Inspection on 16/08/07 for 36 Martin Close

This inspection was carried out on 16th August 2007.

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

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

Other inspections for this house

36 Martin Close 06/06/06

36 Martin Close 12/12/05

36 Martin Close 11/07/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 36 Martin Close Oakridge Basingstoke Hampshire RG21 5JZ Lead Inspector Pat Griffiths Unannounced Inspection 16th August 2007 10:00 36 Martin Close DS0000064998.V343221.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 36 Martin Close DS0000064998.V343221.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. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 36 Martin Close Address Oakridge Basingstoke Hampshire RG21 5JZ 01256 327894 01256 327894 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.c-i-c.co.uk. Community Integrated Care Position Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One person date of birth 24/03/1940 to be accommodated at the home. 6th June 2006 Date of last inspection Brief Description of the Service: 36, Martin Close is a detached house set in a housing estate within Basingstoke. It is in easy reach of the local shops and a bus ride away from the local college and main town centre. Community Integrated Care (CIC) is the registered provider and Hampshire County Council are the landlords for this service. The home is registered to provide care and accommodation for five younger adults with learning disabilities. The home has five single bedrooms, a sitting room, dining room, two bathrooms, a kitchen and laundry facilities. The garden provides additional recreational space, with a lawn and patio. The staff at 36 Martin Close encourage the people living there to maintain their own privacy and support them in reaching their own personal goals. On the day of the visit in August 2007 the manager said that the fees are approximately £640 per week. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to write this report was gained from an unannounced visit on 16h August 2007 and a review of the information the provider sent to the Commission for Social Care Inspection (CSCI). The information provided included an Annual Quality Assurance Audit [AQAA], which had been completed by the manager and returned to the commission as well as completed comment cards from the people living in the home and other information that has been provided since the last inspection, such as accident and incident reports. The inspector telephoned the home on the day before the unannounced visit, to make sure that some of the residents would be at home when the inspector arrived. The manager was available to assist the inspector during the visit. During the site visit the inspector spoke with three residents, the care staff on duty and the manager. The inspector was able to see different parts of the home, such as the kitchen, dining room, bathrooms, the garden and some of the bedrooms. Documents relating to the residents, staff, policies and procedures and those regarding the running of the home were also seen during the visit. What the service does well: All potential residents have their needs fully assessed before they are invited to see if they would like to move into the home. Staff provide good support to the residents, helping them to make decisions about their lives, the activities that they take part in and to maintain contact with their families. Residents are encouraged to plan their own menus and shopping lists and those that wish to also do the shopping. The home also provides good support to meet the personal and health care needs of the residents, medication is stored safely and administered by suitably trained staff. Appropriate training ensures that the staff can meet the needs of the people living in the house. The manager promotes the health, safety and welfare of the residents and staff. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from a well managed admission process EVIDENCE: The inspector looked at the records of the people living in the home and each file contained a detailed pre-admission assessment. There has been one admission since the last inspection and the files showed their individual hopes, educational, training and work needs, information about their family and friends, their cultural and faith needs, physical and mental health care, treatments and methods of communication. The manager said that she would visit any potential residents and complete a written assessment, which would include any necessary assessments as well as their personal health care needs. An assessment would also be obtained from the relevant Adult Service’s care manager. The manager said that before admission to the home all potential residents are invited to visit the home several times over a period of weeks. The visits would be for a cup of tea, a meal and then to stay overnight. This would enable staff and the current residents to meet the new person before they moved in. Their parents or nominated representatives are also invited to visit the home. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 9 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. People living in the home are encouraged and supported to make decisions about their lives EVIDENCE: The people living in the home have a good knowledge of their goals, one who spoke to the inspector was very positive about their personal plans and goals for the future. They were confident that they were able to make decisions about their daily activities, such as catching the bus, going to work and whether or not to go to the social club or horse riding. Support was always available from the staff, but independence is encouraged and supported. The care plans that were seen provided information on assessed and changing needs, as well as personal goals. Information regarding activities such as working and recreation, social relationships, independent travel, educational skills, cooking skills, use of community facilities, maintaining a safe environment are also included in the care plans. Other information included 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 11 medical history and health action plans for any visits by healthcare professionals such as the GP or learning disabilities district nurse. Records seen had been regularly reviewed and updated as necessary. Formal reviews were also seen on the files that involve the person living in the home, their Adult Services care manager, health professionals, family or advocate. The manager said that the home was very flexible about the resident’s activities, as long as appropriate risk assessments have been completed and are followed. Risk assessments seen were informative and contained clear instructions for staff. They covered all aspects of support and personal care provided both in and outside the home. The manager said that at each shift handover there is a checklist which provides information on each resident, the house, staff for the day and any allocated tasks to ensure that everyone is aware of what is happening each day. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. People who use this service are encouraged to choose a balanced diet and their diverse activities are very well supported. EVIDENCE: The inspector looked at the daily records and care plans, which showed that the people living in the home were involved in a variety of activities and were part of the wider local community. The manager said that in the past there had been some problems with children on the estate being unkind and rude to the residents, but it was not a problem now. Each resident has an activity chart for the week, so that they and the staff know what is happening each day. The activities include cooking the evening meal, housework, going to church, going to the library, putting the dustbins out, visiting parents, shopping and the monthly disco. There are also various clubs that residents attend, such as the May Club and Mencap, which organise 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 13 local health walks, curling and picnics. There is a car at the home, which provides opportunities for all of the residents to get out and about with the staff. Residents told the inspector that they have a weekly meeting to decide the week’s menu and then they all go shopping at the local supermarket. The manager said that day centre services have been withdrawn and there were few college courses available and the residents had already done those that are still available. Throughout the day the inspector saw staff and residents interacting in a warm and friendly manner, with staff providing encouragement in an appropriate way. The residents confirmed that they have household chores to be done on certain days, such as cleaning and dusting. The staff said that the residents take turns at cooking supper for the others, with the help of the support staff. They also enjoy eating out at the pub and occasional takeaway meals. The inspector was invited to share lunch with three of the residents, chatting about life in the home and about the part-time job, in a local supermarket, of the one of the residents. Part of going to work involves getting on the bus and travelling independently, which has been risk assessed. The resident is confident about making the trip by themselves and very proud of their achievements in this area. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service receive good support with their personal care and health needs. EVIDENCE: The inspector spoke to several residents and those that chose to respond said that the staff are supportive, and remind them about their personal care ‘in a nice way’. They confirmed that their daily routines were flexible and they were fully involved in planning their own activities and daily lives. Staff said they were guided by the wishes of the residents and provided encouragement and support for them as agreed in their care plans. The manager said that visiting healthcare professionals include the GP, chiropodist, optician, learning disabilities nurse, continence advisor and occupational therapist. Residents confirmed that they are supported to make appointments at the local doctors surgery and attend on their own unless they ask for support. They also said that they decide when they will go to the local hairdressers or barbers for a haircut. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 15 The home has satisfactory medication policies and procedures in place and all staff receive medication administration training twice a year, which is currently being done in-house. The medication reference books that were available were out of date and the manager said that she had ordered a new one. The carers that spoke to the inspector said they had received training in the safe handling of medicines and kept up to date with refresher training and by completing a workbook. The medication is provided in a ‘blister pack’ system from the local pharmacist and they are stored in the top drawer of a locked metal filing cabinet. The manager said that she was aware that this was not acceptable and had ordered a new metal medicine cabinet that would be securely fixed to the wall. The manager and inspector discussed the need for a ‘homely remedies’ list that has been signed by a doctor, which provides guidelines for staff to provide ‘over the counter’ medication such as panadol that has not actually been prescribed by the doctor. All of the residents need assistance with their medication. The home uses the ‘Medicine Administration Record Sheets (MARS) system for recording the administration of medication and medication received in the home, providing an audit trail for checking stock levels. Each resident has a separate MAR sheet, which includes a photograph to prevent any mistakes by new or agency staff. The commission had received notification of a medication error when medications had been omitted, the manager said this matter is being addressed and extra training is in place for all staff. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: The home has suitable complaints policies and procedures in place. The home has received one complaint since the last inspection, which has been resolved. The residents that spoke to the inspector said that they would speak to the staff or the manager if they had a concern or complaint. They felt happy that the staff would listen to their concerns and also confirmed it in the ‘Tell us what you think about your care’ survey that they had all completed and returned to the inspector. The manager said that there were various ways for the residents to talk about their concerns as they have key-worker meetings and general weekly meetings in the home. Each resident has a nominated keyworker, a member of staff with whom they have a one to one relationship, who works with them in planning their care and activities. The manager is hoping to introduce a pictorial complaints procedure to support the residents who have more limited communication skills, and is aware that the involvment of a speech and language therapist will probably be needed. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 17 The AQAA indicated that the introduction of a ‘false allegations’ flow chart may be of benefit to both the staff and the residents who may make false allegations, by providing increased protection for both parties. The home has suitable policies and procedure in place as well as the local authority adult protection procedure. The manager said that all staff have completed adult protection training, but not recently, and it is planned to repeat the training sessions later in the year. Staff that spoke with the inspector were aware of the need to protect vulnerable adults from abuse and what to do if they were aware of or suspected that abuse had occurred. All new staff complete their induction training in an ‘E-learning’ training package, that is completed via the Internet, which includes adult protection and crisis prevention and intervention training. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service live in a safe, well maintained, clean, and hygienic home. EVIDENCE: The home is in a detached house is in the middle of a large estate on the outskirts of Basingstoke. There are five bedrooms, a large kitchen, loungediner, a small downstairs office and a larger one upstairs as well as a staff sleep-in room. There is a downstairs cloakroom and two bathrooms upstairs, one for the ladies and one for the gentlemen. The manager said that they were going to be made more homely and the residents were going to choose some new curtains or blinds and decorations for the walls. There is a computer in the lounge, which the manager said did not work, but residents have access to the computer and Internet on the computer in the office. They also able receive and make phone calls on the office cordless phone, although some residents do have their own mobile phones. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 19 The manager said that she has requested that one of the bathrooms or the downstairs cloakroom/laundry area is made into fully accessible, level entry, shower room, as a replacement for one of the bathrooms in the home. The manager said that no dates have been given for the refurbishment of the bathroom because it has not been seen as essential work as the residents can still use the baths that are currently installed. During the course of the visit the inspector was able to see various parts of the home, such as the kitchen, dining area, sitting room and one of the bedrooms. The home is generally well maintained and decorated throughout, with domestic and good quality furnishings. The residents are encouraged to personalise their bedrooms with pictures and they were all involved in choosing the colour schemes in their own bedroom as well as the communal areas. One of the residents now has a double bed, so that their friend can stay overnight with them if they want to. The home was found to be clean and tidy with no clutter or obstacles in the corridors. The residents and staff confirmed that they all have cleaning tasks and rotas, which ensures the house stays clean and tidy. The house has had new carpets fitted and some new furniture and on the day of the visit a new fridge/freezer was delivered. The laundry room is on the ground floor, off the corridor, and dirty laundry is not taken through the kitchen. There is a washing machine and tumble dryer and access to the garden so that washed clothes can be hung outside to dry. The manager said that the residents are encouraged to do their own laundry with support from the staff. The home has a supply of gloves and aprons that staff use when necessary. The staff confirmed that they have received training on infection control. The garden surrounds the house, with lawns, a patio and a large area that has been concreted. One area has been laid with gravel to provide a sitting area, with chairs, tables, umbrellas and potted plants. There is also a kennel for the stray cat that has lived in the garden for many years. There are some laurel hedges around the garden and the manager said they been trimmed recently and now allowed more light into the home and enabled the people in the house to see more of their surroundings. The manager said that a new and more local maintenance person has been appointed to carry out essential works more promptly than was previously possible. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are protected by robust recruitment practices EVIDENCE: The home has five residents who are supported by five full time and two part time members of staff. The staff roster showed that there are usually two or three staff on a morning shift and two on an evening shift, with one person on a ‘sleeping’ shift in the home at night. Three staff files were looked at and it was apparent that the home has a robust recruitment procedure based on equal opportunites and ensuring the protection of the residents. Documentation such as photographs, completed application forms, interview assesment score sheets, satisfactory references and Criminal Records Bureau [CRB] disclosures were seen in each file. Signed contracts of employment including terms and conditions and job descriptions were also seen. The manger said that a recruitment drive has just taken place and a full staff team will shortly be in place, until then the same agency staff are used continually to maintain continuity for the residents. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 21 The staff that talked to the inspector said that they received training and were able to meet the needs of the residents and provide the necessary support for them. The training records that were seen indicated that staff training is not up to date, but the manager has addressed the matter since she took up her post and is booking training sessions for all staff to cover subjects such as dementia, personal care, medication and equal opportunities. The AQAA which was completed by the manager indicated that it is planned for the people living in the home will be involved in the selection of new staff and will be consulted as to whether or not they wish the person to continue in the home after their probationary period. Three of the staff have a National Vocational Qualification [NVQ] in care at Level 2, two have an NVQ 3; one is working towards a Level 3 and a new member of staff is working towards a Level 2. All new staff complete their induction training in an ‘E-learning’ training package, that is completed via the Internet. Each staff member has passwordlimited access to the computer in the manager’s office and they work through the different units at their own speed, but within a specified number of weeks. Practical training is also completed to underpin the theory in the ‘e-learning package. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a well run home, and their health, safety and welfare is promoted. EVIDENCE: The manager, who had been in post for approximately three weeks when the inspection took place, has the necessary experience and skills to manage the home. She has over two years experience of running a care home and is qualified to an NVQ Level 4 in health and social care, holds the A1 NVQ assessors award and is working on her Registered Managers Award. The manager is currently submitting her application for registration with the commission. She has worked hard since taking up the post and is aware of the shortcomings in the home. She has started to put measures in place to 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 23 address the shortfalls, such as accessing up to date training for the staff via the group training officer and ordering a new medicine cabinet. The manager said that there is a managers ‘on call’ roster, when each manager is on call for a week for every home in the group. The home seeks the views of the residents on a regular basis to ensure that their views are gathered and their needs are being met. Their views and opinions are gathered during weekly meetings with their key-workers as well as at monthly residents meetings. The manager said that the health, safety and welfare needs of the residents and staff are met by weekly health and safety checks and periodic fire safety checks. The inspector saw various up-dated risk assessments for the environment, fire safety and activities. The inspector viewed the records for fire safety maintenance, evacuation and visual checks and found them to be satisfactory. The fire safety training records were seen that showed that staff had received the necessary training and participated in drills, the last was done a month before the visit. The home has a satisfactory reference file for the Control of Substances Hazardous to Health (COSHH) with information leaflets for each chemical being used within the home and chemicals were securely stored. Information in the AQAA indicated that all services and utilities in the home were maintained and serviced as required. 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 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 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 25 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 36 Martin Close DS0000064998.V343221.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 36 Martin Close DS0000064998.V343221.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. 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!