Inspection on 29/06/07 for 229 Stourbridge Road

This inspection was carried out on 29th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Stourbridge Road, 229 229 Stourbridge Road Bromsgrove Worcestershire B61 0AT Lead Inspector Dianne Thompson Key Unannounced Inspection 29th June 2007 10:00 Stourbridge Road, 229 DS0000066840.V334809.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 Stourbridge Road, 229 DS0000066840.V334809.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. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stourbridge Road, 229 Address 229 Stourbridge Road Bromsgrove Worcestershire B61 0AT 01527 875382 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) www.dimensions-uk.org Dimensions (UK) Ltd Mr Alex Christopher Rumble Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 Brief Description of the Service: Stourbridge Road is a traditional detached house in a residential setting approximately one mile from Bromsgrove town centre. The home is registered to provide accommodation for up to four people who have a learning disability. One person who uses the service is registered blind, but her needs are not sufficiently specialised to require registration for a physical disability category. There is easy access to the town centre and public transport. The home has its own vehicle for people to use. The home aims to provide a warm, homely and relaxed environment in which everyone who uses the service can enjoy an active lifestyle. The home aims to maintain physical, emotional and psychological wellbeing, minimising potential causes of distress and encouraging personal growth and community integration. Mr Alex Rumble, the registered manager is currently managing another service within Dimensions homes, and overseeing the management of Stourbridge Road. In his absence Debbie Arnold is managing the home. Dimensions (UK) Ltd is now the care provider for the service, having registered with the Commission for Social Care Inspection on 1st April 2006. The current fee for the service range from £62.35 per week. Charges which are additional to the fee include: • • • • • • Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Car leasing Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection since Dimensions (UK) Ltd registered as the care provider. The main purpose of this inspection was to see what the service at Stourbridge Road was like for the people who live there. Records for people who use the service were checked, and a tour of the building was also carried out. Other information gathered by the Commission for Social Care Inspection (CSCI) since the previous inspection is included in this report. Surveys and Relatives comment cards were sent out. Time was spent with people who use the service and staff on duty. What the service does well: The home gives clear information to people who use the service about the home. Before someone new moves into the home staff check that they will be able to give them the care they need. The home looks after people well and writes down what help everyone needs. People who use the service are given help and support to do the activities they choose. Families and friends are welcome to visit the home. People who use the service can choose what they like to eat from the healthy menu at the home. People are supported with their medical appointments and their health care. All staff are trained to give medication safely. People who use the service can talk to staff about any problems they may have. Staff are trained and know what to do if there are any problems. Stourbridge Road is homely, clean and tidy. People who use the service can decorate their rooms in the way they like. Staff are well trained. The home checks staff before they start working in the home. Dimensions checks the home to make sure that everything is being done properly. They check to make sure the home is a safe place to live and work in. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stourbridge Road, 229 DS0000066840.V334809.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 Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People are given information about the services offered at the home to help them make an informed choice about whether they would like to live at Stourbridge Road and whether the home will meet their needs. EVIDENCE: The Statement of Purpose and Service User Guide provides information about the home to help people decide if they wish to live at Stourbridge Road. The Statement of Purpose is being updated to reflect the change of provider to Dimensions, manager and changes within the staff team. Copies of information are available to all, including visitors to the home. Surveys from families confirmed that information about the home is shared, and that they are kept up to date with important issues. Evidence shows that full assessments were completed for everyone who uses the service prior to their moving into Stourbridge Road. The home has an admissions policy and procedure in place. The assessment process is very detailed and care records show that the home receives full information about people, their background, their needs, their likes and dislikes when they are referred for a placement. Information is gathered from Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 9 a range of sources such as other relevant professionals, visits to previous homes or schools, and discussions with family members. Introductory visits and stays are arranged at the home prior to admission. Everyone is given a copy of relevant information prior to moving into the home, and information is offered in preferred formats, such as symbols, pictures, audio and large print. Survey responses indicate that visits to the home were completed to make sure that the home was suitable for the individual. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans provide staff with detailed information about individual’s assessed needs. They include risk assessments to show how risks are to be reduced and how to promote independence. People who use the service are supported to make choices and decisions in their daily lives and routines. EVIDENCE: Individual care plans are detailed and informative. The plans show how goals are monitored, how they are arranged and how they can be achieved. Staff have information to make sure that all care is provided in a preferred and consistent way that encourages independence. Individual likes and dislikes are recorded and people are involved in the care planning process. A person centred care plan (PCP) approach is being developed and this format shows how people who use the service will be appropriately involved in planning and reviewing their own care. People will be supported to express Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 11 their wishes and goals. Pictures and photographs are used to assist with understanding and communication in the new care plan format. A Path map has been completed for the home and the service that is being provided. The Path map process has given staff knowledge and experience to support people who use the service in completing their PCP’s. The training and completion of the home Path has given staff an opportunity to explore, share ideas and take responsibility for specific areas of work. A completed PCP for one person was seen. This has been completed using the Dimensions format and is informative, accessible and easy to understand. Work to complete PCP’s for other people using the service is ongoing. Files for three people who use the service were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Relevant information and monitoring is provided in individual files to make sure all staff have the necessary information to provide quality care. Each person is allocated a key worker to oversee his or her care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Plans are reviewed regularly or as any changes in need occur. There is evidence of the key worker support and encouragement to make sure that people who use the service are fully involved in the reviews of their care plans. Staff said they are fully aware of the plans and use them to guide their practice. Care needs to be taken to make sure there are no gaps in the recording and that all records are dated accordingly. The home completes risk assessments to promote safety and independence for people who use the service. Individual risk assessments include mobility and handling. Plans provide information about the methods of communication that people who use the service understand. These plans make sure all staff are aware to promote consistency. Examples of the different methods used include audiotapes, and objects of reference. Family surveys confirmed that care given is what they expected or agreed with the home. Survey comments include ‘the staff are really attentive’ and ‘show close attention and expertise in their care’. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive help and encouragement to lead active and interesting lives and are supported to access facilities within the community. People are also supported to maintain links with their families and to develop friendships. The menu is varied with balanced and nutritional meals. The home promotes healthy eating for the welfare of people who use the service. EVIDENCE: At the time of the inspection visit two members of the bank staff were staffing the home as regular staff were on a training course. Time was spent with two people who were at home at the time of the inspection visit. The home provides a range of activities for people who use the service, both in-house and within the local community. All activities are organised to take into account individual needs and preferences, making sure that everyone has Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 13 the opportunity to take part. The staff said that opportunities are discussed regularly with people who use the service through their weekly meetings. Planning activities, menus, and any other issues within the home are discussed. Current external activities include ‘where next’, coach trips, watching horse racing, boating, visits to arrow valley, otters swimming club, Hatton Country farm, shopping, Amber Centre, theatre trips, Severn Valley railway trips, and horse riding. Holidays are regularly planned. Recent holidays include Disneyworld Paris and Butlins. Activities within the home include reading magazines, listening to music, watching DVD’s, hand and foot massage, painting, art and craft. Evidence shows that regular contact with friends and family is supported. Survey responses indicate that families visit their relative at the home on a regular basis. Menus show that well-balanced and varied meals are provided for people who use the service. Menus are planned during weekly meetings when people who use the service make their choices for the coming week. Alternative options are available to those chosen, although the lunch of tinned spaghetti, which was served during the inspection visit, was not very appealing and did not promote choice or healthy eating. It was disappointing to see that support and social time was not given for the two people who use the service while they ate their lunch. Staff were otherwise occupied in the kitchen while lunch was eaten. . Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. The plans provide information and promote consistency of care and support for people who use the service in a way that takes into account their preferences. The home has a medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: Individual care records and plans provide detailed information about physical and mental health and the support needed from staff to maintain good hygiene and health. Care plans sampled contain information about preferred personal care routines. Staff said they are able to communicate with people who use the service verbally and, in certain cases, with the additional use of objects of reference. Some people who were at home at the time of the visit were unable to Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 15 communicate, but they appeared to be comfortable, fully involved and at home in their environment. People who use the service and the home are well supported by medical services, which include GP’s, speech and language therapists, dentist, chiropodist, and community learning disability team. Records of all physical checks are completed where people have particular health related issues such as weight and physical functions. In this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. There were however, gaps in some of the charts, and medical information had not been transferred to appropriate sections within the files. It is recognised that two files are yet to be transferred to the new Dimensions recording format, but required records should be maintained until the transfer has been completed. In another example, there is no record to show that follow up appointments such as dentists and opticians have been attended. The home has a medication policy and procedure in place. The organisations policies and procedures provide guidelines to follow should any medication error occur. Additionally procedures advise that errors are to be reported to the CSCI. Medication administration records were seen and appropriate recording is evident. Medicines are suitably and safely stored. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use the service are protected by easy to understand information about how to complain, with appropriate information for staff provided. Staff support people to express their views and any concerns they may have. EVIDENCE: Stourbridge Road has a suitable complaints policy and procedure in place. The complaints procedure is available in alternative formats where appropriate. Two complaints have been made to the home since the previous inspection. Both complaints were investigated according to the home’s complaints procedure. One complaint was upheld and the other complaint was resolved. No complaints have been received by the CSCI since the previous inspection. People who use the service are encouraged to speak to staff if they are unhappy. The home’s complaints procedure is available in the home and everyone has a copy. Survey comments include ‘staff are very aware if anyone is unhappy and are able to act in a positive way’. There are suitable policies and procedures in place to support staff in keeping people who use the service safe. Staff complete training in relation to abuse and protection during their induction and through specific training courses. The home has relevant financial policies and procedures in place to make sure that money is kept safe for each person. People who use the service are supported to keep their money in a safe place in their bedrooms. Risk Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 17 assessments have been completed to support people in managing their own money. The provider conducts both in house and regular financial audits. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Stourbridge Road provides accommodation that meets the needs of people who use the service, and offers a spacious and comfortable home. The home is kept clean which ensures that good hygiene and infection control is maintained. EVIDENCE: A tour of the home was conducted. Stourbridge Road is set back from the main road, approximately half a mile from Bromsgrove town centre. There is reasonable access to local services and facilities, and the home has its own vehicle. The home has a large lounge and dining room, a large kitchen, bathrooms upstairs and downstairs, and a separate utility and laundry room. There is a fully enclosed rear garden with a seating area. The home has one ground floor bedroom. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 19 One service user in the home is registered blind. Specialist equipment and aids are available and include handrails, a spa bath and a tactile sensory area in the bay window of the lounge. The rooms of people who use the service are personalised and clearly show their interests and their independence. All rooms are clean, tidy and well presented. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Communal bathrooms have paper towels and liquid soap available. All cleaning materials are stored in locked cupboards in the laundry room. Staff were observed wearing appropriate protective wear for the work they were doing. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 20 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, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing levels are being maintained and the staff team understand their responsibilities. Staff are well supported and work together to provide people who use the service with consistent and good quality care. Staff receive relevant training to help them meet the needs of people who use the service. The home’s recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone living at Stourbridge Road. EVIDENCE: Stourbridge Road has a committed and stable staff team. The home uses members of Dimensions bank staff when additional cover is needed. Dimensions provide regular staff training. Staff complete mandatory training such as Health and Safety, Fire Safety, First Aid, Food Hygiene, Moving and Handling, Infection Control and Vulnerable Adults. Staff said that the training provided by Dimensions is very good. The acting manager provided training information in the pre-inspection questionnaire. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 21 Staff training completed last year includes Our Approach, Epilepsy, Defensible Documentation, Infection Control, Manual Handling and Medication training. Training courses planned for the coming year include updates for First Aid, Health and Safety, and Moving and Handling. Legislation requires that 50 of all staff should be qualified to NVQ level 2 or above in care. At the time the pre-inspection questionnaire was completed no staff working at Stourbridge Road are qualified to NVQ level. Dimensions recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. All newly employed staff complete an Induction Course. The Induction process also includes new staff being supported by senior staff to familiarise themselves with the home, people who use the service and safety matters. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 22 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, 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 managed in an open and positive way. Dimensions monitor the home in various ways to ensure that the service continues to develop as people who use the service want and that the home remains a safe place to live and work in. EVIDENCE: The registered manager, Alex Rumble is currently managing Dimensions Domiciliary care agency in Worcester and overseeing the management of Stourbridge Road. The acting manager Debbie Arnold is undertaking the dayto-day management of Stourbridge Road. Debbie was away on annual leave at the time of this inspection. Debbie is a qualified Learning Disability Nurse and has worked at Stourbridge Road since April 2006 and previously at a sister Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 23 home for some years. Debbie has completed training courses relevant to her post. Staff confirmed that the acting manager is approachable and supportive. Staff said they are able to talk to Debbie or Alex at any time. In respect of management support from the provider, Dimensions has Training and Human Resource Officers who are available to advise and support the home. Service manager meetings are held monthly. The provider’s monthly visits are one of the ways that Dimensions monitors the service and how the home is being run. These visits include interviews with staff and people who use the service. An audit of relevant areas of the service, including records, environment, complaints received, finance and safety is completed. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and are intended to form an annual development plan for the service. This report will include views on the service from people who use the service, stakeholders and interested parties. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff are undertaking all mandatory health and safety training topics. Generic risk assessments are in place. Fire records were checked. Seven fire drills have been completed so far this year, which is an example of good practice. Names of everyone present during the fire drills are now recorded. All other safety and equipment checks are completed regularly. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. 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 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA32 Good Practice Recommendations Efforts should be made to ensure that staff are enrolled to complete NVQ training in care to address the lack of suitably qualified staff working in the home. Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Stourbridge Road, 229 DS0000066840.V334809.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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