Inspection on 10/04/06 for Beacongate

This inspection was carried out on 10th April 2006.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beacongate 21/11/07

Beacongate 03/11/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Beacongate Beacon Road Crowborough East Sussex TN6 1AZ Lead Inspector Nigel Thompson Unannounced Inspection 10th April 2006 09:30 Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 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 Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 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. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beacongate Address Beacon Road Crowborough East Sussex TN6 1AZ 01892 669579 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) www.eastsussex.gov.uk/socialcare East Sussex County Council Vacant Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is five (5). Service users must be aged between thirty (30) and sixty-five (65) years on admission. Service users with a learning disability only to be accommodated. Date of last inspection 3rd November 2005 Brief Description of the Service: Beacongate is a detached house in Crowborough, providing residential care to five adults who have learning and physical disabilities. The home has five single bedrooms, which are attractively decorated to suit the preferences and needs of the individual service users. There is a spacious bedroom, with en-suite facilities, in the attic. All other rooms, including the lounge, dining area and kitchen are on the ground floor and are accessible, as is the large garden to the rear of the property. Environmental adaptations and specialist equipment includes two tracking hoists, adjustable beds with ripple mattresses and an assisted bath. The home is close to the shops and facilities in Crowborough town centre. Information about the service, including the Statement of Purpose and CSCI reports is made available to prospective service users. The range of monthly fees, as of 27 April 2006, is £265.85 - £392.82. The home is one of the East Sussex Social Services group homes. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in April 2006. It found that the majority of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were five service users living at the home. The inspection involved a tour of the premises, examination of the home’s records and discussion with the Resource Officer. Two service users and three members of care staff were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is obtained, this report should be read in conjunction with previous inspection reports. What the service does well: Beacongate is safe, secure and accessible and provides a relaxed and homely environment for the people who live there. The dedicated staff team are clearly committed to providing consistent and high quality care. Staff work closely with service users and have developed a sound understanding of their individual care and support needs. Service users are encouraged and supported to make decisions about their lives. Where appropriate and practicable, they are involved and regularly consulted on many aspects of life in the home, including menu planning and activities. Communication and consultation with service users’ family members is also effective and ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 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 the following standard(s): 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users have the opportunity to visit the home and know that it is able to meet their individual care and support needs. EVIDENCE: Following a referral to the home, a member of a specialist Assessment Team will visit the prospective service user and carry out a comprehensive Social Care Assessment (SCA), including the reason for referral, any personal care needs, mobility issues, social and cultural needs and family involvement. Pre-admission Assessments form the basis of an individual’s ongoing care planning and those SCAs that were examined were found to be full and detailed. In addition to establishing whether an individual’s care and support needs can be met within the home, the Resource Officer also stressed the importance of ensuring compatibility with existing service users. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 9 Prior to moving in, prospective service users are invited to visit the home to look around and meet with existing residents and staff. This was confirmed by a service user, spoken with during the inspection, who said that he had visited prior to moving in to the home. Recorded documentary evidence in the individual’s care plan also indicated that he had made several visits to the home and met with service users and staff, prior to moving in permanently. New service users move in to Beacogate for an initial three month trial period, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users’ care plans are developed from a comprehensive assessment of an individual’s needs and enable staff to meet such needs in a structured and consistent manner. The systems for service user consultation and participation are good and service users are enabled and supported to take acceptable risks and encouraged to make decisions about their day-to-day living. EVIDENCE: Person centred service users’ care plans are now written in the first person and are clearly and directly linked to the individual’s assessed needs. Plans examined contained comprehensive details of their personal, psychological and emotional support needs and were found to be accurate, up to date and generally well maintained. The Resource Officer confirmed that service users and, where appropriate, a relative or representative continue to be directly involved in annual care plan and interim service reviews. It was evident that these reviews are recorded Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 11 and plans are amended appropriately to reflect changing needs or circumstances. In accordance with the person centred approach to care planning, it was noted that risks are also recorded in the first person and provide evidence of regular and effective consultation with service users. Risk assessments examined, including fire safety, outings and the use of cot sides, were found to vary, reflecting an individual’s personal needs and abilities. The key worker system continues to operate effectively. Staff have developed awareness and a sound understanding of individual care and support needs. Independence and individuality is evidently encouraged and promoted within the home and is reflected in the personalising of service users’ rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. Service users are encouraged and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day: ‘I like the day centre and the horses’. Staff spoken to during the inspection confirmed that, despite the limited verbal communication of some service users, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation of staff supporting service users in a professional, sensitive and respectful manner. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Family and community links are good and support and enrich service users’ social opportunities. Activities are well managed and are age and culturally appropriate. Service users benefit from menus that are balanced and nutritious and reflect their individual likes and preferences. EVIDENCE: The Resource Officer confirmed that, where appropriate, service users’ family links are encouraged and supported, however not all service users have regular family contact. The recreational and leisure interests of service users are identified and recorded in their individual care plan, as part of the initial assessment process. Service users continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. Care plans and comments from staff and service users confirmed that activities and facilities Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 13 used include going to a day centre, various trips out and a variety of leisure activities. One service user has a weekly timetable of occupational and leisure activities and regularly goes carriage driving. Other activities included going to a garden centre, sensory room sessions, music, trips to the theatre and going shopping. However it was noted that one service user ‘often becomes anxious if given too much notice of a planned activity’. As previously documented, despite the limited and variable communication skills of service users, staff have evidently worked closely and sensitively with individuals to develop effective levels of interaction. Care plans examined showed details of individual social and recreational activities, the level of support required and guidelines for 1:1 interaction with staff: ‘I like to look at magazines or photographs and sometimes I like staff to talk about the contents’. At the time of the inspection, one service user was busy working on a jigsaw puzzle, with occasional support and encouragement from staff. From discussion with a member of staff, it was evident that on the previous day two service users had been accompanied to the local pub for lunch. Visiting to the home is largely unrestricted and relatives and friends are made welcome at any reasonable time. Menus are varied and balanced and are based on service users’ identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. A member of staff confirmed that service users are not generally involved in meal preparation. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Comprehensive care plans ensure that service users’ physical and emotional support needs are met in a structured and consistent manner and in a way they choose. EVIDENCE: Service users’ personal care and support needs are clearly documented in their individual ‘Person Centred’ care plan. The Resource Officer confirmed that, as far as is possible and practicable, independence is promoted within the home. The key worker system provides the opportunity for staff to work very closely with individual service users and consequently they are able to quickly pick up any subtle changes in their mood, behaviour or physical condition. He added that the home has developed good working relationships with other health care professionals. Staff are proactive regarding the health and welfare Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 15 of service users and are quick to arrange GP, District Nurse or Dental appointments, as necessary. It was evident that, within the homely and relaxed environment, staff work closely and effectively with each service user and during the inspection were observed interacting with them in a sensitive and respectful manner. Staff were aware of and clearly knowledgeable about the personal care and support needs of each of the service users and were able to describe their individual health needs and how those needs are effectively met. Communication systems within the home were found to be effective and include daily progress sheets for each service user, a communication book and full handover between shifts. Fortnightly staff meetings and regular formal staff supervision ensures that any issues or concerns can be fully discussed. Staff spoken with during the inspection confirmed that the effective levels of communication: ‘It’s only a small place anyway but every one speaks to each other and we all know what’s going on’. The home operates a ‘Monitored Dosage System’ (MDS) to ensure the safe control and administration of medication and regular monitoring of procedures as well as guidance and advice is provided by a local pharmacist. All medication is stored securely and was found to have been recorded accurately, in line with the home’s policy and procedure. All staff who are directly involved in administering medicines have received appropriate training. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 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 the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through robust policies and procedures, however relevant and updated staff training should be provided. EVIDENCE: A clear and accessible complaints procedure is in place. Service users and members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to the manager and each person was confident that they would be listened to. It was noted that there have been no concerns or complaints recorded by the home since the last inspection. Policies and procedures relating to abuse, including whistle blowing are in place and were found to be up to date and well maintained. The Resource Officer confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 17 Although for newly appointed members of staff, the Learning Disability Awards Framework (LDAF) now includes specific training regarding the protection of vulnerable adults, it was evident that the more established staff in the home had not received appropriate, updated training relating to abuse and adult protection procedures. The requirement for this training remains outstanding from the previous inspection. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 18 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 the following standard(s): 24, 25, 26, 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: It is evident that there has been little change in the physical environment at Beacongate since the previous inspection and standards remain satisfactory throughout. The premises are accessible, safe and clearly meet their stated purpose. The generally well maintained décor and adequate furniture and furnishings continues to provide a comfortable, pleasant and homely environment for service users. The Resource Officer confirmed that the health, safety and welfare of service users remains a priority. Environmental adaptations and specialist equipment are provided as necessary and includes two tracking hoists, adjustable beds with ripple mattresses and an assisted bath, to meet service users’ specific mobility and personal care needs. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 19 The home has a vehicle that is accessible for people in wheelchairs. Four service users have their bedrooms on the ground floor, whilst one service user has a bedroom, with en-suite toilet and shower facilities upstairs. There are sufficient bathing and toilet facilities, which comprise a large bathroom with a height-adjustable assisted bath and a shower room, with a shower seat available. Communal areas comprise a walk through kitchen, a spacious lounge and dining area overlooking the patio and large rear garden. As previously documented, independence continues to be promoted within the home, as far as is practicable, and this is evident from the personalising of service users’ rooms, which reflects individual tastes, preferences and interests. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are protected and benefit from the home’s recruitment policy and procedures and sufficient trained and competent staff on duty at all times to meet their assessed care and support needs. EVIDENCE: The Resource Officer confirmed that the stable and dedicated staff team is able to meet the assessed, individual and collective needs of service users within the home. According to the rota, there is sufficient staff on each shift, with usually three staff on during the morning and a minimum of two during the afternoon. There is one sleep-in staff at night, with another member of staff always on call. Staff spoken with during the course of the inspection confirmed that they had been issued with job descriptions when they started their employment. They were able to describe their roles and responsibilities and those of their colleagues. Staff also spoke positively about the level of support they received: ‘Everyone helps each other – it is such a good atmosphere here’. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 21 ‘The manager works by the book - which suits me. Because then I know just where I am and what I’m supposed to be doing’. Employment records, including references, Criminal Records Bureau disclosures, application forms and interview records have until recently been kept at the organisation’s head office. However, following concerns from CSCI and statutory requirements made, a full review of the situation has been carried out and an agreed compromise has been reached. The Resource Officer confirmed that following consultation with members of staff, individuals expressed their strong dissatisfaction with the idea that personal information was to be held in the home, where absolute security could not be guaranteed. All relevant documentation is now to be held at a local resource centre, where the information will be readily accessible, as required, by the Team Leader and CSCI. A welcome development since the previous inspection has been the review of recruitment procedures. The Resource Officer confirmed that the home manager will in future be directly involved in the interview and selection process involving staff who will be working in the home. Although the Resource Officer confirmed that all necessary staff training is provided, he was unable to provide any documentary evidence to support this. There was also no record of staff having undertaken specific training on Dementia Awareness, despite a previous requirement. A member of staff confirmed having recently received training on Food Hygiene, Moving and Handling and First Aid. One new member of staff was undertaking the Learning Disability Award Framework qualification, whilst one other member of staff is doing an NVQ level 2. One member of staff has an NVQ 3 in care. An outstanding requirement is for the organisation to ensure more staff complete relevant NVQ courses. The Resource Officer confirmed that all care staff receive regular formal supervision. This was supported by documentary evidence and verbal confirmation from members of staff. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from effective quality monitoring systems, thorough health and safety checks and guidelines, efficient record keeping and up to date policies and procedures. EVIDENCE: A new acting manager (Team Leader) was appointed in January 2006. She is settling in well and is clearly working hard to develop and maintain a relaxed, open and inclusive atmosphere within the home. Staff and service users, spoken with during the inspection confirmed how approachable and supportive she is. She is planning to undertake the Registered Manager’s Award (RMA) later this year and is currently applying to CSCI to become registered as manager of Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 23 Beacongate. As previously documented, on the day of the unannounced inspection, the Team Leader was not on duty. Effective quality monitoring systems are in place, including the Periodic Service Review (PSR), carried out in the home by a member of care staff and the monthly Service Monitoring, undertaken by a Resource Officer. The system for obtaining feedback from service users has been significantly improved by the development and recent implementation of the Annual Customer Satisfaction Feedback form. This impressive ‘user-friendly’ document makes use of illustration and symbols to establish whether an individual is satisfied with many aspects of daily living at the home. Areas covered include:- personal choices, activities, privacy, dignity and respect and the physical environment. Service users are assisted, as necessary, to complete the forms and responses from the most recent survey were generally very positive: ‘I like the people here – no problems’. ‘I like all the meals’. The Resource Officer confirmed that the health, safety and welfare of service users and staff is of paramount importance within the home. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Documentary evidence was in place covering a range of health and safety checks, including quarterly environmental inspections, weekly fire system checks and monthly emergency lighting checks. Potentially harmful chemicals were locked away. Care plans included regularly reviewed fire safety plans for each service user. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 25 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 YA23 Regulation 13 (c) Requirement It is required that all care staff receive up to date training in adult protection. (Previous timescale of 03.01.2006 not met). Timescale for action 30/06/06 2. YA35 18(1)(a)(c)(i) It is required that care staff undertake relevant training, with a view to providing a minimum of 50 trained to NVQ level 2.(Previous timescale of 03.01.2006 not met). 18 (1) (c) (i) It is required that staff receive specific training about dementia awareness. (Previous timescale of 03.01.2006 not met). 30/06/06 5. YA35 30/06/06 Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 26 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 YA35 Good Practice Recommendations It is recommended that all staff training is appropriately recorded. Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Beacongate DS0000063871.V288486.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!