Inspection on 20/06/07 for 41 Regent Road,

This inspection was carried out on 20th June 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

41 Regent Road, 18/10/06

41 Regent Road, 25/01/06

41 Regent Road, 06/07/05

41 Regent Road, 04/03/05

41 Regent Road, 03/08/04

41 Regent Road, 31/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 41 Regent Road, Hanley Stoke-on-Trent Staffordshire ST1 3BT Lead Inspector Pam Grace Key Unannounced Inspection 20th June 2007 11:30 41 Regent Road, DS0000008250.V343346.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 41 Regent Road, DS0000008250.V343346.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. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 41 Regent Road, Address Hanley Stoke-on-Trent Staffordshire ST1 3BT 01782 263720 01782 263720 accounts@richmondcaregroup.com 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) Shelton Care Limited Mrs Yvonne Doyle Care Home 16 Category(ies) of Learning disability (16), Physical disability (3) registration, with number of places 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2006 Brief Description of the Service: The home was formerly a factory site. The accommodation has been designed to provide single bedrooms in two units of eight beds, each with its own facilities. The accommodation has been refurbished and provides for a domestic scale environment. The service provides residential care for adults with learning disabilities including three who may have a physical disability. There is a day service owned by the proprietors on the same site, adjacent to the residential services. The residents of Regent Road are able to access inhouse and local community daytime provision. The accommodation is situated close to community facilities and services. The interior of the home is decorated and maintained to provide a domestic atmosphere, whereas the exterior of the home retains its industrial heritage. Plans are in place to develop the outward appearance of the building to improve the general look and impression. These plans have been in place for some considerable time. The current scale of charges for this service ranges from £340 to £1,150 per week. These are subject to yearly review. Additional charges are made for hairdressing and toiletries. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was undertaken by one inspector, over a period of approximately 6.5 hours. The Registered Care Manager Mrs Yvonne Doyle assisted the inspector throughout the inspection. The inspection had been planned with information gathered from the CSCI database, and the Annual Quality Assurance Assessment document, which had been completed by the care manager. The key National Minimum Standards for Adults (18 – 65) were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff and residents. A tour of the environment was also undertaken. At the end of the inspection, feedback was given to the care manager, outlining the overall findings of the inspection, and the requirements and recommendations made. Residents spoken with were very positive about the care they were receiving. The inspector noted that residents appeared well cared for, and were happy in their surroundings. There had been one complaint made to the home, since the previous inspection, this had been dealt with in a timely way under the home’s complaints procedure by the care manager, and had been upheld. Feedback from 10 “Have Your Say” documents, and comments made by residents and staff during the inspection were generally positive, and included from residents “ I can go out when I want to”, “Staff treat me well” and “ I have a rota in my room of what activities I do”. The service is registered to provide care and accommodation for up to 16 service users who have a learning disability. The dependency of residents is varied – residents on the first floor were more self sufficient and independent generally, requiring less support with personal care matters than the residents on the ground floor where dependency was greater. General observations were undertaken during the course of the inspection in relation to staff conduct and interaction with residents. There was 1 requirement, and 1 recommendation made as a result of this unannounced inspection. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home has a more in depth risk assessment process, which links into the resident’s person centred care plan. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 7 Each resident has an individual activity plan. A health action plan has been developed for all residents, with training for staff in this area. Formal care staff supervision has been commenced. The Registered Care Manager has achieved the Registered Managers Award. Some redecoration of the home has been undertaken. 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. 41 Regent Road, DS0000008250.V343346.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 41 Regent Road, DS0000008250.V343346.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, and 5 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective people who use this service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: “Have your say” documents, and residents spoken with during this inspection visit, confirmed that residents had received information about the home, and had visited the home and met staff from the home prior to the move. Assessment information in the individual files was detailed and there was evidence of professional/social workers assessment, in a Community Care Assessment (CCA). The Statement of Purpose for the home identifies the admission criterion for the home. There had been no changes in regard to the Statement of Purpose or Service User Guide. Both of these documents had been examined in detail at the previous inspection. Each resident had a copy of the service user guide in their care files. At the previous inspection, one example of the guide was dated 2003, when signed and the cost of the service was out of date. The service must ensure that the Service User Guide is updated to reflect the recent 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 10 amendments to the Care Homes Regulations 2001. The terms and conditions of residency were contained in the Service User Guide. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 8 and 9 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: This visit included discussions with 8 residents. All residents spoken with were aware of who their key worker was. Most residents were aware that their care plans were stored securely in the office and confirmed that their care plans were reviewed regularly, i.e. monthly, this was also evidenced by examining 4 care plan records. The ethos of the home encourages person centred practice, and enables residents to make their own decisions, staff were observed addressing and encouraging residents in an appropriate and valuing manner. Residents spoken with said “ I please myself,” “ Staff help me when I need it,” “ I can use the kitchen when I want to, and staff help me to cook and to make cakes”. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 12 Residents confirmed that they have meetings on a regular basis to discuss any problems in the flat, plans for future activities and events, menu planning and routines. This was evidenced from the records of the meetings that were available. Residents were very eager to talk to the inspector about their trips out, cooking and baking, and crafts. The inspector – was shown a planter made of wood that a resident had made. Some residents said they were able to cook their own meals. All residents spoken with agreed that they do enjoy taking part in cooking their own meals. However, this depended upon their abilities and their risk assessment. Risk assessments were in place in care plans seen. These had been reviewed on a regular basis, the standard of risk assessment was high, with evidence that service users and relevant others had been involved in the decisionmaking. For example risk assessments were seen relating to road and fire safety, money management and budgeting, the use of electrical equipment and maintaining independence. Programmes were evident in care plans seen. These evidenced a variety of groups, interests and activities. Residents’ monies are checked daily. This information is passed to the staff on the next shift and signed for, to confirm accuracy. The manager or senior staff carries out a monthly quality audit to ensure that the sums recorded accurately reflect the amount of money kept on behalf of residents. Some residents manage their own monies, and have been provided with a lockable facility for it’s safe storage. The majority of residents at the home are supported to save money and have building society accounts for this purpose. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 13 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): 11,12,13,14,15,16, 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 the services are able to make choices about their life style, and are supported to develop their life skills. Social, educational cultural and recreational facilities need to have a broader focus, in order to meet individual’s expectations. EVIDENCE: Residents living on the first floor were relatively independent in their day-today lives. The majority accessed the community independently, at least one person had a voluntary job in a local shop and they said that they were able to make decisions about what they did during the day. Another resident showed the inspector a planter made from wood, which had been made by the resident, and he was able to say how much it would usually be sold for. During the inspection one resident had just returned from shopping, and another resident had made some jam tarts in the kitchen. The inspector was made very welcome by residents, and was invited to have a cup of coffee with 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 14 them. Staff and residents spoken with confirmed that residents often have meals out, and visit the local pub. Residents on the ground floor, attend a variety of day service sessions, including a service called “Networks” which offers residents who have a higher dependency, a programme of daytime activities on a 1:1 basis. Activities that are provided by Day Services are reviewed on a regular basis. Residents living on the first floor, were observed making choices about the meals they wanted, preparing and cooking them. They said that they took turns in choosing and cooking the evening meal, but they could have some thing other than the main meal choice if they wanted to. The kitchens on both floors were easily available to all residents. Risk assessments were in place in individual resident’s files where a risk had been identified. The examination of menus, and discussion with residents identified that meals provided were wholesome varied and well balanced. The service met the standards of basic food hygiene, and records in relation to the fridge/ freezer and hot food temperatures were examined, and were up to date and correct. General observations throughout the course of the inspection and discussions with residents confirmed that staff were respectful of residents’ privacy and would knock on bedroom doors prior to entering. Residents confirmed that their letters were distributed to them unopened. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Care plan reviews are held regularly, and are based upon a Person Centred Planning approach. Documentation is currently being replaced to reflect this PCP approach. Care plans seen evidenced that personal and health care needs were being monitored and met by care staff at the home. Advice is sought from health professionals when required, e.g. speech therapy, dietician, occupational health and physiotherapy. Health Professional’s visits are carefully documented and recorded. There is also a learning disabilities team, which is Consultant led. Staff and residents at the home are well supported by the team, and can seek advice when needed. Staff follow robust systems to make sure that medication records are fully completed, that they contain required entries, and are signed by appropriate staff. Regular management checks are recorded to monitor compliance, and a homely remedies policy is included in the medication file. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 16 Records that were examined in relation to the administration, disposal and recording of medicines were satisfactory. There were no residents responsible for their own medication at the time of the inspection. Residents have access to health and remedial services, staff make sure that those residents who are fit and well enough are encouraged to be independent, have regular appointments and visit local health care services. Personal aids and equipment are available and well maintained to support both resident and staff in daily living. Care staff work to a consistent standard and constantly monitor pain, distress and other symptoms to ensure individuals receive the care they need. The health and social care needs of one resident were discussed in detail with the manager. The evidence of this visit was of a supportive and committed staff team who advocated on behalf of resident to ensure they received the health care and treatment they were entitled to. General observations throughout the course of the inspection and discussions with residents confirmed that staff were respectful of residents’ privacy and would knock on bedroom doors prior to entering. Residents confirmed that their letters were distributed to them unopened. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: The home has a clear complaints policy and procedure. A copy of the procedure was displayed in the home. The care manager confirmed that the home had received 1 complaint since the previous inspection, that complaint had been upheld, and amicably resolved. There had been no complaints received by CSCI since the previous inspection. The inspector examined 4 staff recruitment files, and spoke with 4 staff members. One file did not evidence that a CRB Police Check had been received. This was discussed at the time with the care manager and the missing paperwork will be relocated. All 4 files evidenced that a uniform and robust recruitment procedure is in place at the home. The care manager confirmed that those checks would always be undertaken prior to staff’s commencement of employment. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 18 Previous inspection reports have identified that the homes recruitment procedure and practices ensured that all prospective staff were subject to an appropriate Protection of Vulnerable Adults (POVA) and Criminal Record Bureau (CRB) Police check prior to the commencement of employment. Residents spoken with confirmed that they would know who to go to if they had any concerns. Their comments included “ I can go and knock on the manager’s office door”. Independent advocacy services have been sought as required for individual residents, but the service also supports residents with self-advocacy. The evidence of this inspection confirmed that a number of residents at the home are well able to express themselves. 4 staff were spoken with during this visit. They gave satisfactory responses to questions about the Protection of Vulnerable adult/Safeguarding issues, and gave accounts of and examples where they had supported service users. The care manager confirmed that staff had received training in Vulnerable Adults/Safeguarding issues, and recognising and reporting suspected abuse. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,29 and 30 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The standard of the environment within this home is good, providing residents with a clean, comfortable and homely place to live. Specialist aids and adaptations were in place to assist and promote residents’ independence. The home is divided into two units. Each unit has the capacity to accommodate up to 8 residents. The first floor unit provides for those residents who are mobile and more independent. The ground floor unit provides for residents who may have a physical disability, and or a more severe learning disability. The downstairs lounge carpet is dark and detracts from the general overall ambience of the room, making it a little dark. This room also has a false 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 20 ceiling. The care manager will be considering changing the colour of the carpet, and has already put in additional lighting, to lighten the room generally. Both units provide adequate communal space in an environment that although not purpose built does provide a homely place to live. A sample of bedrooms showed that they were adequately furnished and residents have been supported to personalise them, creating a lovely ambience. Residents gave positive comment about their home. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33, 34 and 35 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. This is in line with their terms and conditions and to support the smooth running of the service. EVIDENCE: Staffing levels were maintained at a minimum of 4 care staff per shift, but additional staff were provided to support residents for specific events or occasions. The information provided by the care manager in the completed Annual Quality Assurance Assessment, confirmed that of the 17 care staff employed, 12 had an NVQ qualification at level 2 or above, this equated to 75 of the workforce, exceeding the minimum standard expected. One member of staff stated that the induction she had received had been very good and had taken approximately 3 months. She was working through the SCILS foundation programme, which included the completion of a workbook system. She also confirmed that she had completed her mandatory training. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 22 Positive comments were received from staff spoken with. All but one staff member confirmed that they had received regular 1:1 supervision. All staff made positive comments about the standard and frequency of training that was offered to them. Staff supervision was not inspected on this occasion. However, this will be monitored at the next inspection. Fire training records were up to date, and documented. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 and 42 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: Person Centred Practice is the ethos of the home, and care plan documentation is in the process of being changed to reflect this. Residents are openly encouraged by staff to participate in, and contribute towards decision making, in the general running of the home. Care plans seen were clear, comprehensive and up to date. With relevant risk assessments undertaken and reviewed on a regular and needs led basis. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 24 There had been one complaint to the home since the previous inspection. This had been upheld and amicably resolved. There had been no complaints received by the Commission for Social Inspection since the previous inspection. Staff recruitment files reflected that a uniform and robust recruitment procedure is in place at the home. The inspector examined 4 staff recruitment files, and spoke with 4 staff members. The inspector discussed with staff, the importance of value base in relation to adults who have a learning disability. The inspector was pleased to note that a clear staff training schedule is in place, a copy was provided to the inspector during the inspection visit. Staff spoken with and records examined confirmed that at the time of this inspection visit, there were adequate staffing levels to meet residents’ needs. There was a positive commitment from the staff group to meet the needs of residents. With reference to staff training, staff spoken with and records seen confirmed that staff are accessing NVQ level 2 and level 3 training, and that approximately 75 of staff had achieved their NVQ level 2 or above. Fire training had been undertaken, moving and handling, health and safety and first aid. Some staff had also received training on more specific conditions such as epilepsy and autism. Staff spoken with were pleased and enthusiastic about the training offered to them by the organisation. The manager confirmed that she had completed the NVQ level 4 in care and management known as the Registered Managers Award (RMA). Information in the Annual Quality Assurance Assessment (AQAA) indicated that servicing and maintenance of equipment in the home had been carried out routinely. 10 “Have Your Say “ feedback documents were received by CSCI from residents at the home. Comments received were generally very positive. Budgets are allocated for food shopping per unit. The manager holds a petty cash float for other minor household replacements or expenses. The fire safety system in the home has been replaced, and complies with the new fire safety guidance. The organisation has put in place a quality audit system and employs some one to visit each of the homes to audit against a particular standard periodically. The quality of information was of a high standard and clearly set out the areas for improvement and the action staff should take. Monthly visits 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 25 by the provider had been undertaken, those visits may be included as part of the home’s quality audits. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 26 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 2 2 3 3 X 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 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 3 3 3 X X 3 X 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 27 Yes 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. 1. Standard YA1 Regulation 6 Requirement Service User Guide must be reviewed to ensure they accurately reflect the current cost of the service and how those costs are broken down. (previous timescale of 19/01/07 not met) Timescale for action 30/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 9. Refer to Standard YA24 Good Practice Recommendations Consider a replacement carpet in the downstairs lounge, to brighten the room. 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-56 Stephenson Street Brimingham B2 4UZ 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 41 Regent Road, DS0000008250.V343346.R01.S.doc Version 5.2 Page 29 - 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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