Inspection on 30/01/06 for 246 Haymill Close

This inspection was carried out on 30th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

246 Haymill Close 23/10/06

246 Haymill Close 09/09/05

246 Haymill Close 24/02/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 246 Haymill Close Greenford Middlesex UB6 8EL Lead Inspector Sarah Middleton Unannounced Inspection 30th January 2006 10:20 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 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 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 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. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 246 Haymill Close Address Greenford Middlesex UB6 8EL 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) 020 8810 6699 020 8810 8104 hm246haymill@ealing.org.uk Ealing Consortium Limited Mr Stephen Marron Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th September 2005 Brief Description of the Service: 246 Haymill Close is a care home providing personal care and accommodation for seven adults learning/physical disability. The Registered Provider is Ealing Consortium. The home was purpose built in 1995 and is modern and spacious. The staff team comprises of a Registered Manager, seniors and support workers. All bedrooms are single, four are on the ground floor and three are on the first floor, for those service users who can use the stairs. There are sufficient bathrooms, with appropriate adaptations to meet the complex needs of the service users. There is a lounge and separate dining room and kitchen. There is a large garden to the rear and side of the home, which comprises of a patio area, lawn and shrubs. The home is on a residential housing estate, next door to the Ealing Consortiums activity resource centre. The home is linked by a corridor with another separately registered home. The home is close to the A40, which is a main road into London. In addition it is a short walk to a main road, where there is public transport to the local towns of Greenford and Ealing Broadway. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of just over five hours, 10.20am-3.30pm, was spent on the inspection process. The Inspector carried out a tour of the home and inspected service user plans, staff files and maintenance records. Two members of staff were spoken with as part of the inspection. There were no visitors at the time of the inspection. It must be noted that it is sometimes difficult to ascertain the views of the service users due to their communication and learning disabilities and so their opinions could be not be sought at this inspection. The Manager has applied to the CSCI to become the Registered Manager of the home. They will be referred to in this report as the Manager Designate. The majority of key standards were inspected at the previous inspection. Many of these standards have been re-assessed during this inspection along with any additional standards. The home had made many improvements and had met twelve of the thirteen previous requirements. One requirement is re-stated and two new requirements were made at this inspection. This report should be read in conjunction with the previous inspection report from 9th September 2005. What the service does well: The home offers service users a warm and varied environment to live in. Staff are committed to work in the interests of the service users. The home seeks alternative and specialist care and advice for the complex health needs of the service users in order to make life comfortable for them. The home recognises the need for staff to receive up to date training and information so that they can gain knowledge and expertise in areas relevant for the service users. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? The daily records used in the home have become more detailed and relevant to the individual service user. Risk assessments have been reviewed or completed and staff are aware of individual risks and know how to minimise potential hazards, whilst balancing the need to enable service users to have as much independence as possible. The home has improved and promoted additional activities for service users. Individual preferences are more visible within the home and staff are encouraged to continuously consider activities for service users. Medication systems are robust and liquid medicines have dates of opening on them to ensure out of date stock is not used. Complaints procedures are in place, although it is difficult to assess how service users can directly make a complaint. Staff have now received training on the protection of vulnerable adults and have the necessary information to respond effectively in order to protect and safeguard service users. Staff are now working more as a team and are communicating well with each other. The home has settled, as members of staff have joined the team, and the home is striving to move forward and to meet the ever changing needs of the service users. The Manager Designate is aware of needing to monitor staffing levels and will continue to review staffing to ensure there are sufficient numbers of staff working at any one time in the home. Fire drills/practices are now held on a more regular basis and staff are aware of how to respond in the event of a fire. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 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. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 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 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Service users are assessed prior to admission to ensure the home can meet their individual needs. Prospective service users and their representatives are encouraged to visit the home in order to allow them to make an informed choice. EVIDENCE: A pre-admission assessment completed by the Manager Designate was viewed. This was very detailed and clearly outlined the needs of the prospective service user. The Manager Designate had additionally identified specialist equipment and assessments that would need to be carried out prior to the service user moving in to the home, in order for their assessed needs to be met. The Manager Designate described how prospective service users and their representatives can visit and spend time in the home to ensure they have met with other service users and members of staff. Service users are encouraged to have overnight stays to gain some insight into how their life would be if they lived in the home. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The health and personal care needs of service users had been identified and were being met. Where possible the home encourages service users to make decisions in their lives in order for them to feel empowered. Risk assessments were in place and were individual to the service users needs These assessments minimised the potential hazards in a service users life. EVIDENCE: Individual service user plans were available and samples were viewed. Overall these were comprehensive and detailed how identified health, personal and social care needs would be met. One service user had an essential lifestyle plan completed. This included outlining the things that are important to the particular service user, their preferred routines and preferences. This new method of devising a care plan is slowly being introduced to the home and some staff have received training on essential lifestyle planning and will be informing other members of staff about this new approach. Care plans had been reviewed and monthly summaries had been completed to ensure staff were aware of the current needs of service users. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 11 Daily records were available and had improved with the introduction of a new form. This covered service users health, what they activities they had taken part in that day and any changes that should be noted. These were more informative and staff had made positive attempts to record daily detailed information about each service user. Each service user has a keyworker who monitors any changes and ensures documentation on the service users is up to date and relevant to their needs. Where possible service users preferences and choices are acknowledged and considered by the members of staff. Service users verbal communication is very limited and staff, once they have worked in the home for a while, become aware of how each service user responds and communicates their feelings and preferences. Service users routines and likes and dislikes are noted on care plans and within the home to ensure staff are fully informed. Risk assessments viewed were individual and up to date. These included risks for eating and drinking, going out into the community and moving and handling. Risks had been identified and approaches used by staff to minimise risk were recorded in detail. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 16 & 17 Activities are in place and aim to meet the individual needs and preferences of the service users. Service users access local community resources with the support of staff. This offers service users an active and varied life. Service users have the opportunity to go on holiday and to use, where possible, any leisure facilities. Service users rights are respected and staff engage positively with service users. Meal provision and meal times are well managed. Fridge temperatures and meals must be recorded to ensure the health and welfare of the service users is maintained by all members of staff. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 13 EVIDENCE: The home had made improvements in considering the activities and stimulation service users might enjoy. The Inspector noted information on individual’s likes and dislikes and this information offered staff ideas about how to engage and occupy service users during the day and evening. These were personalised and reflected the different opportunities service users have. Overall staff commented on the improvements there have been regarding providing activities and that staff more readily engage with service users and go out into the community. Additionally service users access the local activity resource centre, where they have drama therapy, massages and join in different social groups. Throughout the inspection, staff were seen to take several different service users out of the home. Where possible staff might use public transport to provide a variety of ways to access community facilities. Some service users enjoy visits to the pub or going to the theatre and staff, where possible, support these activities. The home actively considers leisure interests service users have and aims to ensure these opportunities are available. Service users went on holiday last year and the Manager Designate informed the Inspector that some service users paired up, whilst others had holidays alone with members of staff, decisions were made regarding holidays on an individual basis. Service users rights are respected in the daily routine of the home. In service users files guidelines were in place regarding preferences and daily routines to ensure staff were aware of how to support and care for the service user appropriately. Staff were seen to interact positively with service users and were engaging with them throughout the inspection. The Inspector met the cook who works four days a week in the home providing lunches and the evening meal. Staff prepare and cook meals for the days when the cook does not work. Menus are devised by the cook and aim to offer a variety of food that is suitable for the individual needs of the service users. Fresh produce is used in meals and the cook is aware of preferences. Food that had been prepared or opened had dates of opening/preparation written on them. The Manager Designate explained that not all service users enjoy eating meals together and that service users could choose where they eat meals. One member of staff was seen to assist and feed a service user. This was carried out at an appropriate pace and in a sensitive manner. The kitchen was clean and tidy at the time of the inspection. The fridge temperatures had been taken when the cook had been working, but not when staff had been in charge of the kitchen, this is a requirement. The Inspector also noted that on some occasions meals are not being recorded for each service user. This had been noted at the previous inspection. This is a re-stated requirement. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Service users receive personal support in a way that they prefer and these preferences are noted on individual files. The home makes every attempt to meet service users health needs and seeks specialist opinions and advice when necessary. Health needs are recorded with guidance as to how much support service users need in order to maintain optimum health. Medication systems in place protected service users health and welfare. EVIDENCE: Service users receive personal care and support in a way they prefer. Staff were aware of how service users communicate their feelings and are able to distinguish when service users are unhappy with something, although it might be difficult to know exactly what they are unhappy about. Service users are able to get up/go to bed when they choose and are able to have same gender care if they or their relatives request this. One service user has this arrangement and it is clearly noted in their individual file that personal care must be carried out by a female member of staff. The home ensures that specialist professional support, where needed, is obtained in order for service users to be appropriately cared for. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 15 The health needs of service users were being met. Currently there are two service users who have pressure sores, one of which is reducing in risk and size. The District Nurse had completed pressure sore risk assessments, to include details of each wound and the plan of treatment, with a record of progress following each visit by the Nurse. Daily checks are carried out to manage and support the service users. The Manager Designate has carried out research into how to effectively care for one of the service users with a pressure sore and had ordered various pieces of equipment in order to assist the service user and make them feel more comfortable and at less risk of developing pressure sores. The Inspector viewed minutes from meetings demonstrating the home’s attempts to address this service users particular health needs. Staffing levels were also being reviewed as the health needs of the service users change. Furthermore it is well documented when service users need assistance with oral hygiene and service users are assisted to visit Dentists, Opticians and any other relevant health professionals. Samples of the medication administration records were viewed and completed correctly. Liquid medicines had dates of opening written on them. Medication was stored in an appropriate locked cupboard. Every month two senior members of staff carry out an audit to ensure medication is being administered and handled correctly. No service users self medicate. Staff confirmed they had received training on administering medicines. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has a clear complaints procedure, although it would be difficult for service users to make direct complaints. Systems were in place for the protection of vulnerable adults. EVIDENCE: The last complaint the home dealt with was in March 2005. The Inspector viewed that appropriate action had been taken to investigate this complaint. The Manager Designate acknowledged the difficulty for service users to make a direct complaint to staff. Family members advocate on behalf of service users. It was not possible for the Inspector to ask service users if they knew how to make a complaint or who they would take their complaints to. Staff have received training in the protection of vulnerable adults, (POVA). Staff spoken with said they would report any POVA concerns to management. There have been no POVA investigations carried out regarding the home. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 & 29 The home offers a warm and welcoming environment for service users and visitors. It is bright, light and clean, offering a pleasant atmosphere. Service users bedrooms offer privacy and a chance to have personal possessions with service users. Specialist equipment is in place to maximise service users independence. EVIDENCE: A tour of the home was carried out and samples of rooms were viewed. These were being satisfactorily maintained. The home was clean, bright and free from any malodours. The Manager Designate showed the Inspector the maintenance plan for the year that indicated where areas of the home would be decorated or items of furniture replaces. New sofas have been ordered for the home. The home has a housekeeper, who maintains the general cleanliness. Samples of bedrooms were viewed and these were single, spacious rooms where service users could have personal belongings with them. Photographs were seen in one service users bedroom. These bedrooms were all decorated in different colours, indicating that service users and their representatives had an input into choosing the décor of the room. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 18 The assisted bathrooms in the home were in place to meet the needs of the service users and these had been maintained and serviced. Adaptations were in place for those service users who require specialist support. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Service users are supported by competent staff who study NVQ courses in order to reflect and improve on their practice. There has been an improvement in teamwork and staff work more closely in the interests of the service users. Recruitment procedures are followed in order to safeguard service users. Staff have opportunities to receive training and information on various subjects to ensure they have the necessary skills and knowledge to support service users. Staff have one to one support on a regular basis and can seek advice and guidance to perform their roles effectively. EVIDENCE: Staff are encouraged to study NVQ level 2 or 3 once they have completed the Learning Disability Award Framework, (LDAF). The home is just meeting its target, regarding 50 of staff who must either have obtained an NVQ or are in the process of studying or enrolling to complete this qualification. The Manager Designate is aware of the need to ensure all members of staff are supported to obtain an up to date qualification. Overall staff feel they have the skills to meet the needs of the service users, through experience and training offered to them. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 20 Staff observed and spoken with were committed and enthusiastic in supporting the service users who are dependant on staff support and care. Staff stated that overall the team is working in a positive way and any issues or concerns are now being addressed through a variety of ways, such as team meetings, one to one supervision and through performance management. The Inspector noted the atmosphere in the home seemed more relaxed than at the previous inspection. The Manager Designate acknowledged that for many members of staff, there had been many changes and alterations regarding how the home operates and that for some staff they have worked through difficult times, when the home did not have sufficient management in place to support staff. The Manager Designate is committed to ensuring the home settles into working to meet the needs of the service users and to offer a high standard of care. The home currently has some posts that are vacant, for both night and day work, these hours are usually covered by regular relief or agency members of staff. There continues to be less staff working in the home on the afternoon shift. The morning shift is deemed to be busy, due to personal care tasks being carried out and therefore requires more staff during this period. Overall staff felt there were sufficient numbers of staff working in the home when service users were healthy. As noted earlier in the report, the health needs of one service user has changed and the Manager Designate is aware she must constantly review the staffing levels to ensure the home can support service users appropriately. The Inspector discussed the overall need to closely monitor the staffing levels and to seek an increase as and when necessary. The staff employment files viewed contained completed application forms, a photograph, two references, medical declaration and Criminal Bureau Check disclosure numbers. There was written evidence of the induction training new members of staff receive and the ongoing training that is offered in the home. Staff spoken with were happy with the level of training they attended. Staff have training on mandatory issues, such as first aid and fire safety. Additional training is also provided in order to meet the needs of the service users. Staff receive one to one supervision every two weeks. Staff spoken with said the supervision they had was supportive and useful. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 The home is well managed and the Manager Designate has an open style of management. The monitoring of the care offered in the home takes place through a variety of ways. This is necessary to ensure the home constantly reviews its standards and makes improvements and changes for the interests of the service users. Overall servicing and maintenance records protected the health and safety of service users. However the testing of the water temperatures within the home must be carried out on a regular basis to safeguard service users and members of staff. EVIDENCE: The Manager Designate had recently applied to become the home’s Registered Manager. They have worked in the home for over a year and have an NVQ level 4 in management and are in the process of completing NVQ level 4 in care. There are three senior members of staff who work closely with the Manager Designate to offer support to both service users and staff. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 22 There is always an on call duty system, to assist and give advice to members of staff, as there are not always seniors working on each shift. Staff spoken with commented positively about the Manager Designate and said she was flexible, supportive and approachable. Systems are in place to monitor the quality of the care offered in the home. Monthly Regulation 26 visits take place and in 2005 customer satisfaction surveys were carried out, although these findings were not available for the Inspector. The Manager Designate has introduced a quality assurance checklist that looks at the day to day running of the home. This is carried out by various members of staff regularly and unannounced. Where shortfalls are noted the management team takes action to improve standards, for example introducing a staff competency checklist to monitor members of staff knowledge and skills. Discussions took place with the Manager Designate to consider, along with their line manager, a more simpler way of reporting/evidencing how the home monitors the quality of care and any action that has been taken following internal audits and gathering service users views. The Manager Designate acknowledged there might be an alternate way in recording and demonstrating the areas the home has assessed. Servicing records were viewed at random. There had been an improvement in fire drills/practices and times and members of staff who had attended fire drills had been recorded. Fire equipment, Gas Safety record, Portable Appliance testing and the testing for Legionella were all up to date. Water temperatures had been taken the week before the inspection, but prior to this, had not been taken since September 2005. A requirement was made that water temperatures must be taken on a more regularly basis and clearly recorded for inspection. 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 246 Haymill Close Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x DS0000058136.V268413.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? YES 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 YA17 Regulation Requirement Timescale for action 30/01/06 2. 3. YA17 YA42 16(2(i)&17(2) A record must be kept of all food eaten by service users. Menus must be completed to ensure service users are receiving a nutritious and well balanced diet. (Previous timescale 09/09/05 not met) 13 (3) Fridge temperatures must be &(4)(c) taken on a daily basis and recorded for inspection. 13(4)(a)(c ) Water temperatures must be taken of all areas, where service users have access, on a regular basis. Records must be available for inspection. 30/01/06 30/01/06 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 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 246 Haymill Close DS0000058136.V268413.R01.S.doc Version 5.0 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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