Inspection on 14/07/08 for 6 Queensview Crescent

This inspection was carried out on 14th July 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

6 Queensview Crescent 18/03/08

6 Queensview Crescent 04/01/07

6 Queensview Crescent 30/01/06

6 Queensview Crescent 23/09/05

6 Queensview Crescent 29/03/05

6 Queensview Crescent 22/09/04

6 Queensview Crescent 12/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 6 Queensview Crescent Warley Road Scunthorpe North Lincolnshire DN16 1QN Lead Inspector Wilma Crawford Key Unannounced Inspection 14th July 2008 08:30a 6 Queensview Crescent DS0000002872.V368448.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 Queensview Crescent DS0000002872.V368448.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 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 6 Queensview Crescent Address Warley Road Scunthorpe North Lincolnshire DN16 1QN 01724 270407 01724 271603 michelle.hammond@dimensions-uk.org www.dimensions-uk.org Dimensions (UK) Ltd 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) Manager post vacant Care Home 6 Category(ies) of Learning disability (6), Physical disability (3) registration, with number of places 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18/03/08 Brief Description of the Service: 6 Queensview Crescent is a care home providing personal care and accommodation for six adults aged 18-65 years with learning difficulties. The care home is owned by Dimensions (UK) Ltd and is situated close to two other homes owned by that company. The home is located in a residential area close to the centre of Scunthorpe. It is close to local shops, amenities and public transport. The home is a purpose built bungalow. All the bedrooms are single; bedrooms are fitted with wash hand basins. Bedrooms are decorated and furnished to meet individual service users requirements and preferences. Communal areas of the home are decorated and furnished in a domestic style. Aids and adaptations are provided as required to meet service users’ needs. Information on the service is made available to prospective and current people living in the home via the statement of purpose, service user guide and inspection reports, copies of these documents can be obtained from the manager. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 18th March 2008 including information gathered during a site visit to the home The site visit was unannounced and took place over eight hours including preparation time. Four people living in the home, and three staff were spoken with during the visit. The area manager was available throughout the visit. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The premises were looked at and the records of three residents and two staff were inspected. The fees charged are £894.74 per week. Details of additional charges made for transport and contribution towards holidays are included in the statement of purpose and service user guide. Eight surveys were sent out to people living in the home and staff none of these were completed and returned, before the report was written. Comments from discussions during the site visit are included in the report. What the service does well: The home ensures that people living in the home and their carers receive good comprehensive and timely information about the home. The documentation also includes symbols, making the information easy to understand, enabling people and their carers to make informed decisions about the homes capacity to meet their needs. Individual support plans for people living in the home are comprehensive and reflect all areas of identified needs. This means staff have access to all necessary guidance to tell what help the persons needs, when they need it. The plans also include pictorial formats relating to the content of the care plans, enabling people to have input into their care plan in a format which is easier to understand. People living in the home have good access to professional medical staff and are able to access external services such as dentists and opticians. Health action plans are also in place to support individuals with their medical needs. Discussions with the staff indicated that the staff are very committed to their role and take an interest in the welfare of the people living in the home. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 6 Staff spoken to during the inspection talked about people in a sensitive and respectful way and understood the need to promote their dignity and independence. Staff stated that they felt the service was generally well managed and commented on the approachability of the area manager and senior staff. There remains a core group of staff that had worked in the home for a number of years. This means people living in the home receive care and support from staff they are familiar with. What has improved since the last inspection? What they could do better: The service needs to appoint a manager to the home to manage the service and make sure that the care staff can carry out their roles correctly. One item of out of date medication had not been returned to the pharmacy for disposal. All other medication was checked and found to be in date. There are suitable processes in place for returning medicines no longer in use. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 7 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 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 8 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 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 9 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 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home and their relatives are provided with sufficient information to help them decide if the home was right for them. Arrangements are in place to ensure prospective service users needs are properly assessed and planned for. EVIDENCE: A statement of purpose and service user guide was available and a copy of this document was in place in each individual’s files looked at during the visit. The service user guide had been reproduced using symbols to improve its accessibility for service users. The home routinely provided statements of terms and conditions on an annual basis to all service users, which included information on charges. There had been no new admissions to the home for some considerable time. Assessment of this outcome group was based on available records, feedback from staff and relevant policies and procedures. Arrangements were in place to ensure that prospective service users needs are properly assessed and planned for prior to admission. The three care files 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 10 looked at, each contained completed needs assessments. Information contained in these had been used to develop individual support plans. Staff members spoken to were aware of the process of information giving to prospective service users, and they knew where the statement of purpose and service user guide information is within the home. Discussion with staff showed they were very knowledgeable about the needs of each people living in the home and had a good understanding of their specific needs and how their care was offered on a daily basis. None of the people living in the home were able to tell the inspector about their care needs and the input they required from staff. Professional staff spoken withl stated they considered the level of care provided to be good. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6. 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care and support each individual needs and receives is well documented and care provided is based on assessment of individual needs and choices. Care plans are produced in a suitable formats for people living in the home. EVIDENCE: Case tracking took place for three people living in the home. The methodology used was a physical examination of care plans, written surveys to service users, staff, and some health and social care professionals, and direct observation on the day of the inspection visit. The care plans examined were found to be very detailed and person centred. Both support plans and risk assessments are provided in suitable formats as a means of further improving the accessibility of these important documents for people living in the home. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 12 Individual support plans were in place for the three people selected for case tracking and these set out the health and personal care needs identified for each person. Plans looked at had been regularly evaluated and any changes to the care being given was documented and implemented by the staff. Risk assessment tools for mobility, tissue viability, bed rail provision, medication, nutrition and general issues; all high risk areas identified had been reviewed and care plans were in place to support appropriate care provision. Records evidenced regular care reviews were held with the responsible funding authority. Information from discussion with staff indicated that all of the people living in the home were white/British. The home is able to support people from a range of cultural and ethnic backgrounds or those with diverse needs following a needs assessment being completed. Placements at the home are open to individuals from all geographical areas. At the current time the home employed a male worker, this enabled service users to have a choice of staff gender when receiving personal care, as far as practicable. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to maintain links within the community. The routines of the home are flexible to meet individual’s needs and the meals provided are of good quality with a good variety and choice available. EVIDENCE: People living in the home previously attended a local authority day service, which is no longer provided. Each individual has an activity plan within their individual care plan detailing structured activities linked to assessments of social needs, both within the home and the local community, these included music lessons, theatre visits, meals out, shopping, bowling, horseracing, speedway, hands massages and nail care. The home has also looked at how friendships and relationships from the day centre can be maintained and have 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 14 liaised with local homes and linking into their activities to enable contact to be maintained. Some people have additional identified hours to enable additional activities to be accessed. Discussion with staff indicated some people living in the home had regular contact with their families and friends. Staff stated relatives and visitors are made welcome at any reasonable time. Key workers helped individuals to maintain family contact by sending cards at significant occasions such as birthdays and Christmas, thereby helping service users to maintain family contacts. The home does not employ an activity coordinator; support workers are responsible for organising and arranging activity programmes The standard of the meal provision in the home was good. People living in the home are provided with three meals a day and records showed that a varied menu was available. Staff said that people living in the home were often involved in going to the local supermarket to shop for food. Food likes and dislikes were recorded. The inspector spent time in the dining area observing the lunchtime meal. Two people needed to be assisted to eat their meal and staff did this in a sensitive manner and they were not hurried. Staff had a good knowledge of individuals’ likes, dislikes, food preferences, portion size, manner of eating and how they communicated this non verbally, details of which were also documented within the care plans. 6 Queensview Crescent DS0000002872.V368448.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 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal support is offered in such a way as to promote and protect the service users’ privacy and dignity. Arrangements for meeting the health care needs of people living in the home are satisfactory. EVIDENCE: All the bedrooms are for single occupation this means treatments and examinations can be carried out in private. Individual’s support plans describe how personal care should be provided to ensure that their dignity and privacy is maintained and promoted. All of the people living in the home are registered with a GP. A record of routine eye tests, dental and chiropody treatment is maintained. Individual support plans also details how often service users should be weighed and records of this is recorded. Records showed people have access to outpatient appointments at the hospital and that staff accompanied them where this was needed. The service records 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 16 when people have been seen by a healthcare professional, and when there is an outcome or a treatment these actions are recorded and implemented in individuals care plans. Individual health action plans are available within the home and these are detailed. Medication records were checked for three service users as part of the case tracking process. The home uses the Nomad system for drug administration. and management of medication systems in the home were generally satisfactory, however one medicine that was no longer in use had not been returned to the pharmacy for disposal. The medication records included photographs of the people that should be receiving them and notes included ‘how I like to take my medication. This was identified as being good practice. None of the people living in the home at the time inspection visit had been prescribed controlled medication. There were no signature gaps on the records looked at. Care workers administer the prescribed medication in the home and have received the appropriate training and assessment to ensure they are competent to undertake this role. None of the people that use the service self medicate. Nobody at the home had been prescribed a controlled drug. However the home maintains a controlled medication book so that any changes to this can be appropriately recorded. 6 Queensview Crescent DS0000002872.V368448.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 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system and staff and people living in the home can be assured complaints and concerns will be listened to and acted upon. The staff vetting procedure is sufficiently robust to ensure the safety of the service users and adult protection systems are supported by a stafftraining programme. EVIDENCE: Staff have been provided with adult protection training and they are able to demonstrate a clear understanding of their roles within the policies and procedures, for reporting allegations or suspicions of adult abuse. There have been no complaints made to the Commission or the home in the last twelve months. The home had received one complaint, which was dealt with appropriately and to the complainant’s satisfaction. There is a clear complaints procedure and the procedure is available in a suitable format for people living in the home. Staff spoken said they had no concerns about the home and felt confident to raise issues of concern if they arose. None of the people living in the home were able to confirm to the inspector their understanding of the complaints process, comments from professionals indicates that they are aware of how to complaint, should this be needed. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 18 Discussion with staff identified that the home had policies and procedures to cover adult protection and prevention of abuse, whistle blowing, management of challenging behaviours and management of service users’ money and financial affairs. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 19 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, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are provided with a warm, safe and comfortable environment to live in. EVIDENCE: A tour of the home was carried out and all areas were seen to be clean, tidy and odour free. The home was well maintained and decorated throughout. All bedrooms looked at were clean and tidy and were furnished and decorated in a homely style. Many people had furnished their bedrooms with a range of personal items, some bringing in items of furniture to reflect their own individual choice and taste. Observation of the premises showed that there was one minor area needing work; some of the dining chairs were stained and needed to be deep cleaned to remove these. Whilst these matters do not pose any health and safety problems they do not ensure service users live in an attractive environment. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 20 There is a garden that is accessible, which has planters, wind chimes and a herb garden. However the garden slopes which poses some difficulties for some of the people living in the home because of problems with mobility. This means they are unable to access all areas of the home independently. The company responsible for the home should consider how action can be taken to address this. Staff reported that they had access to all required specialist equipment needed to ensure service users needs could be met, this included a hoist, specialist beds, additional moving and handling and specialist bathing equipment. Service and maintenance records for all of this equipment were all seen to be in place and were up to date. Bathrooms were well spaced around the unit and water temperatures were checked and found to be between 42º C and 44º C. The temperatures of the water outlets are checked on a weekly basis by the handyman and thermostatic valves are in place to control the temperature at which the water is provided. The home’s laundry was well organised. The washing machine was programmable to disinfection and sluicing standards 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 21 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): 31, 32, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home generally provides sufficient numbers of staff on each shift to meet the care needs of service users. Staff are trained and competent to carry out their duties and responsibilities. EVIDENCE: The roles and responsibilities of staff are clearly defined and understood. Two support workers spoken to were able to fully describe the management and reporting arrangements in place in the home. The home was full at the time of the inspection. Two care staff are available on duty in a morning and in the afternoon and one care staff at night. Additional staff are brought in for appointments and outings. The management hours are supernumerary to these figures. Staff spoken to said staffing levels were generally fine and they were able to spend quality time with the people living in the home 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 22 Additional hours have been obtained for some of the people living in the home to support and enable activities since the closure of the day centre. Recruitment records for two staff were examined and these were found to be up to date. The area manager oversees the recruitment process. An application form, two written references, a Criminal Records Bureau check and a Protection of Vulnerable Adults check are undertaken prior to a person starting employment. The risk of harm to people is minimised due to the stringent procedures in place. The home provides a structured programme of induction training, with all new staff competing a five-day corporate induction programme. One staff member spoken to described their induction training as good. The induction programme included opportunities to work alongside more experienced (shadowing) staff. Staff spoken said staff were encouraged and supported to gain appropriate NVQ qualifications. All of the staff have either achieved NVQ level 2 or are working towards this qualification. Staff on duty stated that access to training was very good and records seen confirmed this. A formal staff supervision programme was in place and records evidenced staff received formal recorded supervision. Staff spoken said they were provided with formal and regular supervision and indicated that annual appraisals are completed. Records of these were made available to the inspector. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 23 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 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from a well managed and organised home. Arrangements were in place to ensure service users health and safety was maintained and promoted. EVIDENCE: An area manager and a senior member of staff currently manage the home. Both have hours supernumerary to the staffing rota, to enable this. Neither of these individuals is registered with the Commission for Social Care Inspection. Action must now be taken to address this to meet legal requirements. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 24 Both individuals undertaking the management role have considerable experience of managing the home and working with people with learning disabilities. Staff spoken to said the home was run in the best interests of people living there. They also confirmed that moral was good and staff said there was a good team approach to care delivery at the home. Evidence from staff interviews indicated that staff consider both parties to be approachable, saying they took issues raised seriously and prompt action to resolve matters. Staff also commented that they felt the home was well managed and that supervisory arrangements were satisfactory. The home had a range of mechanisms in place to monitor the quality of services provided including regular audits of the home’s environment, regulation 26 visits and reports, a staff survey questionnaire and individual reviews. A specific development plan for the home and published report of quality assurance monitoring reflects the outcomes for people living in the home and feedback from relevant third parties was in place. The home had a range of policies and procedures for health and safety. Safe working practices were maintained by the provision of training to staff in the form of moving and handling, basic food hygiene, first aid and health and safety. Checks of maintenance records demonstrated that current certificates were in place for the gas, portable electrical appliances and fixed electrical systems. Accident records were completed appropriately and were regularly audited to help identify any problems or recurring themes. The service needs to appoint a manager to the home to manage the service and make sure that the care staff can carry out their roles correctly. Arrangements are in place for an independent area manager visits the home to produce a report under Regulation 26 of the Care Homes Regulations. This demonstrates that the home is being monitored and to meet legal requirements. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 25 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 3 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 X 27 3 28 3 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X X 2 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA11 Regulation 4, 13.6 Requirement The registered person should make sure that the people who use the service are not expected to pay for staff meals and accommodation when they support individual’s out for lunch or on holiday. Advocates must also be sought to support the people that use the service with their finances. ( previous timescales of 30/05/08 were not met.) 2. YA37 8 The registered person must ensure a permanent manager is appointed. Once appointed the manager must submit an application to register with the Commission for Social Care Inspection (previous timescales of 30/06/06 and 31.03.07 were not met). 30/10/08 Timescale for action 30/10/08 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 27 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. 2. Refer to Standard YA30 YA20 Good Practice Recommendations The registered person should make sure the dining room chairs are shampooed or recovered. The registered person should make sure that any medicines no longer in use are returned to the pharmacy for disposal. 6 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Queensview Crescent DS0000002872.V368448.R01.S.doc Version 5.2 Page 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!