Inspection on 14/05/07 for 55 Lincoln Avenue

This inspection was carried out on 14th May 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

55 Lincoln Avenue 13/07/09

55 Lincoln Avenue 30/01/06

55 Lincoln Avenue 13/09/05

55 Lincoln Avenue 20/12/04

55 Lincoln Avenue 05/07/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 55 Lincoln Avenue Ash Rise Saxmundham Suffolk IP17 1BY Lead Inspector Kevin Dally Unannounced Inspection 14th April 2007 10:00 55 Lincoln Avenue DS0000037694.V325757.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 55 Lincoln Avenue DS0000037694.V325757.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. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 55 Lincoln Avenue Address Ash Rise Saxmundham Suffolk IP17 1BY 01728 603148 01728 603125 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) Suffolk County Council Mrs Heidi Charlett Bailey Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2006 Brief Description of the Service: Lincoln Avenue is a Local Authority respite home, where short-term respite care is provided for up to three adults who have learning disabilities, and some may also have physical disabilities. The home can accommodate a maximum of 3 customers at any given time. Respite visits usually vary between a few days and a 2 weeks stay. Lincoln Avenue rent the property from Heritage Housing Association. The house is situated on a housing estate and is near to the local amenities on offer, in the Saxmundham town centre. Respite care fees are charged at a nightly rate of £9.24. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Lincoln Avenue provides care and support for up to 3 respite residents (known as customers at the service) with learning disabilities. This key unannounced inspection was undertaken on the 16th May 2007, between 2pm to 9pm, to ensure that time could be spend with the residents, after they had returned from their day centre. Rachel Wood, the senior support worker, provided assistance for the first part of the inspection, and Heidi Bailey, the manager, joined me later in the evening. This inspection focused on what it was like living at the home, including what opportunities and activities were provided for younger adults, and if they had access to the community. A number of key areas were checked during the inspection including the personal care and support offered, the way the home managed individual choices and independence, personal safety, medication practices and ensuring privacy and dignity. Customers’ support plans, risk assessments; accident and incident reports were checked for evidence of good record keeping and management monitoring. The meals provided were checked and the environment was assessed. The complaints book and quality assurance systems were checked. One younger adult’s relative came into the home at very short notice, and shared their views about the service. Comment cards were received from 10 customers and 9 relatives, staff members were spoken with during the evening. Two staff members’ records were checked, including staff training and the supervision practises of the home. This inspection showed that of the 33 National Minimum Standards inspected, 6 were assessed as excellent and 27 were assessed as good. No standards were assessed as adequate or poor. Twenty-two of these standards are considered by the CSCI as key standards, of which the home met all 22. What the service does well: Lincoln Avenue continues to be very customer focused and provide a service of excellence for people with learning disabilities. The care and support practices continue to encourage independent living principals and positive choices for customers. Good customer access is provided to activities and lifestyle opportunities, which have been risk assessed for their safety, and which they really enjoy. Feedback from customers confirmed this and comments like, “The staff are very kind and friendly and we have lots of fun together”, were typical of the comments received. Customers stated they were consulted about their support through meetings, personal feedback, and through quality monitoring and reviews. Link meetings 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 6 are provided for families of Lincoln Avenue customers, which enabled additional feedback to the service. The activities and the lifestyle provided by the home were assessed as exceeding the standard, as they promoted customer’s independence, and met their leisure and social needs. Staff and customer records were well maintained and there was evidence of constant reviews. Staff training and development was actively promoted, and this continued to improve staff knowledge of the service user group. Recruitment and employment procedures were assessed as through, and staff supervision was undertaken at regular intervals, which ensured appropriate support and supervision of staff members. The home was found well managed and staff are properly supported to provide a service of excellence. 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. 55 Lincoln Avenue DS0000037694.V325757.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 55 Lincoln Avenue DS0000037694.V325757.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. Customers can expect that their individual aspirations and needs will be thoroughly assessed and met by staff who are competent and well trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lincoln Avenue continues to provide short-term respite care for customers, which they often view as a break or a holiday. The information provided by the home including the Statement of Purpose and Service User Guide clearly outlined for customers what services are available to them. One client’s relative stated, “We have received an information pack about the service”. The home continued to thoroughly assess each customer’s support and care needs, and records checked confirmed that comprehensive support plans were in place that showed each clients support needs. The home also showed me a newly developed community living and social skills assessment, which would provide high quality information about people with learning disabilities. During the evening time was spent with 2 customers and both confirmed they enjoyed staying at the home. Customers were seen relaxing enjoying a meal, and taking part in individual activities. Staff records checked evidenced that staff had received training appropriate to the support needs of people with learning disabilities. 55 Lincoln Avenue DS0000037694.V325757.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 excellent. Clients can expect to have their support needs comprehensively planned within a sound risk assessment framework, and they would be encouraged to made choices and decisions about their preferred lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two customers’ support plans were checked and the care received by one customer with Epilepsy was tracked. Support plans were developed using information gathered by the service over a number of years, so were very informative. This included the details of each customer’s support needs including morning and bedtime routines, personal care needs including bathing, dressing and toileting, meal time routines, medication needs, communication needs, seizures information, fears and phobias, comprehension, money hazard awareness and leisure pursuits. Support plans were continually reviewed and updated therefore ensuring they reflected the current needs of these individuals. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 10 The support plans checked reflected the individual preferences and choices of each client, for example, one section around food preferences stated, “Foods liked are pasta, baked beans, salad, quiche etc” or, “The client likes to be independent in the shower. They will need assistance with …etc” The customer records checked were in a format that was understandable for them. For example, the provider review form, which customers complete when they have received respite care at the home, is in picture, symbol and a written format. Support plans are also discussed with customers and their family, and are assessed against a risk assessment framework. Full consideration is given to the rights and aspirations of each individual, and planned activities were only limited should a risk assessment demonstrate the customer might be placed at risk of personal harm or injury. Risk assessments were found in place for both customers and were very detailed and which included assessment around personal, environmental and general risks identified. During the inspection it was clear that customers were consulted about the activities, meals, and routines they preferred. An example of this was that one customer had been taken shopping, and on their return was asked what they wanted for their evening meal. They were then assisted to prepare this. A second customer exercised their choice to watch a television programme. Staff were seen to work with clients throughout the evening and were seen encouraging and promoting their independence. Customers’ records checked showed customers’ preferences. 55 Lincoln Avenue DS0000037694.V325757.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, 14, 15, 16, 17 Quality in this outcome area is good. Customers can expect to be provided with positive lifestyle options including suitable leisure activities, enjoying the company of new friends, and receiving nutritious meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This inspection commenced at 2pm in the afternoon to ensure I could spend time with the home’s customers. On arrival I was informed that the customers were attending the local day centre. On their return, they confirmed they had enjoyed their day out, but really looked forward to returning to the home to talk with staff and enjoy the company of new friends. One person showed me a project they were working on at the table, and later in the evening, were assisted by staff to prepare their evening meal. Meals are served in the dining area, which is open plan with the lounge and kitchen. The dining area is light, and overlooks the conservatory and garden. Both customers confirmed they had enjoyed the meal that was prepared. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 12 The menu record showed that customers had a good range of balanced and wholesome meals that were suitable for younger adults. The evening meal was pasta and chicken sauce, and this looked and smelt appealing. Other recent main menu choices were baked sausages, fish in breadcrumbs, roast chicken, shepherds pie, chicken pie, and beans on toast. All were served with vegetables. A selection of the main deserts provided for a week included fresh fruit, ice cream, peach crumble, chocolate mouse, and fudge pudding. During the evening, customers moved freely around the home and were able to access the privacy of their own room, or alternatively, use the shared lounge or conservatory. No restrictions were placed on when or how these were accessed. Customers’ records checked showed that their daily routines promote independence. Staff spoken with confirmed that customers are actively encouraged to participate in the daily routines at the home, or participate in leisure activities in the evenings or weekends. On the evening of the inspection, customers and staff had planned a visit to the cinema, which they were looking forward to. Customers’ comment cards received (10), 7 stated they could do what they wanted during the evening, and 2 stated no. Six customers stated that they could make decisions about what they do each day, 4 stated sometimes. A selection of customer/relatives feedback included the following comments. “I like going to the home because everyone is very kind and helpful, and we have lots of fun. We also go out weekends and help with the shopping. I treat it as my holiday, when my parents are away” “My relative is always happy to go to the home”. “I love the respite house, and staff”. “My relative has a day service of their choice. At weekends decisions have to be made depending on staff numbers”. “My relative considers going to the home as a holiday. I feel they are really looked after, and can enjoy trips out shopping and to the cinema”. 55 Lincoln Avenue DS0000037694.V325757.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. Customers can expect that their physical and emotional health needs would be fully met, and that medication would be appropriately provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The customers’ records checked showed that the home were aware of peoples’ personal care needs and preferences, and this has also been clearly demonstrated under support planning. (Please refer to standard 6). Healthcare needs had also been identified and their records showed that these were regularly monitored. For example, the staff had been provided with extensive information to enable them to manage one customer’s seizures, should these ever occur. This included good information around the description of seizures, the triggers, their duration, the usual recovery period, and the expected first aid procedures. Access to the local Doctor was available for more urgent situations, and if required, residents would be taken to the local surgery. However, as respite stays at the home were usually for sort periods only, most customers would consult with their own General Practitioner. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 14 The home’s medication policies were provided for staff guidance by the Local Authority, and had been adapted to meet the needs of the local service. As each customer provides their medication on admission, and stay for different periods of time, the home has adapted a check in/out system to account for each customer’s own medication. This allows the home to be responsible for all medication received, and for its safe administration during the customer’s stay. The medication and the records for one resident were checked. These had been securely locked in the medication cabinet, and had been appropriately maintained as per the home policy. A record of each medication was in evidence, with the name, dose, route, and frequency appropriately recorded. Staff had signed to record that they had assisted and witnessed the customer take these. Records checked during the period from the 14th to the 16th May 2007, were found to be complete and accurate. 55 Lincoln Avenue DS0000037694.V325757.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. Customers can expect that every effort would be made to keep people safe, and to promote and ensure their protection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lincoln Avenue provided a complaints policy and procedure, which was checked and was provided to customers in an accessible format, having picture symbols as well as written text. The complaints policy was also found within the home’s Statement of Purpose and Customer Guide. The complaints log was viewed and there had not been a complaint within the last year. The complaint procedure was clearly explained in the complaints book. Customer feedback is provided to the home at the end of a stay, so any concerns can also be addressed at that time. Feedback received from staff confirmed they were confident that the manager would appropriately deal with any concerns. The home had policies and procedures in place in relation to the Protection of Vulnerable Adults, which was available at the home. Further the home had received the Suffolk Vulnerable Adults at Risk guidance policy, June 2004, which was very robust and detailed guidance. Staff understood their responsibilities in relation to the reporting of any abuse to Social Services. The agency’s recruitment procedures included Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures for all new staff. Staff members’ records showed they had received Protection of vulnerable adults training. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good. Customers can expect that the environment of the home would be very well maintained, safe and hygienic, with the provision of good facilities that met customer’s needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lincoln Avenue continued to provide a spacious, comfortable, and clean environment for customers, which was decorated to good standards and was well maintained throughout. The lounge is decorated in modern colours, with the kitchen and conservatory in more natural colours. The lounge was provided with a modern lounge suite, and furnishings appropriate to the needs of younger adults. The bathrooms and toilets were spacious, clean and very accessible, and safe for customers, including the provision of hand rails. Secure handrails remained in place down the stairwell. The home had an advanced fire system, which included automatic bedroom fire safety closures. The laundry area was very clean and meticulously maintained, and the COSHH cupboard was properly secured. Liquid hand wash and paper hand towels were in evidence throughout the home, and there were sanitary bins in the downstairs toilet and the upstairs bathroom. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 17 Bedrooms were personalised and comfortable, and were provided with suitable furnishings and pictures to create a more homely environment. The kitchen area provided a dishwasher and refrigerator and was also well maintained. Radiator protectors were in place on all radiators. There was a staff office on the first floor that is used for the administration tasks of the home, and as a sleepover room at night. The home is situated in a quiet residential area of Saxmundham that has access to the local village and shops. The home grounds overlooked a field, and were well maintained and provided a suitable area from the customers, particularly in the summer months. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 18 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, 36 Quality in this outcome area is excellent. Customers would be protected by the home’s recruitment and employment procedures and could expect to be supported by well-trained and competent staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Advanced bookings are accepted from customers. Customer numbers constantly change depending on personal need, and on the availability of rooms. On the evening of the inspection, two-service users were at the home. Two staff had been allocated for the afternoon shift, and they supported these customers throughout the evening, including taking them a visit to the cinema. The staff rotas were checked and this showed a 1:1 ratio, so care and support during the evening was very good. One staff member was allocated to undertake a sleepover during the night, and was able to assist customers if required. During the day, customers would attend a day service, so support staff are not usually retained during this period. On call, and call back policy was in place to ensure that staff can be contacted, should they be required during the day, after hours, or at the weekend. The rotas showed acceptable levels of staff for the periods required. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 19 Staff spoken with and records checked showed that staff were thoroughly trained in their job roles, and therefore had the necessary skills to meet the needs of customers with learning disabilities. Training records checked evidenced that the home continued to ensure that staff had received appropriate and specific training. Some examples of this included food hygiene training, first aid, Unisafe training, adult protection training, epilepsy, moving and handling training, risk assessment, National Vocational Training to level 3 for 2 staff, sexual health, and induction training. A number of staff required medication training, but plans were already in place to ensure that these members of staff would receive this shortly. The recruitment and employment records for two staff were checked and these confirmed that the home had undertaken sound and thorough recruitment checks for staff. This included obtaining a Criminal Record Bureau check and Protection of Vulnerable Adults (POVA) checks, identity checks, 2 references, a job description, an application form, and a photo for each employee. Supervision records checked and feedback received from staff confirmed that the home ensured thorough support was provided for staff members. Records showed staff received regular supervision, and that this was recorded and maintained on their records. Feedback received from customers and their relatives included the following views about the staff group. “The staff at Lincoln Avenue are second to none, and are always helpful and go out of their way to accommodate our relatives wishes”. “The staff are very kind and friendly, and we have lots of fun together”. “My relative really enjoys staying at the home and always looks forward to the next visit. They find the staff kind and approachable”. “Weekday clients have to go to work as no staff cover during the day”. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 20 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, 42 Quality in this outcome area is excellent. Customers can expect the home would be very well managed including seeking customers’ views about the quality of the service, and ensuring that the home operates high quality health and safety practises to keep customers safe. This judgement has been made using the available evidence including a visit to this service. EVIDENCE: Mrs Heidi Bailey was recently appointed by the Local Authority to manage Lincoln Avenue, and her application for registration was approved by the CSCI. Mrs Bailey, who works only 18.5 hours per week or 50 of their time at the home, manages the home with support from Rachel Wood, a fulltime senior support worker. Mrs Bailey has around 16 years care experience and a managed various other services. The management team was very focused the promotion of independent living opportunities for its customers. The home received feedback from customers about the care provision, to ensure that they could continually improve the service provision. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 21 Staff feedback confirmed that management were very supportive of them, and any problems would be quickly resolved. Quality assurance feedback forms sent to the home were viewed, and a selection of customer’s views are as follows. “All the staff are lovely. Thank you”, and, “I would like to thank you for the care and kindness you gave while my relative was at the home” and, “Thank you for looking after me”. Quality assurance forms were provided in a picture format and text that people with learning disabilities could easily relate to. The home had an appropriate complaints system for feedback, and past evidence showed that any complaints were properly dealt with. Six regulation 26 provider visit reports were checked and this evidenced regular management review of the service for the period May 2006 to May 2007. During the inspection the personal money held for one customer was checked, against the records provided. The finance records matched the cash held. Records confirmed that staff had received appropriate health and safety training including moving and handling training, food hygiene, fire safety, and first aid training. There are always two support workers on duty, when residents are at the home. Hot water taps had restrictor valves in place to prevent scalding, and hot water outlets checked were within acceptable limits. Radiators were covered to prevent scalding. The home has a fire and smoke detection system, and automatic bedroom door closures. The laundry was found clean and well maintained, and the washing machine could operate hot water cycles at 63 degrees Celsius. The COSHH cupboards were found locked, with substances hazardous to health kept here. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 22 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 4 35 3 36 3 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 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 4 X 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 23 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 YA20 Good Practice Recommendations The home should ensure that all staff receives medication training to ensure they understand local medication procedures. 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 55 Lincoln Avenue DS0000037694.V325757.R01.S.doc Version 5.2 Page 25 - 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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