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Inspection on 01/11/06 for 44 Castle Road

Also see our care home review for 44 Castle Road for more information

This inspection was carried out on 1st November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Information is available about the services offered at the home to help people choose whether or not to live at Castle Road and if the home will meet their needs. Service users are helped and supported to lead active and interesting lives at Castle Road. They are also supported to stay in touch with their families and to develop friendships. The home offers a well-balanced diet and promotes healthy eating for the welfare of all service users. Personal and healthcare needs are written in care plans and provide information to make sure that care is provided in a way that service users like. The home has a medication policy and procedure to make sure that all medication is given and stored safely for the protection of service users and staff. The home has an easy to understand complaints procedure. Staff support service users to have their say and to share any concerns they may have. Castle Road is a safe, spacious and very comfortable home. The home is kept clean, tidy and well decorated. The staff team understand their responsibilities and are committed to their role. They work together to provide service users with consistent and good quality care. The home makes sure that suitable staff are employed and that all necessary checks are made to make sure that service users are kept safe. The home has a new manager who has an open and positive approach to managing the home.

What has improved since the last inspection?

The risk assessment on choking now includes guidelines and an action plan should choking occur. Probes are used to check the temperature of all cooked meats and relevant information is recorded. Fire drills and checks are being completed as required, and dates when drills are due are now highlighted in the home`s diary.

What the care home could do better:

Staffing levels are being maintained although the home needs to recruit more staff. Staff should have regular training so they have the skills to meet service users needs.

CARE HOME ADULTS 18-65 Castle Road, 44 44 Castle Road Cookley Nr Kidderminster Worcestershire DY10 3TF Lead Inspector Dianne Thompson Unannounced Inspection 1st November 2006 11:00 Castle Road, 44 DS0000066852.V317281.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 Castle Road, 44 DS0000066852.V317281.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. Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castle Road, 44 Address 44 Castle Road Cookley Nr Kidderminster Worcestershire DY10 3TF 01562 852405 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of manager (if applicable) Type of registration No. of places registered (if applicable) www.dimensions-uk.org Dimensions (UK) Ltd Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16/02/06 Brief Description of the Service: Castle Road is a traditional two storey detached house in a residential street. The bedrooms are individually decorated and furnished. There is a shared lounge, dining area and kitchen. Local shops and access to public transport are nearby, whilst the home has its own vehicle for service users to use locally. The home aims to provide a domestic environment promoting independence and dignity. Service users receive care and support to live as ordinary a life as possible in the community. This involves staff teaching skills and creating opportunities on behalf of individual service users. Service users are encouraged to participate in the running of the home and share in general household activities within their capabilities. Dimensions (UK) Ltd is now the care provider for the service, having registered with the Commission for Social Care Inspection on 1st April 2006. The fees range from £62.35 per week. Charges which are additional to the fee includes: • • • • • Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included an unannounced visit to Castle Road. The main purpose of this inspection was to see what the service at Castle Road was like for the people who lived there. Service user records were examined, and a tour of the building was also carried out. Accumulated information including notifications to the Commission for Social Care Inspection was used to inform this report. Time was spent with three service users, the manager and staff on duty. What the service does well: Information is available about the services offered at the home to help people choose whether or not to live at Castle Road and if the home will meet their needs. Service users are helped and supported to lead active and interesting lives at Castle Road. They are also supported to stay in touch with their families and to develop friendships. The home offers a well-balanced diet and promotes healthy eating for the welfare of all service users. Personal and healthcare needs are written in care plans and provide information to make sure that care is provided in a way that service users like. The home has a medication policy and procedure to make sure that all medication is given and stored safely for the protection of service users and staff. The home has an easy to understand complaints procedure. Staff support service users to have their say and to share any concerns they may have. Castle Road is a safe, spacious and very comfortable home. The home is kept clean, tidy and well decorated. The staff team understand their responsibilities and are committed to their role. They work together to provide service users with consistent and good quality care. The home makes sure that suitable staff are employed and that all necessary checks are made to make sure that service users are kept safe. The home has a new manager who has an open and positive approach to managing the home. Castle Road, 44 DS0000066852.V317281.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. Castle Road, 44 DS0000066852.V317281.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 Castle Road, 44 DS0000066852.V317281.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): 1, 2, 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Detailed information is provided about the services offered at the home to help service users make an informed choice about whether they would like to live at Castle Road and whether the home will meet their needs. EVIDENCE: The statement of purpose and service user guide provides information about the home to help prospective service users to decide if they wish to live at Castle Road. Copies of this information are being developed in a suitable format, which will include signs and symbols. A full assessment is completed for all new service users. The manager said that the home makes sure the needs of all new service users can be met, that they wish to live in the home and that they are compatible with the current service users. The home does not have any vacancies at the moment, but the manager said that the admissions policy and procedure would be followed should there be a vacancy. Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 9 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, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care plans provide staff with relevant information about service users assessed needs. They include risk assessments detailing how risks are to be reduced and independence promoted. Service users are enabled to make choices and decisions in their daily lives and routines. EVIDENCE: Service user care plans are informative. The plans show monitoring of identified goals, and how these are to be facilitated and achieved. Staff have information to make sure that all care is provided in a preferred and consistent way that encourages independence. A person centred care plan (PCP) is being developed and the care-planning format shows service users will be appropriately involved in planning and reviewing their own care and are enabled/supported to express their wishes and goals. A Path map has been completed for the Organisation and it is planned to complete a Path map for the home and the service that is being Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 10 provided. This Path map process will provide staff with knowledge and experience to support service users completing their PCP’s. Files for two service users were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Relevant information and monitoring is provided in service user files to make sure all staff have the necessary information to provide quality care. Of the two files examined a photograph is included for one service user on the profile form, but not on the other persons file. The manager confirmed this would be rectified. The recording format is being reviewed throughout the Organisation, to develop a system that refines current practice and one which makes information more accessible. Each service user is allocated a key worker to oversee their care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Plans are reviewed regularly or as any changes in need occur. Staff said they are fully aware of the plans and clearly use them to guide their practice. The risk assessment on choking now includes guidelines and an action plan should choking occur. This meets the requirement of the previous inspection. The home completes risk assessments as part of individual eating and drinking skills assessment. Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 11 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): 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. Service users receive help and encouragement to lead active and interesting lives and are supported to access facilities within the wider community. They are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of all service users. EVIDENCE: The home provides a wide range of activities for service users, both in-house and within the local community. The home employs an activity coordinator who supports service users and staff in planning and organising activities. Time was spent with the activity coordinator, who enthusiastically described new developments for activities. Links are being established with other homes in the area so that service users meet new people and share resources. All Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 12 activities are organised to take into account the individual needs and preferences, making sure that everyone has the opportunity to take part. The activity coordinator said that all service users have planned periods of individual support so that everyone has quality time. Activities are recorded to provide a clear record of individuals’ lifestyles. Recording in black ink shows planned activities and red ink records spontaneous and unplanned activities. Audio books and DVD’s of Singalong Shows have been introduced to service users, with great success. These have included a book by Alan Titchmarch and Talking Newspapers. A chart is kept in service users bedrooms to list the books that have been listened to and whether they were enjoyed or not. This chart aims to inform staff supporting service users to choose their next book or DVD. Service users have recently holidayed in Cheadle where they stayed in a log cabin. A service user from a nearby home has invited service users for brunch. This was very much enjoyed and they are looking forward to the next visit. External activities include cinema, shopping, Meadow Mill day centre, lunch out, the local pub, Barge trips, walks out and about the area, attending Church and associated outings such as Flower Festival and Church Socials. The home is currently planning Christmas activities to include parties at the day centres and the local pub. Activities within the home include watching TV and video’s, listening to music, involvement in daily routines, e.g., being present during the cleaning of bedrooms although service users may be unable to do the physical task; receiving foot spa and hand massage. Evidence was seen to show that service users are supported to keep in touch with friends and family. The home provides well-balanced meals and special diets for individuals where required. Food charts are kept in the kitchen to allow for easy access by staff preparing meals and drinks. Information includes menus, alternative options, special diets and preferred choices. Support guidelines are also available on preferred mealtime support for each service user. Staff were observed providing support and offering a choice of food for service users. During the evening of the inspection most service users chose and enjoyed an Indian Takeaway meal. Records of all food and drinks taken are transferred into individual care plans. This includes a chart for service users requiring additional food supplements. There is evidence that probes are used to check the temperature of all cooked meats and that relevant information is recorded. This meets the requirement of the previous inspection. Food offered is varied, healthy and appropriate to individual needs. Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. The plans contain information to make sure that care and support is provided in a way that service users prefer. The home has a clear medication policy and procedure, which is followed to make sure that all medication is given and stored safely for the protection of service users and staff. EVIDENCE: Care records provide information for staff to support service users to maintain their good hygiene and health. The care plans sampled contained information about service users preferred personal care routines. Records of all physical checks are completed where a service user may have particular health related issues such as weight or behaviour monitoring. In this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 14 Service users and the home are well supported by medical services, which includes GP’s, psychologist, dentist, community learning disability team, and the Behavioural Team. Arrangements are in place for preventative health services, e.g. dental checks and annual health screening. Staff on duty and the manager said that all personal care is given in private to promote dignity for all service users. The home has a medication policy and procedure in place. Medicines are suitably and safely stored and there is appropriate storage for controlled drugs. Medication storage and records were checked and all was satisfactory. Information is available to advise staff about all prescribed medication and any possible side effects. It is also evident that the list is regularly updated. Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 15 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): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s complaints procedure that is available in easy to understand information about how to complain, with appropriate information for staff provided. Staff support service users to express their views and any concerns they may have. EVIDENCE: There are suitable policies and procedures in place to support staff in keeping service users safe. The home’s complaints procedure is available in signs and symbols that make it more accessible for service users. There have been no complaints to the Commission for Social Care Inspection, but at the time of the inspection visit, the Provider is investigating a complaint made to the home. The CSCI will be notified of the outcome of this investigation. Staff provide support and encouragement for service users to ask for help or to talk to staff if they have any concerns. During the inspection visits staff were observed engaging with service users in a supportive and respectful way. Information is also available in signs and symbols telling service users how to complain if they are not happy. Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 16 Staff training in relation to abuse and service users’ protection is included in induction and through specific training courses. Discussion in supervision and staff meetings also takes place. The home has relevant financial policies and procedures in place to make sure service users money is kept safe. Service users are being supported to keep their own money in locked cupboards in their rooms, and a support plan is in place to advise staff. Castle Road, 44 DS0000066852.V317281.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. 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. Castle Road provides accommodation for service users that meets their needs and offers a safe, spacious and very comfortable home. The home is kept clean to make sure that good hygiene and infection control is maintained for the benefit of service users. EVIDENCE: Castle Road is located in a residential area of Kidderminster close to local amenities with access to the bus route into town. A tour of the home was completed. Castle Road consists of a large kitchen, lounge, single and shared, shared bedrooms and sufficient bathrooms and toilets to meet the needs of all service users. The ground floor bedrooms have ensuite bathrooms. All bedrooms are personalised and demonstrate service users independence and choice of décor. The communal rooms are comfortable and well furnished Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 18 and provide adequate space for shared activities. There is an enclosed garden to the rear of the property with easy access. The premises are clean and tidy. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Paper towels and liquid soap are available in the communal bathrooms. Castle Road, 44 DS0000066852.V317281.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing levels are being maintained although the home does need to recruit more staff. Staff training needs to be managed to make sure staff are trained and competent to meet service users needs. The staff team understand their responsibilities and are committed to their role. They work together to provide service users with consistent and good quality care. The home’s recruitment policy and practices make sure that suitable staff are employed and that all necessary checks are made to ensure the safety of all service users. EVIDENCE: The home has a staff team who work to provide quality care for people living at Castle Road. The home is however short staffed and training has been restricted because of this. The manager confirmed that although staff training is not fully up to date, and has not been completed as required, efforts are Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 20 being made to address this. Three members of staff are due to attend Dimensions Induction course training during December 06. A training audit for all staff is being completed. Dimensions arrange training through their training department. The manager said that arrangements will be made for staff to update mandatory health & safety training such as fire safety, first aid, food hygiene, moving & handling and infection control. Other training courses that are available include communication, safe handling of medicines, and abuse. The induction programme is accredited for people working in care services with people who have learning disabilities (LDAF). Induction also includes new staff being supported by senior staff to familiarise themselves with the home, service users and safety matters. The home has a suitable recruitment policy and procedure in place. A recent recruitment campaign has not been as successful as the manager had hoped, although one person was successfully recruited. The manager confirmed that recruitment procedures are followed; all prospective staff complete an application form and that appropriate references are obtained including one from their most recent employer. An enhanced CRB and POVA (police) check is undertaken before their appointment is confirmed. Applicants are formally interviewed and all staff are required to work a probationary period at the home. A new member of staff was present during the inspection visit. This member of staff confirmed that the home’s recruitment procedures had been followed. The manager said that the previous manager had completed all staff appraisals. Supervision of staff has been difficult to maintain owing to staff shortages and the need to cover shifts. However, some supervision has taken place and staff are being supported through regular staff meetings. Minutes of all staff meetings are kept. Castle Road, 44 DS0000066852.V317281.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. 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. An experienced manager who has an open and positive approach manages the home. Through their quality assurance system, the provider monitors the home to make sure that the service continues to develop as service users want and that the home remains a safe place to live and work in. EVIDENCE: The manager has been in post since July 06 and was previously the registered manager of another Dimensions home. The manager is due to take maternity leave in two weeks time and will make an application for registration to CSCI on return from maternity leave. Dimensions have made alternative arrangements for the management of the home. Management responsibilities Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 22 at the time of the inspection visit are shared with a senior support worker (level 4), who has recently achieved NVQ Level 4. They are involved in organising day-to-day activities, health & safety promotion, staff supervision and induction. Staff confirmed the manager is approachable. They say the staff team works together to support service users and to make sure that all their needs are met. Service users were seen to get on well with the manager and staff on duty. The provider’s monthly visits are one of the ways that Dimensions monitors the service and how the home is being run. These visits include interviews with staff and service users and also include an audit of relevant aspects of the service, including records, environment, complaints received, finance and safety. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and are intended to form an annual development plan for the service. This report will include service users, stakeholders and interested parties views on the service provision. A full health and safety audit has been completed in the home. Generic risk assessments are in place and those seen included accompanying service users on holidays and lone working. Fire drills and checks are being completed as required, and dates when drills are due are now highlighted in the home’s diary. This meets the requirements of the previous inspection. Records seen show that regular checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Maintenance requests are dealt with promptly. An example of this was evident in the maintenance log where two fire doors had faulty door closures. These faults were addressed very quickly. Castle Road, 44 DS0000066852.V317281.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 3 2 3 3 3 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 Castle Road, 44 DS0000066852.V317281.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. 1. Standard YA6 Regulation 17 (1) Requirement The registered person shall maintain in respect of each service user a record that includes the information as specified in schedule 3 relating to the service user. Timescale for action 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Castle Road, 44 DS0000066852.V317281.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Castle Road, 44 DS0000066852.V317281.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. 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