Inspection on 29/06/07 for 6 Greenford Walk

This inspection was carried out on 29th June 2007.

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

The inspector 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

6 Greenford Walk 10/12/05

6 Greenford Walk 04/07/05

6 Greenford Walk 06/10/04

6 Greenford Walk 12/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 6 Greenford Walk Thorntree Middlesbrough TS3 9NX Lead Inspector Jackie Herring Unannounced Inspection 29th June 2007 09:30 6 Greenford Walk DS0000000120.V344724.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 6 Greenford Walk DS0000000120.V344724.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. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 6 Greenford Walk Address Thorntree Middlesbrough TS3 9NX 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) 01642 251518 01642 218279 greenfordwlk@walsingham.com Walsingham Mr Bryan Hubbard Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user over the age of 65 years. Date of last inspection 10th December 2005 Brief Description of the Service: 6 Greenford Walk is registered as a care home with the Commission for Social Care Inspection under the Care Standards Act 2000 to provide care and accommodation for up to 6 people who have a learning disability. The home is situated in a local authority estate within walking distance to local amenities. It is a detached house having a large fenced garden to the rear and a garden to the front with parking space. The service at Greenford Walk is provided by Walsingham, a registered charity and is managed by Mr Bryan Hubbard. The fees for living at 6 Greenford Walk are £850 per week. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was completed in one inspection day, five inspection hours in total. As a key inspection, all of the key standards were examined. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. Residents were spoken to as was a support worker, deputy manager and the manager. A number of records were looked at including residents care records and staff training records along with medication records. The inspector has lunch with the residents and staff and time was spent looking around the house and the garden. This was an extremely positive inspection, with very good outcome for the people who live at Greenford Walk. Residents, the manager and staff warmly welcomed the inspector and very good interactions were observed throughout the inspection. What the service does well: Greenford Walk does a good job at meeting the needs of the residents who live there. The home provides the residents with a comfortable and homely place to live. It delivers an extremely high standard of person centred care to the residents and is a very supportive and enabling environment. Person Centred Plans are clearly individualised and well written with the emphasis on aspirations and goals. It was good to see resident’s opening the door to visitors and answering the telephone, which demonstrated the belief of ownership and empowerment for the people who lived at Greenford Walk. Residents are clearly happy and spoke of their personal interest, activities and hobbies. One resident took a great deal of pride in showing their bedroom and said, “I like it here, and I have a lovely room”. Greenford Walk clearly provides an environment that is consultative and residents views are of the utmost importance. Staff said, “It is about consensus, everyone’s point of view is valid, it is empowering”. It was very evident from observations that good relationship exists between the residents and staff, and staff said, “One to one care is important and we look at what works well for the residents as individuals”, “Trust is the main thing, and it is about supporting them to achieve their best”. Staff are very knowledgeable about the residents needs and nearly 100 are trained to NVQ Level 2 or above. Good training programmes are in place including mandatory training as well as service specific training. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 6 Greenford Walk is a very well managed home with good management systems in place. The manager provides strong leadership and operates a very open management style, which is inclusive, enabling and empowering to all. The staff said, “There is flexibility for the staff and the staff are very dedicated and are willing to do what ever they can to ensure residents have full lives”. The AQAA stated, “Service users are encouraged to get involved in the running of house and to see it as their home, not ours”. This was observed throughout the inspection. 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. 6 Greenford Walk DS0000000120.V344724.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 6 Greenford Walk DS0000000120.V344724.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 good. This judgement has been made using available evidence including a visit to this service. Resident’s individual aspirations and needs are assessed before they are admitted to the home. EVIDENCE: Two sets of residents records were looked at, both of which contained a copy of the care manager’s assessment. It was confirmed through the AQAA, examination of records and discussion with staff that resident’s needs are fully assessed prior to moving into Greenford Walk. The AQAA stated that the home has a comprehensive Admissions Policy, Service User Guide and Statement of Purpose. It also detailed that the existing residents are asked their views on any prospective new resident and this feedback is recorded. The staff described a good admission process, with residents having the opportunity to visit on several occasions including overnight stays prior to any decision being made about moving in. One staff member said, “It is so important to get this right, it’s important to give the person the chance to see how they are in the home and how they are with the existing residents”. The home is well able to demonstrate it’s capacity to meet the full assessed needs of individual residents admitted to the home. 6 Greenford Walk DS0000000120.V344724.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. This judgement has been made using available evidence including a visit to this service. The homes assessment and care planning process ensured resident’s needs were identified and met. Residents were consulted about all aspects of their life and were supported to be as independent as possible. EVIDENCE: Detailed individual files are in place for all of the residents within Greenford Walk. These included Person Centred Plans, Health records and review records. Observation during the inspection, conversation with residents, the manager and staff as well as the care records being looked at, showed that each resident received very good personal and individual support. Two sets of resident’s records were looked at in detail and were clearly person centred. There was very good flow of information, from personal information, detailed life history, assessment of need through to individual plans of care, risk assessment and a clear focus on short and long terms goals. Individuals goal were well recorded and risk management strategies were in place to support independence and personal development and growth. An example of this included, “Making own way to and from Gateway”. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 10 It was clear through examination of records and observations that the relationships with residents and staff are very open and enabling, with residents being encouraged to make their own decisions and choices within a risk assessed framework. Residents are fully involved in the assessment and person centred planning process and have signed and agreed their individual plans. Regular reviews take place, which again are well written, informative and concentrating on individual goals and minutes of reviews are written in easy read format. Staff confirmed that there are keyworker arrangements in place and said, “One to one care is important and we look at what works well for the residents as individuals”, “Trust is the main thing, and it is about supporting them to achieve their best”. A consultative environment was observed with very good communication and everyone being treated very much as an individuals who were able to express views and opinions. It was also confirmed through the AQAA and discussions during the inspection that regular residents meeting take place. Staff said, “It is about consensus, everyone’s point of view is valid, it is empowering”. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are treated with respect and their lifestyles are very much individualised and underpinned by appropriate social and recreational activities as well as the opportunities for personal development. Residents’ benefit from maintaining personal relationships and have their right respected. Meals are provided to a good standard within a suitable environment. EVIDENCE: During discussion with residents and staff it was confirmed that there are a number of opportunities for activities and personal development, both on an individual basis or group basis. One resident said, “I like to watch my music videos and have been on holiday to Blackpool”. In the personal care files of residents that were looked at, they detailed “Things he/she likes to do”, “Things he/she doesn’t like to do”, “Things he/she has done since moving to Greenford Walk”, “Things causing problems”. These records as previously stated were extremely individual and person centres and 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 12 they detailed plans, which included, going swimming; going to the gym, and going to literacy classes”. The AQAA stated, “we encourage service users to play an active role in the community; attend local Residents Association meetings, attend various churches, colleges, shops, gym and voluntary work”. It also confirmed that indvidual residents records contained details of activities and that the daily records and monthly reviews evaluated the response to these activities. A stafff member said, “There is a real sense of community belonging”. They described an annual barbecue where friends and family came, this included friends from the various groups the residents go to. During discussion with residents and staff it was evident that social and recreational needs were very much individual. Staff said, “People who live here ar offered a lot of opportunities for social activities”. One resident was really looking forward to their forthcoming camping holiday, while another resident was in Amsterdam for their holiday, which was the first time they had flown and was one of the goals recorded in their person centred plan. Residents had other holidays plans such as going to Skegness to a ‘60’s festival and short trips to Blackpool. Staff described the holidays as “tailor made”. Staff also talked about the different groups residents were involved with, they said, “One resident is actively involved with their church, this leads to other activities for him/her. Another resident is involved in a drama group and rambling group, which again leads to other social events”. The AQAA also stated that residents maintain contact with family and friends through parties and sending cards. Staff confirmed that residents receive visitors and one member of staff spoke of ansignificant and emotional situation where a residents was brought back together with members of their family who they had not had contact with for quite a long time. All residents have their own front door keys, which they all use as well as keys for their own bedrooms. Resident always use their keys as no staff have any keys to the house and they also answer the telephone. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s healthcare and personal care needs are met by staff who provide support in a sensitive and flexible manner in accordance with the wishes of the individual residents. Appropriate healthcare professionals provide advice and additional support. The systems for managing residents medication are good. EVIDENCE: As previously stated, the care records are extremely well written and contained detailed information about the individual residents, their assessed needs and lifestyles. A separate health/medical file is maintained for all residents, which detail the involvement of GP, Consultant Psychiatrists, Care Programme Approach reviews and all health related matters. It is clear that the home works closely with external professionals and specialists support such as epilepsy nurses and community psychiatric nurses, to support the residents. A member of staff said, “There is ongoing review via CPA and we have excellent relationships with other professionals”. Good systems are in place for the management of medication and storage is appropriate. Staff who administer medication have completed training, which is delivered through a training organisation on an open learning basis with 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 14 workbooks and test papers. The manager also confirmed that in-house training is delivered along with in-house assessments. A new system has been implemented for the regular auditing of medication. Medication needs are also recorded within resident’s personal plans an example of this is, “Staff give me my medication and support me with my mental health needs”. A residents weekly menu-planning meeting takes place and to assist residents to make their individual choices, there is a folder containing photographs of all of the meals. This was also detailed within resident’s personal plans with details of doing their own cooking one evening per week. The inspector joined the residents and staff for lunch, which was a relaxing experience and residents and staff were supporting each other with the preparation of the meal, setting of the table and washing up. Fresh fruit was available and residents are able to make themselves hot and cold drinks when they want. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a suitable complaints system and policies and procedures to protect residents from abuse. All staff had received training in the Protection of Vulnerable Adults. EVIDENCE: There are good systems in place to enable and support residents to raise concerns should the need arise. All residents receive their own personal copy of the complaints procedure, which is easy read and produced in an accessible format for individual residents. It contained all of the relevant information including the organisations internal contacts as well as social care contacts and CSCI. The AQAA stated, “We create an open and supportive environment so that service users feel able to voice any concerns (and offer assistance to those who find this difficulty). We talk about complaints/ abuse etc at service user meetings as well as on a one to one basis”. It also confirmed that advocay services were available should they be needed. During discussion with staff, it was confirmed that an advocate was currently supporting one of the residents. Complaint systems were in place, no complaint had been received or recorded since 1993. Staff said, “We have comprehensive procedures in place, if residents were unhappy about anything, they would say”. Staff confirmed they had received training on the topic of abuse and No Secrets. There have been no allegation sof abuse and the relevant procedures are in place, should they be needed. 6 Greenford Walk DS0000000120.V344724.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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a homely, well-maintained environment to suit their needs and lifestyles. The residents live in a clean and hygienic environment. EVIDENCE: Greenford Walk is a six bedroom detached home that offers residents a very warm, homely and comfortable environment to live, which is extremely clean and well maintained. The home was pleasantly decorated and the furniture was comfortable and domestic in design. The assessed needs of residents were being met with the provision of adaptations and equipment, where needed. The AQAA detailed a number of environmental improvements since the last inspection, including redecoration of the kitchen; the hallway and bannister has been painted; new wall unit and sink unit installed in the utility room; new smoke seals fitted to all fire doors; new self-closing fire doors fitted to dining room and office; additional garden furniture has been purchased; rails have 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 17 been raised on staircase and two service users have re-decorated their bedrooms. One resident took pride in showing their bedroom to the inspector and it was observed to be very personalised with evidence of their hobbies and interests. One resident said, “I like it here, I have a lovely room”. It was also confirmed that residents had locks on their bedroom door and that they were able to use them for privacy needs. Residents also benefit from having a large pleasant garden, which is accessible and has a range of garden furniture available. 6 Greenford Walk DS0000000120.V344724.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, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers and skill mix are appropriate for the resident’s needs. Staff are competent to do their jobs and residents are protected and supported through the home’s recruitment procedures EVIDENCE: Recruitment was discussed with the manager who confirmed that the required information and checks are completed, demonstrating the home is following the recruitment policies and procedures, for the protection of the residents. Much of the recruitment is completed centrally, however copies of the required personal information such as references and Criminal Bureau checks are available within individual staff files in the home. It was confirmed that all of the staff with the exception of one, have completed National Vocational Qualifications in care to Level 2, with the remaining staff member in the process of completing. Two of the senior staff have also commenced Level 4 and one member of staff has completed the assessors award. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 19 The AQAA stated, in what we do well, “Provide a stable, experienced and qualified staff team. Have a comprehensive recruitment and induction process. Provide both statutory and developmental training. Have a good mix ages/backgrounds/skills etc. CRB checks are done every 3 years”. Individual training records were made available and they contained certificates of training and qualifications. Training included core training for which the staff link into the local authorities training as well as more service specific training, such as Person Centre Planning; advocacy awareness, diversity, medication and health action plans. It was also confirmed that appropriate systems are in place for the induction of new staff. One member of staff said, “There is personal development, all kinds of training if you want or need it”. The duty rota was looked at and discussion took place about staffing levels. It was confirmed that through the day, there are always two members of care staff on duty; this would be increased staffing and flexibility depending upon the needs of the residents and their lifestyle diaries. On call arrangements are also in place in the event additional support or advice was needed. One member of staff said, “The shift pattern has changed over the years to meet the needs of the people who live here”. When the staff were asked what was good about Greenford Walk they said, “It’s the staff team, we all work well together, we all have something different to offer. We get support from each other”, “I really like it here, we have a really settled staff team, no-one is ever off sick”, “There is flexibility for the staff and the staff are very dedicated and are willing to do what ever they can to ensure residents have full lives”. Staff also confirmed that they receive supervision and annual appraisals. 6 Greenford Walk DS0000000120.V344724.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. This judgement has been made using available evidence including a visit to this service. The manager provides very strong leadership to the staff team and continuously strives to improve standards within the home ensuring that resident’s needs are well met. There is a good range of quality assurance systems. Good service and maintenance arrangements are in place and in good order ensuring health and safety is promoted. EVIDENCE: The manager has the required qualification, experience and knowledge and is highly competent to run the home, which he has done, since it was first registered. He provides strong leadership and operates a very open management style, which is inclusive and enabling. One of the members of staff said, “The manager is excellent, very flexible and extremely supportive”, “Brian is always available, you can always contact him”. 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 21 The home has a well-defined management structure of: manager, deputy manager, senior support workers and support workers. The management style is empowering for residents and staff and provides for a fully inclusive environment for all. The staff who were spoken to were well aware of their roles and responsibilities. The home is clearly run in the best interests of the residents. One member of staff said, “We strongly encourage people to take ownership, what we do here, works”. Regular meetings take place, both individual meetings and group meetings. Resident meetings are held monthly. And the information and suggestions from these meetings are incorporated into staff meeting agendas (minutes of these are in accessible format). The AQAA states, “Our very experienced and qualified manager provides open and transparent leadership. Service users are encouraged to get involved in the running of the house and to see it as their home, not ours”. An example of this was that residents have keys for the doors not staff. During discussion with the manager he confirmed that there was a range of quality assurance systems in place. A company service audit takes place, the last one dated 12/2/07; regulation 26 visits take place as do staff meetings and a managers report is produced. Residents meeting have an agenda and residents sign to confirm they have received a copy of the minutes. The annual development plan was looked at and it again demonstrated involvement of both residents and staff. Feedback is given at residents meetings and a new section has been included and residents are now asked, “What could we do better”. A random sample of maintenance records were looked at and it was confirmed that weekly fire checks are completed and weekly checks on the temperature of the hot water. A file containing certificates of servicing was available and the manager also keeps a ‘Homes Servicing Checklist’, which details the frequency of servicing, when next due and when completed. The policies and procedure are reviewed and updated on an ongoing basis and to ensure that staff have access to the most up to date one, these are available on Walsingham’s intratnet. 6 Greenford Walk DS0000000120.V344724.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 X 2 3 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 4 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 4 32 X 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 3 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 4 3 X X 3 X 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 6 Greenford Walk DS0000000120.V344724.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 6 Greenford Walk DS0000000120.V344724.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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