Inspection on 09/12/05 for Beau Sejour

This inspection was carried out on 9th December 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

Beau Sejour 24/05/07

Beau Sejour 11/06/05

Beau Sejour 20/12/04

Beau Sejour 14/07/04

Beau Sejour 05/09/02

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 ADULTS 18-65 Beau Sejour 12-14 Castle Road St. Albans Hertfordshire AL1 5DL Lead Inspector Hazel Wynn Unannounced Inspection 9th December 2005 18:30 Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beau Sejour Address 12-14 Castle Road St. Albans Hertfordshire AL1 5DL 01727 859948 01727 753842 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) Mr Brijanund Rutnah Mrs Janeeta Rutnah Mrs Janeeta Rutnah Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th June 2005 Brief Description of the Service: Beau Sejour is a privately owned service providing personal care, social care and accommodation for 10 people who have a learning disability. The property consists of two houses converted into one property, with a large conservatory added in 2004. There is a beautifully landscaped rear garden with a waterfall, this was designed to be safely accessible and was re-landscaped following the addition of the conservatory. The property remains in keeping with the other houses in the road and is in a quiet residential area of St Albans. St Albans is an historic town, which boasts a lively town centre with various and wide ranging amenities. The town centre is a short car journey from the home. The home provides single accommodation personalised bedrooms with hand basins and adequate bathing and toilet facilities. The home provides residential care in a family style environment for younger adults who have a learning disability. It also has its own mini-bus to support service users to access their community. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on during the evening/night of 9th December 2005. The service users were all at home during the inspection and were obviously happy to participate. The staff approach to the service users was observed to be valuing and was returned with obvious affection by the service users. Throughout this inspection the CSCI observed good practice in how the staff met the needs of the service users. The house looked very attractive and welcoming with festive decorations. The house is extremely well maintained. Staff were busy getting ready for the next days planned Christmas celebration to which friends, family and community contacts were expected; despite the additional work the festivities had created, staff found time to provide one to one attention to the service users. The large conservatory added earlier this year provides additional space for leisure and entertainment. The house looked very attractive and welcoming with numerous festive decorations and very exotic fresh blooms had been brought in from Mauritius adding a beautiful array of seasonal colour to the home. The house is extremely well maintained. The large garden was also re-landscaped this year, with a safe waterfall and other sensory additions have been well thought out to meet the individual and collective needs of the service users. Besides meeting with all of the service users and the staff on duty the CSCI sampled the records of the home and found that all of the NMS assessed had been met. There were neither requirements nor recommendations, which is a consistent outcome of the inspections of this home. What the service does well: The home continues to consistently meet the National Minimum Standards. In renewing its Investors in People Award this year the home was nominated as a Champion in the Investors in People Award. Relatives and friends have provided compliments for the support given to the service users in the development of social and daily living skills of the service users and also for the tremendous support they have been given themselves. Staff said that they are extremely well supported both on a personal level and a professional level. The service has almost a 100 qualified workforce and plans to make this 100 after the newest member of staff completes NVQ level 2. Care managers and other professionals involved gave good feedback in the summer of this year stating that communication and co-operation/co-working is at an excellent level. The home’s care team works hard to ensure that the service users lead meaningful and fulfilling lives and that they are present both in and with their community. The proprietors have invested heavily to immaculately maintain and extend the accommodation and gardens and also invest heavily with their own time, in addition to the staff on rota they are themselves on rota for part of Christmas day in order to celebrate with the staff and service users. Records are well maintained and organisation is very good. Recruitment is robust and there is a very low turn over of staff. Recognised induction and ongoing training is provided. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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): 1-5 Prospective service users visit and experience the home prior to any decision and their representatives are provided with information in order to make an informed choice about whether the home is the right choice. Assessments are thorough and the home meets the aspirations and needs of service users with enthusiasm both during and after the trial period. A copy of the agreement is signed by both parties (advocates sign on behalf of the service users) and both parties retain a copy. EVIDENCE: The statement of purpose and service user guide were reviewed and updated earlier this year; these provide the service users and their representatives with information about the home and what it will provide. These documents also contain the complaints procedure and the details of the Commission for Social Care Inspection. Thorough assessments are undertaken by the manager in consultation with the service user and all significant others; needs and aspirations are obtained at this time in order that the home can judge whether it can provide the service required and at this time will inform the service users advocates how they will meet the needs. A trial placement is provided and arrangements are made for the service user to visit the home on several occasions and also spend overnight stays prior to moving in. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 9 Contracts are with the local authority and agreements are drawn up between the provider and service user and a copy of this is maintained by the home with a copy provided to the service user. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 - 10 The Service Users and all significant others advocate on behalf of the service users and are involved in care planning and decision-making alongside the individual service user. The home is run in a manner to best meet needs and to create service user ownership. Risks are managed to develop independence. Information about service users is handled appropriately and confidentiality is safeguarded. EVIDENCE: The sample of care plans scrutinised at this inspection showed that service users are involved in their assessments and reviews; their personal goals and needs are reflected in their care plan and these are kept tracked and were recently reviewed. Records were maintained of the decisions service users make and clear guidelines are drawn up together with risk assessments in order to fully support the service user to achieve their aspirations/goals within a risk management framework. The needs of the service users dictated how the garden would be relandscaped providing a design that meets the needs of every service user. At Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 11 least one of the service users is very interested in birds and she has an aviary at the bottom of the garden and a birdcage with a bird in the conservatory. An aquarium is a new addition to the home and service users enjoy this addition. During this inspection observations were made of how staff supported service users to decide whether or not they wanted to prepare for their nighttime routine and how reassurance was repeatedly and patiently given to a service user concerned about his mother. Risk Assessments on service users’ files provide evidence that each service user is supported to take risks in order to develop their skills in a safe manner yet in a way that does not impede their development; those sampled had recently been reviewed. The staff receive training in confidentiality and a policy is in place to further support the keeping of a confidence. All information about service users is securely stored and this is only shared on a right to and need to know basis Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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): 11 - 17 Opportunity for the personal development of the individual service users is provided and these opportunities are age, peer and culturally appropriate activities encouraging them to be part of their local community. Various leisure opportunities are provided both in and out of the home. Relationships with family and friends are very much supported. Rights are respected and responsibilities are recognised in the service users’ daily lives. The food served at the home is of a very high quality providing for a healthy and varied diet; meals are enjoyed at times to suit individual service users. EVIDENCE: A sample of care plans were scrutinised at this inspection and provided of personal development; they further provided evidence that numerous and a good variety of leisure opportunities had been enjoyed in accordance with the choices and preferences of the service users. The care plans and progress notes provided evidence that service users are expected and supported, oneone, to develop independence by maintaining and developing daily living skills. All events including daily living activities and leisure pursuits were recorded in the progress notes. Most of the leisure opportunities provided had taken place Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 13 in the local community. Birthdays are celebrated and friends and relatives join in the party to celebrate with the service user. Various other events are celebrated at the home throughout the year; this enables the service users to be part of their community because neighbours and visitors from the local church are invited and attend. The service users’ Christmas party was due to be celebrated the day after this inspection and many people had accepted the invitation to attend; the very large conservatory is a valuable resource for activities and parties. Various people, including friends, relatives and professionals involved with the service users, attended the 10th year anniversary celebration earlier this year and the CSCI met with the visitors who praised the proprietors and care team for the care given and efforts made by the team. Relatives praised the personal development that they have witnessed in their relative. A dietician visits regularly and her advice in menu planning is combined with the service users preferences in meal planning. At the inspection earlier this year, relatives told the inspector that they are freely invited to come for a meal when they want and that the food served is of a very high quality and ‘beautifully’ served. One relative stated that because she is alone at Christmas she is always encouraged to come for the Christmas dinner and celebrations and feels very much that she is part of one big family; she said “words just cannot express what the proprietors and the care team mean to me”. Christmas greetings with compliments had been received at the time of this inspection. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 - 21 In accordance with the preferences of the individual service users, personal support, healthcare, physical and emotional support is given to fully meet the needs. Medication is well and safely managed. Respect and dignity is evident in respect of ageing, illness and death. EVIDENCE: The sample of care plans scrutinised at this inspection provided evidence of how the personal support needs, physical and emotional needs are met; they are clearly set out in the individual care plan of each service user. The care plans scrutinised had been kept tracked and reviewed on a very regular basis and provide clear guidelines for staff to enable the meeting of needs in accordance with both need and service user preference. The service users accommodated in this home have profound learning disabilities and are not yet able to manage their own medication. Medication was stored at 20°C in accordance with guidelines and was securely and properly stored. The medication administration records were neatly and correctly maintained with no gaps. PRN medication is well recorded on a separate sheet and the reason for administering this is noted. The local pharmacist provides an audit service. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 15 At the inspection visit of 11th June 2005, the relatives of a service user had joined the home for the 10th anniversary celebrations and they told the inspector of the tremendous support they had been given by the home during their son’s life at the home, during the time of death and thereafter; they spoke at length highly praising the proprietors and the care team for their efforts “far beyond the call of duty” on behalf of people who have a learning disability and for their families and friends. The relatives of the deceased maintain an enduring friendship with the home and visit for events at the home. There is a policy and procedure in place in respect of ageing, illness and the death of a service user; the account given by the relative relaying their experience of loss went far beyond the content of the policy and procedure. Evidence was obtained at this inspection that staff had very recently attended a loss and bereavement course. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. EVIDENCE: During this inspection, which ran into the night time, service users expressed their views either about wanting to get ready for bed or not wanting to get ready for bed and staff responded to provide support and respect wishes accordingly. During this inspection the CSCI inspector saw the reassurance given repeatedly and patiently to a service user concerned about his mother. During the inspection visit of the 25th July, the records showed that a service user had been taken to visit his mother (the inspector had remembered hearing him promised this visit during a visit a month earlier). Policies and procedures are in place together with training in abuse awareness as part of protection from abuse protocols. Relatives have previously stated to the CSCI that it would be unimaginable that any form of abuse could ever take place in the home, as “everyone is just so caring”. A complaints policy and procedure is in place and a clear version of this is made available to the service users and their representatives. Recruitment is robust; there had been no new recruitment since the last inspection when the CSCI checked staff records and at that time (July 2005) CRB and POVA check were on file, together with references and employment history and other recruitment documentation and training records. There is a very low staff turnover at this home. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 17 To ensure that risk of harm is minimised and that all activities are safely supported, Risk Assessments are in place and these provide guidance to staff and regularly reviewed as evidenced on the samples seen at this inspection. The meeting of individual needs is kept tracked and changing needs are reviewed on a very regular basis and records had been maintained to evidence this. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 - 30 This home offers comfortable, safe and homely accommodation and provides individual and personalised bedrooms designed to promote independence. The toilets and bathrooms provide privacy and meet needs. There is a generous amount of shared space. Where appropriate, specialist equipment is provided to promote independence. The home is kept clean and hygienic. EVIDENCE: During this unannounced inspection, the CSCI inspector saw the home to be well maintained comfortable; good quality furniture and a very homely atmosphere is maintained. Grab rails are in place to promote independence and safety where needed. Specialist equipment (a hoist) is provided and records showed that this is kept regularly serviced; training is provided in moving and handling and in particular the use of the hoist; certificates for moving and handling were on individual staff files and staff needing to update had done so recently. Two of the bedrooms had been redecorated and re-carpeted earlier this year, in the individual service users favourite colours; this provided part of the evidenced gained at this inspection in how service users influence the decision making in the running of the home. The lounges, dining areas and hall, stairs and landing had also been redecorated and re-carpeted earlier this year and Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 19 remained looking fresh and clean. The house looked very attractive and welcoming with numerous festive decorations and very exotic fresh blooms had been brought in from Mauritius adding a beautiful array of seasonal colour to the home. The house is extremely well maintained. The large garden was also re-landscaped this year, with a safe waterfall and other sensory additions have been well thought out to meet the individual and collective needs of the service users. Good hygiene practices were evident; staff attend food hygiene training and all areas of the home are kept very clean. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 - 36 The staff team know their roles and responsibilities are competent, effective with a good skill mix and are qualified for their roles. Recruitment is robust and provides safeguards and protection for service users. The needs of service users (both individually and jointly) are met by appropriately trained staff who are well supported and regularly formally supervised. EVIDENCE: The job description provided, at the onset of employment, to each member of the team and relating to their particular role provides a description of the duties they will be expected to undertake and to whom they are accountable. A copy is maintained in the office files and a copy is in the individual staff handbook. In renewing its Investors in People Award this year the home was nominated as a Champion in the awards. The home has almost 100 of qualified staff; some of the staff team have RNMH and others levels 2 to 4 in NVQ. The latest recruit has commenced NVQ level 2 training this September and when she completes, along with another member of staff this the home will have achieved 100 ; this is 50 above the National Minimum Standards and provides for excellence in the standard required. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 21 There have been no new recruits since the last inspection when the staff files were scrutinised and had the necessary recruitment checks in place including Criminal Bureau Records Check POVA (Protection of Vulnerable Adults Check) references and other employment documents. Policies and Procedures are in place in relation to recruitment and these are adhered to. The robust recruitment procedures provide safeguards and protection for the service users. The home has a very low staff turnover. Staff induction is provided via the Learning Disability Awards Framework training. There is ongoing accredited training and updates for all mandatory training for all staff. Staff stated that they feel very well supported, have a strong team and receive regular formal supervision. The CSCI inspector witnessed positive relationships between the staff team as they worked cohesively to provide for the meeting of needs of the service users during this inspection. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 - 43 The service users benefit from a very well run home; there is a healthy ethos, good leadership and management approach. The service users views underpin all self-monitoring and development by the home. Safeguards are in place, by way of policies, procedures, protocols and staff training for the protection of and well-being of service users and staff and these cover rights, responsibilities and best interests. The health, safety and welfare of service users and staff is promoted and protected and they all, jointly and individually, benefit from competent and accountable management of the service. EVIDENCE: The proprietors manage the home themselves and are both highly qualified to do so; Mrs Janeeta Rutnah one of the proprietors is the registered manager. Evidence that the service users benefit from a well run home was evidenced by: looking at records, talking to service users and talking to staff. During the earlier inspection of July 2005, service users relatives, care manager and other Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 23 professionals involved provided very complimentary feedback regarding the service provision and the tremendous effort put in by the proprietors and the care team; this included compliments regarding how the health, safety, welfare, best interests and rights of the service users was met and the care plans sampled during this inspection provided further evidence that needs are well met. The proprietors were highly praised by everyone the inspector met with. The Investors in People Award organisation have nominated the home a Champion this year. Robust recruitment policies and procedures were adhered to (see earlier in this report). Evidence that service users’ views underpin all self-monitoring, review and development is reported widely earlier in this report. Accredited staff induction and training is provided to all staff with regular updates as stated earlier in this report. Health and safety policies, procedures and protocols are regularly reviewed. The home evidences its financial viability by its ongoing good quality maintenance and extensive additions to the home. Service user are supported to manage their finances and the records and cash tins were sampled and found to be accurate and transparent. This report provides evidence throughout that this home continues to work towards providing excellence and the proprietors and the care team deserve to be highly commended. Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 3 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beau Sejour Score 3 3 3 4 Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 3 4 DS0000019281.V270072.R01.S.doc Version 5.0 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Beau Sejour DS0000019281.V270072.R01.S.doc Version 5.0 Page 27 - 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!