CARE HOME ADULTS 18-65
Atkinson Grove Respite Bungalow 3 Atkinson Grove Huyton Knowsley Merseyside L36 7RS Lead Inspector
Miss Diane Sharrock Key Unannounced Inspection 30th April 2007 11:30 Atkinson Grove Respite Bungalow DS0000037680.V332551.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 Atkinson Grove Respite Bungalow DS0000037680.V332551.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. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Atkinson Grove Respite Bungalow Address 3 Atkinson Grove Huyton Knowsley Merseyside L36 7RS 0151 480 5673 F/P 0151 480 5673 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) Knowsley MBC - Health & Social Care Headquarters Miss Judith Glynis Bailey Care Bungalow 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users to include up to 3 YA with LD or up to 3LD(E) To have a temporary variation for two named Service Users requiring Nursing Care. Date of last inspection 5th July 2006 Brief Description of the Service: Atkinson Grove is owned and managed by Knowsley Social Services. The Responsible Individual is Mrs Anita Marsland. The Registered Manager is Judith Bailey who has worked at the unit for many years. The Bungalow is a purpose built bungalow with three single bedrooms, The unit offers respite facilities to Service Users living in the Huyton, Halewood, Knowsley and Kirby areas. The service offers personal care in a Residential setting and Staff access the local District Nursing team to provide any additional Nursing/ clinical procedure. At present two Service Users bring their own Nursing Staff during their stay at the Bungalow and the District Nurse provides input for other Clinical needs. The fees for the project have not been supplied in the projects pre inspection questionnaire. These details must be submitted to CSCI. Atkinson Grove Respite Bungalow DS0000037680.V332551.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 at Atkinson Grove. Information for this inspection was gathered in a number of different ways. This included reading records and looking at the building. ‘Case tracking’ was used as part of the visit to the Bungalow. This involves looking at the support a person gets when they visit the bungalow, including their care plans, medication, money and their bedroom, time is also spent meeting people at the bungalow. One care plan was looked at and all guests visited during this visit. Quality assurance questionnaires were also seen from Guests who had just stayed at the Bungalow. Inspections involve measuring a number of standards considered as important by the Commission. A selection of Comment cards were also left in the Bungalow to offer people further opportunity to give their opinions. Up to present date one comment cards have been submitted to CSCI. There has been no cause for any visits to the Bungalow since its last routine inspection. Any information the Commission for Social Care Inspection(The Commission) has received since the last inspection about the Bungalow is also taken into account. The Bungalow are requested to contribute information to the inspection by completing a pre-inspection questionnaire. What the service does well:
This is a specialist project offering regular breaks to younger adults within Knowsley. The Bungalow continues to employ long-standing members of Staff who offer great stability to the project. The project has shown that it meets a lot of the standards and offers a very good standard of care. The Guests have detailed care plans. The care plans include information on the Guests likes, dislikes. These have been developed and now have makaton symbols used in parts of the care files to make them easier to use. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 6 Staff have a good understanding of Guests needs including their personal and health care and provide support to meet these. What has improved since the last inspection?
All of the requirements made at the last inspection were found to be met showing improvements to the Bungalow and the companies commitment in making the Bungalow a better place. The care plans have now been completely developed and Staff have transferred all relevant information to these care record. A lot of work has been carried out to develop these records which now evidence all parts of the standards to help meet the guests needs. The Bungalows Manager has implemented weekly Guests meeting which Staff use to support Guests in planning their stay and implementing their requests and choices for things such as activities and trips out. The Staff have also developed quality questionnaires for Guests and Carer’s that are used when each Guest goes home from the Bungalow. This helps get the opinion of people who use the service to make sure they enjoyed their break. Staff stated they had worked at the Bungalow for over 12 months some for many years, and discussed how they felt about the project. They were very happy and settled and felt very proud of what they had achieved. They were happy with their training and felt they had benefited from all their courses. The training development plans for the Bungalow showed that training had taken place and included a wide range of courses to help Staff support Guests diverse needs. The homes Pre inspection questionnaire states that over 82 of the Staff have already obtained their national care award. The investment in training for Staff has continued to help provide a well-trained and competent team able to achieve very good standards of care and support and meet all of the diverse needs of Guests. The Manager has accessed all Staff files and records kept at head office and has produced evidence of all necessary checks being in place prior to Staff commencing employment at the bungalow including CRB (police) checks. These files showed good recruitment procedures, which helps to safeguard Guests at the bungalow and shows good practice in supporting and training Staff. The Manager had organised various quality assurance systems. Various results of recent guest and relative questionnaires were seen. All comments were very positive, especially about the project and its Staff. One comment card received was positive about the project, with just one comment that said,
Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 7 “sometimes at weekends there is no mini bus available.” Various other audits were also seen. Some covered care plans which showed regular checks on the care records and Care Manager assessments, medications, finances, activities and the environment, including risk assessments, and Guest and Relative/Carer’s feedback forms. These tools helped to show how well managed the Bungalow was and what checks were in place to maintain the standards achieved. 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. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1/2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Guests needs are assessed before coming to stay at the bungalow in order to ensure their needs can be met prior to their break. EVIDENCE: The Bungalow have displayed a Statement of Purpose on the notice board by the front entrance which gives Guests details about the bungalow and the project. This document has been developed by the Manager into a simple format that is easy to read and understand with the use of pictures. In November everyone who stays at the bungalow was sent a copy of the document and the CD. This helps keep everyone informed and involved in the developments in the bungalow. A Pre inspection audit seen dated 25/10/06 looked at all of the information for each guest and showed how it reviews each part to make sure that all documents have been recorded correctly. These assessments covered, medication, personal details, care plans, daily records, activities, risk assessments, health records and financial checks. The Company do have assessment policies and procedures and these show that an assessment of the persons needs are carried out with the person and
Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 10 care Manager prior to coming to stay at the Bungalow. This makes sure the Staff can meet the person’s needs. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6/7/9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff in the Bungalow are aware of Guests choices and support them in daily decision making. EVIDENCE: One care plan was seen as part of case tracking. The Guests care, support plan was clear, informative and easy to follow. The plan includes information on the person’s needs, likes and dislikes, activities, communication skills and needs. Care plans had been adapted in makaton format so they were clear and easy to read and include guests views. Care plans have been completely revamped and each one had a detailed introduction from the service Manager, plus each section had a page of description detailing what they writing and section meant.
Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 12 The Manager explained that she also plans to get all sections eventually transferred over to makaton format. The companies’ own documents for managing and supporting people with their finances, menu plans and activity plans were found to be completed. These showed that Guests needs and choices were respected and supported in all areas. Staff were able to give examples of how they communicate with all of the Guests to find out what they want and do not want to do, and had a good understanding of individuals likes, dislikes and choices. The opportunity for Guests to make decisions and their needs known, relies to some extent on the Staff team understanding and responding to their nonverbal communications. Care plans reflected the Staffs understanding and knowledge and rapport with the Guests. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good 12/13/15/16/17 This judgement has been made using available evidence including a visit to this service. The Staff support Guests to access the local community and leisure facilities in accordance with their choices. EVIDENCE: The Staff have developed weekly Guests meetings that enable all guests to make their requests and take some steps in planning their stay while staying at the bungalow. A plan of activities for one Guest who had just left showed a clear and easy to read activity plan which has also been updated to makaton format making it easier for people to decide what to do and keep everyone informed. The Staff have also developed questionnaires used with Guests and their Carer’s after their break to make sure they are happy with their stay and to see if there is anything that can be done to improve their break.
Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 14 During this site visit there were no Guests at the bungalow, however the weekly meeting and Guest and Carer’s review were seen for one person who had just gone home from the Bungalow. The comments were very positive saying: “yes enjoyed trip out to Southport”, and that they had enjoyed their weekend break and also made a request to stay again when another guest was coming. A weekly guest meeting seen dated 24/4/07 discussed fire drills with the new formatted makaton helping explain to Guests what to expect if there was ever a problem at the Bungalow. Staff have regular ‘house meetings’ to discuss the running of the Bungalow. Minutes of these meetings were seen and showed good discussions on everything at the Bungalow keeping everyone informed and included in the developments. Atkinson Grove Respite Bungalow DS0000037680.V332551.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): Quality in this outcome area is good 18/19/20 This judgement has been made using available evidence including a visit to this service. Staff have a good understanding of Guests support needs and personal care is provided in keeping with Guests needs and choices. EVIDENCE: Care plans contain clear information about the support the person needs with their health and personal care and Staff were able to explain the support they provide to each person. The care plan seen was detailed and gave a good account of the Guests needs and were able to demonstrate they can meet the diverse needs of Guests when at the bungalow, including how the Guests social needs and choices could be met. During interviews with Staff they were able to discuss the personal and social care needs of Guests and explained how they gave that care and support. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 16 Medication is stored in a locked cabinet which was seen to be well organised with clear systems in place and records kept of stock checks and medication given. Medication records and storage were checked. All records kept for the management of medications showed details of a safe and well-managed area. Atkinson Grove Respite Bungalow DS0000037680.V332551.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): Quality in this outcome area is good 22/23 This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and which aim to protect Guests against abuse or neglect. EVIDENCE: The Bungalow has a complaints procedure, which is time scaled appropriately. A copy of the complaints procedure is available in the Bungalows Statement of Purpose. The pre inspection questionnaire gave details of complaints over the past 12 months and the Bungalows complaints records were seen during this inspection. One complaint was dealt by the Manager in august 06 and showed she had followed the company policy and dealt with it appropriately. The complaints are also reviewed by the Service Managers. These procedures showed that the companies’ complaints policy is wellmanaged and carried out to try to address a persons concerns. During Staff interviews they explained they had attended mandatory training and were happy with the training on offer. Most Staff had received Abuse awareness training and had access to the Bungalows policies. Some Staff still Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 18 needed this training however the Manager discussed her plans for arranging further training for all Staff. Staff are fully trained and experienced to support and protect Guests. Atkinson Grove Respite Bungalow DS0000037680.V332551.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): Quality in this outcome area is adequate 24/30 This judgement has been made using available evidence including a visit to this service. The environment is generally well managed and provides a pleasant environment for Guests during their break. EVIDENCE: The Bungalow was noted to offer a friendly environment with all Staff seen to be very welcoming during the visit and is well placed for accessing local amenities. The Bungalow is based in a Residential area of Huyton. Accommodation is in a 3 bedroom bungalow, which fits in well with other domestic buildings in the area. One additional bedroom is used for the Sleeping in Staff. Shared space within the Bungalow consists of a lounge, small dining room and kitchen, office, laundry and enclosed back garden. These rooms are comfortably furnished and decorated. Some areas of wear including the tiles and grouting in the shower room and curtains pulled from their tracks which need constant fixing.
Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 20 The Bungalow has health and safety practices and procedures, which are aimed at ensuring the Bungalow is safe and clean and free from hazards to the health and safety of Guests and Staff. An environmental audit was seen dated 10/4/07 and had been carried out by the Companies Service Manager to show how areas had been improved and what areas were identified as needing development. The pre inspection questionnaire gave details of all maintenance checks carried out in the bungalow. A sample of these were seen during this visit and appeared to be up to date and showed that the bungalow is safely maintained. The Manager had produced a development plan for the Bungalow which gave good details about what was happening and what was planned for the Bungalow including the development, maintenance and decorating. This was discussed at a recent Staff meeting and signed by Staff in Sept 06. Atkinson Grove Respite Bungalow DS0000037680.V332551.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): Quality in this outcome area is good 32/34/35 This judgement has been made using available evidence including a visit to this service. The Guests are supported by a well-established Staff team who have been provided with training to support Residents diverse needs and their choices. EVIDENCE: The Staff rota showed that the Bungalow provides 2 members of Staff during the day with one Staff available at night times and also a “sleeping in” member of Staff. Many of the Staff working in the Bungalow have been there for several years or more and provide a stable team for Regular Guests. The Staff and Manager discussed recent events were Staffing levels felt stretched due to the increased needs of certain Guests. The Manager explained that she had already taken the right steps to arrange updated care Manager reviews to help identify their needs. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 22 A recent event had only just highlighted the increased needs for another guest and she acknowledged that she needed to arrange a review and to look at the bookings of groups of guests to see if this will help with the ongoing workloads. The Manager stated she will be meeting with her line Manager to discuss the best course of action before they admit one Guest back to the service. This will help make sure that the service has the right support and resources to meet this persons needs. Some individual training records had not been updated but discussions with Staff and review of the training plan for the Bungalow showed that training had taken place and included a range of courses to help Staff support Guests diverse needs. The Manager has a training plan dated 2007/08 which is very organised and has details for various training that has been booked, including dates for Staff for infection control, Abuse awareness, food hygiene which are all planned before the 1st July 2007. She had also identified developmental training for 2007/08 for first aid, epilepsy, effective communication and challenging behaviour. The Manager explained that when they closed the bungalow for 2 weeks in April 07 they carried out a lot of the training then for all of the Staff and because they are part of Knowsley Social Services they also have a list of up and coming training sessions available for any employee to attend. The investment in training for Staff has continued to help provide a welltrained and competent team able to achieve very good standards of care and support and meet all of the diverse needs of Guests. The Manager has accessed all Staff files and records kept at head office and has produced evidence of all necessary checks being in place prior to Staff commencing employment at the bungalow including CRB (police) checks. The Manager is also now included in the interview process and sees all of the necessary documents to help her make a decision about a prospective member of Staff. Two Personnel files were seen as part of case tracking Staff files. These files showed good recruitment procedures, which helps to safeguard Guests at the bungalow and shows good practice in supporting and training Staff. Atkinson Grove Respite Bungalow DS0000037680.V332551.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): Quality in this outcome area is good) 37/39/42 This judgement has been made using available evidence including a visit to this service. The health, welfare and safety of Guests and Staff is promoted and protected. EVIDENCE: Staff have continued to implement all parts of the National Minimum Standards and the Manager has worked hard to show how she has met the standards and made improvements to the project. The Manager feels the project has moved on and developed for the benefit of the service, she stated she felt well supported by her line Managers and other Managers in the other houses. The Manager has been at the project for many years and offers a great stability and rapport to all the Guests.She has at least two days a week
Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 24 supernumerary to carry out her management role and she felt this was adequate. The Manager is still in the process of her higher qualification in management. The Manager had produced a development plan for the Bungalow which gave good details about what was happening and what was planned for the Bungalow including the development maintenance and decorating to the Bungalow. It included information on a range of topics including, reviews, policies, equipment, activities, coffee afternoons and invites to relatives and guests. These management tools helped to keep everyone involve in the development in their Bungalow and show how their opinions can be included in future plans. Discussion took place with the Manager regarding the improvements noticed during this site visit. General comments covered how the project could continue to develop so that it would eventually exceed the national minimum standards. The Manager stated they had developed a list of things they would like for the project which would benefit a lot of the younger guests including i.e. A play station, new television’s, and garden furniture. These suggestions should be included in the development of the project so that the needs of younger adults can continue to be met and also exceed in offering a very high standard of facility that caters for younger adults. The Manager had organised various quality assurance systems. Various results of recent guest and relative questionnaires were seen. All comments were very positive, especially about the project and its Staff. Various other audits were also seen. Some covered care plans which showed regular checks on the care records and care Manager assessments, medications, finances, activities and the environment, including risk assessments, and Guest and Relative/Carer’s feedback forms. These tools helped to show how well managed the Bungalow was and what checks were in place to maintain the standards achieved. Staff minutes were seen of recent Staff meetings. One dated 3/4/07 showed details of various topics about the Bungalow, including training and policies and procedures, the complaints policy, advice on involving guests with their care plans and paperwork, reviews, feedback forms, medication policies, Health and safety, Staff training, equipment needed and repairs and the 5 year development plan. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 25 Policies have recently been reviewed and signed by the project Manager dated 16/3/07. Policies and procedures are all kept in the office and accessible to everyone. The Manager continues to organise regular Staff meetings. This ensures that Staff members have a regular forum to discuss issues that may affect the service provided to Guests and the implementation of polices, procedures and practices within the project. The Bungalow is visited on a regular basis by a representative of the organisation. In line with quality assurance processes the Bungalow is visited at least once per month and a report is produced with the findings of the visit. These visits form part of the quality assurance process and form an opinion on the standard of care provided. Sample of maintenance certificates seen in the maintenance file, showed upto-date checks on facilities showing the project was well managed and kept safe and secure. This file identified what checks should be carried out weekly, monthly, quarterly, with areas of responsibility identified for the landlord. Various risk assessments are kept in the Health and safety file including the fire risk assessment. The Company have various procedures in place to show how the Bungalow is being safely managed. Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 26 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 BUNGALOW Standard No Score 1 4 2 3 3 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE BUNGALOW Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 27 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 Bungalows 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 Atkinson Grove Respite Bungalow DS0000037680.V332551.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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
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