Inspection on 23/04/07 for Aberwicke

This inspection was carried out on 23rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Aberwicke 01/05/09

Aberwicke 09/11/05

Aberwicke 20/07/05

Aberwicke 08/02/05

Aberwicke 02/09/04

Aberwicke 26/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Aberwicke 99 Main Street Spittal Berwick Upon Tweed Northumberland TD15 1RP Lead Inspector Jim Lamb Unannounced Inspection 23rd April 2007 09:30 Aberwicke DS0000000584.V330169.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 Aberwicke DS0000000584.V330169.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 Older People and 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. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aberwicke Address 99 Main Street Spittal Berwick Upon Tweed Northumberland TD15 1RP 01289 - 331448 F/P 01289 - 331448 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) Mrs H Bettison Mrs H Bettison Care Home 3 Category(ies) of Learning disability (2), Physical disability (1) registration, with number of places Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 2 residents with learning disability, one of whom is over the age of 65 years 1 resident with a physical disability Date of last inspection 9th November 2005 Brief Description of the Service: Aberwicke is a terraced house on the main street in Spittal, which is on the outskirts of Berwick upon Tweed. The house has sea views and is in within walking distance of the sea front. The home is close to all local amenities and there are good transport links. The home is well maintained and there is a homely atmosphere. The home provides care for two adults, one with learning disabilities, one of who is over 65 years and one with a physical disability. There are two ground floor bedrooms and one on the first floor. The gardens are landscaped, highly attractive and seating is provided. Fees for the home are £ 370.45 per week. Aberwicke DS0000000584.V330169.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 key inspection visit. The inspection took place during the late morning and afternoon. Time was spent talking the manager, and both service users. Service users care records were inspected together with other records relating to the management of the service. A tour of the premises also took place. Two service users feedback cards were received, both indicated that they were happy with all aspects of the care that they receive. What the service does well: What has improved since the last inspection? The home continues to provide a very good service, and both service users educational opportunities continue to be promoted. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 6 The home now provides both service users with their own private shower room and toilet. 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. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 6 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with enough information about the service to enable them to make a choice about where they want to live. All service users are appropriately assessed prior to admission into the home; this provides the service with the information they need to meet the assessed needs of each individual. EVIDENCE: The home’s Statement of Purpose and the Service Users Guide both contained the full range of information required. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 9 Admissions are very rare; both service users have lived here for several years. Any new admissions will not be made until a full needs assessment has been undertaken. Admissions to the home only take place if the service is confident they have the skills, ability to meet the assessed needs of the prospective service user. Both service users’ files were checked and each included a full up to date needs assessment. They contained a range of appropriate information. The service users are involved in drawing up both these initial assessments and the home’s subsequent service user plans. The service users said their needs were met and they were happy with the care offered to them. They said, “We are part of the family and, we feel valued and respected by everyone”. The home does not provide intermediate care. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 9 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear enough to ensure that staff has the information they need to meet the assessed needs of the service users. Service users are supported to make decisions about their lives, and take risks to promote their independence. EVIDENCE: There is a comprehensive assessment in the service users’ care records. There is also a comprehensive risk assessment of service users. The management of Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 11 risk takes into account their needs and aspirations for independence and choice. There are advocacy arrangements, as well as family input to represent service users. The service users confirmed that the family respects their privacy and treated them in a dignified manner. Care plans are drawn up with service users. Plans are amended and reviewed on a regular basis. The care plans are person centred and agreed with each individual. The plan is written in plain language, and is easy to understand and looks at all areas of each individual’s life. The care plan is a working tool and is understood by service users, and, and service users’ representatives. There are systems in place to ensure the care plans are reviewed and updated. The service arranges additional reviews when changes take place. Care managers and their representatives attend annual reviews. Currently, confirmation of an annual review for one service user is pending with, Liverpool City Council. Self-advocacy is promoted and service users can access a range of external agencies that promote independence. Any rights that are restricted are linked to risk assessments. The management of risk aims to provide a better quality of life; the decisions have been made with the person and are clearly recorded. Service users both said that they are able to make decisions for themselves. One service user said, “I enjoy gardening and walking along the sea front, and spending time with the family, and I am able to come and go as I please. My life is much better now compared to what it was like before I came to live here”. Another said, “ I am very happy living here, and I am going on holiday soon to Bulgaria”. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 13 12 13 14 15 16 17 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The meals in the home are good, offering both choice and variety. The service users have opportunities for personal development and leisure activities. They are supported to maintain very good links with the community and their relatives and friends. EVIDENCE: Each service user had practical health and personal skills assessment carried out. This is reviewed and updated on a regular basis. Both service users participate in this process. Service users are supported to live a normal life in the community. They are encouraged to be in control of their own lives, and enjoy their own interests and hobbies. They have been fully involved in planning of their lifestyle and quality of life. For one person, occupation opportunities are encouraged, and promoted. He said, “I am part of a supported work programme, and I enjoy my job very much, but I would welcome a real wage for what I do”. The service users enjoy regular short breaks/ holidays, they frequently spend time at the family’s holiday home. Two holidays are planned for this year; France in August, and Bulgaria in September. Both service users are supported to maintain very close links with their families. They can choose who they want to see and when. Daily routines promote independence, choice and freedom of movement. The menus are based on the known likes and dislikes of the service users. At least two hot meals are provided each day. The meals are varied and well balanced. The service users said that the meals were very good. Special diets are provided as and when needed. Service users have access to the kitchen and can prepare snacks for themselves if they wish. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The health care of the service users is met and there is good multi disciplinary working taking place. The promotion of health care needs is taken seriously and medication systems are well managed. Support is always provided in the way that service users prefer. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 15 EVIDENCE: Service users need minimal help with their personal care both remain very independent. Service users care records showed that they have access to external health care services. Care plans clearly record their personal health care needs and how they will be delivered. G.Ps visit when necessary. Service users are referred for specialist health care if appropriate. Service users receive regular health care checks. Currently no specialist aids or equipment are needed, should this change, Occupational Therapists would be consulted regarding any specialist equipment that the service may need. The medication systems for ordering, receiving, administering and disposal are well maintained. Only one service user has regular medication, he is able to self medicate. He explained the system that he uses to manage his own medication, and where he keeps his tablets. This system works very well. All staff has had accredited medication training. Controlled drugs are not currently prescribed. Should this change; appropriate systems and procedures will be put in place. There is an efficient medication policy that is accessible. The dispensing pharmacist offers good support and advice. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The home has a good, clear, user-friendly complaints system and service user’s views are listened to and acted upon. Procedures are in place to protect service users from harm, and these are followed. EVIDENCE: There is a complaints procedure. The procedure is written in a way that ensures service users fully understand its contents. All complaints are investigated within 28 days. Service users said that they had been given copies of the procedure and that staff listened to their concerns and dealt with them fairly. There is an appropriate complaints recording system in place. During the last twelve months there have been no complaints received. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 17 The service users said, they fully understood the complaints procedures, and would not hesitate to make a complaint if they needed to. The service has a Whistle Blowing policy and a copy of the Local Authorities Vulnerable Adults procedures. Training in the area of protection is regularly arranged. The service ensures adherence with policy and procedures in relation to protecting and safeguarding the rights of the service users. The service also has a copy of the Department of Health’s document, “NO SECRETS”. Each has an individual bank account. Service users are encouraged to take responsibility for their own financial affairs and to use their money as they wish. There is a clear robust policy that protects service users from financial abuse. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 26 27 28 29 30 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and safe environment for those living there. The standard and decoration within the home is very good. Communal areas and bedrooms are large, and meet the service users needs. All areas within the home are well maintained, clean, tidy and free from offensive odours. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 19 EVIDENCE: The home was clean, well decorated and maintained. The grounds were tidy, safe, and accessible and have sea views. The home does meet the requirements of the Disability Discrimination Act and the layout and design is suitable to meet the specific needs of people with a physical disability. No aids and adaptations are currently needed. Service users can see visitors in private in their own rooms. Both bedrooms have privacy locks and each service users keeps their own key. Furnishings and fittings were domestic in design and in very good condition. Room sizes meet the minimum required. The service users said that they were happy with the space available. The bedrooms are nicely decorated, and highly personalised. Both bedrooms have opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. To the rear of the home, there is a highly attractive courtyard that overlooks the sea. Both service users enjoy helping in the gardening, and growing plants from seed. Since the last inspection visit, the service users now have access to their own private new shower room and toilet. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The laundry facilities are well organised. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome is good. There is a good match of well-qualified staff offering consistency of care within the home. There are robust procedures in place for the recruitment and selection of new staff, which helps to protect service users. The staff receives supervision and this provides them with a good understanding of the service users support needs. EVIDENCE: Mrs Bettison continues to provide the majority of care and support to both service users. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 21 Since the last inspection visit there has been no staff changes, two staff support Mrs Bettison and provide cover as needed. The staff team support each other and share skills and knowledge. The roles and responsibilities of staff are clearly defined and understood. There is a good balance of skills, knowledge and experience to meet the needs of service users. All staff is qualified to NVQ level 2. The service ensures that all staff receives relevant training that is targeted and focussed on improving outcomes for service users. Statutory and safeguarding adult training is on going. Both service users said that they new the staff team very well, and are able to communicate with them freely and easily. The staff have worked in the home for several years, and CRB checks have been carried out. At the previous inspection visit, it was verified that the home has a very thorough recruitment system in place that safeguards service users. Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 23 31 33 35 38 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The manager provides clear leadership demonstrating an awareness of her responsibilities. The systems for service users’ consultation are good, and service user’s views are both sought and acted upon. The health and safety of the service users is promoted. The service is aware of equality and diversity and its implications. EVIDENCE: The manager has the required qualification and experience, and is competent to run the home and meet its stated aims and objectives. The manager has a Diploma in, Higher Education In Life Skills. She is a qualified trainer for, the safe handling of medication, protection of vulnerable adults and loss and bereavement. She has recently commenced an advanced health and safetytraining course. Although two staff are employed, this is a small home and her family also supports Mrs Betterson, they are all clear about clear about their responsibilities. They have a very good knowledge of the service users assessed needs. Service users spoke positively about the manager saying she had encouraged them to contribute to the day-to-day management of the home and that they felt part of the family. There is a strong ethos of being open and transparent in all areas of running the home. Service users are told when inspections take place and they are shown inspection reports. Copies are available for relatives and others to see. The service has sound policies and procedures, which the manager effectively reviews and updates, in line with current thinking and practice. The service is aware of equality and diversity and its implications, and strives to promote the diversity agenda within the service. There are plans to continue to seek further improvements through research and training and keeping up to date with best practice in the areas of race, ethnicity, age, sexuality, gender, disability, and belief. This will translate understanding into Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 24 positive outcomes for service users. The service continues to operate a good quality assurance system. Service users’ views are sought and acted upon. Relatives and professionals are also consulted. The service has a good record of meeting relevant health and safety requirements and legislation. There are appropriate maintenance contracts for the home. Aberwicke DS0000000584.V330169.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. Where there is no score against a standard it has not been looked at during this inspection. 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 X 32 3 33 x 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 4 38 X 39 3 40 X 41 X 42 4 43 X 3 4 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aberwicke Score 3 3 4 X DS0000000584.V330169.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Aberwicke DS0000000584.V330169.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. Aberwicke DS0000000584.V330169.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. 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