Inspection on 26/04/07 for 53 Percival Road

This inspection was carried out on 26th April 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

53 Percival Road 21/02/06

53 Percival Road 07/10/05

53 Percival Road 08/03/05

53 Percival Road 14/09/04

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Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 53 Percival Road Hampden Park Eastbourne East Sussex BN22 9JN Lead Inspector Lucy Green Key Unannounced Inspection 26th April 2007 1:00pm 53 Percival Road DS0000021428.V335154.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 53 Percival Road DS0000021428.V335154.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. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 53 Percival Road Address Hampden Park Eastbourne East Sussex BN22 9JN 01323 502829 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) Autism and Aspergers Care Services Ltd Hellen Spicer Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents to be accommodated will be three (3) That only service users aged between eighteen (18) and sixty-five (65) years diagnosed as Autistic or having Asperger’s Syndrome will be admitted. 21st February 2006 Date of last inspection Brief Description of the Service: 53 Percival Road is a semi-detached home located in the Hampden Park area of Eastbourne. The home is registered to provide residential support to three younger adults with Asperger’s Syndrome. Resident accommodation provides each individual with their own single bedroom. All bedrooms are decorated and furnished to reflect individual tastes and interests. Communal areas provide a lounge, kitchen and dining area. A well-maintained garden is available at the rear of the property. The home seeks to promote autonomy and choice and residents are encouraged to work towards achieving independent living. Residents are supported to access a range of educational, vocational and leisure activities as appropriate. Autism & Asperger’s Care Services is the Registered Provider of 53 Percival Road. The service also is accredited by the National Autistic Society and the home is monitored by this agency to ensure specific standards are maintained. Information received from the Registered Manager on 29 March 2007 details that the current baseline cost of placement at 53 Percival Road is £1100 per week. More detailed information about the services provided at the 53 Percival Road can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents can be obtained, along with the CSCI inspection reports on request from the home. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 53 Percival Road have requested to be referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from representatives and an unannounced site visit which lasted for four hours on Thursday 26 April 2007 between the hours of 1pm and 5pm. The site visit included a discussion with the people available in the home, a tour of the premises and an examination of medication, care and staffing records. There were three residents living at 53 Percival Road at the time of this inspection visit. The home therefore has no vacancies at the current time. During the visit, the Inspector met with two of the three residents. The other resident was at work the time of the visit and was therefore not seen as part of this inspection. The Inspector spoke individually with the Manager and two support workers. Prior to the inspection, professionals’ surveys were sent to each residents’ Care Manager and to the two General Practitioners that residents are registered with. At the time of this report one Doctor and one Care Manager had returned their surveys. Following the inspection comment cards were also sent to the home to give to relatives and visitors, although none of these had been returned at the time of this report. What the service does well: The home offers a specialist service to younger adults with Asperger’s and both the management team and staff have the necessary skills and experience to deliver this service well. In addition to inspections by the Commission for Social Care Inspection, the home is also accredited and monitored by the National Autistic Society. The home has received consistently good reports on the services provided since it was first registered in 2002. The home has excellent strategies in place to enable residents to develop new skills and work towards achieving independence. Each resident has a comprehensive care plan in place that provides staff with detailed guidance about how they should provide support. The communication between staff and management is maintained by daily handovers and weekly staff meetings where everyone is encouraged to learn 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 6 from and challenge each other to ensure that care is delivered in the most effective and consistent way. Residents are supported to be fully involved in the running of the home and their rights and responsibilities as adults living together are fully respected. Residents have access to opportunities that develop their educational, vocational and social needs. 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. 53 Percival Road DS0000021428.V335154.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 53 Percival Road DS0000021428.V335154.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are comprehensively assessed prior to moving into the home. EVIDENCE: The home has not had any new admissions since the last inspection. The judgment for this outcome area has therefore been based on an assessment of information that was previously inspected and cross-referenced with the care that this individual now receives. At the last inspection on 15 February 2006 there was documentary evidence that a thorough assessment process had been undertaken prior to the person coming to live at the home. Information had been gathered from a variety of sources including the opportunity for the resident to identify their own needs. Representatives from the home had visited the prospective resident at their current placement to assess them in their own environment. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 9 There was evidence that this individual had received the minimum three month ‘settling in’ period, with a review after the initial month. Since that point, regular reviews have been conducted and a discussion with the resident, staff on duty and the Manager all confirmed that this individual has settled in well at 53 Percival Road. The Inspector was able to establish from the documentation in place and discussion with all relevant parties that the information gathered at the assessment stage has been used to inform a comprehensive care plan which evidences that the home can fully meet this individual’s needs and aspirations. The home continues to operate with a policy not to accept emergency admissions as purports that any new resident must be properly assessed as compatible with those currently living at the home. 53 Percival Road DS0000021428.V335154.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 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The high standard of care planning provides staff with an excellent foundation to support residents in a way that both enables and protects them. The home manages issues of equality and diversity with utmost sensitivity and professionalism. Residents are fully consulted and involved in all decisions about their lives. EVIDENCE: Through discussion with staff and observation of their practices, it was demonstrated that they have good relationships with the people they support and an excellent understanding of their needs. The home is currently managing some complex issues regarding the equality and diversity needs of residents and the Inspector was impressed with the sensitive and professional approach with which such issues are being handled. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 11 Staff practices continue to be a reflection of the high standard of care planning at 53 Percival Road. The Inspector viewed the care plans in place for two residents which comprehensively outline their care needs in an accessible way. Both staff members spoken with confirmed that care plans are integral to the way they work and there was evidence that these are considered working documents that are referred to every day. Goal setting and monitoring are fundamental principles in the way care plans are constructed at this service. Both care plans viewed contained individual goals for each resident to enable them to achieve maximum independence and develop their skills. Each goal is backed up by a training plan which explains how staff should support residents in order to achieve that goal. Goals are monitored and discussed regularly with the resident and reviewed formally at least every six months. Staff demonstrated that they are aware of the goals in lace and how they should provide support to assist each resident achieve their goals. A full care review is held at least once every six months, with interim mini reviews in-house. Minutes from these meetings were viewed and found to be detailed and focused and where necessary adopt a multi-disciplinary approach. Feedback from one resident’s Care Manager highlighted that placing authorities are invited to attend reviews and they receive a “review report which covers previous and new goals”. A range of detailed risk assessments were found to be in place for both of the residents’ case tracked. The home has a positive approach to risk taking and residents are supported to take risks to maximise choice and independence. Through careful risk assessment and support plans, it was in evidence that the home has enabled residents to make real achievements. From discussion with one resident it was evident that staff explain risks to residents for them to consider when they are making choices about their lives. Risk assessments have been developed in line with the ‘triad of impairment’ approach which reflects the individual’s imagination, social/communication and interaction skills. Each risk assessment is directly linked to a training and support plan which shows how that risk is managed. There was evidence that risk assessments continue to be regularly reviewed and updated. Evidence gathered from documentation and observation of staff supporting a resident, highlighted that the home continue to provide a service where residents are encouraged and supported to lead independent lives. It was noted that where rights had to be limited for the well-being of residents these were fully agreed with residents and ‘behaviour contracts’ had been compiled and agreed by all parties. 53 Percival Road DS0000021428.V335154.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 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from the ability to lead independent lives where they are appropriately supported to develop their educational, vocational and social skills. Residents have the opportunity to plan and prepare their own balanced and nutritious meals. EVIDENCE: Residents at 53 Percival Road continue to lead active lives. An activity timetable is in place for each resident which shows that they participate in a range of appropriate and fulfilling activities. The philosophy of this service is to develop individuals’ life skills and support residents to achieve maximum independence. A current focus for staff is in supporting residents to move into employment. One resident currently undertakes voluntary work at a local café, although other jobs are being explored with him. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 13 Discussion with one staff member identified that positive steps have been taken with one resident to move from education to the world of work. This resident has been supported to visit a careers’ advisor and has been for one job interview. The Inspector spoke with the resident who talked about the types of work he wanted to do and how staff were helping him to find suitable work. Residents are fully involved in the running of the home and staff support residents to understand the rights and responsibilities attached to living with other people. Consequently time is built into their schedules to undertake household tasks. It was evident from the long conversation with one resident that staff have spent a lot of time working with residents to help them understand the affect that their behaviour has on other people. Evidence gathered from the weekly timetable, care plans, discussions with residents and staff revealed that residents continue to access a range of educational, vocational and social activities. The planning of activities is arranged across morning, afternoon and evening periods, seven days per week. Residents are fully integrated with their local community and make use of available facilities, including; the library, banks, pubs, restaurants, shops and leisure clubs. At the time of the inspection, one resident was at home, another at a work placement, and the third returned home from college during the visit. It was observed that residents speak openly to staff about the things they enjoy and the things they do not like and staff respond appropriately and flexibly to their requests. Each resident has their own key to the home, as well as to their bedroom door. During the inspection, it was evident that residents have the freedom to live their lives as they choose, whilst understanding the need to be respectful to the other people they live with. The home has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that the home supports residents to meet with and receive visits from their relatives and friends. The Manager and two staff spoken with confirmed that each resident has relatives who are actively involved in their care and it was clear that the home understands the importance of good relationships with other stakeholders. Resident reviews include the opportunity for residents’ relatives/representatives to attend if the resident wishes. Meals at 53 Percival Road are prepared according to a rotating menu. The menu is drawn up in consultation with residents to reflect the meals they wish to have. The menu is also reflective of individual likes and dislikes and therefore some days different meals are prepared fro different residents. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 14 Residents also have responsibility for the purchasing of ingredients, preparation and cooking of their own meals. The menu displayed showed that it had been recently updated and included a range of varied and well-balanced meals. 53 Percival Road DS0000021428.V335154.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from the provision of flexible and respectful personal and healthcare support and are protected by the systems in place to manage medication. EVIDENCE: Residents at 53 Percival Road largely manage their own personal care. Staff support is generally provided by the offering of verbal prompts at identified key times. Risk assessments are in place to ensure the safety of residents at all times. The philosophy of the home is to support residents to achieve maximum independence and systems are in place to assist residents to take full responsibility for their personal care. Care plans provide detailed guidance for staff as to how they should support each individual. Weekly staff meetings provide the opportunity for staff to discuss the way support is provided and ensure that care is delivered consistently by all parties. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 16 Staff support residents to ensure their health needs are met. Care plans contain a record of any visits or contact with healthcare professionals, along with the monthly monitoring of residents’ weights. A survey was received from one of the General Practitioners who have patients living at 53 Percival Road. Whilst there is rarely a need for these professionals to be involved with the service, one Doctor commented: “carers take action to receive medical advice where appropriate”. Discussion with one staff member demonstrated the appropriate way one resident has been supported with recent dental work. There was evidence that the home had worked with the resident, his family and healthcare professionals to achieve a best interests outcome for this individual. The storage and administration of medication were found to be satisfactory. Records were accurate and current. At the time of the inspection, only minimal medication was being held. Staff receive appropriate training in the management of medication and undertake a comprehensive competency test. The home prepares residents to manage their own medication within a risk assessment framework. 53 Percival Road DS0000021428.V335154.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and visitors to the home benefit from and are protected by, the open culture at 53 Percival Road. EVIDENCE: The home has a complaints procedure in place and a copy is kept in the lounge for residents’ and visitors to access. Neither the CSCI nor the home however have received any complaints about the service at 53 Percival Road in the last twelve months. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. The home has a number of systems in place to protect residents from abuse. New staff are employed subject to robust recruitment procedures and the necessary checks being undertaken. The systems for supporting residents’ with their finances have been recently reviewed and extra security measures are now in place. The Manager and two staff spoken with demonstrated that they were aware of their responsibilities in respect of protecting vulnerable adults. 53 Percival Road DS0000021428.V335154.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a homely, safe and comfortable environment that meets their needs. EVIDENCE: The Inspector undertook a partial tour of the home, which included the communal areas and two bedrooms. One of the residents was out at the time of the inspection and therefore his bedroom was not viewed. 53 Percival Road is an attractive semi-detached house which is situated in the Hampden Park area of Eastbourne, a short walk from local shops and public transport links. The home is pleasantly decorated and well-maintained both internally and externally. The home comprises of three single bedrooms and an office/sleep-in room. The lounge and dining room provide residents with 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 19 sufficient communal space to meet their needs. Residents have access to a garden at the rear of the property. Residents are supported to take responsibility for keep the home clean and tidy and this was found to be the case at the time of the inspection. There is an on-going programme of maintenance and renewal and the upgrading of a number of communal areas since the last inspection provides evidence of this. 53 Percival Road DS0000021428.V335154.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, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a dedicated and competent team of staff and are protected by the robust recruitment procedures. Staff have both the skills and support to enable them to perform their roles effectively. EVIDENCE: 53 Percival Road is a small home and for the majority of the time, residents are supported by one member of staff per shift. At night one staff member sleeps-in. Discussion with the Manager and one of the support staff, identified that there have recently been a number of staffing changes within the service. That being said, there was a wealth of evidence to demonstrate that the changes have been managed well and that residents’ needs are being met by the current staffing mix and levels. A review of staff information identified that one staff member is currently under the age of twenty-one years, as staff lone 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 21 work the Registered Manager is requested to risk assess the safety of this person being left in charge of the home. As staff undertake the majority of their shifts, the home has therefore developed a variety of systems to ensure the effective handover of information and communication across the staff team. As such, weekly staff meetings and monthly supervisions are held. During the inspection, the daily handover was observed and the staff member going off duty completed a written handover in the communication book. Both staff members spoken with said that they believed the handover sessions and regular meetings were an invaluable way of communicating and discussing ideas and approaches and ensuring all staff work in the same way. At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. Discussion with the Registered Manager and examination of two staff files identified that staff training is continuing. There was documentary evidence that both new staff members had completed an induction programme in line with Skills for Care. Staff files also provided evidence of a robust system of recruitment being in place. Staff have undertaken a raft of mandatory and specialist training including; fire safety, first aid and adult protection. The home also provides staff with Asperger’s specific training including; person centred planning, sexuality and social integration skills. There was evidence that on completion of the induction and mandatory training courses, staff commence National Vocational Qualifications. In information submitted by the Registered Manager prior to the inspection, it was stated that one staff member currently has NVQ Level 2 and that the other staff will commence this training once they have finished their induction. 53 Percival Road DS0000021428.V335154.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, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe and well run home that has effective systems in place to self-audit and improve. EVIDENCE: Since the last inspection, a new Manager has been recruited and registered with the Commission for Social Care Inspection. This individual holds a wealth of relevant qualifications including an a National Vocational Qualification at Level 4 in Care & Management and has also completed the Registered Manager’s Award. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 23 The Manager is supported by the General Manager and the Registered Provider and there is clear evidence that the home is being well managed. The two staff spoken with spoke positively about the Manager and said that she has “good skills” and “is always approachable and prepared to work hands on”. The philosophy of Autism & Asperger’s Care Services is for staff and management to work together as a close team and this is again reflected in the high quality of service that 53 Percival Road provides to the people who live there. Staff reported that they feel valued and their ideas listened to. The home has a number of systems in place to self-audit. These include daily handovers for staff and weekly team meetings. The supervision records inspected highlighted that staff are able to provide constructive feedback to their supervisor about what is working well and those areas that could be improved. Residents’ meetings are held each week and minutes are recorded. Relatives are given both formal and informal opportunities to provide feedback on the service. The Registered Provider conducts monthly monitoring visits in line with Regulation 26 and produces the required reports. The home is also accredited by the National Autistic Society who assess the quality of service each year. In information submitted to the CSCI by the Deputy Manager on 29 March 2007, it was evident that 53 Percival Road has various systems in place to ensure the Health and Safety of the home are maintained. The home is a small domestic type dwelling and the CSCI has never had cause to question the way health and safety is maintained. The records in respect of health and safety were therefore not inspected on this occasion. 53 Percival Road DS0000021428.V335154.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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 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 4 X 3 X 4 X X 3 X 53 Percival Road DS0000021428.V335154.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. 1. Refer to Standard YA33 Good Practice Recommendations That the Registered Manager review the arrangements in place for when a staff member under the age of 21 years is left in charge of the home. 53 Percival Road DS0000021428.V335154.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 53 Percival Road DS0000021428.V335154.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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