual lifting needs. Food hygiene, infection control and first aid training are also attended by staff. Residents are protected from possible burns by covers on radiators and hot pipes. Temperature controls are installed on hot water taps to protect residents from possible scalds. Weekly tests of the water temperature are also carried out and a record is made of this. The home’s appliances and equipment are tested and serviced by qualified persons. Fire safety tests are carried out and staff receive instruction in fire safety and evacuation. 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 27 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 YA23 Regulation 17 (2) Schedule 4, 9 Timescale for action A record must be maintained and 17/09/08 available to show how the home handles each person’s disability living allowance mobility component. 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 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone 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 2 Seafarer`s Walk DS0000064967.V365152.R01.S.doc Version 5.2 Page 29 - 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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