Inspection on 23/11/06 for Bedford Road, 153

This inspection was carried out on 23rd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Bedford Road, 153 30/01/08

Bedford Road, 153 19/01/06

Bedford Road, 153 21/09/05

Bedford Road, 153 13/01/05

Bedford Road, 153 22/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Bedford Road, 153 153 Bedford Road Bootle Liverpool Merseyside L20 2DR Lead Inspector Mrs Janet Marshall Unannounced Inspection 23 November 2006 10:00 rd Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bedford Road, 153 Address 153 Bedford Road Bootle Liverpool Merseyside L20 2DR 0151 933 5397 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) bedford@autisminitiatives.org www.peterhouseschool.org Autism Initiatives Mrs Elizabeth Murtagh Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD Date of last inspection 19th January 2006 Brief Description of the Service: 153 Bedford Road is a four bedroom terraced house situated in a residential area of Bootle, it is indistinguishable from other properties in the area. The property is registered as a small care home to provide accommodation for three young men who have learning disabilities. The house both externally and internally is well maintained and clean throughout. The home is operated by Autism Initiatives an organisation that provide support for people with autism. The home provides staff 24 hours a day to provide care and support for the residents who live there, the overall philosophy being to maximise ordinary living and to promote independence of the residents in all aspects of their daily life both at home and in the community. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The visit was unannounced and took place over one day for a total of 6 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection visit. During the site visit the requirements and recommendations from the last inspection report were discussed and checked with the manager. The inspection was positive and evidenced that most of the key National Minimum standards for the service that were looked at during this inspection have been met or exceeded. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of resident’s care plans, daily diaries, medical notes, and medication and associated records, staff rotas and certificates of health and safety checks. Two residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live at the home and how that person’s needs are being met. A pre - inspection questionnaire, which was sent out to the home was completed in good detail by the deputy manager and returned prior to the inspection. The registered manager of the home, Mrs Elizabeth Murtagh is on short-term leave. In her absence Mrs Anne Marie Davies is the acting manager. (Mrs Davies is referred to as the manager for the purpose of this report). Discussion took place with the manager and two staff. All three residents were met with. The nature of the disability of the residents is such that it was not always possible to obtain direct views about their experiences. Information held at the Commission for Social Care and Inspection office, the pre - inspection questionnaire, comments made during interviews, observations made and records examined during the visit have been used towards measuring standards for the purpose of this report. What the service does well: The service has developed good care/support plans for each person. The plans, which are reviewed and updated at regular intervals, reflect the needs, aspirations and goals of the individual and aim to develop the person’s life. Staff provide residents with appropriate assistance so that they are able to communicate choices and make decisions as part of an independent lifestyle. The service is good at encouraging and supporting residents to maintain fulfilling lifestyles in and outside of the home. Resident’s personal and healthcare support is well monitored and recorded to ensure their physical, mental and emotional well being. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 6 Residents and staff benefit from managers that are open and positive. 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. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 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 Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 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 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The service had available policies and procedures, which aim to ensure that prospective residents needs are fully assessed so that they can be sure of meeting the person’s needs. EVIDENCE: There have been no new residents admitted to the home since the last inspection. Available at the home were a number of policies and procedures, which aim to ensure that people make a positive choice about living there. Policies included introductory and trial visits and needs assessments. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 9 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 & 9 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The service encourages residents to make choices and take responsible risks as part of an independent lifestyle, however. EVIDENCE: Detailed individual care/support plans were available for each of the residents. Case tracking showed that they were developed on the basis of assessments made. Two care/support plans were looked at in detail. The plans were well presented and covered all aspects of the person’s personal and social support and healthcare needs such as, communication, medication, behaviour management and financial support. There was evidence that the plans for both people have recently been reviewed and updated. The manager explained that each part of the plan is reviewed each month with the involvement of the resident/representative, manager and key workers. Following the review a monthly evaluation document is completed and identifies any changes made to the plan. Records that were seen evidenced this. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 10 During discussion a member of staff explained in good detail the purpose of care/support plans and how they use them on a daily basis to support residents. Daily records are kept for each person, they were looked at as part of the case tracking process. This showed that staff support residents in accordance to their individual plan of care. All residents have limited verbal communication skills, however they are supported to communicate by use of other methods for example, gestures, sounds, and body language and by use of picture cards. Viewed at the home were a number of picture cards, which staff explained are used to assist residents to make choices about all aspects of their lives. Information about each persons preferred means of communication was available in good detail. During the visit staff were seen communicating effectively with residents they were seen offering residents choices and encouraging them to make decisions about things such as food and activities. Because of limitations none of the residents are able to manage their own finances. Financial support that residents need was recorded in their individual plan of care. Residents money and financial records that were examined were well kept and in good order. Records showed that each resident has a bank account in their own name. The accounts are however part of one single account which is managed centrally by the organisation. The manager and a member of staff described the procedure for obtaining residents money. They explained that the procedure takes some time and often residents have to wait a number of days before receiving their money. Arrangements should be made to enable residents to have direct access to their bank accounts so that they can obtain their money as and when they wish. For safety reasons there are certain restrictions placed on residents for example access without support to certain parts of the home and the community. There are also instances when some decisions and choices have to be made for residents by others. Restrictions placed upon people and choices, which need to be made by others and the reasons why, were recorded in each person’s plan of care. Risk assessments were part of each persons care plan. They have been carried out for tasks and activities which residents are involved in that are likely to pose a risk to them. Risk assessments that were seen identified potential risks and hazards and detailed the action that staff need to take so that residents are able to take risks safely as part of an independent lifestyle. Risk assessments that were viewed showed that they have recently been reviewed and updated. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 11 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, 15, 16 & 17 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents are encouraged and supported to live active and healthy lifestyles. EVIDENCE: Each persons care plan provided a good amount of information about their preferred activities, leisure and daily routines. A structured timetable of activities was available for each of the residents. Case tracking showed that they have been developed around the needs and wishes of the individual. Discussion with staff and examination of records showed that each of the residents attend day care for part of the week. On other days they are supported by staff to take part in a variety of tasks and activities both in and outside the home. Day time activities include, cleaning and tidying the home, laundry, walks, shopping and lunches out at local pubs and cafes. Evening activities include trips to the cinema, bowling and social evenings. One resident spoke about an outward-bound group that he his part of. He said he attends each week and really enjoys it. Daily records for each resident showed that they have been supported to take part in indoor and outdoor activities that they prefer and which are set out in their plans of care. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 12 Discussion with staff and records viewed showed that staff support residents to maintain family links and friendships inside and outside the home. Records evidenced that family and friends are welcomed at the home and that residents visit them outside of the home. Each person’s care plan included information about relationships and how they are supported by staff. Staff were observed supporting residents at mealtime. They provided assistance and encouragement in a sensitive and flexible way. Care plans included information about residents likes and dislikes with regard to food. Picture cards, which were on display around the home, were used to assist residents to make choices about food and drinks. Residents were offered drinks and snacks outside of usual meal times. A member of staff said that each resident is capable and encouraged to help in the kitchen according to their level of ability. Discussion with staff and records showed that residents are involved in daily living tasks including peeling vegetables, setting the table and washing and drying dishes. At times throughout the visit residents were observed helping around the home. Care plans provided information about the things that residents are able to do and the level of support that staff need to give them. The dining room, which is separate to the kitchen has recently been redecorated, it was bright and cheery. The kitchen was equipped with domestic style appliances. Food stores that were examined were well stocked with fresh frozen and dried goods. A member of staff said that residents are involved in shopping for food. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 13 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 The quality outcome in this area is excellent. This judgement has been made using available evidence including a site visit. Residents are provided with excellent personal and healthcare support. EVIDENCE: Care/support plans provided detailed information about the type and level of personal and healthcare support that each person requires. The persons preferred routines with regards to personal care were also available in very good detail. Information was available in a way, which ensures residents privacy, dignity and independence. Staff were seen providing personal support for one resident. They were seen treating the resident with respect by ensuring that the care was carried out in private. Case tracking showed that the level of support was in accordance with the resident’s plan of care. During discussion staff showed that they provide sensitive and flexible personal support which ensures residents privacy and dignity. The following comments supported this: “When assisting residents with personal care it is important to make sure doors and blinds are shut”. “I always chat with residents when helping them”. “I encourage residents to do whatever they can for themselves” “I always make sure that residents are covered when receiving personal care”. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 14 “It is important to ask people what they want and to tell them what you are doing”. Care plans clearly set out the person’s healthcare, needs and procedures that are in place to address them. Records within this section showed that residents are offered minimum annual checks and that there health is regularly reviewed and monitored and dealt with appropriately. As well as visits to primary healthcare services such as dentist, opticians and doctors residents are also supported to attend specialist services. Records detailing the visits were available in good detail as was information about specialist health care needs and requirements. A weekly health check record is kept for each of the residents. The records, which were looked at, are used to monitor general health and personal care, such as weight and the care of hair and nails. Health plans provided good information about how residents communicate when they are unwell or in pain. These are particularly important for residents because they have limited verbal communication skills. A record of medication received and leaving the home was seen. Medication was stored securly. Medication and medication administration records were examined. They were in good order. A policy for the safe handling and administration of medication was availble at the home. The manager said that medication is only administered by staff that have completed medication awareness training. Records that were seen evidenced this. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 15 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 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents are protected by the homes procedures for responding to concerns and complaints. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Information provided in the pre-inspection questionnaire and discussion with the manager evidenced that there have been no complaints made at the home in the last 12 months. The home had available a complaints procedure in written and picture format. Both included clear information about the stages and timescales involved in the process so that residents and other people are clear about how to make a complaint if they wish to. Discussion with the acting manager and staff showed that they are confident about telling somebody if they were uphappy and that something would be done. The following comments supported this: “I know how to complain and would and would be confident about talking to somebody if I was unhappy about something” “I would definity make a complaint if I needed to and I know it would be dealt with” “I know the manager would listen to any concerns or complaints” “I have read the complaints procedure” A copy of the local authorities protection of vulnerable adults procedure was avaialbe at the home. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 16 Staff spoken with were able to describe confidently what action they would take if they suspected or evidenced that a resident was being abused. They confirmed that they had completed up to date protection of vulnerable adults training. Records evidenced this. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 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 the following standard(s): 24 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The environment is comfortable and safe residents benefit from a comfortable and safe environment. EVIDENCE: The pre- inspection questionnaire shows that the hall, living room, bedrooms and kitchen have been redecorated since the last inspection. A tour of the home showed that the work has been carried out to a good standard. All other areas of the home were decorated and furnished to a good standard. Resident’s bedrooms were comfortable and included personal items such as photographs, ornaments, TVs and music systems. Other such items were displayed around communal parts of the home giving it a comfortable and homely feel. The home is a well-presented terraced house in a popular residential area of Bootle Merseyside. There is a small garden area to the front of the property and a good-sized yard to the back. The back yard was furnished with attractive garden furniture and potted plants, which were well maintained. The home is located close to shops, pubs and other community facilities including public Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 18 transport links. The relationships with neighbours were reported as being good. All areas of the home were clean and tidy at the time of the visit. The preinspection questionnaire detailed policies and procedures relating to the environment which are available at the home including, infection control cleaning routines. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 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 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): 32, 34 & 35 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents benefit from a staff team that are competent and have good qualities. EVIDENCE: Discussion with the manager and details provided in the pre-inspection questionnaire showed that their no staff have left since the last inspection. An equal opportunities policy and procedures was available at the home. Records viewed and information in the pre - inspection questionnaire show that the home recruit staff from based on equal opportunities. At the time of the visit there were two support workers and the manager on duty. These staffing levels appeared appropriate to the needs of the residents. Copies of staffing rotas which were provided with the pre – inspection questionnaire were examined and showed that there are sufficient staff on duty at all times throughout the day and the night. Staff spoken with stated that they were happy with the staffing levels at the home. At intervals throughout the visit staff were seen interacting well with residents. They were flexible and positive in their approach and appeared to have a good understanding of the needs of the residents. Discussion with staff showed that they are interested, motivated and committed to their work. Comments made by staff which supported this included: Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 20 “I love my job”. “Training is important”. “Understanding the residents is important”. “We are here for the residents”. A selection of staff personnel and training files were examined during this visit. They included all the required information to show that the home operates a robust recruitment procedure. During discussion a member of staff described the recruitment process that she went through. It included completing an application form, an interview and police and reference checks. The member of staff confirmed that she took part in an induction programme during the first part of her employment. During discussion two members of staff confirmed that they have completed training including fire awareness, first aid, and health and safety and medication awareness. Other training completed by staff, which was detailed in the pre- inspection, includes food hygiene valuing people, mental health awareness and epilepsy. More than half of the staff group have achieved a National Vocational Qualification (NVQ) in care level 2 or above. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 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 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 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home is well managed to the benefit of the residents and staff. EVIDENCE: The registered manager Mrs Murtagh is currently on maternity leave. In her absence Mrs Anne Marie Davies is acting manager. The commission was notified in writing of this change. Examination of records and discussion with the manager, Anne Marie Davies, showed that she is competent and experienced. Mrs Davies was seen to have an open and positive management approach. The following comments were made by staff about the registered manager and the acting manager: “The managers are good all round” “Very approachable” “The managers are very supportive and positive” “The managers are fair and definitely approachable”. “They are here for the residents”. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 22 “The managers are great” Discussion with Mrs Davies evidenced that she undertakes regular training and development to update her knowledge, skills and competence while managing the home. As part of the homes quality monitoring system residents, relatives and advocates are invited to complete surveys, which gives them the opportunity to put forward their views and make comments about aspects of the service for example, the manager and staff, the quality and choice of food, and the environment. The manager explained that the results of the surveys are used to monitor the quality of the service. Also As part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations a representative for the home visits the premises monthly. They interview residents and staff, check records and inspect the environment. It is important that this is done to check the standard of care in the home. Following the visit a report detailing the visit is written. Records show that the visits and reports are being carried out each month as required. The health safety and welfare of residents are well protected this was supported by a comprehensive set of policies and procedures, which were detailed in the pre-inspection questionnaire and available at the home. Information provided in the pre-inspection questionnaire and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 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. 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. 1. Refer to Standard YA7 Good Practice Recommendations Residents should have direct access to their personal finances. Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Bedford Road, 153 DS0000005236.V300967.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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