Inspection on 13/07/05 for Banstead Road South (21)

This inspection was carried out on 13th July 2005.

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 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

Banstead Road South (21) 27/11/07

Banstead Road South (21) 19/03/07

Banstead Road South (21) 23/11/05

Banstead Road South (21) 11/02/05

Banstead Road South (21) 06/09/04

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Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Banstead Road South (21) 21 Banstead Road South Sutton Surrey SM2 5LF Lead Inspector Deborah Yapicioz Announced 13 July 2005 09:30 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 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 Stationary 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. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Banstead Road South (21) Address 21 Banstead Road South Sutton Surrey SM2 5LF 020 8770 0106 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Surrey Oaklands NHS Trust Mr Max Anton Edward Care Home 7 Category(ies) of Learning disability (0) registration, with number Sensory impairment (0) of places Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A variation has been granted to allow three specified service users over the age of 65 years to be accommodated. A variation has been granted to allow three specified service users over the age of 65 years to be accommodated until such time that the home is no longer able to meet their assessed needs. A variation has been granted to allow one specified service user with a physical disability to be accommodated. A variation has been granted to allow one specified service user with a physical disability to be accommodated until such time that the home is no longer able to meet their assessed needs. Date of last inspection 11/02/05 Brief Description of the Service: 21Banstead Road South is registered with the Commission for Social Care Inspection to provide residential care for up to seven adults with learning disabilities and hearing impairments. There are currently seven service users living permanently at the home.The home is owned, managed and staffed by The Surrey Borders Partnership National Health Service Trust formally the Surrey Oaklands Trust , a specialist health provider for people with learning disabilities. The home is a large detached house built over two floors comprising of seven single occupancy rooms, a dining room, a lounge, a kitchen laundry and quite room. 21 Banstead Road South is situated on a residential road in Sutton. It is close to local shops and transport links. The home also has a large garden equipped with garden furniture. The home also has its own minibus which is used to access other community facilities and day care. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was Announced and started at 9.30 a.m. The home was inspected under the National Minimum Standards Care Homes for Younger Adults. The inspection took place over one day. Methods of inspection included meeting with the service users, a tour of the premises, observation of contact between staff and service users, meeting with members of staff and discussions with the home manager and the acting deputy manager. The service users comment cards were completed with the assistance of Sarah Gilson of the Royal Association for Deaf People. Ms Gilson also assisted with signing and symbols during the inspection. Feedback was received from relatives. Records examined included service user plans, health action plans, care manager assessments, risk assessments, medication records, complaints, staffing records, health and safety and fire records. The inspector would like to thank the service users, the staff team, Mr Edwards, Ms Simpson and Ms Gilson for their help in facilitating the inspection. Overall the home continues to provide a good service to the service users. What the service does well: What has improved since the last inspection? Due to the changing needs of the service users, as they get older, some adaptations have been made to the environment. Grab rails have been Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 6 installed in the toilets and bathrooms and a handrail has been fitted on the first floor. Bright colours are used for things like toilet seats to provide a contrast from the background. The home now has a (acting) deputy manager Ms Lesley Simpson, which has assisted the manager by sharing the “paperwork”. The staff members spoken to commented positively about having a deputy manager in place, as there is another person to seek advise from when necessary. 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. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 The home provides good information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. Each of the service users is issued with an individual contract setting out the terms and conditions of the placement, which safeguards the interests of both parties. EVIDENCE: The home has a statement of purpose and a Service users guide in place. The service users at 21 Banstead Road have learning disabilities and hearing impairments so the service user guide has been put into Widget symbol format. Widget symbols are widely used as a communication aid in the home and the service users are familiar with the system. The home has recently introduced an activity timetable and daily calendar in symbol format, which were on the wall in the dining room. The menus are also in symbol and picture format. Service users are only admitted to the home once a full assessment of their needs; compiled by their care manager or other relevant person has been received. The Royal Association for Deaf People was involved in the assessment process for the latest service user who moved to the home. Surrey borders Partnership NHS Trust (formally the Surrey Oaklands Trust) has a procedure for introducing service users to a new residential placement. The process of admission and assessment is described in the homes statement Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 9 of purpose. An assessment for the homes most recent service user was seen on the service users file. There has been a steady decline in the health of one of the service users who has lived at the home since it opened. This has lead to a loss of mobility and skills. Although the manager and staff team are to be commended for the way that they have adapted to meet his needs there are now health and safety issues, which means the home may no longer be suitable. The home manger must ensure a reassessment of the service users needs is carried out to ensure the home can continue to accommodate him. The Trust has now completed the lengthy process of extending the contracts to include a list of the fees charged, what they cover, rights and responsibilities of both parties, who is liable when there is a breach of contract and the cost of facilities or services not covered by the fees. The reviewing arrangements of the care plan are also now included in the contract. Each service users has an individual copy. Surrey borders Partnership NHS Trust (formally the Surrey Oaklands Trust) has commissioned a new service users survey, which is completed by staff from other homes. The findings will be used to incorporate service users views into the Trust development plan for next year. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 The service users have comprehensive individual care plans with detailed information on their needs and personal goals. Individual care plans include consultation with service users and are regularly updated by the key-worker to reflect current needs and ensure service users wishes are represented. The home operates a risk management strategy thus enabling the service users to participate in activities in the home and in the community with appropriate support. EVIDENCE: Service user individual care plans are based on Person Centred Planning principles and are very detailed and comprehensive. The Person Centred Plan includes information on weekly activities, personal care, family contacts, health needs, personal preferences and future plans/wishes. Plans are reviewed six monthly. The Royal Association for Deaf People provide support to the service users at their review meetings. This entails meeting with the service user before the review to make sure they are happy and supporting them at the actual meeting. Service users files looked at all had individual risk assessments and risk management strategies. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 11 The home has weekly (alternate) communication and advocacy meetings. The Royal Association for Deaf People facilitates the advocacy meetings. Current events and relevant issues are discussed including, the last elections and preparation for the announced inspection. Minutes are taken and reproduced in a symbol format. One of the aims of the advocacy group is to have a service user chair the meeting. Sarah Gilson of the Royal Association for Deaf People facilities the group and feel that the home responds well to any requests made by the service users through the group. The staff team at the home all use signing as a means of communication any new staff recruited to the home must have signing skills or be prepared to learn. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 The service users at the home are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities. The service users have a varied programme of social activities organised by the staff team to reflect service users individual interests. The daily routines and house rules promote residents’ rights and encourage independence. The home has an open visitors policy to ensure friendships and family links are maintained. Dietary needs are catered for with meals that are nutritionally well balanced, nicely presented, and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: The service users attend Bentley Day Centre where they participate in various activities including photography, Bingo, pitch and putt, make up. Service users also attend “Work Action” for work experience and basic assembly and packing. The local college has various evening classes, which the service users go to enjoy. These include art and crafts, pottery, cookery and computers. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 13 The local community is well used by the residents. Service users weekly activities include going to pubs, bowling, cinema and shopping. In house activities include a weekly aromatherapy session, a card group, crafts and games and video evenings. There is a “loop” system in the lounge so service users can watch T.V. Many of the service users have lived at 21 Banstead Road South since it opened and are getting older; the home has adapted their routines to accommodate the “slower” lifestyle of the service users. The staff team at the home encourage service users to remain in contact with their family members if it is appropriate. The home enables one of the service users to visit an elderly sister by providing the transport. Another service user is still in contact with a previous neighbour. There is an open visitors policy and the home just ask that visitors phone to ensure their family member is going to be in before they visit. Visitors can be seen in any of the homes communal areas as well as the service users bedrooms. The Royal Association for Deaf People act as advocates for the service users. The menus at the home are based on the likes and dislikes of the service users. The menus at the home are in a picture/symbol format and service users assist with meal preparations. The staff team at the home translate the recipes from the cookery evening class into symbol format for the service users. Alternatives to the main meal are provided. The home has recently been given a healthy eating award from the London Borough of Sutton, for the second time. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20,21 Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ physical and emotional health needs are detailed in personal plans to offer consist care in this area. Residents’ medication is well managed to ensure good health. Service users have been consulted on their personal and cultural preferences in relation to illness, death and dying, thus ensuring their individual wishes are respected. EVIDENCE: The Surrey Borders Partnership National Health Service Trust is in the process of introducing health action plans for the service users in the trust. The Trust provides training on the format of the Health Action Plans. One member of staff from Banstead road has attended the training provided and the home is aiming to have a Health Action plan for each of the service users. The service users need varying degrees of assistance with their personal care or at mealtimes. The level of support a service user needs would be detailed at Person Centred Plan meetings and their preferred routines are set out in their Person Centred Plan. Healthcare needs were recorded in the service users’ files. Service users are registered with a local General Practitioner. The service users are able to access community health facilities such as opticians, chiropodist and district nurses as required. The service users also have access to The Trust dentist. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 15 The home arranges for the Royal Association for Deaf People to provide support for service users when they attend hospital appointments using the hospital communication book, which is a practical communication tool using pictures and symbols. The staff team have attended manual handling training. Guidelines are in place for one of the service users whose needs have increased as his health has deterioted. The Trust moving and handling advisor has also completed a Moving and Handling assessment and report for him. The home has a policy and procedure in place for the receipt, recording, storage, handling, administration and disposal of medication. Seven staff at the home have been trained in the administration of medication. All medication records were complete at the time of the inspection. The service users and their families (where appropriate) have been consulted on their wishes around death and dying. Sarah Gilson of the Royal Association for Deaf People has been working with the service users on making their wills. As mentioned previously, the service users at Banstead Road are getting older and the home has a variation for three service users over sixty-five. The home manager was able to demonstrate his awareness of aging issues and has also organised appropriate training for the staff team. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users EVIDENCE: The complaints procedure was clear and contained all of the elements required to meet standard 22 including a minimum response time of less than 28 days. The complaints procedure is also in a symbol format. The home has a copy of the local authority Adult Protection Policy on site. The Surrey Borders Partnership Trust provides mandatory Vulnerable Adults training for staff. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,25,29,30 This home provides a comfortable, clean and safe environment for service users to live in. The general décor of the home is good with the exception of the lounge and hall carpets, which need attention. Service user’s bedrooms provide privacy and reflect individual interests and preferences. The communal areas provide additional space for group activities or privacy. EVIDENCE: Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 18 The home is situated on a suburban street in Sutton reasonably close to local shops and facilities. On the day of the inspection the home was comfortable, bright, well ventilated and free from offensive odours. There were many “homely” touches such as photographs of the service users through out the house as well as a fish tank in the dining room. The overall condition and décor of the home was good, however the carpet in the lounge has an iron burn mark and should be replaced. The carpet in the hallway outside the kitchen is stained and worn and should be replaced. The furniture is domestic, flame retardant, and of good quality. Due to the changing needs of the service users as they get older, some adaptations have been made to the environment. Bright colours are used for things like toilet seats to provide a contrast from the background. Grab rails have been installed in the toilets and bathrooms and a handrail has been fitted on the first floor. The fire alarm system is linked to a red light, which flashes when the fire alarm goes off. There is also a pad that vibrates to alert service users when the fire alarm goes off at night. A blue light flashes to alert service users that someone is at the front door and also their bedroom door. There is also a pleasant garden at the rear of the home which the service users spend time in during the summer months. It was well equipped with garden furniture. Maintenance for the home is provided on an as required basis by The Surrey Oakland’s works dept. Each of the service users in the home has a single room, which is decorated and personalised to reflect their individual taste. There is ample communal space in the home, provided by a lounge, a quiet room, kitchen, a dining room and garden; there are sufficient numbers of bathrooms and toilet facilities situated throughout the home. The home has separate laundry facilities away from the homes kitchen and the food preparation area. There is a covered walkway between the laundry and the main house. The washing machine in the home is capable of washing at high temperatures, which helps in the control of infection. The home has all the necessary policies and procedures on the control and prevention of infection. There is a locked Control of Substances Hazardous to Health cupboard in the laundry room. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35 The staff team at the home have a range of skills and abilities including a knowledge of sign language, which enables them to communicate with, and meet the needs of, the service users living at the home. The staff team have now all had Criminal Records Check, as a safeguard to offer protection to the homes service users. EVIDENCE: There are at least two members of staff on duty in the home at any one time. During the day when there are a lot of activities the manager arranges for three people to be on duty. At night there is one waking and one sleep in member of staff. The staff job descriptions were comprehensive in there content and linked to achieving service users goals, as set out in their individual care plans. The manager has obtained copies of the General Social Care Council’s (GSCC) code of conduct for his staff team in keeping with recommended good practice. The home has devised a pictorial rote of staff, to assist service users in identifying the staff on duty. Surrey Oakland’s trust has an equal opportunities policy, which includes a recruitment, and selection procedure. Criminal Records Checks are completed as part of the recruitment process. Criminal Records Checks have been obtained for all permanent staff currently working at the home. The home manager has recorded the names of all the staff who’s Criminal Records Checks have been seen. This will be updated at each inspection. The trust offers a wide range of training opportunities to staff Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 20 at all levels within the home. The staff team have been able to access a number of training courses during the past year, including fire safety, Vulnerable Adults, food hygiene, first aid, medication, health and safety and moving and handling. The staff team also have access to “Positive Futures” a five-day course on the care of older people with learning Difficulties. New members of staff complete an induction programme covering various subjects including health and safety, fire drills, and introductions to service users and other staff. The induction programmes are signed, dated and kept on staff files. Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,42 The management style is open and the home appears to be well run. There are clear lines of accountability, which is aimed at ensuring the interests of the service users, are safeguarded and their safety and welfare are protected. EVIDENCE: Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 22 The registered manager of 21 Banstead Road South is Mr. Max Edwards. Mr Edwards has been a qualified Registered Nurse for People with Mental Handicap for over twenty-five years and has extensive experience in residential care. Mr Edwards has achieved a National Vocational Qualification, level four and is a trainer on the “Positive Futures” course. He has been in operational day-to-day control of the home for over seven years. The home now has an (acting) deputy manager Ms Lesley Simpson, which has assisted the manager by sharing the “paperwork”. The staff members spoken to commented positively about having a deputy manager in place, as there is another person to seek advise from when necessary. The service users at the home also felt that the manager was someone they would talk to about any problems The home has a health and safety policy and an Infection control manual. Fire drills at the home were up to date on the day of the inspection. The home has thermostatic control values fitted to water outlets. The water temperature is checked regularly and a record is kept. A legion Ella test was completed in August 2004. The staff team take responsibility for different areas within the home. Audits are in place covering different aspects of the home including, financial audits, health and safety and maintenance. Annual Fire safety training for the staff team is due to take place in September and Moving and handling refresher will take place in August. A first aid box and a fire blanket are situated in the kitchen. There are fire extinguishers throughout the house. Coloured chopping boards and knives were seen in the kitchen. There are locked “Control of Substances Hazardous to Health” cupboards. The staff team have access to training around health and safety issues and have undertaken moving and handling training, basic food hygiene and first aid Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 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. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 2 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 4 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Banstead Road South (21) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 3 x G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation 15.(2)(b)(c)( d) 23(2)(d) 23(2)(d) Requirement The home manager must ensure the care needs of service user G.U. are reassessed in light of his declining health. The home manager must replace the lounge carpet with the iron mark The home manager must replace the stained and worn carpet on the ground floor hallway outside the kitchen Timescale for action 26/07/05 2. 3. 24 24 30/11/05 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Banstead Road South (21) G53-G53 S07211 BansteadRdSouth21 V199466 130705 Stage 4.doc Version 1.30 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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