Inspection on 28/08/07 for 24 Flambard Avenue

This inspection was carried out on 28th August 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

24 Flambard Avenue 15/04/09

24 Flambard Avenue 10/08/06

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

CARE HOME ADULTS 18-65 Flambard Avenue (24) Fairmile Christchurch Dorset BH23 2NF Lead Inspector Tracey Cockburn Key Unannounced Inspection 28th August 2007 10:15 Flambard Avenue (24) DS0000065314.V347367.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 Flambard Avenue (24) DS0000065314.V347367.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. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Flambard Avenue (24) Address Fairmile Christchurch Dorset BH23 2NF 01202 474848 01202 474803 Flambard@robinia.co.uk 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) Robinia Care South Limited Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2006 Brief Description of the Service: Flambard Avenue is a four bedded detached home for young individuals with learning disabilities and associated behaviours, which may challenge the service. It is registered to provide personal care for four adults with learning disabilities. The home is based in the heart of the local community in Christchurch, Bournemouth. Good public transport facilities, local shops, cinema, restaurants, churches and a library are all within walking distance or a short car journey away. Accommodation is provided on two floors. The ground floor comprises of two lounges, one for quiet, sensory activity and one for TV, a kitchen separate dining room, a laundry and office in addition to one service user’s en-suite bedroom. The upper floor has 2 en-suite bedrooms, a further bedroom with an adjacent bathroom and a staff sleeping in room. The secure back garden is mainly laid to lawn, surrounded by mature shrubs and trees. A brick built shed and a further patch of land is sectioned off at the end of the garden. There is also a patio and brick built bar-be-cue. The homes aim is to provide a safe, homely environment for young adults with learning disabilities. Weekly fees range from £1500 to £1600. Further information on fees and contracts can be found on the Office of Fair Trading website: www.oft.org.uk Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over the course of a morning and afternoon. It was a key inspection and the visit took place with no warning. This inspection was undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. All key standards were assessed according to the Care Home for Adults (18-65) National Minimum Standards. As part of the planning process the home submitted an Annual Quality Assurance Assessment (AQAA). Regulation 26 visits; Regulation 37 incident reports and survey forms were also used to inform the inspection. 2 survey forms were returned from people who live in the service. Both people responded very positively to all the questions asked such as: “ do the staff treat you well” “Is the home fresh and clean” “Do you make decisions about what you do each day” Information from the AQAA has been used during the inspection to evidence and inform the inspection. What the service does well: People who are considering this service will have their needs and aspirations assessed before they move in. this means that they will know if the home is right for them before they make a final decision. People have their changing needs reflected in their individual plans which means that the staff know how to care for each individual. People who live in the service say they are able to make decisions about their lives. People living in the service are supported to take risks. People living in the service are able to take part in activities, which interest them in the local community. People say they are able to keep in touch with family and friends. People are encouraged and supported to eat healthily. From information received people tell us that they are supported in the way they want and prefer. Good recording of information means that people who live in the service have their physical and emotional needs identified and met, through partnership working between the individual, staff and healthcare professionals. People who responded to the survey form said that they knew who to speak to if they were unhappy and they were confident that they would be listened to. People live in a bright cheerful environment where they are able to personalise their own private space. The home is clean and hygienic. The home has a robust recruitment policy and procedure, which ensures that the people living there are protected. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 6 There is a system of quality assurance, which means that the people living in the home are listened to and the service develops to meet their wishes. 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. Flambard Avenue (24) DS0000065314.V347367.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 Flambard Avenue (24) DS0000065314.V347367.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. An admission procedure is in place that ensures prospective service users are only admitted on the basis of a proper assessment and subsequent trial period ensuring the home is confident the service they provide will meet potential service users’ needs. EVIDENCE: The home has a comprehensive admission policy and from the records viewed it was clear this was being thoroughly implemented by the manager and staff at Flambard Avenue. There had been 1 admission since the last inspection. All pre-admission assessments had been collated and used to obtain a detailed picture of the service users needs and abilities. The records clearly demonstrated the time and care taken to understand the service user’s needs as much as possible prior to the actual admission. This included staff from the Flambard Avenue visiting the prospective service user, the service user visiting and staying for overnight and week-ends visits and staff from the previous placement staying at Flambard Avenue for two nights to support and encourage the new service user to settle well into his new environment. There was further evidence on Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 9 files to demonstrate that service users are subject to a one month, three month, six month and ultimately an annual review of the placement. Information is available to prospective new service users and there is a service user guide produced in an accessible format using clip art and simple text. Flambard Avenue (24) DS0000065314.V347367.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. People who live in the service have individual plans, which reflect their changing needs and goals. People say they are able to make decisions about their lives with support. People are supported to take risks. EVIDENCE: 1 person’s care plans were examined. This provided comprehensive information about persons’ identified needs, expected outcomes, identified risks, support and care actions, early warning signs, recognised triggers and behaviours displayed followed by strategies to support the individual e.g. proactive, active and reactive. All areas relating to general health and mental health, finances, mobility, personal care, communication, family and friends, daily activities, routines eating and drinking and household tasks are incorporated within the plans. The plans are written in the first person and hold examples of how the person likes to be supported e.g. “I need staff to Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 11 support me in dialling a telephone number”, “ I need some supervision and gentle verbal prompts”. The manager and staff advised that the assessments and plans are developed and reviewed with input from relatives and significant others and where possible with the service user; though this is often through observations of the service user’s behaviour and reaction to situations and the environment. The plans are reviewed monthly. The Manager and staff spoken to in addition to records viewed demonstrated that the service is proactive in promoting the rights of service users to make decisions and control their lives. There are no limitations placed on service users in relation to their choices or human rights. Staff provide information and assistance in order to support the individual to make their own choices and decisions. Examples include menu planning, daily and weekly timetables, shopping, choosing clothes and toiletries, preparing drinks and snacks and personalising their bedrooms. The home has a comprehensive, user-focussed risk assessment policy and procedure in place. Risks are well documented and focus on enabling service users to continue to take responsible risks and maximise independence. Where, from the case files examined, risks had been identified following a needs assessment these had been duly recorded. As with care plans, risk assessments are updated monthly or on ‘an as and when basis’. Service users receive support and training, where necessary, such as Health and Safety training, road safety and personal safety when out in the local and wider community in addition to going swimming, out for lunch, walks or to the shops. Flambard Avenue (24) DS0000065314.V347367.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 are able to live the lives they want to take part in activities, which interest them in the local community. People are able to have relationships with the people who are important to them. People are encouraged to have a healthy diet. EVIDENCE: A record of people’s daily activities is kept on each individual’s file. All service users have regular organised daytime activities, which can be flexible according to individual choice. The AQAA submitted by the home details that each person has a “flow of the Day” and picture boards and symbols to plan their day. This was evidenced during the inspection. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 13 Trips out into the community include swimming, horse riding, going for walks, to the pub, trampolining and shopping either by public transport or in the homes own transport. 2 People attend college, 1 person attends a work placement. 3 people went on holiday together. During the inspection 1 person went out with a member of staff and other helped prepare lunch and another person was in their room. Staff demonstrated flexibility in responding to individual needs. Relative’s details were recorded on service users’ files. Care plans seen provided detailed information about social contacts and significant people in the lives of service users, and daily care records included entries relating to contact with families, friends and acquaintances. Service users can entertain either in communal rooms or in their own bedrooms. Visits home to family are regularly facilitated. Housekeeping tasks are featured in the Service User guide and included in individual care plans. Service users are able to spend time in the privacy of their rooms, bath and shower when they choose and go to bed when they want to. Observation throughout the inspection showed that service users had freedom of movement around the premises and were able to help themselves to drinks and snacks when they wanted. Staff were seen to be sensitive to individual needs and promote independence. A visitor’s book is kept at the entrance of the home and was clearly used by the regular entries noted. From discussions with staff and observations made throughout the inspection it was evident that staff are very aware and respectful of the rights of the service users and the importance of encouraging and supporting service users to develop a safe level of independence based within the risk assessment framework. A sample of menus was viewed as part of the inspection. This showed service users were offered a varied and nutritious diet and supported to follow a healthy eating plan. Service users usually helped themselves to their own breakfasts and ate together in the evening. People can be involved in planning, preparing and cooking the meal if they choose to. During the inspection lunch was eaten together with staff in the dining room. 1 person chose to eat their meal on their own in the lounge. A menu planning pack has been purchased which is in pictorial form and includes laminated pictures of food and is colour coded to denote nutritional values. Flambard Avenue (24) DS0000065314.V347367.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. People living in the service are supported the way they prefer and require. People have their physical needs met. The home has a system for dealing with medication, which protects the people living in the service. EVIDENCE: There was evidence that service users were receiving the personal support they needed. Support needs were clearly recorded on care plans. The detailed Individual Care Plans and risk assessments clearly inform staff how each person wants and needs to receive their individual support. Daily records are kept on the individuals’ daily activities, physical and emotional health and any specific behaviour /incidents. Records of any appointments /consultations with other agencies/professionals are maintained. These records provided excellent information and help staff form a picture of the service user’s changing needs. All service users were registered with a local G.P. and any health care needs were clearly recorded. They all have access to external professional services if deemed necessary. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 15 Care plans demonstrated and service users confirmed that staff provide sensitive and flexible personal support in order to maximise their privacy, dignity and independence. Any support offered is arranged with the focus on enabling service users to be as independent as possible, therefore support ranges from prompting to actually supervising and attending with the service user. The home has a medication policy but it did not cover procedures for: ordering medicines; providing medicines required when out for the day or on holiday; when the GP changes medication and storing medicines needing refrigeration to guide staff. No person was self-medicating. Medicines were stored securely and staff have had training through the pharmacy. The Medicine Administration Record (MAR) charts were signed properly. There were some signature gaps. Changes to medication were clearly recorded on the MAR chart. There were individual care plans on medication, which included relevant information including an annual GP review. Flambard Avenue (24) DS0000065314.V347367.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 good This judgement has been made using available evidence including a visit to this service. The home has a system for listening to and acting on peoples concerns. The home has a policy on safeguarding adults, which staff understand this means that the people living in the service are protected. EVIDENCE: The home has a detailed written complaints policy and procedure. 1 person spoken with were aware they could complain and were able to say whom they could talk to if they were unhappy about something. They also felt they would be listened to and something would be done. The Manager reported that no complaints had been received. Observations made during the inspection clearly demonstrated that the views of the people living in the service are listened to and acted upon. The service has robust policies and procedures in place and staff undertake regular training in relation to the protection of vulnerable adults. A whistleblowing policy is in place. The permanent staff team are all SCIP trained, which is physical intervention training based on de-escalation techniques, only using restraint as a last resort. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People live in a homely and comfortable place, which has systems in place to ensure that it is clean and hygienic. EVIDENCE: A tour of the premises was carried out as part of the inspection. All communal rooms were seen including the lounge, dining area, kitchen, laundry room and three service users bedrooms. The premises were well maintained and decorated in a comfortable, homely way that was suitable for its stated purpose, i.e. providing care and support to adults with learning disabilities. Furniture, although robust, is domestic in style. The home is fortunate to have two lounges, one that is used for quiet, sensory time and one that is used activities such as watch the television and playing games. The outside garden has a brick built bar-be-cue and good size Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 18 patio area with patio furniture. The garden is both secure and private and is framed by mature trees and shrubs. 1 person showed their room which was very personalised and they were very proud of the way it was decorated. There was lots of space for personal possessions. Three of the four service user bedrooms have en-suite facilities and the remaining bedroom has a bathroom adjacent. One service user spoke positively about her bedroom and general living environment. A further W.C. is situated on the ground floor for communal use. All bathrooms were seen to be clean and hygienic. There was some lifting of the flooring in the ground floor bathroom used by staff. This was discussed with the manager who explained that there had been a leak of the pipes behind the wash hand basin and part of the flooring was taken up. It is due to be repaired. The home was observed to be clean, tidy and hygienic. The Manager was aware of procedures to control the spread of infection and an appropriate policy was seen during the inspection. The laundry room is situated off the hall ensuring any soiled articles do not need to be carried through the kitchen. Separate hand washing facilities are provided. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Competent staff supports people living in the service. The recruitment practices in the home ensure that people are supported and protected. Staff received the training they need to do the job well. EVIDENCE: 1 staff file was examined at random, for the purpose of ensuring all requirements under The Care Homes Regulations 2001 were being met. A robust system is in place, which is working in practice. Those records seen fully meet the requirements. This included having the correct documentation for someone who required a work permit. Training undertaken has included Health and Safety’ SCIP, Fire Safety, Infection control, First Aid, Food Hygiene, Personal Care, Medication and Abuse. Future training scheduled includes SCIP physical intervention training, Abuse update, update on fire training, update on medication training from Boots Pharmacy and Autism Awareness. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 20 Staff are also receiving training in Person Centred Active support and moving and handling. Staff receive communication training as there are 2 people living in the home who have limited verbal communication. There is also evidence of equal opportunities training and diversity. During the course of the inspection staff spoke highly of the training opportunities available to them and a senior member of staff who has responsibility for the supervision of others had undertaken appropriate training. 2 members of staff have NVQ 3 and another 2 are working towards it. 1 member of staff has NVQ level 2 and another is working towards it. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 by a very experienced person who understands the duties and responsibilities of running a care home. There is a system for self monitoring and developing the service and involving people who live in the home. The health, safety and welfare of people living in the service is promoted and protected. EVIDENCE: The current manager has been in post since September 2006, she was the registered manager of another care home within the registered providers group. She was the registered manager of that service. She is not registered at present as the manager of Flambard Avenue. The manager stated that she would ensure that an application is submitted as soon as possible. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 22 The home has a fire risk assessment, which was reviewed on 18/08/07. Weekly and monthly health and safety audits are also undertaken. All permanent staff had completed emergency first aid and the majority had undertaken food hygiene training. These training courses are provided on a rolling rota system to ensure all staff are appropriately trained. Temperatures of fridge/freezer and food cooking were all recorded. COSHH substances were stored safely and had accompanying data. Water temperatures are kept at 43degrees C and are also tested weekly. There are robust systems in place for monitoring the performance of the home against its’ Statement of Purpose and The Care Homes Regulations to ensure service users achieve good outcomes. These include feedback questionnaires from placing social workers and families, which are then used to inform the annual action plan, Regulation 26 visits, monitoring of all accidents/incidents/medication, concerns, health and safety issues and through day to day contact and observation of the people living in the service. All fire records were complete and show that necessary in-house and specialist checks, fire training and fire drills had been undertaken. Accident and incident records cross-referenced successfully to service user’s files. The door of the office on the ground floor was wedged open. This is not appropriate however as the office is so small to have the door closed would be very claustrophobic as there is no window. The manager said she finds it impossible to work in the office with the door closed. Other doors such as the one leading into the lounge have closure mechanisms on them, which would release if there were a fire. It was also noted that there was a wedge in 1 person’s bedroom. Portable Appliance Testing (PAT) was done in April 2007. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 2 X Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 (2) Requirement Timescale for action 31/10/07 2 YA37 CSA 11 The registered provider must make sure that once medication has been given the MAR chart must be signed. The registered provider must 31/10/07 ensure that the manager submits and application to the commission to register as the manager of the home. 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 YA42 Good Practice Recommendations All door wedges should be removed and alternatives approved of by Dorset Fire and Rescue Service should be used. Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Flambard Avenue (24) DS0000065314.V347367.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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