Inspection on 04/08/06 for 9 Beverley Road North

This inspection was carried out on 4th August 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

9 Beverley Road North 30/12/05

9 Beverley Road North 31/08/05

9 Beverley Road North 08/12/04

9 Beverley Road North 18/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 9 Beverley Road North 9 Beverley Road North St Annes Lancashire FY8 3EU Lead Inspector Phil McConnell Unannounced Inspection 4th August 2006 09:30 9 Beverley Road North DS0000009992.V301165.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 9 Beverley Road North DS0000009992.V301165.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. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 9 Beverley Road North Address 9 Beverley Road North St Annes Lancashire FY8 3EU 01253 712547 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) None United Response Mr Stephen Turner Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Service must only accommodate adults with learning difficulties (YA) over the age of 18 (Eighteen) years The Service must only accommodate up to 5 (Five) service users The Service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 30th December 2005 Date of last inspection Brief Description of the Service: 9 Beverley Road North is a small care home, registered for five adults who have a learning disability. The well-established national charitable organisation United Response is the registered provider. The home is a large detached dorma bungalow providing good access to local services and amenities. The home provides a range of specialist aids and equipment to meet the complex needs of the people currently living at the home. Each bedroom and the bathroom have ceiling tracking and a hoist for lifting purposes and the home also provides a portable hoist e.g. for use on holiday. The organisation provides a vehicle to enable individuals to take part in leisure activities and access amenities. The staff team provide support in all aspects of daily living according to assessed needs and as identified via the care planning process. People are supported and encouraged to develop their independence and take part in all aspects of community living. The service adopts an active support approach, in a stable environment, which enhances opportunities for personal growth and development. The staff team are supported by an experienced management team and an organisation, which clearly values its employees, and the people they support. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assimilation of information including, telephone calls, a letter, comment cards from relatives and social workers. (Including the provider) since the last published report by the Commission for Social Care Inspection (CSCI) and an unannounced visit to the home, were all used to fully assess the key standards identified in the National Minimum Standards. During the visit to the home three service users files were examined and there was the opportunity to observe the care provided to the service users and the interaction between them and the staff who were on duty throughout the day. The home manager was available throughout the day and there was the opportunity to have conversations with other staff members and one of the service users’ relatives, who was visiting her son This person said, “They have got it together here and as close to perfect you can get at the moment”. When I arrived at the home I was firstly introduced to the service users, everything was very natural and ordinary. Throughout the day it was apparent that the home is well run and organised, with a calm, relaxed and peaceful atmosphere. What the service does well: What has improved since the last inspection? The home continues to maintain a very good level of care and support to people who have learning disabilities and some complex needs. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service”. A good pre- admissions process is in place, helping to ensure that an individuals assessed needs will be fully known and met. EVIDENCE: Three service users’ files were examined including the most recent person to come to live at Beverley Rd and all of their files contained relevant assessment documentation including: admission assessments, care plans and up to date daily record sheets. A thorough and robust pre-admission process was in place and in discussion with the house manager and some of the staff, it was clear that the process was successfully used for the last person to come to live at the home. This included a number of visits to Beverley Rd by the service user and family members, visits by Beverley Rd staff to the service users previous accommodation to observe the person in familiar surroundings and also to gather vital information and guidance from the people who were caring, supporting for the person and knew the persons needs. It was also evident that the service users who were living at Beverley Rd during this period were also considered and included, as to whether this prospective new service user would be compatible and fit in with them? The 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 9 service users visited this person along with the staff and had days out and meals together. Overall the transition period was well planned and organised and everyone who was involved in this person’s life was kept informed of the progress. A member of staff commented, “It’s been a very smooth process”. Relevant and appropriate risk assessments were drawn up along with an in depth care plan, which are used to help ensure that the persons assessed needs are being appropriately met. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 10 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 and 9. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service”. There are good concise and detailed care plans, which help to demonstrate that individuals’ assessed needs are being adequately met. Service users are supported to make appropriate decisions and take assessed risks in their lives. Thereby empowering people to be as independent as possible. EVIDENCE: The service users’ files contained concise, detailed informative care plans, which are reviewed at least on a six monthly basis with the involvement of the individual service users relative or representative. There was a key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 11 member, thereby, helping to ensure a service users’ changing needs are identified and acted upon as quickly as possible. Staff are fully aware of the goals and aspirations for each person. One of the comments from a social worker, “I am impressed with the team at Beverley Rd, they are ‘Person centred’ and communicate well with family members” and the house manager said, “we have a great team here, all working towards the same goal”. There were individual risk assessments in service users’ files, with specific information and guidance, in order to promote and encourage independence. In observation throughout the visit, it was apparent that the team work well together in a calm relaxing manner and it was also apparent that the service users were used to this peaceful unrushed atmosphere. Members of staff were observed communicating with service users in a respectful, relaxed, and dignified way and the service users were responding in a positive way, helping to demonstrate that service users and their families have the assurance and confidence that they are treated with respect and dignity. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14, 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”. Individuals are encouraged and supported in participating in meaningful and appropriate activities, in order to provide stimulation and motivation. Good relationships exist between service users, staff and families, all working together in helping to provide a relaxed, caring and supportive environment. The quality of the meals provided is consistently good; with the food menus providing a balanced and wholesome diet, helping to promote a healthy eating plan for service users. EVIDENCE: 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 13 Service users’ files contained individual ‘Listen to me work books’ with detailed information including a learning log, identifying what worked well, what the person liked and what the person disliked about a particular activity. All of the service users attend a sensory drama course and people are involved in other activities including, Art class at college, an animal care course, visits to the cinema, shopping trips, days trips and one of the service users attends a local church on a weekly basis with one to one support. During the inspection visit it was observed that staff work closely with the service users and people were supported to access varied activities in the community. It was apparent that individuals were familiar with the ongoing activities and enjoyed the outings. The feedback from relatives regarding the activities were very positive, including, “Despite the difficulties with our sons’ health, he continues to enjoy social activities” “The carers at Beverley Rd keep our son involved in local college activities and recently he had a long week end in the Lake District and a further few days in Pembrokeshire. We are mindful of the logistics of undertaking these trips with all the considerations of the needs of a person, with our sons’ disabilities” and “We can say that we are more than pleased and satisfied with the care our son receives at Beverley Rd”. It was evident that good relationships exist between staff and service users and also between staff and service users’ families. The comments received included, “Whenever we visit our son we are always made to feel very welcome” and “We have communication every day with the home, nothing is too much trouble”. Files also contained information with regards to addresses and phone numbers of family and friends with dates for birthdays and special occasions. There was evidence, showing that service users are supported to send cards and buy presents for family and friends, thereby encouraging and maintaining relationships and friendships. Food menus were examined and were seen to be nutritious, varied and appetising with some special diets being provided. During the mid-day meal Staff were observed supporting service users in a calm, unrushed, relaxed atmosphere, with sensitivity and gentleness. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 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): 18, 19 and 20. “Quality in this outcome area is – ‘Excellent’. This judgement has been made using available evidence including a visit to this service”. The home works in partnership with other agencies to ensure that service users’ health needs are fully assessed and addressed. Equality, dignity and respect is actively and positively demonstrated in the way that care is provided. Staff are adequately trained, competent and confident in the storage, administration and recording of medication. EVIDENCE: All of the service users’ care plans were examined and were found to be up to date, containing relevant information with clear guidance on how to provide individual personal care and how to meet a person’s health care needs. These care plans are reviewed every six months with family involvement. All of the service users have varying degrees of epilepsy and during the inspection visit one of the service users had a seizure. The staff responded in a 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 15 very natural, professional and skilful way, not creating any anxiety or stress to the person having the seizure or to anyone else. The person was being constantly reassured by staff, “This can be a daily event and we just respond naturally” “Every seizure is recorded and appropriate action taken”. Individual staff members carry ‘monitors’ all of the time, which vibrate when any excess movement is happening, indicating that a service user may be having a seizure. This is a really good resource, enabling people to respond immediately in the event of someone having a seizure. Another person was feeling unwell and a phone call was made to his parents to inform them about his present condition. It was clear that communication between staff and family members is actively promoted and very much appreciated by the service users’ families, “Communication with our sons’ carers is really excellent. We are kept fully informed of everything which is going on, including his health issues” and another relative said, “Everything is acted upon straight away, the staff are fantastic”. Individual information was available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. Epilepsy Training is also provided annually by Alder Hey Hospital and there is an epilepsy review every six months with either the service users’ GP or the Neurologist. The staff have also undergone other specific training in order to be able to maintain a good level of care and support to service users. One comment from relatives, “We have been aware that the staff involved in our sons daily care have shown great levels of commitment and dedication” and during some periods of hospitalisation, rota’s were organised so that a carer could be with him to support him at all times” and “we have the highest admiration and gratitude for the daily care which is given to our son”. The storage administering and recording of medicines was examined and found to be secure, thorough and well organised, for example, Medication records were double signed, all staff are adequately trained in medication procedures and any medication that is taken out of the home is clearly labelled with the name of the medication, persons name, address and the GP’s telephone number. There were also specific medication procedures for individuals, for example one person does not have a drink with their medication and there was clear guidance regarding any emergency relating to epilepsy. There is also an annual review of medication carried out by the service users’ GP. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 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. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service”. Good policies and procedures are in place, helping to protect and safeguard vulnerable people. The staff are well trained in order to manage any protection issues. EVIDENCE: There was a thorough and adequate complaints policy and procedures in place for dealing with a complaint, which contained appropriate phone numbers and specific details of who to contact. Complaint cards were also available, which were in a picture format, helping people to have a clearer understanding. There were no records of any complaints being received, since the last inspection. There was a thorough policy in place to deal with a suspicion or allegation of abuse. In discussion with some staff members they were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process to follow. All staff receive protection of vulnerable adults training, with an annual refresher course, one member of staff commented, “It’s very good to have refresher courses, because things do change and it’s good to keep up with any changes in the law”. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 17 It was apparent that United Response is committed to providing good regular training, in order to ensure as much as possible that people in their care are protected and safeguarded from harm and abuse. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 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 and 30. “Quality in this outcome area is – ‘Adequate’. This judgement has been made using available evidence including a visit to this service”. The overall standard of the environment is quite good, however there is a need to fully ensure that the whole environment is safe for service users and for staff. EVIDENCE: A tour of the home was completed and internally it was found to be of a good standard .It was clean and hygienic with a fully refurbished well-equipped kitchen. The laundry room has had some redecoration carried out, however there is a need for the tiling to be fully completed. Generally a good standard of décor was evident throughout the home with service users’ bedrooms containing personal belongings, such as photographs, music systems, DVD’s and CD’s, with all rooms having electric fans. “It is planned for one of the service users’ bedrooms to be redecorated”. One of the service users has a high sided ‘cot bed’, which has a buzzer system “which usually disturbs the person during the night”. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 19 The inspector was informed that they “are liaising with the occupational therapist to try and update the bed in order for it to be more age appropriate”. The entrance hall to the home was being partly used to store incontinence aids and although they are behind a curtain, it would be far more discreet and respectful to the service users if they were stored elsewhere. In discussion with the house manager a couple of suggestions were made. A bathroom had been refurbished to a good standard and it was commented, “it is now easier to manoeuvre wheelchairs”. There was appropriate specialist equipment observed around the home, such as lifting hoists and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The front and side gardens were neat and tidy however, the windows and the front door are in need of either being repainted or replaced, as the paint is badly peeling. The other side of the property looked unsightly, containing the now disused bath, toilet and sink from the refurbished bathroom and there was also an empty ‘calor gas’ bottle. These items were partly blocking the exit from the rear of the property to the front and in the event of an emergency you would be unable to get a wheelchair past them. The house manger said that there “would be an immediate tidy up and the items causing an obstruction would be removed”. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 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, 34 and 35. “Quality in this outcome area is – ‘Excellent’. This judgement has been made using available evidence including a visit to this service”. The staff team have the necessary skills and experience to provide an excellent standard of care to vulnerable people. The home has a rigorous recruitment process, which ensures that service users are protected and safeguarded as much as possible. A satisfactory supervision and appraisal system is in place, which gives staff the encouragement and confidence to know they are supported and equipped to deliver a good service to vulnerable people. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory, with one service user having one to one support and three staff members supporting four service users. Staff files contained information with regards to the experience, skills and training that staff have received with mandatory training being provided to all staff. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 21 There was the opportunity to speak to five members of staff during the visit and throughout the day, staff were observed caring, supporting and interacting with service users. The staff handover was also witnessed with concise, thorough and appropriate information being shared, in order to inform the staff coming on duty of what was relevant at the present time to meet peoples needs. All staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. As already mentioned service users’ families were very complimentary about the professional, caring and supportive attributes of the staff and one other comment was made which sums up the staff team “We get the distinct impression that there is a happy united team working together and we feel that this must have a direct positive effect on our sons’ welfare and happiness” A thorough recruitment process is in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained, thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. Individual staff supervisions are held on a six to eight week basis, where any further identified training needs are discussed and acted upon. One staff member said, “The training is really good and there is always plenty available” another said “United Response is a good and fair company, who put the service users first and then the staff, I wouldn’t work for them if not” The supervision and training records were inspected and found to be up to date and satisfactory, helping to demonstrate overall that staff are suitably qualified, well-trained and supervised in order to meet the service users’ assessed needs. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 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 and 42 “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home is well managed and organised, ensuring as much as possible that service users receive a good quality service. EVIDENCE: As mentioned in the previous inspection report, the registered manger is responsible for managing four care homes in the St Annes area. The person mostly responsible for the day to day running of Beverley Rd is the house manager and she has many years of experience of working with people who have a learning disability and has been the house manger for the past two years. She is well qualified and is presently in the process of studying for ‘The Registered Managers Award’. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 23 There appears to be a really good working relationship between the team manger and the rest of the staff team and as already mentioned service users relatives have commented about this. The organisation has maintained ‘The investors in people award’ for a number of years, which is a quality assurance-monitoring organisation. United Response also have their own quality monitoring system and periodically questionnaires are sent to relatives, enquiring of their opinions regarding the standard of care being delivered to their relatives. Reviews for service users are held on a six monthly basis and there are occasional joint meetings with family members and the staff team, once again demonstrating that good relationships exist between the staff and service users families, in order to further monitor and evaluate the level of care provided. Health and safety files were examined and almost everything was in order and up to date, including: water inspection checks, portable electric appliance testing, fire extinguishers, lifting equipment, emergency lights and fire alarms. However, no gas or electric inspection certificates were available for examination. There was a signed form to say that they had been inspected, but it is necessary to have up to date certificates to verify that these inspections have been carried out. The organisation has been informed that the inspections of gas and electric installations have to be carried out by registered companies and correct inspection certificates have to be issued. It is essential that all health and safety checks be carried out, to help ensure that service users and staff are protected and safeguarded with regards to health and safety matters. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 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 Standard No 1 2 3 4 5 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 2 X 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 25 NONE 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 YA24 Regulation 23 (2) (o) Requirement The outside area needs to be cleaned up and the disused items disposed of as soon as possible. Timescale for action 31/08/06 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 YA24 Good Practice Recommendations The window frames and front door are in need of either being repainted or replaced. 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 9 Beverley Road North DS0000009992.V301165.R01.S.doc Version 5.2 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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