Inspection on 10/01/07 for 50 Fordbridge Road

This inspection was carried out on 10th January 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 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

50 Fordbridge Road 31/10/05

50 Fordbridge Road 18/05/05

50 Fordbridge Road 18/01/05

50 Fordbridge Road 08/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Fordbridge Road (50) 50 Fordbridge Road Ashford Middlesex TW15 2SP Lead Inspector Sandra Holland Unannounced Inspection 10th January 2007 10:15 Fordbridge Road (50) DS0000013514.V322979.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 Fordbridge Road (50) DS0000013514.V322979.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. Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fordbridge Road (50) Address 50 Fordbridge Road Ashford Middlesex TW15 2SP 01784 421223 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) fordbridge.rd@owl-housing.org Owl Housing Limited Ms Sarah Jean Dunningham Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (5), Mental disorder, excluding of places learning disability or dementia (1) Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the category of learning disability (LD) up to 5 (five) of the residents can be accommodated over the age of 65 years. Within the category of learning disability (LD) one resident can be accommodated with a mental disorder (MD) 31st October 2005 Date of last inspection Brief Description of the Service: Fordbridge Road (50) is a large detached house which can accommodate up to eight adults who have a learning disability. It is situated in an established residential area of Ashford with shops, leisure facilities and public transport available nearby. The registered provider for the service is Owl Housing and the premises are managed and maintained by Airways. The property is a two storey building and a lift enables service users to access all areas. There is a large garden with patio which can be accessed from the dining area or the lounge. Ramps and handrails are provided to support service users mobility. Car parking is available to the front of the property. The fees at this service range from £944.01 per week to £1077.94 per week. Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was the first to be carried out in the Commission for Social Care Inspection (CSCI) year, April 2006 to June 2007 and was carried out under the CSCI “Inspecting for Better Lives” programme. Mrs Sandra Holland, Lead Inspector carried out the inspection over five hours and Mrs Sarah Dunningham, Registered Manager was present representing the service. Six of the seven service users and five members of staff were spoken with and all areas of the premises were seen. A number of records and documents were sampled, including service user plans, records of service user’s monies held, medication records and staff files. A pre-inspection questionnaire was supplied to the home and this was completed and returned within the requested timescale. Information supplied in the questionnaire will be referred to in this report. CSCI feedback cards were also supplied to the home for distribution to service user, relatives and visitors and healthcare professionals and a number of these were completed and returned. The inspector would like to thank the service users, staff and manager for their hospitality , time and assistance. What the service does well: The service is run as a home, with service users being involved as fully as possible in its day-to-day activities. Staff members and service users were observed to have a relaxed, friendly relationship and there is warm, homely atmosphere in the home. The home successfully offers a high level of personal support which is specific to the needs of each individual and wherever possible, support is provided until the end of life. All service users are actively encouraged to be as independent as possible and to develop their skills. The individual plans for service users are well written, regularly reviewed and viewed from the service users’ point of view. The service users are supported by the home to be a part of the local community and there is a good range of activities in place for them to take part in. The home has its own vehicle to enable service users to get to their activities. Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 6 Service users spoken with are happy with the service provided, and say that the staff team are kind and the home is nice. All are very happy with their bedrooms and the home in general and enjoy the activities on offer. The home supports and encourages service users to keep in contact with their friends and family. Service users are well supported by a stable team of staff and it is clear that staff are dedicated and committed to the needs of service users. Members of staff spoken with said that they are happy working at the home and many had worked there for a number of years. The home is effectively managed in an open way and it is clear that all aspects of the home are led by the wishes and needs of those living there. 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. Fordbridge Road (50) DS0000013514.V322979.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 Fordbridge Road (50) DS0000013514.V322979.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): 2 and 4. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The needs of service users are fully assessed before they are admitted to the home. Prospective service users are given a number of opportunities to visit and to “test drive” the home. EVIDENCE: The file of a recently admitted service user was seen and a very comprehensive, formal assessment of the service user’s needs had been carried out. It was pleasing to see that the assessment was carried out from the service user’s viewpoint and took full consideration of their wishes, likes and dislikes, as well as all assessed needs. The manager stated that she had carried out the assessment of the service user’s needs at the service user’s previous residence. This followed an initial visit to the home by a care manager, and subsequently by the prospective service user who was supported by staff from his previous residence. It was pleasing to see that the prospective service user made a number of visits to the home to see if the home suited his needs. Each visit was of increasing length, initially with the support of staff from his previous home, whilst later visits were made alone. The service user also stayed for meals and Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 9 for overnight visits, which enabled him to meet other service users and staff, and enabled staff to fully assess his needs. Fordbridge Road (50) DS0000013514.V322979.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): 6, 7,and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed and informative individual plans are available to guide staff to the support needs of service users and these include the support required to manage risks to service users. Service users are well supported to make decisions. EVIDENCE: Comprehensive individual plans have been drawn up for each service user to describe their support needs and the services and facilities the home needs to provide to meet these needs. The individual plans that were seen were in good order, contained the required information and had been regularly reviewed. Within the individual plans, a very detailed “twenty four hour support plan” had been developed to provide information regarding each service user’s specific needs at any time during the day or night. Staff advised that as with the individual plans, these are updated to reflect any identified changes in needs. Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 11 It was commendable to see the amount of detailed information that had been gathered for the most recently admitted service user. Much of the information had been supplied by the service user and included his preferences regarding how support is provided, actions needed to meet his needs and any guidelines or specialist recommendations. Assessments have been carried out of any risks to the service users, including risks involved in mobility, moving around the house, falling, accessing the community and the use of electrical equipment including electrically operated beds. These were very detailed and included ways to prevent risks and how to manage them to minimise the risks to service users, whilst enabling them to be independent. It was clear that service users are effectively supported to make their own decisions and are given a number of opportunities to express their views. Staff advised that monthly service user meetings are held to discuss anything that affects the whole group, to give information to service users and to obtain service users’ views. Individual action planning meetings are also held on a monthly basis. A record is maintained in the service user’s individual plan of the discussions held, of any actions or goals that are agreed and who will be responsible for ensuring that these are carried out or achieved. Fordbridge Road (50) DS0000013514.V322979.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): 12,13,15,16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a range of activities and to be active members of their community. Service users are offered and supported to plan, a well balanced diet. EVIDENCE: It was pleasing to hear service users talk about the number of activities they take part in and enjoy. Each service user’s preferred activities are recorded in their individual plan and on a board in their bedroom. The range of activities include those to develop service users’ skills, such a cookery and leisure activities, including pottery classes, line dancing, various social clubs and aromatherapy. Service users were observed to be coming and going to their planned or spontaneous activities throughout the inspection. One service user went shopping with a member of staff and another service user went out to an appointment supported by a key-worker. Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 13 A full-time “ lifestyle development worker” is employed at the home, to provide additional support to service users, to enable them to lead fulfilling and active lives. Part-time drivers are also provided by the Owl organisation and are scheduled to cover shifts without driving staff, to ensure that service users can go out as they wish or require. The manager stated that service users are actively supported and encouraged to maintain family contacts. Families are welcomed to visit service users and are collected by staff from the home if required, to make the visit possible. Staff also support service users to go to visit their families. The home currently has a people carrier vehicle to enable service users to be transported to their various activities, places of interest and shopping. The manager stated that as the service user group is getting older and the mobility of some service users is decreasing, a wheelchair accessible vehicle has been ordered as this will meet these changing needs. From information supplied with the pre-inspection questionnaire, it was clear that service users are offered a well-balanced and varied selection of meals, which take their personal preferences into consideration. Staff stated that meals for the week ahead are usually discussed and planned at the weekend, to enable shopping for the required items to take place and service users confirmed that they take part in planning their meals. To assist service users to plan well-balanced meals, staff have assembled pictures of food items or meals and colour coded the edges of the pictures. The colours are linked to food groups such as fats, proteins or carbohydrates and service users are encouraged to make selections from each of the groups. These pictures are also used on the dining room notice board to show the main meal for the day. Staff stated that service users make individual choices for their breakfast and lunch and this is taken at a time of their choosing. A service user was happily finishing his breakfast as the inspection started. The main meal of the day is served in the evening and is taken family style, as a group. Fordbridge Road (50) DS0000013514.V322979.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): 18, 19, 20 and 21. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way that they prefer and their healthcare needs are well met. Medication is appropriately managed. EVIDENCE: Each service user has an allocated key-worker to ensure they receive support in the way they prefer, staff advised. The key-worker takes responsibility for maintaining and updating service user’s individual plans and accompanies service users to appointments whenever possible. A secondary key-worker is also allocated to ensure consistency and continuity of support, as and when the key-worker is not available. Staff were observed to provide personal support very discreetly and in a manner that actively promoted service users’ independence, privacy and dignity. From speaking to staff and from records seen, it is clear that service users are supported by a number of healthcare professionals and that their healthcare needs are well met. Service users have received support from healthcare professionals including physiotherapists, occupational therapists, dentists, Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 15 general practitioners, community nurses, hospital specialists and specialist nurses. Records showed that in response to changes in service users’ needs, staff have taken appropriate action and promptly requested referrals to specialists. The manager stated that she has obtained specialist information to assist staff in supporting the needs of one service user until specific training can be arranged. The deputy manager stated that she takes the lead in ordering and receiving medication, which is supplied to the home by a local pharmacy, using a monitored dosage system. This system is designed to safeguard against medication errors and enables staff in the home to monitor the amount of stock held. At present medication is stored appropriately in a central, locked cupboard, but the deputy manager advised that individual cupboards for each service user’s room are being considered, as this would ensure that the administration of medication was more person centred. The amounts of medication held were checked with the medication administration record (MAR) and were correct. No gaps in the MAR were noted. The Owl organisation medication policy and guidelines for the use of the monitored dosage system were held alongside the MAR charts, which is good practice. An end of life plan has been developed and discussed with each service user to ensure that their wishes for the end of their life are recorded and can be followed. Staff acknowledged that this sensitive subject had been difficult to discuss with service users, but the information had enabled staff to follow the specific wishes of two elderly service users who had died during the past year. Fordbridge Road (50) DS0000013514.V322979.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): 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 home’s complaints procedure is fully accessible but no complaints have been received. Staff are aware of their responsibilities in the safeguarding of service users. EVIDENCE: The home’s complaints procedure is available in pictorial and written forms and these are displayed on the service users’ notice board, in the entrance hall and on the office door, although no complaints have been recorded since the last inspection. Staff advised that service users can raise any concern or complaint informally to a member of staff at any time and this would be addressed immediately. Staff would usually report this to the manager to ensure that appropriate support was provided and the relevant procedure followed. Service users are also able to raise complaints or concerns at their individual action planning meetings or at service user group meetings. Those service users who were able, confirmed that they would speak to the manager or staff if they were unhappy. Comment cards have been developed by the manager and are made available in the entrance hall of the home, for anyone to make comments or compliments. From speaking to staff it was clear that they are aware of their responsibilities in safeguarding service users. Staff stated that they would report any Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 17 concerns or suspicions of abuse to the manager or person in charge. If needed, staff knew that they could also refer any concerns to the area manager or to other agencies outside the home. In the event of an allegation of abuse, the manager stated the home would follow the Surrey Multi-Agency Procedure for the Protection of Vulnerable Adults. A copy of the procedure is kept in the home and the procedure has been implemented in the past. The home also has its own policy and procedure, which refers to the multi-agency procedures of all local boroughs as the home borders two other boroughs, in addition to Surrey. Staff training records were seen to include the safeguarding of vulnerable adults. Service users’ monies for day to day use are securely held for safekeeping and individual records of these are maintained. Staff advised that these are checked at each transaction and on a weekly basis. To further safeguard service users, the manager or deputy manager also review service users’ spending on a monthly basis. Fordbridge Road (50) DS0000013514.V322979.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): 24 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, safe environment which is suited to the needs of those living there and is very clean and hygienic. EVIDENCE: The home is attractively decorated in bright and cheerful colours and is well furnished and equipped in a homely style to meet service users’ needs. It is commendable that whilst adaptations have been made to the home, these have been discreetly carried out and do not indicate the level of service users’ needs. Laminate flooring has been installed in the lounge since the last inspection, to make it easier for service users with mobility difficulties to move around the house. All areas of the home were seen to be very clean and well presented and appeared hygienic. Liquid hand cleanser and paper towels were provided in all Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 19 appropriate places and the laundry was positioned away from food storage and preparation areas. Fordbridge Road (50) DS0000013514.V322979.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): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are effectively supported by a stable team of staff who are appropriately recruited and trained. EVIDENCE: From the information supplied in the pre-inspection questionnaire it was clear that service users are supported by a small team of staff, most of whom have been employed at the home for over two years. Staff advised that they provide support to service users in all aspects of running the home, including shopping, cooking, domestic and laundry tasks. Staff also provide support with transport and a wide variety of activities. A number of staff have undertaken and achieved National Vocational Qualifications to level 2 or above and the home meets the recommended target of fifty percent trained staff. Staff were observed to interact well with service users, listening to what they said and giving time for service users to respond. Staff were open, cheerful and welcoming. Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 21 Recruitment records for staff were seen to contain the required records and documents. All staff are required to undertake a Criminal Record Bureau (CRB) disclosure and these had been carried out. The manager stated that it is planned to hold staff recruitment documents at the head office of the Owl organisation which runs the home. When this is in place, the home will retain a record of the recruitment records and documents that have been obtained. From information supplied in the pre-inspection questionnaire, it was noted that two volunteers are listed to help in the home. The manager stated that records regarding the checks carried out for volunteers are held at the Owl head office and were not available in the home for inspection. It was agreed that detailed confirmation of these checks would be supplied to CSCI within a specified timescale. This information was received by CSCI within the agreed time and prior to the drafting of this report, and all the appropriate checks had been carried out. Staff training records were seen, and covered training required by law and training to develop knowledge and skills. These included medication training, food hygiene training, first aid, fire training and the safeguarding of vulnerable adults. The staff team is mainly female, although the service user group is made up of men and women. The manager acknowledged that more male staff would be welcomed by the male service users. The staff group is of mixed cultural and racial backgrounds and the service users describe themselves as British. Fordbridge Road (50) DS0000013514.V322979.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): 37, 38, 39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Services users’ benefit from a well run home and their views are regularly obtained. The health, safety and welfare of service users is promoted and protected. EVIDENCE: It was evident that the manager is very experienced in the support and care of service users with learning disabilities, is well qualified and experienced for her role and is ably supported by a deputy manager. The management team have created an open and inclusive atmosphere and provide clear direction and leadership. From the outcomes for service users, the stability of the staff team and the standard of the records maintained, it is clear that the service is effectively managed. Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 23 A number of methods are used to obtain service users views about the home and the way that it is run, to ensure that it is run in the best interests of all who live there. As previously mentioned, service users’ meetings are regularly held, both as a group and individually. These give service users the opportunity to air their views informally. A more formal system of reviewing the quality of the service provided has been established and a survey was carried out early in 2006. A copy of the results of the survey was supplied to CSCI as required. This indicated that all service users were happy with almost all aspects of living at the home. The results also indicated any actions required to address any areas of dissatisfaction. CSCI feedback cards were supplied to the home and a number of these were completed and returned. Five feedback cards were completed and returned by service users, who had been supported in this by their key-workers, two by relatives or visitors and one by a healthcare professional. All responses were positive and relatives or visitors and the healthcare professional all indicated that they were satisfied with the standard of support and care provided. One relative made an additional, very positive comment on their feedback card. From information supplied, it is clear that the required maintenance and checks on systems and equipment in the home, are carried out appropriately and to the required frequency to promote the safety and welfare of all who live and work there. During the tour of the home no hazards to the health or safety of residents were observed. The home’s insurance certificate and health and safety at work poster are displayed as required. Fordbridge Road (50) DS0000013514.V322979.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 4 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 4 25 X 26 X 27 X 28 X 29 X 30 4 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 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 4 3 3 X X 3 x Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Fordbridge Road (50) DS0000013514.V322979.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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