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Inspection on 15/06/06 for 34 Elsee Road

Also see our care home review for 34 Elsee Road for more information

This inspection was carried out on 15th June 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The home has taken steps to ensure that requirements made at the previous inspection of this home, undertaken on 17th November 2005 have been met. Service users contracts ensure that their residence within the home is protected. Service users views about the quality of the service they receive have been sought via a questionnaire, and the organisation is researching a more formal means of undertaking quality assurance and monitoring with service users and other stakeholders on an annual basis.

What the care home could do better:

No requirements have been made at this inspection.

CARE HOME ADULTS 18-65 34 Elsee Road 34 Elsee Road Rugby Warwickshire CV21 3BA Lead Inspector Justine Poulton Key Unannounced Inspection 15th June 2006 09:15 34 Elsee Road DS0000004287.V296619.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 34 Elsee Road DS0000004287.V296619.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. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 34 Elsee Road Address 34 Elsee Road Rugby Warwickshire CV21 3BA 01788 547781 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) RMH Homes Mrs Angela Courtney Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2005 Brief Description of the Service: Elsee Road is a large terraced Victorian house providing a permanent home for four people with learning disabilities and respite stays for one person. The home is near the centre of town. There is no parking at the home, and the road has double yellow lines, and residents permit parking only. Care staff support residents at all times when they are at home. Two residents have day care for some or all of the week and may be at the home during the day at these times. The house is one of four services operated by Rugby Mencap Hostels that provides residential care for people in Rugby. The current charges for the home are £326:00 per week. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first key inspection in relation to Inspecting for Better Lives. Identified key standards were looked at, along with a review of the organisations progress towards meeting requirements made at the previous inspection of this service. The pre fieldwork documentation was completed, as well as a site visit to the home, during which time staff and service users were spoken with, records, policies and procedures were examined and the environment was looked at. The inspection site visit took place over one day. Two service users were at home for all of the inspection. The inspector would like to thank the service users, manager and staff for their hospitality and co-operation during the inspection. What the service does well: Service users in this home have clear comprehensive care planning and risk assessment documentation in place. Although it was not clear from the documentation when these plans are to be reviewed, the manager was able to provide information about how this is to be addressed following full reviews carried out on an annual basis by the appropriate care manager. Service users are fully supported to make decisions about their lives. This was evidenced through records and also speaking with the two service users that were at home during the inspection and staff on duty. Service users make full use of the local and wider communities in which they live. Activities participated in are recorded on a daily basis. These are varied, chosen by the service users and facilitated by the staff team. Both service users that were at home were keen to talk about forthcoming holidays that they are going on. Written records were available to confirm that service users are supported to maintain relationships with families and friends as they wish. The home is domestic in size which is reflected in the kitchen. All of the equipment available is that which would be found in any domestic kitchen. Food stocks were plentiful, with lots of fresh produce available. Service users food likes and dislikes were available, as was a record of meals eaten. Service users spoken with said that they like the food they have to eat, and are able to choose their favourite meals. Staff ensure that a healthy balanced diet is available. Personal care needs within the home are minimal, with service users mainly requiring prompts to ensure that their hygiene is maintained. Records detailing the levels of prompts required are available within individual care planning documentation. Service users healthcare needs are monitored, and routine healthcare appointments are offered at the recommended intervals. More specialised healthcare needs are also addressed as necessary. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 6 Medication is supplied to the home by Boots. Medication policies and procedures within the home ensure that medication is managed safely, and ensures that service users are encouraged to take responsibility for administering their own medication if they wish to. Policies and procedures are in place to ensure that any complaints or allegations and suspicions of abuse are investigated appropriately and ensure that service users remain safe. Records were available to confirm that all of the staff in the home have received training in the protection of adults from abuse within the previous 12 months. The home is a large terraced Victorian house providing a permanent home for four people with learning disabilities over three floors. There is also the provision to provide respite stays for one person at a time. At the time of the inspection there was no one staying at the home for respite. The home is near the centre of town. There is no parking at the home, and the road has double yellow lines, and residents permit parking only. Décor in the communal areas of the home was pleasant. Furniture was of a good quality, and soft furnishings complimented the environment. Service users personal space was decorated to individual taste with plenty of personalisation around. The home was clean and hygienic with procedures in place to ensure that the potential for cross infection is minimal. The home employs four members of staff to support the service users who work on a rota basis and provide sleep in cover. Staff recruitment records confirm that procedures undertaken to check staff before employing them are safe and ensure that service users are safeguarded. Staff training is coordinated by the deputy manager of the organisation. Individual staff training records were available within the home that confirms that mandatory training for staff is up to date. All staff are registered on the Learning Disability Awards Framework, and have either successfully completed or are very close to completing this qualification. Two staff have NVQ III, with one staff member having just commenced this qualification. The home has a registered manager who also has management responsibility for one other home within the organisation. On a day to day basis the home is run by the house leader who is supported by a shift leader. The registered manager oversees the general management of the home, and provides supervision to the house and the shift leader. It was confirmed during the inspection that the manager spends time at the home that is proportionate to the number of service users in residence, but is available by telephone as necessary. The health and safety of service users, staff and visitors to the home is maintained within the domestic style of the service provided, with all of necessary health and safety checks and records being in place. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 7 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. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): x EVIDENCE: Staff confirmed during the inspection that there have been no new residents move into the home since the last inspection. Key standard 2 is therefore deemed to be not applicable on this occasion. There were no respite clients staying at the home at the time of the inspection. 34 Elsee Road DS0000004287.V296619.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There remains a clear, consistent care planning system in place to provide staff with the information they need to satisfactorily meet service users needs, and ensure that service users are able to make decisions about their lives as appropriate. The people living in this home are supported to take reasonable risks based on effective risk management strategies that are agreed and recorded in individual care plans. EVIDENCE: Two service users were at home on the day of the inspection. Both gave permission for their personal files to be looked at. Care planning information was in place in both files and contained comprehensive information that would enable support staff to carry out their role effectively. The information was both dated and signed, however it was noted that there were no review dates on the plans. The manager said that formal social worker reviews have commenced for service users. It is understood that these are to be carried out on an annual basis, and it is the aim of the home to hold in house reviews at 6 monthly intervals in between these. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 11 These dates are to be added to the care planning documentation. Evidence of a social services review being undertaken recently for one service user was available within the file, along with an action plan to be incorporated into the care plan. Both files had sheets signed by the service users agreeing with their care plans. Evidence was also available within one file to indicate that Person Centred Planning (PCP) work has been commenced. The service user has expressed a wish to live in a smaller environment either alone or with one other person, which is to be explored through this process. Through observations during the inspection it was apparent that service users are fully supported and encouraged to make decisions for themselves. In conversation one service user told the inspector about how he had decided to cease the job that he was doing as he was finding it tedious. This was confirmed in the records within his personal file. Other records indicated that choices about holidays, shopping for clothes, purchasing Sky TV, and deciding whether or not to vote in the local elections were also available. Another service user was keen to show where she had chosen to go on her holiday, and pointed it out in a brochure. Risk assessment documentation was available within both of the files looked at. This was comprehensive in its detail, however like the care planning documentation it was noted that there were no review dates included. The manager said that these will be subject to review in line with care planning documentation. Examples of risk assessments in place include selfadministration of medication, road safety, using public transport and the safe use of kitchen knives. 34 Elsee Road DS0000004287.V296619.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Service users continue to have the opportunity to live ordinary and meaningful lives within the community in which they live. Support to maintain and develop family links and friendships is available. A varied selection of food is available that meets service user’s dietary needs. EVIDENCE: Three of the four service users attend day services or college for all or part of the week. One of the service users at home during the inspection told the inspector that she attends college three days a week, where she does courses in literacy and numeracy, and cookery, which she said she enjoyed, a local day centre for one day and then has a day at home. Another service user said that since deciding to give up his job he now spends a day at the Community Placement Team (PCT), one day at home and three days having day care at another of the organisations homes in Rugby. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 13 In conversation he said that he enjoys his days at the PCT and at home, but isn’t keen on having day care at another home. The manager said that this was currently under review and discussions regarding additional funding were taking place with social services, which would enable service users to spend time at home during the day if they wished. Both service users that were at home during the inspection were keen to tell the inspector about recent and forthcoming holidays they had enjoyed or were looking forward to. Both were looking forward to cruising around the Mediterranean for a week in the near future, a long weekend at Butlins had just been enjoyed and a long weekend in Blackpool later in the year was also mentioned. Other activities that service users said they enjoyed included visiting local pubs and restaurants, going to the cinema, bowling and shopping. Records of such activities being participated in were also available within service users daily diaries, providing evidence that they are fully supported to make use of the local community. Comment cards received from service users prior to the inspection indicate that they are happy with the level of activities and opportunities for community participation available to them. Evidence was available to confirm that relationships between service users and their families and friends are important with support being provided by staff to assist with maintaining these relationships as much or as little as service users want. Both service users that were at home during the inspection have regular contact with family members, details of which were recorded within their diaries. One service user has also applied to the Guidepost Befriending Scheme recently. The home is domestic in size and nature. As such any routines that are in place are imposed by the service uses themselves. During the inspection the atmosphere was relaxed, with the service users bantering jovially between themselves and the staff member on duty. The home has a kitchen and a separate dining room. The kitchen was clean and tidy with domestic style and scale equipment available for the service users to use. Food stocks were plentiful, and there was lots of fresh fruit and vegetables available. The staff member on duty said that shopping is done twice a week, generally on a Sunday and a Tuesday. One service user said in conversation that she sometimes goes shopping for food, accompanied by staff, each week. It was noted that service users individual food likes and dislikes were available in the kitchen, as were fridge and freezer temperature records and a record of meals eaten. 34 Elsee Road DS0000004287.V296619.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 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 area is good. This judgement has been made using available evidence including a visit to this service. The Care plan programmes in place ensure that personal support is consistent, reliable and responsive to service users needs. The healthcare needs of the service users are assessed and recognised with evidence of specialist services being readily available to them. Medication policies and procedures ensure that medication is managed safely. EVIDENCE: Pre inspection information received indicates that all four of the service users that reside in the home have low support needs, and require very little assistance with personal care. During the inspection one service user chose to have a bath, which she did independently, only requiring help with washing her hair. Information recorded in the care plan of the other service user that was at home for the day stated that he is self caring in personal care. Recorded evidence was available to confirm that service users are offered routine healthcare appointments such as the dentist, optician and chiropodist at the recommended intervals. Evidence was also available to demonstrate that more specialised healthcare needs are addressed, with records confirming that one service users epilepsy is monitored by a consultant psychiatrist. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 15 Health screening applicable to female service users has been offered and taken up, and one service user has had a referral made to the local hospital for an operation. Medication is supplied to the home by Boots in blister packs accompanied by medication administration records (MAR). Consent to medication signed by the service users was available within their personal files, as was a list off prescribed medication, doses and times which cross referenced to the MAR charts. One service user administers his own medication. A risk assessment was in place for this. Staff spoken with were able to describe the procedure they use to ensure that this is managed safely, whilst enabling the service user to retain control of his medication. 34 Elsee Road DS0000004287.V296619.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 at least once during a 12 month period. 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 satisfactory complaints system and can evidence that service users views are listened to and acted upon. There are policies and procedures in place for the protection of service users from harm. EVIDENCE: The home has the organisations policy on complaints in place. Service users spoken with were able to say who they would speak to if they were unhappy about anything. Recorded evidence was available within one file looked at of a complaint having been made and investigated, with the outcome being reported back to the service user. The manager confirmed that the home does not have a complaints log, as complaints made by service users are recorded within their individual files. It was stated that no complaints have been received from other sources. The organisations policy on protection from abuse was also available within the home. Training records demonstrated that all staff have received training in the protection of vulnerable adults from abuse in the 12 months prior to this inspection. The manager confirmed that there have been no allegations or suspicions of abuse made in the previous 12 months. 34 Elsee Road DS0000004287.V296619.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 at least once during a 12 month period. 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. The appearance of this home creates a comfortable and homely environment for the people living there. The home is clean and hygienic with policies in place to ensure that the risk of infection is minimal. EVIDENCE: The home is a large terraced Victorian house providing a permanent home for four people with learning disabilities over three floors. There is also the provision to provide respite stays for one person at a time. At the time of the inspection there was no one staying at the home for respite. The home is near the centre of town. There is no parking at the home, and the road has double yellow lines, and residents permit parking only. Communal accommodation comprising of a pleasant lounge, dining room, quiet room/office and kitchen is available on the ground floor along with the laundry facility and a toilet. Service users bedroom accommodation along with two bathrooms and an additional toilet is situated on the first and second floors, as is the respite bedroom and staff sleep in room. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 18 Furniture and soft furnishings in the communal areas of the home was of good quality, and the décor was modern and fresh. Service users spoken with said that they had recently been shopping to choose a new dining suite which was to be delivered later in the week. Two service users bedrooms were seen during the inspection. Both were decorated and furnished to individual tastes with plenty of personalisation in the form of ornaments, pictures and soft toys. A policy on infection control is available within the home along with a procedure for the prevention of infection and cross contamination. This ensures that practices are safe in relation to the transportation of dirty laundry through the kitchen to the utility area. On the day of the inspection the home was clean and tidy with no offensive odours apparent. The home has a contract in place for the safe removal and disposal of clinical waste. 34 Elsee Road DS0000004287.V296619.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from a well-trained, and enthusiastic staff team who work towards common goals. Service users are supported and protected by the homes recruitment policy. EVIDENCE: Pre inspection information provided by the manager before the inspection indicates that the home employs four staff. These consist of a house leader, a shift leader and 2 care assistants who work on a one per shift basis when service users are at home. This was confirmed by staff on duty during the inspection. The manager said that the organisation has had a move round of staff since the last inspection which has resulted in a male staff member working at the home, where previously it has always been female staff. It was stated that this has been of benefit to the male service users as it has brought a new perspective to the home. Staff records were available within the home to confirm that safe recruitment procedures are undertaken to ensure that service users are safeguarded. An application form, two written references, a criminal records bureau check (CRB) and terms and conditions of employment were available for all staff. Evidence that any adverse information returned on a CRB check had been explored and considered was also available where necessary. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 20 The manager stated that staff training is co-ordinated by the deputy manager of the organisation. Individual training records for staff were available within the home. These confirmed that all of the mandatory subjects such as first aid, food hygiene and fire safety are all up to date. One staff member has completed the Learning Disability Awards Framework, with the remaining three hoping to complete in July of this year. One staff member has just commenced the NVQ III qualification, which two staff have already successfully obtained. 34 Elsee Road DS0000004287.V296619.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 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 area is good. This judgement has been made using available evidence including a visit to this service. The Leadership, guidance and direction to staff ensures service users receive consistent quality care and support. Service users are consulted about the quality of life within the home. Health and safety is managed appropriately within the home. EVIDENCE: The registered manager for the home also has management responsibility for another home within the organisation, which is where her main office base is. The manager said that she spends time in the home proportionate to the number of service users that live there. Staff spoken with confirmed that she is available by telephone however, and will always come to the home if necessary over and above her planned time there. The day to day management of the home is delegated to the house leader who is supervised by the manager on a regular basis. There is also a shift leader in post who supports the house leader and the care staff. 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 22 The manager said in discussion that the organisation is looking into purchasing a formal means of assessing the quality of the service provided, and is currently considering using the PQASSO framework for this. Until such time as this is in place service users have completed an in-house questionnaire about the quality of the service they receive. Evidence was available to demonstrate that the health and safety of service users, staff and visitors to the home is maintained as far as is practicable. All the necessary checks such as fire alarm call point testing and fire drills, and portable appliance testing (PAT), were in place and up to date. Control of Substances Hazardous to Health (COSHH) was adhered to, with date sheets in place for all products used, and a risk assessment for the unlocked cupboard that these products are stored in was in place as the service users are deemed not to be at risk of harm from these products. Information provided in the pre inspection questionnaire received prior to the inspection indicates that polices and procedures are available for COSHH products and health and safety, both of which were implemented within the previous twelve months. 34 Elsee Road DS0000004287.V296619.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 x 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 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 34 Elsee Road DS0000004287.V296619.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 34 Elsee Road DS0000004287.V296619.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!