Inspection on 04/05/06 for Bella Care Home

This inspection was carried out on 4th May 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

Bella Care Home 19/09/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Bella Care Home 12 Carmarthen Road St Judes Plymouth Devon PL4 9EW Lead Inspector Antonia Reynolds Unannounced Inspection 4th May 2006 11:55 Bella Care Home DS0000063047.V290509.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 Bella Care Home DS0000063047.V290509.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. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bella Care Home Address 12 Carmarthen Road St Judes Plymouth Devon PL4 9EW 01752 246145 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) Mrs Jayne Page Mrs Jayne Page Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Three service users with a Learning Disability (LD) Age 18-65 The Registered Provider to complete NVQ4 and the Registered Manager’s Award by December 2006 19th September 2005 Date of last inspection Brief Description of the Service: Bella is a care home providing personal care and accommodation for three people, aged 18 - 65, with learning disabilities. It is privately owned by Mrs Jayne Page, who is in day to day control of the home. From April 2006, the basic rate fee starts at £320 per week but varies depending on the individual needs of each service user. Information about the service can be obtained from Mrs Page. The home was opened in May 2005 and is a two-storey mid-terraced house, located in the residential area of St Judes. It is close to Plymouth city centre and all local amenities including public transport. All the homes bedrooms are single and on the 1st floor. They all contain wash hand basins and one of them has an en suite shower and toilet. Also on the 1st floor there is a bathroom with a bath and a toilet as well as a separate toilet. On the ground floor there is a through lounge/dining room, and a kitchen/diner, as well as sleeping accommodation for the staff with an en suite shower and toilet, which the service users may use if they wish to. At the front of the home is a small paved area and there is a much larger paved/concrete area at the back of the house. All areas are accessible to the service users. There is no dedicated parking for the home, although on street parking is available nearby. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection consisted of two unannounced visits. The first one took place between 11.55am and 2.25pm on Thursday, 4th May 2006 and between 09.35 and 10.35am on Monday, 8th May 2006. The Registered Provider, Jayne Page, and one of the service users were present during the first visit and the second visit was carried out to meet the other service user and the staff on duty. A tour of the premises took place and records/documents relating to the care of the service users, staff and the home were inspected. A pre-inspection questionnaire had been completed by the Registered Provider, which contained information relevant to the inspection. Survey forms had been completed by the two service users with assistance from staff. Relatives and other individuals/agencies involved with the home were written to and asked their views of the home. Replies were received from one relative, the General Practitioner and a healthcare professional, all of whom were complimentary about the service provided. Both service users were spoken with during the visits and positive interaction with staff members was observed. What the service does well: What has improved since the last inspection? The Registered Provider has obtained a hot food probe to check the temperature of hot food and is recording the temperature of the refrigerator on a daily basis, following a recommendation from the Environmental Regulation Service. All staff have attended training on the protection of vulnerable adults and a copy of the Local Authority’s Alerter’s Guidance has been obtained. All staff have completed emergency first aid training. The Registered Provider/Manager has commenced the level 4 National Vocational Qualification (NVQ); two staff members have achieved a level 2 NVQ, and one staff member has started a level 3 NVQ. The role of keyworkers has been documented. The Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 6 en suite shower and toilet facility in a service user’s bedroom has been certificated by the Building Control department of the Local Authority. 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. Bella Care Home DS0000063047.V290509.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 Bella Care Home DS0000063047.V290509.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): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide provide service users and prospective service users with details of the services the home provides, enabling an informed decision about admission. EVIDENCE: There was a Statement of Purpose and Service User Guide available in the home and the pre-admission processes ensured that detailed assessments were made of prospective service users to ensure compatibility. Individual records were kept for each of the service users and these contained assessments, care plans, risk assessments and behavioural guidelines, all of which had been recently reviewed. Ongoing evaluation was recorded daily. Prospective service users and their relatives/representatives were given opportunities to visit the home and meet the other service users as well as staff. Each service user had a contract with the local authority, which contained a statement of terms and conditions of residency. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 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, 8 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users are enabled to participate in, and make decisions about, all aspects of their lives. EVIDENCE: The attitude and approach of the staff team was excellent in that service users were encouraged and enabled to make their own decisions and to do as much as possible for themselves. Service users were supported to be as independent as possible and were thoroughly consulted on, and involved in, all aspects of life in the home. Discussions with the service users, staff and the Registered Provider demonstrated that the running of the home was organised around the wishes, choices and needs of service users. Each service user had a care plan and risk assessments devised by the home that were regularly reviewed. Care plans had been discussed and agreed with service users and, where possible, service users had signed them. The Registered Provider had introduced a system of person centred planning into the home. There were also copies of assessments from other professionals such as speech and language therapists. Any restrictions on choice or freedom were documented and had been agreed with the service user and other people involved in the person’s care. Records relating to service users’ money were up to date and Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 10 accurate. From these it was evident that different systems were in place for each service user, dependent on circumstances. Service users were expected to pay for personal items and public transport. The Registered Provider confirmed that appropriately insured staff cars were also used to transport service users but no financial charge was levied for this service. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 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): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can learn life skills, attend day services and participate in community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with service users, staff and the Registered Provider, as well as information contained in care plans, showed that service users were enabled to live as full a life as they wished to. Personal development was seen as a priority and the progress made by service users in developing social, emotional, communication and independent living skills was excellent. Service users were encouraged to participate in all the domestic activities in the home and to take part in leisure activities of their choice. Staff supported service users to attend day services and be part of the local community by using all local facilities and amenities including public transport. All leisure activities and daily routines were decided by the service users. It was evident from observation and discussion that service users were consulted and chose what they wanted to do on a daily basis and the staffing levels were arranged Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 12 around service users’ activities. The service users went out on most days to places of their choice such as the train station, Jennycliff, town for shopping or for a picnic. Activities at home included singing, discos and parties. An Easter party was held in the home and attended by the service users and their families as well as the staff. The neighbours were also invited but no-one chose to attend. The service users said they thoroughly enjoyed the party. The Registered Provider confirmed that a holiday has been arranged in the next few weeks to Butlins in Minehead. The costs of the holiday will be shared between the service users and the home. The Registered Provider confirmed that service users did not wish to be involved in employment or educational opportunities at this time. Where appropriate, service users had weekly activity plans devised using makaton symbols to enhance communication. The Registered Provider confirmed that service users were enrolled on the electoral register and would be supported to vote if they wished to. Where possible, service users were encouraged and supported to use public transport but staff cars were also used when required. It was evident, through observation during the inspection, that service users felt very ‘at home’ and were empowered to make decisions. Discussion with service users, staff and the Registered Provider, confirmed that service users chose the menu, did the shopping and were assisted with making their own meals, drinks and snacks. Service users confirmed that they liked the food and could choose what they wanted to eat. Records were kept of meals provided. The Registered Provider said that service users sometimes went out for meals and drinks and these were paid for by the home. Contact with relatives and friends was encouraged by telephone and post, with assistance from staff where necessary. There were no limitations in place regarding visitors to the home, who could stay for meals if the service users agreed. The Registered Provider confirmed that service users were supported to visit relatives and friends away from the home, if that is what the service users wished to do. Information received from a relative said that the Registered Provider and the staff team make sure that the service users feel that this is their own home and go out of their way to make the family welcome at all times, which is an excellent accolade. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that personal support is provided in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Service user plans provided information about personal, emotional and health care needs. Staff involvement in personal care was minimal due to the needs of the service users. Service users confirmed that they were enabled to be as independent as possible. External professional advice and guidance was sought when necessary from local health care professionals or social services. Information received from a healthcare professional said that the home’s management of health care was excellent, the staff were good at following guidelines and receptive to training. Since moving into the home all the service users had seen a dentist, optician and chiropodist and were registered with a local doctor. All incidents were documented and monitored by the Registered Provider. Through observation it was clear that timings were flexible and the choice of the service user. Each service user had a designated key worker and the staff member interviewed was clear about her role and confirmed that responsibilities were documented. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 14 None of the service users were self-medicating and home used a monitored dosage system. Medication was locked away safely and regular medication reviews took place. Records pertaining to the administration of medication were up to date and the practice of administering medication was demonstrated by staff and found to be satisfactory. The home had a medicines policy that included what to do in the event of a service user refusing medication and what to do with unused or contaminated medication. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 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 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse, neglect and self-harm. Service users can be confident that the Registered Provider always deals with complaints seriously and any concerns from service users are listened to and acted upon immediately. EVIDENCE: Discussion with the service users, staff and the Registered Provider, demonstrated that the open culture of the home and the recognition of service users’ rights ensured that service users were protected from harm. All staff had undertaken training in adult protection and discussion with the staff confirmed that they knew what action to take. A copy of the Local Authority’s Alerter’s Guidance was available in the home. The home had a complaints procedure and service users were clear about who they would talk to if they had a problem. Regular informal meetings between individual service users and the Registered Provider were held where any issues could be raised and dealt with immediately, although it was also clear from discussion that service users could raise any issue at any time. The Commission for Social Care Inspection had received an anonymous complaint regarding the home since the last inspection, which was investigated thoroughly by the Registered Provider, demonstrating a positive response to any complaints, concerns or issues raised. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 16 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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment and décor within this home is excellent, providing service users with an attractive and homely place to live. EVIDENCE: The home was spacious, comfortable, safe and clean with a very good standard of décor and furnishings. Before the home opened in May 2005 it was completed redecorated and refurbished to a high standard. There were some minor repairs to be carried out and the Registered Provider confirmed that these were being dealt with. The care staff carried out all domestic tasks and encouraged service users to participate as much as possible. Each service user had a single bedroom on the 1st floor, all of which had wash hand basins and one had an en suite toilet and shower, that had been certificated by the Building Control department of the local authority since the last inspection. Bedrooms were individually furnished, contained many personal possessions and inventories were kept. Each service user had a lockable safe in their bedrooms, fastened to prevent removal, where they could store money if required. After consultation with the service users it was agreed that the keys were kept by the Registered Provider and this was Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 17 documented. Bedroom doors were fitted with appropriate locks that could be opened by staff from the outside in an emergency. The home had a portable telephone that service users may use in private and they were not expected to pay for this. The home had a bathroom on the 1st floor consisting of a bath with an over bath shower, wash hand basin and a toilet and there was a separate toilet beside it. On the ground floor was an office, which was also the staff sleeping in room, which had an en suite shower, toilet and wash hand basin. Service users were able to use this if they wished to, although no-one has done so in the past year. There were shared rooms on the ground floor consisting of a kitchen/diner, and a through lounge/dining room although the furniture had been arranged in such a way that separated the lounge and dining areas. A washing machine and tumble dryer were located in a cupboard under the stairs to ensure that soiled laundry was not carried through any areas where food was cooked, prepared or eaten. The home did not have any specific aids or adaptations because these were not required for the service users. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 18 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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust and service users’ needs are met by high staffing levels. Service users benefit from well supported and supervised staff. EVIDENCE: All the staff files were inspected and the information in them showed that the organisation had a robust recruitment procedure. All the required information was available including two written references and Criminal Record Bureau checks. All staff were provided with contracts of employment and job descriptions. The staff confirmed that regular staff meetings and individual supervision sessions took place and these were documented in personnel files. All staff were expected to attend training on various topics. Discussions with staff and the Registered Provider confirmed that all staff had completed, or were due to complete, training in first aid, food hygiene, health and safety, manual handling, protection of vulnerable adults, behaviours that challenge services as well as National Vocational Qualifications (NVQs). Two staff members had already completed NVQ2 and one had started NVQ3. The other two staff members were expected to commence the NVQ2 in September 2006. Staffing rotas were available in the home showing that there were usually two staff on duty in the mornings and one staff member in the afternoon and Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 19 evenings, with one sleeping in at night. However, the rotas also showed that the staffing levels were increased at times and the Registered Provider confirmed that staffing was flexible, depending on the activities and needs of service users. Sleeping accommodation for staff was on the ground floor in the office. The high staffing ratio enabled service users to go out on individual outings and pursue their own interests, although there were occasions when group trips were arranged, for example, picnics or attending local events. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 20 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, 38, 39, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: Discussions with the service users and staff, as well as information received from healthcare professionals and a relative, confirmed that the ethos of the home was excellent. This was because the management approach was open and inclusive with the home being organised to meet the needs and aspirations of the service users. Service users and staff were consulted and included in all decisions regarding the running of the home. A healthcare professional confirmed that the staff team have a good value base and were always open to professional advice. The Registered Provider had several years experience of management in residential settings for adults with learning disabilities. She has commenced a level 4 National Vocational Qualification and this will be followed by the Registered Manager’s Award. All documentation relating to service users was up to date and accurate. Records and documents relating to Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 21 health and safety issues, such as the accident book, risk assessments, fire safety, employers liability insurance certificate and gas safety checks were available. Tests and checks of fire safety equipment had been carried out as required and the service users and staff were aware of fire safety procedures. There was a fireguard secured in front of the fire in the lounge room. The preinspection documentation confirmed that a fire drill was carried out in April 2006. Hazardous substances were locked away and risk assessments and data sheets were available. The home had a combination boiler, therefore no hot water was stored, and the hot water temperature had been regulated to approximately 43°C. Radiators were not guarded as this was not considered necessary for the safety of service users. Discussions with staff and the Registered Provider confirmed that all staff had attended, or were due to attend, training in health and safety, emergency first aid, manual handling, food hygiene and fire safety. Infection control practices described by the Registered Provider were satisfactory and disposable gloves and aprons were available for the staff. The temperature of the refrigerator was being documented, following a recommendation from the Environmental Regulation Service. The Registered Provider also confirmed that that there was a hot food probe available and staff used this to ensure that hot food reached the required temperatures. Records showed that gas servicing had been carried out and a five-year electrical wiring certificate, dated 18/5/05, was available. The Registered Provider had produced a detailed development plan for the home to use as part of the quality assurance system and continuous improvement agenda. As part of the quality assurance process, service users had completed questionnaires with staff assistance and feedback had been obtained from relatives. A discussion took place with the Registered Provider to expand and develop the quality assurance process by obtaining feedback from other professionals involved in the care of the service users, and then producing an annual report on the progress the home is making. Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 22 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X 3 3 X Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Bella Care Home DS0000063047.V290509.R01.S.doc Version 5.1 Page 25 - 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!