Inspection on 24/05/07 for Badgers

This inspection was carried out on 24th May 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

Badgers 13/03/06

Badgers 22/11/05

Badgers 28/02/05

Badgers 13/10/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Badgers 53 Rayleigh Avenue Eastwood Leigh On Sea Essex SS9 5DN Lead Inspector Helen Laker Unannounced Inspection 10:00 24th May 2007 Badgers DS0000015519.V328152.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 Badgers DS0000015519.V328152.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. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Badgers Address 53 Rayleigh Avenue Eastwood Leigh On Sea Essex SS9 5DN 01702 526027 01702 526027 badgers@fieldlane.org.uk 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) The Field Lane Foundation Lyndsay Ann Brown Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Excluding any person who is liable to be detained under the provision of the Mental Health Act 1983. The home may provide care for one resident under the age of 18 (eighteen) years whose name is known to the Commission. 13th March 2006 Date of last inspection Brief Description of the Service: Badgers is a care home with nursing for nine residents with severe learning disabilities. It is situated in Rayleigh close to local shops and transport. The home has its own transport. It is purpose built accommodation on one level. There are seven single rooms and one double, a large lounge and dining area, a sensory room, laundry and two bathrooms, both with assisted baths. The entrance area and side of the premises are used as an office. There is a large garden to the rear which is available to all the residents. The home employs the services of an aromatherapist and a reflexologist. The Service User Guide and Statement of Purpose are available and are updated as required. The residents and their representatives are provided with this information and it is displayed for reference along with current Commission for Social Care Inspection reports also. At the time of this report the homes fees for current service users ranged from £387.06 to £1393.21 per week but are assessed according to individual needs. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, unannounced inspection which took place over four hours with one inspector in the home. There was a tour of the premises and grounds and an inspection of records and documentation. Time was spent discussing the care of the nine service users. The manager and three members of staff were spoken with. Twenty two National Minimum Standards were inspected on this occasion, twenty one overall outcomes were met and one requirement detailed in the full report. Discussion of the inspection findings took place with the manager at the end and throughout the inspection and guidance was given. Discussion of the inspection findings took place with the manager at the end and throughout the inspection and guidance was given. Further feedback was also received from service users and staff through survey and discussion. Responses have been included in the relevant sections of the report. A preinspection questionnaire was provided on this occasion and other reports and correspondence provided by the staff on duty were used as evidence to inform this report. What the service does well: What has improved since the last inspection? None of the service users have verbal communication. Communication takes place using objects of reference. Guidance for communicating with service users is detailed in each care plan, which has been gained from observations and ongoing assessments. A new initiative is to have short term plans which track things such as seizure activity, weight loss and vomiting, this was seen for one service user. Previously “Person Centred Planning” had been introduced from to ensure service users plans are more exciting and they can within their own limitations Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 6 take ownership and responsibility for their own self via guidance and supervision 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. Badgers DS0000015519.V328152.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) Badgers DS0000015519.V328152.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): 2 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a contract directly with the home if privately placed EVIDENCE: Documentation reviewed for the last two admissions was seen to be appropriate. Nine service users are currently in the home. The Proprietors have produced appropriate assessment documentation for future admissions. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 9 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 and 9 Quality in this outcome are is excellent This judgement has been made using available evidence including a visit to this service. Service users are made known their assessed and changing needs, they are supported to make decisions and participate in aspects of the home. Each service user has an individual plan and service users are supported to take risks as part of an independent lifestyle via a process of assessment and supervision. Due to service users learning disabilities they are only able to make limited decisions but staff facilitate this as much as possible. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 10 EVIDENCE: Two care plans were inspected. They were seen to be well presented and well documented. The home still uses a colour-coded system whereby separate folders are in use for different areas and a key is displayed where the care plans are stored. Care plans were seen to be very comprehensive with specific instructions for staff to meet service users’ needs. They are regularly reviewed by the home and in addition, an annual multi-disciplinary review is held. Due to the level of learning disability experienced by the service users, it is not possible to obtain their input for the development and review of their care plans. Relatives are encouraged to attend and keyworkers record preferences in PCP’s by what is known of service user and written in their voice. None of the service users have verbal communication. Communication takes place using objects of reference. Guidance for communicating with service users is detailed in each care plan, which has been gained from observations and ongoing assessments. Families assist where possible and a MENCAP advocate attends service users’ reviews and any other specific occasion when necessary. A new initiative is to have short term plans which track things such as seizure activity, weight loss and vomiting, this was seen for one service user. Each service user has their own bank account into which their income support is paid directly. The Manager, Deputy Manager and Administrator are joint signatories and withdraw small amounts of money for the service users. Comprehensive records are maintained and regularly audited by the home’s head office. The home has produced comprehensive risk assessments for all the service users covering their assessed needs, activities, premises, transport and outside activities. The cook also has risk assessments for the kitchen. Risk assessments and protocols are also available for reflexology and aromatherapy. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 11 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): Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 12 12, 13, 15, 16 and 17 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported with opportunities for personal development by way of access to a wide variety of training and educational colleges, day centres and overall their rights and responsibilities are recognised in their daily lives. EVIDENCE: Service users are supported to participate in appropriate activities, both in the home and in the community. One service user attends an adult education college and one attends school. None of the service users are able to gain employment. All the residents have person centred plans which include their individual needs and wishes regarding their lifestyle and daily living which includes activities. A community service facilitator provides weekly reflexology, aqua-therapy and aromatherapy. The residents living at the home have regular meaningful experiences, some go on holiday each year. Each week residents are taken to the local shops, visit the local pub, go on bus rides with staff to places of interest to them. Service users are encouraged and supported to access all community facilities. The home has a mini bus and three service users have their own cars which staff are authorised to drive. Risk assessments and guidelines are available for each service user when travelling in the cars and minibus. Service users contribute towards the cost of petrol. The Manager informed that all families are invited to be involved in the service user’s care. The home endeavours to keep relatives up-to-date with their service users care. The home has an open visitors policy. Service users have access to all communal areas of the home, apart from the kitchen where access must be supervised. The Manager said that the routines of the home are flexible. Staff were observed to interact with the service users sensitively throughout the inspection. The Manager and Deputy are authorised to open service users’ mail. Staff encourage service users to maintain and improve their general life skills. The main meal is taken at lunchtime. The home operates a six week rotating menu. Menus are based on experience of service users’ likes and dislikes and on tasting sessions held with the service users. The home’s cooks are very involved in the home and do offer the service users a wide range of food. A new week day cook has been in post since May. All the service users need Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 13 assistance with eating and the Manager informed that generally two sittings are held to ensure service users are given appropriate assistance. Badgers DS0000015519.V328152.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 and 20 Quality in this outcome are is excellent This judgement has been made using available evidence including a visit to this service. Good arrangements are in place to ensure that the health care needs of service users are identified and met. EVIDENCE: The home provides care for its service users through a key worker system. Personal care is carried out in private with same gender staff in some cases where required. Service users wear their own clothes and are treated as individuals. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 15 Care plans show that service users’ health care needs are met and appropriately recorded. There were records of regular reviews by the Consultant Psychiatrist once every 3 months. Two local General Practitioners attend to the service users. Most service users have water beds, two have profiling beds. The Manager informed previously that they eliminate the use of bedrails. The home uses a pre-dispensed system for the administration of medication. Only qualified nursing staff administer medication. Training is provided by the local Community Pharmacist. The home has an appropriate medication policy which has been reviewed. Medication administration records (MAR) were seen to be completed appropriately and protocols were in place for all medication. The home keeps controlled medication in a separate locked cupboard. A copy of the Royal Pharmaceutical Society’s Guidelines is available Badgers DS0000015519.V328152.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 and 23 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. The home has effective procedures in place to ensure that service users are protected from abuse, neglect and self harm. EVIDENCE: There received have been no complaints received since the last inspection. The home has the Proprietor’s comprehensive complaints procedure. The home has the Proprietor’s comprehensive abuse and whistle blowing policy and a copy of the local authority’s Protection of Vulnerable Adults Procedure. Some staff have received training and others are booked for training in the near future. Staff spoken with and at previous inspections were aware of the whistle blowing procedure. All staff are POVA trained. The home looks after small amounts of service users’ money. A sample of service users’ money and records of expenditure was found to balance with minor explainable deficits. These are regularly checked by the Proprietor’s Finance Department. Money is held individually and securely. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Badgers was clean, bright and well maintained and provided the service users with homely and comfortable surroundings. Ongoing improvements are made to the décor of the home internally and externally. EVIDENCE: Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 18 This standard remains overall unchanged. The premises is a large detached bungalow with two garden areas. The home is purpose-built with appropriate aids and equipment. The home on this and previous inspections was found to be light, airy, comfortable and safe for its service users. The home has a designated budget and a planned maintenance programme. The handyman carries out minor repairs and decoration. The dining and lounge areas are comfortably furnished to a good domestic standard. Bedroom sizes remain unchanged and meet this standard. Those bedrooms seen were furnished according to the individual service users’ needs. They were seen to have good natural ventilation, lighting, heating and appropriate window space. The home has two adapted bathrooms and adequate communal toilets for the service users’ needs. The home has a large lounge/dining room, two garden areas, one with a sensory garden. Kitchen and laundry facilities were to a good domestic standard. There are work surfaces in the kitchen that can be lowered to allow service users to take part in cooking sessions. There are call-bell systems in all rooms. One bedroom is fitted with a ceiling hoist to meet the service user’s needs. The home has grab rails fitted throughout the home and a well equipped sensory room. The premises were seen to be clean and tidy throughout. There is an infection control policy. The home has a large laundry area with two washing machines; two tumble dryers and a sluice/disinfector. Areas in the garden have been developed and a hot tub and small allotment area are utilised. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 19 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): 32, 34 and 35 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment and training of staff generally have safeguards in place to offer protection to people living in the home. The home has an effective and competent staff team. EVIDENCE: Recent staff files inspected were found to contain most of the relevant information required. Although CRB checks are undertaken POVAfirst checks are not and this is considered best practice along with the checking of permissions to work with regard to permits. This was discussed with the Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 20 manager on the day of inspection. One staff file checked only had one reference also. The home has a training budget and a designated person responsible for the training and development programme. The manager previously advised that all new staff are registered on TOPSS induction and foundation programmes, and use the Learning Disability Award Framework to underpin knowledge for progression onto NVQ qualifications. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 21 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): 37, 39 and 42 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 22 There is leadership, guidance and direction to staff and the home has in place practices that promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: Regulation 26 visits are being made on a monthly basis and submitted to the Commission. Staff have received mandatory training and updates and further training has been arranged. The chef has attended health and safety training and does staff training. He has also completed risk assessments for safe working practices. There is a health and safety policy and a statement of intent. COSHH items were appropriately stored and there were safety data sheets and a register. All health and safety inspections and servicing of equipment were up to date. The home sends out it’s own consultation questionnaires to monitor it’s service delivery. One stated that there was “Very good communication always kept informed” and another stated “ There is always a nice cup of tea after my long journey and everyone has time to chat however busy” Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 23 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 X 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 2 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 4 4 X 4 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 Badgers Score 3 3 3 X DS0000015519.V328152.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA34 Regulation 17(3b) Sch 4(6) Requirement Recruitment records required by regulation for the protection of service users and for the effective and efficient running of the business must be maintained, up-to-date and accurate. Timescale for action 28/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. Badgers DS0000015519.V328152.R01.S.doc Version 5.2 Page 26 - 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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