Inspection on 12/07/06 for 64 Chilcompton Road

This inspection was carried out on 12th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

64 Chilcompton Road 25/06/08

64 Chilcompton Road 01/02/06

64 Chilcompton Road 08/11/05

64 Chilcompton Road 16/03/05

64 Chilcompton Road 10/11/04

64 Chilcompton Road 10/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 64 Chilcompton Road Midsomer Norton Bath & N E Somerset BA3 2PL Lead Inspector David Smith Key Announced Inspection 12th July 2006 09:30 64 Chilcompton Road DS0000008182.V302964.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 64 Chilcompton Road DS0000008182.V302964.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. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 64 Chilcompton Road Address Midsomer Norton Bath & N E Somerset BA3 2PL 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) 01761 419133 01761 417444 swallow2@gotads1.co.uk SWALLOW Ltd Mrs Beverley Craney Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 3 persons aged 16 - 65 years requiring personal care only May accommodate up to 3 young people aged 16 & 17 years of age requiring personal care, provided that none of these young people are accommodated at the same time as persons aged 18 – 65. 1st February 2006 Date of last inspection Brief Description of the Service: 64 Chilcompton Rd is a Victorian terraced mining cottage in a residential area of Midsummer Norton. The house is in walking distance of the local community. The service provided is respite and life skills training for adults with learning disabilities and is run by the organisation S.W.A.L.L.O.W (South Wansdyke Learning and Living Our Way). This is a voluntary organisation for people in the Midsummer Norton area and is jointly operated by its members and trustees. The home is referred to as ‘Base House’ and members stay on a nightly basis arriving between 2.00pm and 4.30 pm and leaving the following morning by 9.30am. The current fee charged to each member is £15.00 per night. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Due to the nature of this service, this was an announced visit as part of a Key Inspection process, however only two days notice of the inspector’s visit was given. The inspector gathered information during this visit through discussions with the Registered Manager, Deputy Manager, one member, and observation of interaction and communication between staff and members. Care plans and associated records were examined together with staffing records, complaints log and health and safety records. The inspector was also provided with a tour of the home. Other sources of evidence have been used as part of the Key Inspection process. These include the Pre-Inspection Questionnaire, Surveys from members, notifications of significant events and reports of the monthly auditing of the service. Each individual who uses this service is described as a “member”. This term has been reflected in this report and replaced the term “Service User”. The service currently has five members who regularly use the home. This valuable resource is however under used and therefore plans to develop the service to offer support for individuals aged 16 to 17 have been presented to the Commission. A variation in the service’s Conditions of Registration has been agreed to accommodate this. What the service does well: The member spoken with and others who responded by questionnaire spoke very highly of the service provided and the staff who support them. The house continues to provide a valuable service for members to experience developmental opportunities. The members lead the service. There is evidence of person centred approaches throughout the service. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 6 The staff have a good understanding of the individuals support needs through the maintenance of positive relationships. The service offers each member the opportunity to take part in both social and life skills activities both within the organisation and the community. Each member is encouraged and supported to make decisions during their stay at the base house. The service is well run. The ethos is clear, well communicated and remains focused on positive outcomes for each member. There is an effective quality assurance system in place. This ensures that the home is able to review its service and improve where possible. 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 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. 64 Chilcompton Road DS0000008182.V302964.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 64 Chilcompton Road DS0000008182.V302964.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. The quality in this outcome area is good. Each prospective member is provided with clear information to enable them to make an informed choice regarding using the service. There is a comprehensive assessment process, which ensures members support and development needs can be met. Each member has an individual copy of the terms and conditions whilst using the service. EVIDENCE: The service has a comprehensive Statement of Purpose and Service Users Guide. Both of these documents have been updated recently. These have also been produced in an accessible format meeting the communication needs of the members attending the home. These shorter versions are written in plain English and contain picture symbols to help members understand their content. The Registered Manager also told the inspector that staff read through these documents with some members and explain each section to them, if they need this additional support. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 10 One member spoken with and three who responded through questionnaires all said that they were provided with enough information to decide if they would like to use the service. The service has a comprehensive assessment tool, which is used to assess each members’ support and development needs. The two care plans examined showed that this tool had been used effectively and that this information was used to develop each members’ care and support plans. Each care plan contained a ‘Contract for Members’. This provides details of the terms and conditions of using the service, together with guidance on the service’s policy on smoking, fire safety and alcohol. 64 Chilcompton Road DS0000008182.V302964.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. The quality in this outcome area is good. Comprehensive care plans are in place that identify members’ assessed needs and personal goals. Care plans have been provided in a format which is accessible to each member. Members make decisions about their lives and are given assistance as and when needed. Members are consulted on, and participate in, all aspects of the service. The Risk Assessment process supports each member to take risks. These are reviewed and updated regularly. EVIDENCE: Two care plans were examined in detail by the inspector. These provided comprehensive information on the areas of support each member required and the goals they are working towards. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 12 The home has adapted information within the care plans into a format which each member can access. The home has ensured these are written concisely, in plain English. Picture symbols are included within each section of care plans to improve the accessibility of information. Regular reviews are held, which include members, their families, Social Workers and staff members. These are clearly recorded and the outcomes used to update individual care plans. One member spoken with told the inspector that they “love coming here”. They are well supported by staff and always decide what they would like to do. Staff “always ask me what I would like”. The three comment cards returned to CSCI also confirmed that each member felt they chose what they wanted to do and that staff listened to them and acted on what they said. S.W.A.L.L.O.W is committed to its members leading and developing its services. The Management Committee consists of 70 who are members. A members ‘Interest Group’ meets every two/three months and an ‘Evaluation Day’ is held every year. These provide a variety of opportunities for members’ views to be aired and acted upon. The inspector noted that members first mentioned the addition of a Deputy Manager to the staff team at Chilcompton Road at the ‘Evaluation Day’. This post has now been created and recruited to. This is clear evidence of the members’ views being valued and acted upon. This is good practice. There are person centred Risk Assessments in place. These support members to take risks as part of an independent lifestyle. These form part of each persons care plan and are regularly reviewed and updated. 64 Chilcompton Road DS0000008182.V302964.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 13 and 17. The quality in this outcome area is good. Members are encouraged to develop existing or learn new skills. The home operates a staged approach of support for members. The service offers opportunities for individuals to take part in appropriate social events and access to the community in order to enhance their lifestyle. A healthy and varied diet is promoted. EVIDENCE: 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 14 Standards 12 and 15, although considered key standards, are not appropriate to this particular service. The service remains focused on supporting each member to work towards his or her goals. The ethos of the service is to develop independent living skills to enable members to either live semi/independently in the community or to help provide skills and /or strategies to enable them to be less reliant on their primary carers, most of whom remain parents/family members. The service also offers an extremely valuable respite service for each member and their carers. The care planning process supports each member’s development. The goals for each person are clear and their progress towards them is monitored. It is evident that members have been supported to make progress to enable them to develop their life skills and/or live more independently. The home continues to encourage and offer opportunities for members to use the local shops and other facilities in the community. The organisation offers differing courses/activities for individuals to attend and has good links with a local further education college. It was evident through discussion with one member that they are supported to develop independent living skills and to access a variety of activities. They told the inspector that they are responsible for their room whilst they stay in the home. When they arrive in the afternoon they make their bed and put their personal items in their room. They get on well with other members who are staying at the home. Staff always ask them what they would like to do. Often they go out in the evening, to the pub or other social events. This member likes going to the local pub as they have Sky TV and everyone is friendly. Both the Manager and her Deputy explained that members have opportunities to develop friendships through their stay at the base house; one of the aims of the service is to offer opportunities for individuals to mix socially with each other. A recent skittles evening had been well attended and was a great success. Members are encouraged to choose what they would like to eat in the evening. They are supported to use the local shops to buy the ingredients, and then helped with cooking. The members eat together at the dining table. One member spoken with said the food was “lovely”. They told the inspector that they were always asked what they would like to eat. The home has a small vegetable patch in the back garden. On the day of the inspectors visit the gardening group was working on the vegetable patch. Both fruit and vegetables from the garden had been collected and would be eaten in the home. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 15 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. The quality in this outcome area is good. The care plans clearly explain the support each member requires in relation to their personal and health care. Experienced staff have a good knowledge of each member and how to provide appropriate levels of support. The home has an appropriate/effective system of medicine administration. EVIDENCE: There has been no change since the last inspection in that no personal care is provided; individuals stay for one night and are independent with their bathing and dressing. One person needs some support with their mobility; both the care and support plan and risk assessments in place describe how this member wishes to be supported. Two staff who work in the home have known each member for some time. It is evident that they have a good knowledge of each person’s support needs and 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 17 that any changes or concerns regarding members’ health would be noted and acted upon. Care records indicate which members have medication prescribed. Medication records were seen to have improved at the last inspection and this system remains in place. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The quality in this outcome area is good. The complaints policy and procedure is clear and effective and there is every indication that members feel their views are listened to and acted on. Members are adequately protected from abuse or harm. EVIDENCE: The organisation has a clear complaints procedure. A version in an accessible format is given to members as part of their service user guide and is also prominently displayed in the hallway of the house. The inspector examined the complaints log. Whilst there have been no complaints since the last inspection, one issue with a family member had been recorded in the log. The issue discussed was clearly described, as was the outcome. The questionnaires returned confirm that each member is aware of the complaints procedure and that they know who to speak to if they are not happy. One member spoken with told the inspector they would be “happy to speak to the staff” if they were unhappy as “they would help me”. The organisation has a policy in place for the protection of vulnerable adults and staff are also required to attend training in this area. The Registered Manager and her line manager have both completed Investigators training. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 19 Staff are subject to Enhanced Criminal Record Bureau disclosures and the home maintains a log, which was found to be in good order. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. The quality in this outcome area is good. The house provides a homely, comfortable and safe environment for members during their stay. The house was clean and tidy. EVIDENCE: Chilcompton Rd is an end of terrace house, which blends in well with the community. The inspector was provided with a tour of all areas of the home. The house is not accessible to members who may require the use of a wheelchair internally due to the width of doorways and passageways. However there is access to the house via a ramp to the back door for one person and there are handrails for members who may have mobility problems. The house is tastefully decorated and well furnished. It provides homely accommodation for each member during his or her stay. The windows and doors have recently been replaced with UPVC units. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 21 One member spoken with said the house is always clean and tidy during their stays. They chose the bedroom they stayed in. The members who responded by questionnaire said that the home was always ‘fresh and clean’. All areas of the home were clean and tidy during the inspectors visit. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. The quality in this outcome area is good. A small, competent and effective staff team continues to support members to meet their individual needs and achieve their goals. The home operates a robust recruitment process, which ensures the welfare and safety of members. Staff are provided with appropriate training and support to meet the needs of members. EVIDENCE: The staff team consists of the Registered Manager, Deputy Manager and one Support Worker. They provide consistent support for each of the members who currently use this service. The Deputy Manager post was recently created, with a particular emphasis in developing the service to provide support for members aged 16 to 17. The inspector spoke to the Deputy Manager at length. He has considerable experience of working in social care, particularly with children and families and 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 23 is a qualified Social Worker. Records show that he has also attended various mandatory and specialist training courses. He is clear on his role and responsibilities in assisting the development of the service. He can also offer valuable support to the Registered Manager and guidance/supervision to the existing support worker and the new staff who will be required to support the younger members. This appointment appears to be a valuable addition to the staff team. The home’s Support Worker had previous experience of working locally in a day care setting and therefore had good knowledge of the members who use this service. This has helped in maintaining the consistency and quality of support. Records show they have attended mandatory training such as food hygiene, first aid and manual handling plus some more specialist courses such as Makaton. The home operates a robust recruitment process. The personnel files examined contained each staff members’ photograph, application form, proof of identity and details of any training or copies of relevant certificates. Satisfactory references were evident in one staff file, although not in the other. The Registered Manager confirmed she had seen these references and would either locate the originals or request copies. Enhanced Criminal Record Bureau Disclosures are obtained, as mentioned previously in this report. The Registered Manager provides staff with formal induction to the home together with supervision. A clear record of each supervision meeting is kept in each staff member’s personnel file. Although these formal supervision meetings are less frequent than National Minimum Standards suggest, a minimum of six per year, they currently offer sufficient/appropriate support for staff. The Deputy Manager told the inspector he would like to review the induction process for new staff. This may be particularly beneficial for staff that will need to be recruited to support the younger members. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 24 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 and 43. The quality in this outcome area is good. The home is very well run and has effective procedures in place to provide members with the support they require to develop and reach their goals. The manager is qualified and competent to run Chilcompton Road, and meet its statement of purpose, aims & objectives. The manager promotes a person centred approach and this is clearly communicated throughout the service. The views of members are actively being sought in relation to reviewing, developing and improving the service. There are systems in place designed to promote and protect the health & safety of both members and staff. Consistent approaches are required to ensure the welfare and safety of individuals and staff. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 25 EVIDENCE: The Registered Manager has worked for S.W.A.L.L.O.W for eight years and managed this home for four years. She had previously worked for Social Services for nine years. She has a Preliminary Certificate in Social Care and is currently working towards her NVQ Level 4. She also undertakes periodic training to maintain her knowledge and update her skills and level of competence. The management approach is open and positive, with a clear sense of direction and leadership. The ethos of the service is to support each member to develop existing or learn new skills. It is hoped that the service also helps members develop in other ways, for example making new friends or by spending time away from their prime carers/families. A person centred approach is promoted within the home. Through discussion with the Registered Manager, Deputy Manager and members it was evident there continues to be an inclusive atmosphere within the home. The management systems and structures to enable the service to run effectively are sound. The members remain the focus of the service and the Registered Manager is clearly leading and developing the person centred approaches. The proposed development of the home to provide a service for younger people is being well managed. The service could certainly provide a valuable resource, although additional staff, with relevant experience, will need to be recruited and appropriate training provided. The home’s management team are presenting details of this additional service to BANES later this month. In relation to Quality Assurance, the views of the members remain central to this process. Their views help to inform the development and improvement of the service. It is evident that S.W.A.L.L.O.W remains strongly committed to this principle and they ensure each member can express their views and opinions. These are listened to, valued and acted upon. This is good practice. The registered provider’s representative makes regular visits to the home, and produces a comprehensive report of her findings, which is send to the Commission on a monthly basis. In general, the recording systems in place to support the maintenance of health and safety in the home are adequate when they are being used consistently. However, there have been some recent omissions which the Deputy Manager is now addressing. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 26 The fire log was examined. There is a Fire Risk Assessment in place and staff have been provided with fire safety training, the last instruction being given on 13/14th June 2006. Fire drills were recorded in January, May and July 2006. The fire alarm system is now checked each week but there has been a significant gap in these checks form January to June 2006, where no formal checks were recorded. This also applies to the monthly checks on fire extinguishers and other fire fighting equipment. The alarm system was serviced in January 2006. The generic health and safety checks, which cover all areas of the home, fridge/ freezer and water outlet temperature checks all show significant gaps in recording. Discussions with the Registered Manager and her Deputy show that they accept these issues, take them seriously and will ensure the recent reinstatement of these checks will continue. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 27 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 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 X LIFESTYLES Standard No Score 11 3 12 N/A 13 3 14 N/A 15 N/A 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 4 X X 2 3 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 28 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. 1. YA42 Standard Regulation 23(4) Requirement Ensure fire safety checks are consistently maintained in accordance with the Avon Fire Log. Ensure all other health and safety monitoring checks are consistently maintained and recorded. Timescale for action 12/07/06 2. YA42 12(1) 13(4) 12/07/06 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 YA1 Good Practice Recommendations Keep CSCI informed on the progress of developing the service to provide support for younger people. 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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 64 Chilcompton Road DS0000008182.V302964.R01.S.doc Version 5.2 Page 30 - 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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