Inspection on 04/04/07 for 95 Collinson Road

This inspection was carried out on 4th April 2007.

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

95 Collinson Road 09/11/05

95 Collinson Road 04/05/05

95 Collinson Road 21/09/04

95 Collinson Road 21/04/04

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 Collinson Road, 95 Hartcliffe Bristol BS13 9PH Lead Inspector Sarah Webb Unannounced Inspection 4th April 2007 09:45 DS0000026573.V334056.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 DS0000026573.V334056.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. DS0000026573.V334056.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Collinson Road, 95 Address Hartcliffe Bristol BS13 9PH 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) 0117 9077215 0117 9699000 www.brandontrust.org The Brandon Trust Mrs Julia Pratt Care Home 4 Category(ies) of Learning disability (4) registration, with number of places DS0000026573.V334056.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th November 2005 Brief Description of the Service: 95 Collinson Road is registered with the Commission for Social Care Inspection to provide personal care to four people with a learning disability aged between 18 and 64 years of age. There are currently no vacancies at the home. The home is situated in a residential area in the South of Bristol at the end of a cul-de-sac. Within half a mile there are shops, bus routes and other local amenities. The house is based over two floors with stairs as the means of accessing the first floor. The house has the appearance of a domestic dwelling in keeping with the neighbouring properties. The Brandon Trust a non-profit making organisation. The fees for people to stay at the home are currently £967.58. DS0000026573.V334056.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The purpose of the visit was to review the progress made to meet the requirements from the inspection in November 2005 and monitor the care provided to the people living at 95 Collinson Road. There have been no additional visits during this period. The home has been keeping us informed of incidents that affect the wellbeing of people and the provider has sent monthly appraisals of the service. The inspection was conducted over 5.5 hours. The inspector had an opportunity to meet and talk with all of the people living at the home, the manager, senior support worker and several members of staff. There was an opportunity to tour the home and view a number of the records. This included the homes care planning processes and records relating to the general safety and the running of the home. What the service does well: What has improved since the last inspection? An agreement is now in place for staffing records to be held at the Brandon Trust headquarters and to be inspected at regular intervals. The Trust has reviewed its policy and procedure in the protection of vulnerable adults and to ensure compliance with the Department of Health No Secrets. Medication records correspond with the instructions on the prescribed medication to ensure that people are protected; staff are also signing the medication record once the medication is administered. DS0000026573.V334056.R01.S.doc Version 5.2 Page 6 People’s finances are protected with appropriate arrangements in place. Training records are up to date and provide current information. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000026573.V334056.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 DS0000026573.V334056.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. People who use the service have suitable information to make a decision on whether to move to the home and can be assured that the home will meet their assessed and changing care needs. EVIDENCE: People have clear and accessible information provided to help them to make a choice on whether to move into the home. This included a residents guide and a contract of care. The residents guide is presented in a pictorial and symbolised way to help people understand the information; the manager said information is also read to people if needed, to also help them have a better understanding. There are some areas in the residents’ guide that are in need of being updated and these were discussed with the manager. The 4 ladies living at the home are an established group and there have been no new admissions since 1994. One person spoken to said they were happy living at the home and feel well supported by the staff team. Observation of how staff approach and support people indicated that they were respectful in their interactions and the people were relaxed and comfortable in the company of the staff. DS0000026573.V334056.R01.S.doc Version 5.2 Page 9 Care records evidenced that peoples’ needs are well met through individualised care planning and the regular reassessment of their needs. Care plans were also informative recording personal details, profiles and described how staff should support people. A member of staff said care plans had full information to follow so that needs are met consistently and individually. It was evident that staff support and maintain peoples independence in their lifestyle and every day living. The home reviews peoples’ care regularly and informs the appropriate funding authorities of any changes to their health and welfare. DS0000026573.V334056.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People who use the service experience excellent quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. People who use the service are supported through a person centred approach in the planning of their care. The home involves them in the planning of their care and in making decisions about their lifestyles. People who use the service are supported to take risks safely and independently in their daily lives. EVIDENCE: A care plan looked at identified that the home practices a person centred and individualised approach in the planning of peoples care. This helps ensure that the peoples’ views are listened to and that their preferences are at the centre of all their care needs. Comprehensive information included in care plans was informative and useful in helping staff to understand how to support peoples’ health, emotional and social needs. In helping people to access their care plans, differing formats are used including symbols and photographs so that they are written in a clear and understandable way. People benefit from DS0000026573.V334056.R01.S.doc Version 5.2 Page 11 individual communication support and it was evident that their views are respected and listened to. A survey received from a person identified that they have an activity board that they change every week when planning their activities. People are involved in annual and 6 monthly review of their care plans. This was observed during the visit when the manager and a senior support worker encouraged a person to be part of their care plan review. Initially the individual was not committed in taking part but they were treated in a respectful and sensitive manner in giving them time to decide when they wanted to begin. This also evidenced that the home supports an empowering approach in encouraging people to make decisions for themselves. People are involved in the day-to-day running of the home including the planning of their daily activities, household tasks and menu planning. Care records and discussion with both staff and an individual identified that the home has regular house meetings to discuss different issues and individuals’ wishes. People are supported to take risks safely in their daily lives by staff. Detailed written risk assessments linked to care plans demonstrated actions are taken to minimise risks so that people can live an independent and fulfilling life taking part in varied activities. Records indicated individuals’ involvement in risk assessments and appropriate documentation is signed to help evidence their agreement. DS0000026573.V334056.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, & 17 People who use the service experience excellent quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. People who use the service are well supported in leading full and active lifestyles both in the community and on a personal level. They have varying and individualised opportunities to develop all areas of their independence in an empowering environment. EVIDENCE: Both care records and discussion with an individual demonstrated a commitment to encouraging individuals to lead active and independent lifestyles. Staff follow the homes ethos of practicing a person centred approach in supporting people individually in all aspects of their differing lifestyles. This was demonstrated through observation and discussion with both the people and staff. DS0000026573.V334056.R01.S.doc Version 5.2 Page 13 People are supported in accessing various venues to meet their varying interests with staff providing a flexible approach. One person said that they walked on their own to the hairdresser and were supported by staff to access their preferred leisure activities; on the day of the inspection they were going out to see a film they had chosen. Another individual was being supported in doing some cooking and again chose when they wanted to do it. The manager said they also made choices about visiting different musical venues and monthly summary reports indicated other activities attended including trips to cafes, meals out, bowling, line dancing and drama groups. This identified that people make decisions about their differing lifestyles and that they lead busy lifestyles accessing many opportunities in the community. People are involved in making choices about holidays with the use of pictorial information and through house meetings. All holidays are based on individual choice and previous holidays have included visits to Christmas markets in Germany, Disney World in Paris, Tunisia and theme weekends. People are in the process of deciding where they want to holiday this year; one person is planning to go to Blackpool whilst another is going to Butlins with their family. Another has said they want to ‘go on a plane’. People use both public transport and the use of staff cars to access the community. The manager said a payment is made towards the cost of petrol incurred, however there was no record of these arrangements in place. The home has good relationships with families and people are supported with maintaining contact. Two surveys received from families indicated that they are happy with the care provided by staff; one survey indicated that the overall care was excellent. It was evident through observation of both the people living at the home and staff together that there was a warm and respectful atmosphere. Staff were seen to knock on doors prior to entering. This helps show that the home promotes privacy and dignity. People are actively involved in the planning of the menu. The home practices the ethos of supporting people individually with each having their own cupboard in the kitchen where they keep items of their choice. This is commendable and helps people in maintaining their independence and again, in exercising choice. An individual was seen preparing their own lunch; they said that everyone is supported to help with preparing the main evening meal. Records of menus also identified that a good choice of nutritious and varied meals is offered respecting individual preferences and meeting dietary needs. DS0000026573.V334056.R01.S.doc Version 5.2 Page 14 DS0000026573.V334056.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20 People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. People who use the service are supported to lead healthy lifestyles with their healthcare and personal needs being monitored well. People benefit from effective management of medication systems ensuring their safety. EVIDENCE: Personal support agreements identified how people want to be supported. The home does not employ any male staff and this evidenced that peoples’ wishes are respected in relation to their choice of staff gender. This is good practice and identified that people are listened to and appropriate action taken. Examination of an individuals healthcare records evidenced that their physical and mental healthcare needs were being met through regular reviews of medication and support from appropriate professionals. This is also seen as good practice demonstrating a multi-disciplinary approach to peoples care. A comment card received from a specialist service indicated that the home communicates clearly and works in partnership and that they were satisfied with the care provided to individuals. DS0000026573.V334056.R01.S.doc Version 5.2 Page 16 Health profiles included comprehensive information on individuals’ communication, daily routines, medication administered, and records of health checks. Care records included information that demonstrated individuals access GP (General Practitioner), dentist, chiropodist and optician. The procedures and systems in place for administration, storage and disposal of medication were looked and evidenced that there are safe systems in place. Ongoing medication is stored safely; there are no people who self medicate. There were photographs of each person with each record to ensure medication is dispensed to the correct person. Up to date records were kept of all medication received into the home and there were arrangements for the drug stocks to be balanced weekly. A requirement has been met for prescribed medication to be clearly documented on the label and the medication record. The medication administration charts were legible, up to date, and were signed by staff giving the medication thereby meeting a requirement. The home keeps a record of returned medication to the pharmacy. The manager said that staff are assessed as to their competency in the administration of medication annually and that only the permanent staff administer medication; this is not considered as part of a bank staffs’ duties. DS0000026573.V334056.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a robust and effective complaints procedure; people are protected from abuse. EVIDENCE: The home has written policies and procedures to follow in the event of a formal complaint being made. The complaints log had recorded 3 complaints since the last inspection, of which 1 was substantiated and with the remainder pending outcomes. The manager said that the home also records and will try to resolve any ‘grumbles’ before they reach the formal complaints process and that all concerns are taken seriously. Surveys received from people identified that they all know who to go to if unhappy; one person spoken with went into detail explaining the homes system if they wished to make a complaint and said they had used the process in the past. They also said that the home had responded with appropriate action taken. There are appropriate policies and procedures through The Brandon Trust to ensure the protection of vulnerable adults. An outstanding requirement has been met to review the organisation’s protection of vulnerable adults policy to ensure compliance with the Department of Health No Secrets. DS0000026573.V334056.R01.S.doc Version 5.2 Page 18 All staff have received training in the protection of vulnerable adults; a member of staff spoken with demonstrated a good understanding of abuse, and required action to take if an abusive incident is reported. Examination of care records identified that the home has written strategies for the behavioural management of people who may challenge the service. There was clear instruction for staff to follow and a member of staff gave examples of how situations were resolved. The home has suitable financial procedures to ensure the protection of peoples’ finances. A recommendation has been met to ensure that peoples cash cards and their card numbers are held separately and for the safe to be locked at all times. DS0000026573.V334056.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, clean and safe environment, which is meeting the needs of the people living in the home. EVIDENCE: Collinson Rd is the last house at the end of a cul-de-sac. The property is within walking distance of shops, bus routes and other local amenities. The house has the appearance of a domestic dwelling in keeping with the neighbouring properties. The home is situated over two floors and is suitable at present to meet the care needs of the people living at the home. There is a small garden to the front with a larger outdoor space at the rear. People have their own bedroom space; there are two ground floor bedrooms and a downstairs bathroom. The downstairs bathroom was in the process of being decorated on the day of this visit. A kitchen, dining area and lounge also on the ground floor are suitably furnished. DS0000026573.V334056.R01.S.doc Version 5.2 Page 20 A further two bedrooms and a bathroom are located on the first floor, as is a small office space that doubles up for a sleep in room for staff. The manager said there has been an issue regarding lack of hot water in the first floor bathroom resulting in complaints being put in from people. This has now been resolved after repairs were carried out. Bedrooms are decorated to individuals’ preferences; a person spoken with said everyone is involved in the cleaning of their rooms. People are offered a key to both the front door and their bedroom. Not all people choose to use their key. One of the people living at the home said they were unhappy that repairs had not been made to cracks in their bedroom ceiling and that they had been waiting over a two year period for this to be done. These were observed and it was evident that repairs need to be undertaken so that their bedroom can be decorated. They said they had spoken to the organisational property manager who has said the repairs are to be done within the next few months. The overall environment was presented as safe and clean, and free from odour. DS0000026573.V334056.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 & 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported by a competent, trained and skilled staff team. EVIDENCE: The staff team consists of 7 support staff. The homes rota was looked at identifying that there is a minimum of two staff on duty during the day; however this is flexible as staff fit in with the needs of people. This was demonstrated through rotas showing when extra staff had supported individuals with evening activities. The manager said two regular bank staff are used occasionally but that most shifts are covered in house by existing staff. A member of staff spoken with identified their previous relevant experience and demonstrated their understanding and knowledge of their role and responsibilities. Their view of the aim of the home was as reflected in the Statement of Purpose. They indicated that they had received a full induction covering all areas of the home and that comprehensive information was DS0000026573.V334056.R01.S.doc Version 5.2 Page 22 available in how the people living at the home should be supported with their needs. The staff member also said that the staff team worked well together and that there were good communication processes in place in order to share information with each other. There are 2 staff who have a National Vocational Qualification Level 2, whilst 3 staff who are in the process of completing a Level 3 qualification, have also completed Level 2. Another newer staff member is completing the Learning Disability Award Framework and will then go on to register for a Level 2 qualification. The recruitment process was discussed with the Manager but not fully assessed. The manager said she is involved in the short listing of new applications, and sees all references so that she can be sure they are appropriate for the post. People living at the home are also involved in the recruitment of staff and have developed individual questions for applicants. A requirement is no longer applicable concerning holding staffing records in the home. There is an agreement between Brandon Trust and the Commission for staffing records to be held at the organisational headquarters and for these to be inspected at regular intervals. A recommendation for training records to be updated has been met. Training records identified that staff have either attended mandatory training or have been booked on specific courses to update their knowledge. All staff are due to attend a Makaton training course. Other training courses staff have attended since the last inspection include autism, dementia, advocacy, positive communication, and planning for life. A recommendation for staff to attend at least 5 days training every year prorata for part time staff in areas relevant to the care needs of people living at the home was discussed with the manager. She said this was difficult to meet and that the statutory training was a priority for all staff. It is evident through surveys received from people living at the home and discussion with a person that they are happy with the support offered by staff. One person said ‘ staff are very nice and speak to me nice’. DS0000026573.V334056.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, & 42 People who use the service experience excellent quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. People who use the service benefit from a stable and well-run home based on openness and respect, and effective management systems. EVIDENCE: Ms Julia Pratt is the registered manager. She has managed the home since 1991 and is a registered nurse for people with a learning disability. Mrs Pratt has successfully completed her NVQ 4 in management in 2002. Comments made by both staff and the people living at the home confirmed that the home is well managed and that there is an open and inclusive culture. The manager is also the in house assessor in supporting staff to obtain a National Vocational Qualification. She keeps up with her training needs and has DS0000026573.V334056.R01.S.doc Version 5.2 Page 24 attended various updates in mandatory training and also management courses in positive appraisals and interview skills. Although the manager has reduced her hours at Collinson Rd, so that she can also manage another home in the organisation, arrangements have been put in place for a senior staff member to act up in her absence. The home is visited on a monthly basis to monitor the overall running of the home with these records sent to the Commission. The home also follows Brandon Quality Assurance competencies monitoring; these reflect the National Minimum Standards with the competencies judged as to how they are met. The manager said certain areas had been identified through this process for improvements. The manager said the home receives feedback from families through the reviewing process and that they are positive; this was also demonstrated through feedback from relatives comment cards. Records seen relating to the running of the home were satisfactorily written, up to date, and effectively maintained. Recording of peoples daily notes were written in a positive and respectful way; care notes are read to people at the end of the week to ensure an openness and that they have access to their files. The fire logbook record showed that the range of required fire safety checks were being carried out and were up to date helping to ensure the safety of people inside the building is maintained. All staff attend both fire training and regular fire drills. Staff attend health and safety training as part of their induction. A member of staff audits the health and safety of the home on a regular basis to ensure both staff and people live in a safe environment. DS0000026573.V334056.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 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 2 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 x LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 4 3 x 3 3 x DS0000026573.V334056.R01.S.doc Version 5.2 Page 26 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 YA26 Regulation 23(2)(b) Requirement Ensure repairs are carried out to cracks in ceiling in a bedroom. Timescale for action 30/06/07 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 YA13 Good Practice Recommendations Update contracts regarding use of both organisational transport and staff cars and include amount of payment to be made. DS0000026573.V334056.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000026573.V334056.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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