Inspection on 08/08/06 for 32 Albert Road

This inspection was carried out on 8th August 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 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

32 Albert Road 29/06/09

32 Albert Road 02/11/05

32 Albert Road 02/11/05

32 Albert Road 04/05/05

32 Albert Road 02/12/04

32 Albert Road 26/06/04

32 Albert Road 01/05/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 32 Albert Road Clevedon North Somerset BS21 7RT Lead Inspector Nicola Hill Key Unannounced Inspection 8 & 14th August 2006 09:30 32 Albert Road DS0000020233.V305461.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 32 Albert Road DS0000020233.V305461.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 Older People and 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. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 32 Albert Road Address Clevedon North Somerset BS21 7RT 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) 01275 341753 0117 9699000 www.brandontrust.org The Brandon Trust Ms Nancy Ruth Kitson Care Home 9 Category(ies) of Learning disability (9), Physical disability (9) registration, with number of places 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 9 persons aged 18 years and over with learning difficulties and may also have a physical disability. Staffing Notice dated 17/03/1999 applies. Manager must be a RN on part 5 or 14 of the NMC register. Up to four residents may be accommodated for respite care on the ground floor. The maximum duration of respite should be one month. One named permanent resident may continue to reside on the ground floor. This will lapse when the resident leaves the home. Up to five permanent residents may be accommodated on the first floor. As vacancies arise the existing double rooms should be used for single occupancy. 5. Date of last inspection 2nd November 2005 Brief Description of the Service: The Lodge nursing home is part of the Brandon Trust, and offers care and support services for people with learning disabilities and physical disabilities. It is a small home with capacity for nine residents. The service currently provides for six older people who have been resettled from long stay institutions. The home also provides a respite service for up to three younger people in the North Somerset area. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days to allow the inspector to meet some of the respite clients who stay at the home. On the first day the inspector was able to observe the care of one respite client with complex needs, as well as observe the permanent residents at the home and review documentation and talk with staff. On the second day the inspector was able to discuss the future of the respite service with the manager. It is planned that the respite provision is resited to an alternative location in Clevedon, providing a minimum of three places, in a care home that is registered for personal care only, not nursing care, as is the current arrangement. The reprovision of the respite service will have an implication on the future of the home; as yet this has not been decided. The inspector expressed concern that North Somerset Council had not yet consulted with respite service users or their families about the proposed change. During the second day a period of time was spent observing the residents and their interaction with staff and each other and the inspector had the opportunity to meet three other respite service users. The staff at The Lodge work together with the shared aim of supporting the residents to achieve an optimum quality of life. This is reflected in the outcomes for the service, which has been rated as providing an excellent quality of service. The fees for the service are negotiated on an individual basis; the fees for the respite service are charged directly to service users through North Somerset Council not the registered provider. What the service does well: The Lodge provides both a service for permanent residents and a respite service. The respite service users were animated and appeared happy at the home, and in particular had enjoyed going on outings. The amount of activity and visits offered to all the service users is good, especially as there is a wide age and ability range. The service meets physical care needs well as demonstrated by the well being of the permanent residents who do not have the infirmities normally associated with the long-term care of older people. The good standard of physical care is also apparent for the respite service users with multiple disabilities indicated by the satisfaction expressed by carers. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 6 The home strives to improve the facilities available and have purchased individual TV/video players for the respite service user rooms. The staff team and manager have also been innovative in providing accessible equipment for the residents; for example, there is a large splash pool for residents to use in hot weather. 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. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 Quality in this outcome group was adequate. Evidence suggests that prospective residents have a needs assessment carried out prior to admission and the service has received copies of assessments from care managers. The home must complete their own assessment in order to demonstrate needs can be met. EVIDENCE: There had been no new permanent admissions to the home as there have been no vacancies at the home. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 9 There have been five new referrals for the respite services, all of whom have undergone multidisciplinary assessment through North Somerset Council. Pre admission assessments for these people had not been completed and therefore there was no evidence that the home could meet their needs. The preadmission assessment documentation available at the home also includes an area to plan the admission process for each individual; as this had not been completed there was no evidence that the service user guide (on DVD) had been shown to service users. This was bought to be attention of the assistant managers on duty who were informed by the inspector that this must be done on every client in order that the home meet the national minimum standard. All of the permanent residents at the Lodge have a contract with the Brandon Trust for their accommodation. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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 Quality in this outcome group was good. The care plans for permanent residents and regular respite service users are used as a working tool and are based on the individual preferences and identified needs. The care plans provide a good source of information that can be used in an emergency by people who are unfamiliar resident. EVIDENCE: All of the permanent residents at The Lodge have been there for a considerable length of time. The care plans are very individualised and contain sufficient information to be able to care successfully for the resident. In particular the 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 11 preferred routines and preferred styles of support in everyday tasks are recorded. The manager stated that all of the residents’ plans are under review following a meeting held with the care staff, which identified the changes in day-to-day practice. These may be due to a change in the residents support needs or the introduction of a new piece of equipment to the home. For example, one resident who prefers to rest in the afternoon now has an adjustable chair in the lounge and does not get put on their bed in the afternoon. The manager stated that the exercise focused on the support for individual residents by the people providing the care. The daily records were a good source of information about the daily routine and well being of the residents. The respite clients, who regularly visit the home, have individual care plans which give information on the preferred a daily routines, daily records, medication records, seizure records, methods of use for specialist equipment (pictures) and reviews held with care managers. Respite clients who visit the home infrequently did not all have a care plan, but had multidisciplinary assessments from the referring agency. The manager is informed that all service users must have the basic plan of care outlining their support needs. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome group was excellent. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 13 The home understands the importance of enabling younger adults to follow their interests and be integrated into community life and leisure activities. The home employs the new preferences of the residents when planning the routines of daily living and arranging activities both in the home and the community. EVIDENCE: All of residents at The Lodge are able to undertake activities within the home and using community facilities such as day centres or hydrotherapy pools. The permanent residents are older, the eldest being 82, whilst the respite service users tend to be younger; therefore the staff team have to adjust the day-today routines and activities dependent on the client group. The in-house activities include aromatherapy massage, WEA workers, and outings such as visits to Longleat. The respite service users often have places at day centres or colleges, which they continue to attend whilst at The Lodge. The manager and one of the assistant managers have attended the intensive interaction course intended to improve the quality of communication between staff and service users who may have impaired communication skills. The home now has all the equipment necessary and will be actioning the programme on a trial basis. The intention of this programme is to empower residents to have more control and express themselves in their daily lives. Since the last inspection their home has appointed a permanent cook. The inspector was able to observe the meals prepared for the two days of the site visit. The cook used fresh ingredients to prepare food that was visually appealing to the residents. The menu was varied and balanced to offer choice of meal and a range of tastes and textures. The dining room for the permanent residents is quite large and provides a quiet space to enjoy a relaxed meal. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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 Quality in this outcome group was excellent. Staff ensure that personal support is flexible, consistent and responsive to the changing needs of the residents. Staff are trained and competent in health care matters particularly in the care of individuals who remain immobile for long periods of time. EVIDENCE: The care plans for the permanent residents outline the way in which the residents are known to prefer to be supported. There are male and female home support workers available should this be an identified need. The observations of the inspector were that the residents were treated with respect 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 15 and dignity; the staff made the effort to talk to residents whilst maintaining eye contact and wait for an appropriate response, using prompts to elicit a response. The residents were all addressed by name, and staff use physical contact to enhance communication. The residents are well dressed and attention is paid to their personal appearance. The home maintains good relationships with local health care providers; respite service users register as temporary residents with the local GP practice. Currently the home continues to support one resident with wound care requirements, and is proactive in seeking healthcare advice to ensure the wound heals. The trained nurses at the home maintain their continued professional development and registration with NMC. The medication system for the permanent residents is a unit dosage system provided on a monthly basis. All of the medication and record sheets were correct and up to date. Where a medication dosage may vary the inspector recommended that the staff record the amount given i.e. half a tablet or one tablet, this is to ensure that the medication can be audited. At the time of inspection there was only one controlled drug held at the home, which was recorded and stored accurately. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) 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 Quality in this outcome group was good. The complaints procedure is widely distributed to people accessing the service. EVIDENCE: The Brandon Trust has an accessible complaints procedure for service users. The home has received no complaints from the service users or their representatives. All staff undertake training in awareness of abuse as part of the induction to the Trust. The organisation also provides regular updates for staff to attend. There have been no issues at the home requiring referral under the adult protection procedures. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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, 25, 26, 27, 29, 30 Quality in this outcome group was excellent. Residents are encouraged to see The Lodge as their own home. It is reasonably well maintained, an attractive home, which is accessible to community facilities and services. EVIDENCE: The inspector toured the building with one of the assistant managers. Generally the building is well maintained and reasonably decorated. The 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 18 secondary glazing has been replaced but where this has happened has left the room needing redecoration. The respite service bedrooms are well furnished and have TV/video players to promote independence for the service users. The residents at the home have individual possessions and personal taste reflected in their bedrooms. The key workers involve residents in purchase of new items of furniture and any redecoration. The home has sufficient equipment to ensure that it is fully accessible, for example there are hoists available should residents need them. The manager is proactive in ensuring that new equipment that would enhance the quality of the life of the service users is purchased. The home is clean and provides a pleasant environment for its residents. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) 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, 34, 35 Quality in this outcome group was excellent. Staffing levels reflect the needs of the residents, and routers are flexible to fit around the lifestyles of individuals. Key workers may have specific allocated time to spend with individuals. Staff have the skills to communicate effectively with the residents, and this includes all members of staff who come into regular contact with the service users. EVIDENCE: The staff team at The Lodge has changed since the last inspection with the addition of a cook, and home support workers who are new to the home that 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 20 have worked elsewhere in the trust. The headquarters of the trust handled the recruitment processes in respect of the CRB/references/application forms, and all applicants undergo an interview with two members of staff. The records for this are available at headquarters. The manager was able to demonstrate that staff are accessing the training plan provided by the trust, for example courses completed by staff to enhance the care given to the residents include Care of the Elderly, Working with People with Epilepsy and Intensive Interaction. The home has a training diary so that the rota can be planned to ensure that people can be released for training. The statutory training for the staff is up-to-date and a computer record is held so that when updates are due staff are notified. There are vacancies at the home for trained staff. The staff feedback about the home was positive, especially about the level of care and support given to the residents. The staff were enthusiastic about recognising and supporting the residents in innovative ways in order to improve their quality of life. Due to the vacancies there has been a minimal use of bank staff at the home. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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, 39, 42 Quality in this outcome group was excellent. The manager is visionary in her approach to the service and communicates a clear sense of direction. These include service specific good practice areas, current legislation and proposed developments, strong leadership of staff and responsive to service users providing an excellent role model. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 22 EVIDENCE: The managers spoke with the inspector about the ongoing work of the home and the inclusion of the service in the five-year trust plan. The future of the home is uncertain if the removal of the respite service goes ahead however the current situation is that the home runs successfully and provides a flexible service. The consultation for the new respite service commissioned by North Somerset Council has not yet begun, however the manager has been fully involved in finding new premises and putting forward a proposed project to provide a home registered for personal care only in the Clevedon area. The manager has anticipated that several of the relatives of service users currently using the Lodge will be concerned that no nursing support will be immediately available. North Somerset Council has responsibility for the consultation process. The quality assurance processes at the home include the regular review of care provision and the planning of innovative projects e.g. intensive interaction, to enhance the quality of service. In addition to this the trust quality assurance procedures are implemented. The health and safety at home is well implemented with minimal accidents; fire safety precautions are implemented as recommended, hoists and lifting equipment are tested on a six monthly basis. All staff receive training in basic health and safety. 32 Albert Road DS0000020233.V305461.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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 2 4 X 5 3 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 3 26 3 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 34 35 36 3 3 X 3 X LIFESTYLES Standard No Score 11 12 13 14 15 16 17 X 3 3 X 3 3 3 X 3 X 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 32 Albert Road Score 3 3 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X DS0000020233.V305461.R01.S.doc Version 5.2 Page 24 21 X 32 Albert Road DS0000020233.V305461.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. 1. Standard YA3 Regulation 14 Requirement Pre-admission assessments must be completed for all service users to demonstrate assessed need can be met. A support plan must be in place for all respite service users. Timescale for action 14/08/06 2. YA6 15 14/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations Medication records should indicate the amount given where a variable dosage has been prescribed. 32 Albert Road DS0000020233.V305461.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 32 Albert Road DS0000020233.V305461.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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