Inspection on 25/01/06 for 8 Winton Street

This inspection was carried out on 25th January 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8 Winton Street 04/06/07

8 Winton Street 12/08/05

8 Winton Street 25/01/05

8 Winton Street 17/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Winton Street (8) 8 Winton Street Ryde Isle Of Wight PO33 2BX Lead Inspector Janet Ktomi Unannounced Inspection 25th January 2006 15.45 Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 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 Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 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. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Winton Street (8) Address 8 Winton Street Ryde Isle Of Wight PO33 2BX 01983 566437 01983 566437 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) Islecare `97 Limited Gail Lesley Brook Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th August 2005 Brief Description of the Service: 8 Winton Street is a residential home providing care and accommodation for up to four younger adults with learning disabilities. The home is a two storey, semi detached house in a residential area of Ryde, a short walking distance from local shops, the beach and leisure facilities. Also relatively convenient are Ryde town centre, the railway station and Ryde bus station. There are several steps with a handrail to the front door and ramped access via the rear garden. Parking is limited to the streets around the home. All bedrooms are for single occupancy, one on the ground floor and three on the first floor. The home does not have a lift therefore service users with bedrooms on the first floor must be fully ambulant. The home is owned by a housing association, and run by Islecare ‘97 Ltd, part of Somerset Care, and managed by Mrs Gail Brook. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second inspection of this inspection year. Core standards not assessed during the first inspection were assessed along with additional core and non-core standards. The inspection lasted three hours during which a tour of the building was undertaken. Discussions were held with service users, care staff on duty and the manager. Three of the four service users living within the home were met during the inspection and gave the inspector their views about the service. Service users stated they were happy living at the home, and appeared relaxed and well cared for. Care and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? What they could do better: The home continues to provide a good service to the four people who live there. The manager must closely monitor the medication administration recording and identify on the ‘as needed’ guidelines if medication is held in blister packs or cartons. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 6 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. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 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 Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home has an appropriate assessment document to determine if new service users’ needs could be admitted at the home. EVIDENCE: The home was fully occupied at the time of the unannounced inspection with no new service users having been admitted since before the previous inspection undertaken in August 2005. At the previous inspection all the documentation in respect of the newly admitted service user was not shown to the inspector by the care staff on duty. During this inspection the manager showed the inspector the pre-admission assessment undertaken by her. This had been recorded on an appropriate assessment form and contained all the required information for the manager to decide if the home would be able to meet the new service user’s needs. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Service users all have individual care plans and are actively encouraged to make decisions about their lives and the organisation and running of the home. EVIDENCE: The care plan for one of the four service users was viewed during the inspection. The care plan viewed was individual to the service user who had been living at the home for a number of years. The care plan viewed contained relevant sections with care needs identified and how these should be met. Care staff complete recordings as to care provided to the service user and those read would appear relevant and concise. The manager explained to the inspector that she is re-writing this service user’s care plan with the service user and he is identifying his support needs. Once this has been achieved the format will be completed with the other people living at the home. This should mean that the plans identify support needs and how service users want these needs met. During the inspection staff were observed to respect service users’ rights to make decisions within the limitations of their abilities. During the inspection Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 10 staff were noted to ask service users questions and give appropriate time for them to respond in either verbal or non-verbal communication. Care staff were seen to seek service users’ permission before entering their bedrooms. Service users’ relatives are encouraged to maintain involvement, and they or care managers could be utilised should complex decisions have to be made. Service users are supported by staff to manage their personal finances. The arrangements for this were reviewed and would appear appropriate to meet the needs of service users with full records maintained. All service users’ money is held separately with records seen of all money spent by them or on their behalf. All service users have their own bank accounts; again the records for this were viewed and appeared appropriate. Throughout the inspection it was clear that service users have control over many aspects of their own lives and in the organisation and running of the home. There are regular service user meetings, chaired by a different service user each time. During these meetings service users are encouraged to discuss a variety of issues such as menu planning and holidays. Service user meetings also allow the manager to keep service users up to date with anything that is to happen within the home. The home is small and therefore service users have much control over the day-to-day decisions made within the home. Service users were observed making their own packed lunches for the next day and choosing their sandwich fillings and other lunch items. Service users are encouraged to participate in a variety of domestic activities within their rooms and the home, helping with shopping, gardening, meal preparation and cleaning as they wish. Service users spoken with during the inspection confirmed that their views and opinions are sought and that they felt able to express their opinions to the care staff and manager. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Service users enjoy a varied lifestyle with lots of opportunities for community and leisure activities. The home supports and maintains links with family members and friends. Service users are involved in planning a varied nutritious diet. EVIDENCE: Each service user has an individual weekly programme of activities that includes a range of day services, college, work opportunities and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. A list of weekly planned activities was seen on the office wall. Discussions with care staff and service users confirmed that service users enjoyed these activities and had been involved in the development of their individual plans. During the unannounced inspection service users discussed with the inspector what they had done that day during day services. Within their bedrooms service users have a variety of home entertainment equipment such as TVs, videos, music systems and relaxation equipment. During the inspection service users were noted to be able to spend their time Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 12 as they wished. Service users were observed preparing their packed lunches for the next day, watching television and getting ready to go out to evening classes and a church social club. Service users stated that if they did not like what was on television in the lounge they would go to their bedroom to listen to music. The location of the home is close to the beach and town centre of Ryde with easy access to local bus and train services. Service users said they regularly attend local pubs and restaurants and staff support is provided if necessary. There is usually two staff on duty in the evenings and at weekends therefore support to attend community events is available. Care staff stated that they will suggest specific events such as carnivals or shows and service users may then decide if they wish to attend. During the inspection the manager was observed asking service users if they wished to go on a sailing trip in the summer. Service users are also involved in assisting care staff with food shopping in the local shops and use local health facilities. Service users informed the inspector that they had had their hair cut at a local barber. Staff rotas confirmed that additional staff are provided at evenings and weekends to facilitate leisure activities. The manager stated that should service users wish to attend activities that went on later in the evening then a member of staff would stay later to support them. Service users informed the inspector that they had all gone on holiday last year and were discussing plans for this year’s holiday. A brochure had been collected and was being shown to service users. Service users are supported to celebrate life events. One told the inspector what he planned to visit his parents at the weekend and then take his girlfriend out for a meal on his birthday. Service users are able to invite friends to visit them at the home. Family members are also welcome at the home. The home’s routines tend to be organised around the service users and if they are not home when main meals are served these are plated and available when the service user returns home. One service user decided that he did not want the prepared evening meal and was provided with an alternative hot meal. All the bedrooms have a lockable door that some service users choose to use. The home has a non-smoking policy, however one service user does smoke. There is no suitable place within the home to smoke so he must do so outside in the rear garden. This service user is getting older and has some health problems. The proprietors must consider providing a porch or shelter for this service user. The home does not employ separate catering staff so care staff take turns to cook each day. Staff help service users to choose menus, and service users are encouraged and supported to cook their own meals during home days. Service users are provided with a cooked breakfast at weekends, cereal and toast weekdays. They take packed lunches to work, college or day services and have Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 13 a main cooked meal in the evenings. Records showed that meals are varied and nutritious. Service users commented that they liked the food at the home and that they could ask for something different if they did not want what was available. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 14 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): 19 and 20 Service users’ physical and emotional health needs are met. Medication is appropriately stored and administered, however the home must ensure that it records when ‘as needed’ medication is administered and stored. EVIDENCE: All service users are registered with local GPs and support is provided from care staff to make and attend appointments. The care plan seen contained a record of dental treatment received by the service user as well as visits and treatment by the GP. At the time of the unannounced inspection all medication was found to be stored appropriately. The medication administration records were viewed. The guidelines for ‘as needed’ medication have been re-written and are now reviewed every three months. The records in respect of the ‘as needed’ medications were checked against the medications held. It would appear that one service user had been given an ‘as needed’ medication for pain relief but this had not been recorded as his medication contained one tablet less than the record indicated should have been held. The home is required to ensure that accurate records are held in respect of medications. The home uses a predispensed system for tablets with liquid medication dispensed at the time of administration. At the time of the unannounced inspection it was not possible to find the ‘as needed’ medication for one service user. This was later found by Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 15 the manager and had been dispensed within a blister pack as opposed to a carton. It is recommended that the home record on the ‘as needed’ guidelines how the medication has been dispensed. None of the service users living at the home are able to self medicate, therefore all medication is administered by care staff who have received additional training and been deemed competent. The home keeps information leaflets about medication in use in the home and individual service users have a list of current medication and information relating to the tablets such as potential side effects. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 16 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 home has a complaints policy in symbol format with service users’ opinions sought and respected by staff. Staff within the home are aware of adult protection issues and follow the locally agreed procedure in the event of adult protection concerns. EVIDENCE: Islecare ‘97 has a complaints policy which is made available to service users or their representatives in the service users’ guide. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book. Staff spoken with were aware of what procedure they should follow should a service user or their representative make a complaint. Service users at the home are cognitively able to make a complaint and it is the inspector’s opinion that should they wish to do so service users are able to complain. The home has a copy of the Isle of Wight Adult Protection Policy together with the Islecare ‘97 adult protection and whistle blowing policies. Staff spoken with during the inspection were all aware of the adult protection policy and procedures and clear about their responsibilities to report issues of concern without delay. The manager confirmed that staff have received adult protection training. All service user bedrooms contain a secure lockable facility where valuables or money may be stored. The employment procedures followed by Islecare ‘97 should ensure that unsuitable people are not employed at the home and include POVA and enhanced CRB checks. The manager showed the inspector a list provided by Islecare ‘97 that confirmed that all staff employed at the home have received an enhanced CRB disclosure. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 17 Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. The home is suitable for the existing service users providing all single bedrooms and appropriate bathing, WC, and communal space. The home is well maintained and clean. The home must consider providing a porch or shelter for one service user who smokes. EVIDENCE: A tour of the building, including two of the service users’ bedrooms, was undertaken during the inspection. The home is safe, generally well maintained and at the time of the unannounced inspection clean and warm. The home meets service users’ needs in a homely and domestic way. Bedrooms are all single and spacious with communal areas, lounge and kitchen/diner appropriate for the service users. There is ramped access via the rear garden, which is mainly laid to lawn with seating for service users. There are no wheelchair users amongst the current service users. The home is situated close to local amenities and transport links and is maintained with the help of a handyman employed by Islecare ‘97. As previously stated, one of the four service users living at the home smokes. The home has a no smoking policy therefore he must smoke outside in the back garden. This person is getting older and has a number of health problems; the proprietor must consider how a shelter may be provided to provide some protection from adverse weather conditions. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 19 All service users are provided with a single bedroom, one of which has en-suite shower facilities. Bedrooms seen were all pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions, music centres and sensory lights were seen in the bedrooms. The manager informed the inspector that she has requested for two of the bedrooms to be redecorated. The communal space provided is domestic in nature and appropriate in size and furnished to meet service users’ needs. There is a kitchen/dining room and lounge. The home does not have separate areas for visitors to be received in private. The home has a reasonable sized level rear garden which service users are able to enjoy during the summer months. Handrails and a small ramp are provided at the rear door, although these are not required by the existing service users but would enable visitors with a physical disability to access the home. On the day of the unannounced inspection the home was noted to be clean, tidy and free from offensive odours throughout. Care staff undertake all domestic and laundry activities. The home has policies and procedures in place for the control of infection. The manager confirmed care staff have received initial and update training in respect of food handling, health and safety, infection control and hygiene issues. Supplies of liquid soap, disposable gloves, aprons and paper towels were seen during the inspection. Laundry facilities are able to wash to high temperatures if required. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Service users are supported by sufficient competent, qualified and experienced care staff that were appropriately recruited and are supervised on a regular basis. EVIDENCE: Services users stated that they liked the care staff, that they were helpful and they could ask their help with any problems. All care staff have completed induction, core and update training. Service user specific training is arranged by the manager to meet identified needs. 66 of the care staff have NVQ level 2 or above in care. Of the remaining two care staff one is doing NVQ level 2 in care and another does not wish to undertake NVQ in care. The manager is an NVQ assessor, internal verifier and is committed to training. There are six permanent care staff employed within the home. Staff rotas and discussions with staff confirmed there is one staff member on duty in the daytime with two staff available from about 4.00 p.m. throughout the evening and all day at weekends. One staff member sleeps in during the night with additional staff on call away from the home. Staffing rotas are designed to ensure staff are available at times when service users are at home and where possible key workers are on duty for service users’ home days. Staff spoken with felt that the staffing levels and arrangements were appropriate to the service users’ needs and that activities relating to social and leisure were frequently organised during the evenings and weekends. The staff have Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 21 worked at the home for several years and are familiar with the service users. Both male and female staff are employed. Service users informed the inspector that they liked the staff who they described as helpful and nice. Service users were able to name their key workers. At the time of the unannounced inspection one member of care staff was on long term sick leave, this has been covered by the use of the same person from the Islecare bank who knows the home and the service users. All care staff have worked at the home for a number of years. In the event of new staff being required the home would use the Islecare ‘97 recruitment procedure. This should ensure that only suitable people are employed to work at the home. The manager showed the inspector the staff files for the current staff team. Recruitment records seen indicated that the Islecare ‘97 procedure had been fully followed. The manager showed the inspector a list provided by the Islecare ‘97 administrator confirming that everybody who works at the home has undertaken an enhanced CRB disclosure. The manager confirmed that all staff have an annual appraisal and supervision approximately every two months. The records of annual appraisals and supervision were seen. Care staff confirmed that they receive annual appraisals and regular supervision. All staff receive a copy of the Islecare ‘97 handbook that provides them with information about the grievance and disciplinary procedures. The company has procedures for dealing with physical aggression towards staff, however this is not an issue with existing service users. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 and 43. The management arrangements are appropriate for the size of the home. The manager must ensure that the medication administration records are correctly completed and ‘as required’ medication guidelines state how medication has been dispensed. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager was present throughout the unannounced inspection. The manager informed the inspector that she has now completed her NVQ level 4 in care and continues to attend relevant training courses. Since the last inspection she has attended Adult Protection and care of the dying training. The manager is an NVQ assessor and internal verifier. Duty rotas were seen and now contain the hours the manager works in the home. These amount to at least nineteen hours per week with the remainder of the manager’s full time hours being involved in training and NVQ assessing for Islecare ‘97 and some other providers. The manager stated that she tries to organise her hours in the home to ensure that she is able to spend time with all service users and staff. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 23 The manager also stated that she would increase the hours within the home should the need arise. The manager discussed with the inspector the service users’ meetings that are held monthly. These are chaired by a different service user every two months with support being provided if required by the manager. The manager maintains the minutes of the service users’ meetings and these were shown to the inspector. The provider nominates a person to undertake monthly Regulation 26 visits to the home with reports being received at the Commission. Service users have six-monthly reviews with their care managers. The manager had information about a People First conference to take place in Newport and was hoping that service users would want to attend. During the unannounced inspection a variety of records held within the home was viewed. These involved records in respect of fire detection equipment, safety checks, pre-admission assessments, care plans and risk assessments, Medication Administration Records, menus, staffing records and duty rotas. As previously stated, the manager must ensure that the medication administration records are correctly completed and ‘as required’ medication guidelines state how medication has been dispensed. Records are appropriately and securely stored with access to information limited to those who should have access to records. At the time of the unannounced inspection there were no obvious risks to health and safety of service users. Staff receive training in manual handling, first aid, health and safety, fire awareness and food hygiene. Safety notices were seen appropriately positioned around the home and infection control equipment was available for care staff. COSH information was seen and appeared appropriate. Covers are fitted to all radiators with water temperature controls fitted to the bath. Water temperatures for all water supplies including sinks are recorded weekly with the records seen. The home now has a portable circuit breaker for use with any electrical goods that are awaiting PAT testing. The insurance certificate for the home was seen and is appropriately sited on the hall wall. The home is fully occupied and would appear to be financially viable. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Winton Street (8) Score X 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X 3 3 3 DS0000012557.V250568.R01.S.doc Version 5.0 Page 25 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. 1. Standard YA20YA41 Regulation 13 (2) Requirement The manager must ensure that all ‘as needed’ medication is recorded at the time of administration. The home must consider how a shelter may be provided for the service user who smokes to protect him from extreme weather and ensure his health needs are not further compromised. Timescale for action 25/01/06 2. YA24 23 (2)(a) 01/04/06 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 YA20 Good Practice Recommendations The manager should record on ‘as needed’ guidelines how ‘as needed’ medication has been dispensed to enable staff to find it when required. Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Winton Street (8) DS0000012557.V250568.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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