Inspection on 15/08/06 for Bramley Avenue (73)

This inspection was carried out on 15th August 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

Bramley Avenue (73) 23/01/06

Bramley Avenue (73) 11/03/05

Bramley Avenue (73) 14/07/04

Bramley Avenue (73) 01/03/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Bramley Avenue (73) Melbourn, Near Royston Cambridgeshire SG8 6HG Lead Inspector Alison Hilton Key Unannounced Inspection 15th August 2006 08:15 Bramley Avenue (73) DS0000015150.V306340.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 Bramley Avenue (73) DS0000015150.V306340.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. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bramley Avenue (73) Address Melbourn, Near Royston Cambridgeshire SG8 6HG 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) 01763 261682 01763 228116 bramley@grantahousing.org.uk Granta Housing Society Limited Naomi Lucas Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: Bramley Avenue is home for up to five adults who have a physical and learning disability. The home is a purpose built bungalow with five single bedrooms, separate kitchen/ dining room, living room, utility room, (which had been refurbished) and a multi- sensory room (snoezlem room). There is a large, fully enclosed sensory garden, designed to be wheelchair accessible, which has a large fishpond, patio and barbeque area incorporated. The bungalow is situated in the village of Melbourn, close to local amenities. It is in a no through road, and there is sufficient parking outside. There are good links to the City of Cambridge, which is twelve miles away, and Royston, four miles away. The home has two minibuses to enable residents to have trips out and attend appointments. Twenty-four hour care and support is provided by Granta Housing LTD. Care staff provide a comprehensive package of care including day care activities. Increased staffing levels are provided when specific activities are offered, such as swimming. There are 8 permanent members of staff (the home has three full time staff vacancies), and the home uses agency staff to cover when necessary. The agency staff supplied know the home and work there regularly. The cost to each resident is £103.65 per week; this does not include the cost to placing authorities. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Tuesday 15 August between the hours of 08:15 and 14:30. The manager was present for the inspection. The inspector was introduced to the residents and then spoke to three care staff, looked at records, including resident’s files and staff files, medication records and had a tour of the building. A pre inspection questionnaire had been completed and returned to the Commission prior to this inspection. Three relative questionnaires were returned prior to the inspection. The comments were very positive and related to “excellent care”, being made to feel welcome to call in or phone at any time and that the welfare of residents is of the utmost importance to all staff not just key workers. There was one recommendation from this inspection. What the service does well: What has improved since the last inspection? The laundry room has been refurbished and now has interesting decoration depicting a line of washing. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 6 The home has provided a copy of the last quality review. The review for this year has just taken place and the report is with Granta for agreement. This meets the requirement from 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. Bramley Avenue (73) DS0000015150.V306340.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 Bramley Avenue (73) DS0000015150.V306340.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): 1,2,3,4,5 Quality in this outcome area is excellent. The judgement has been made using available evidence including a visit to the home. Information provided and visits made, allow prospective residents and their representatives to make an informed choice about the home. EVIDENCE: It was evident on the day of inspection that significant time and effort is spent making admission to the home personal and well managed. The prospective resident (who has no immediate family) was treated as an individual and with dignity and respect when visiting the home again to spend some time there. The staff were reassuring and provided support. The home has developed a comprehensive Statement of Purpose and Service User Guide, which is very specific to the resident group and considers the different styles of accommodation, support, treatment, philosophies and specialist services required to meet the needs of residents. The information is in a format suitable to the needs of the resident, and their families, for example, appropriate language and pictures. The manager said that the home is constantly trying to increase the variety of methods of providing the necessary information for each resident. The level of physical and learning difficulty of the residents in the home means there is a great deal of trial and error, but it should be acknowledged that staff communicate and understand residents because of their experience and commitment. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 9 All new residents receive a comprehensive needs assessment before admission carried out by staff with skill and sensitivity. The home is currently working as part of a multi disciplinary group in relation to a new prospective resident who has no immediate family. The information available is minimal but the home and other agencies are working with friends and neighbours to find out as much as possible. For individuals whom are self funding, the assessment is undertaken by a highly qualified member of the homes staff. The assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the needs of the individual. Before agreeing admission the service carefully considers the needs assessment for each individual and the capacity of the home to meet their needs. Prospective residents are given the opportunity to spend time in the home and this was taking place during the inspection. The home had records of each visit, what had taken place and the effect on the prospective resident and those already living in the home. All service users receive a Contract, which has been agreed on their behalf by family or other suitable parties. As far as possible the documents are explained to individuals and or their representatives, so they fully understand the information. The use of advocates to support service users is encouraged. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is excellent. The judgement has been made using available evidence including a visit to the home. Extremely detailed care plans are available to ensure staff are aware of how residents should be supported. EVIDENCE: The key principles of the home for delivering a quality service are based on the belief that residents should be able to take control of their lives. The staff are strongly committed to supporting all residents to make choices and decisions including the right to take assessed risks. The care plans are produced with the residents, based on comprehensive assessments. The plan clearly sets out how specialist requirements will be met through positive and planned interventions. The plan focuses on current needs, development of skills, and future aspirations of the individual. This follows the principles of person centred planning. Staff have the necessary training and skills to support and encourage residents to be fully involved. Because the residents at Bramley Avenue have limited communication, staff are skilled in using other methods, which were observed during the inspection Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 11 and on talking to staff. The home has a key worker system, but because the home only has up to 5 residents all staff are aware of all residents needs and how they are met. The care plan is written in a format that includes photos and pictures so that residents can understand elements of their care. The manager stressed that because of the level of communication it was sometimes difficult to assess if a resident has understood a specific area (such as how to make a complaint). In discussions with staff it was evident they knew from body language, eye or arm movement as well as noise cues whether someone was happy, annoyed, content etc. The care plan is used as a working tool and is understood by all staff, and can be used by new staff who do not know each resident. Care plans include comprehensive risk assessments. Management of risk takes into account the specialist needs and age of people who use the service, as well as their need for choice, activities and involvement. Any limitations are fully documented and reviewed with the care plan to ensure their ongoing relevance. Resident’s representatives know what records the home holds about them, and about their individual rights. Advocacy services are involved to ensure individual’s rights are maintained, especially in the case of the prospective resident where a member of Speaking Up is acting as an Independent Mental Capacity Advocate on her behalf. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 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): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. The judgement has been made using available evidence including a visit to the home. Residents participate in a variety of appropriate activities. EVIDENCE: Central to the home’s aims and objectives is the promotion of the individual’s right to live an ordinary and meaningful life, both in the home and in the community. The home understands the importance of enabling adults to achieve their goals, follow their interests and be integrated into community life and leisure activities. Residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home has considered the residents varied interests when planning the routines of daily living and arranging activities both in the home and the community. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focused, regularly reviewed, and can be quickly changed to meet individual residents needs. On the day of inspection one resident went out to Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 13 get a paper, a prospective resident was brought to the home to spend some time there, others sat in the living room with stimulating lights and staff chatting to them. Staff said that residents can often make choices between say two breakfast cereals and this is done in all aspects of their care. The home encourages family and personal relationships and when one resident was in hospital recently, another was taken in to visit as they had a close bond. The home supports residents to be as independent as possible and involved in all areas of daily living in the home. This includes where appropriate, accompanying staff to shop for the meals to be prepared, and ‘assisting’ with meal preparation. Residents also stay with staff whilst their rooms are cleaned and staff defer to them where possible, residents also stay in the laundry with staff as they wash and iron their clothes. For those residents who need support during mealtimes, including those who have swallowing or chewing difficulty staff give assistance, they are discrete and sensitive to both the residents they are helping and also to other residents feelings. Mealtimes are relaxed, staff are patient and helpful, and allow residents the time they needed to finish their meal comfortably. Risk assessments for things such as choking are on file and easy to understand. The home has two minibuses that are used to transport residents to activities or appointments. One regular swimming venue has closed and the home is trying to find another suitable place, however because of the needs of the residents this is proving problematic. Residents go on holiday with their key worker and Norfolk has been the chosen destination (by residents) and it has good access for wheelchairs. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is excellent. The judgement has been made using available evidence including a visit to the home. Health and personal support needs are identified for each resident and arrangements put in place to meet those needs. EVIDENCE: There was evidence in the home that systems are in place to ensure residents receive effective personal and healthcare support. Staff are competent and have the necessary specialist knowledge to met the needs of the residents. Staff are aware that the way in which support is given is a key issue for residents with the level of need in the home and resident’s individual plans clearly record their personal and healthcare needs and detail how they will be provided. Staff are aware of the changing needs of the residents as they get older and provide flexible, consistent, and responsive support. The staff on duty during the inspection provided a mixed group allowing residents to have either male or female assistance for personal care. Staff were seen to respond appropriately and sensitively in all situations, treat residents with respect by knocking on doors, and personal care was conducted behind closed doors. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 15 All the necessary aids and equipment are provided to ensure residents are safe when being hoisted or provided with any other form of assistance. There was evidence on resident files that showed specialist advice is sought by the home where necessary. The home also has a lot of input from a variety of health professionals in relation to training for specific medications, equipment etc. Regular appointments are seen as important and systems are in place to ensure they are not missed. The home arranges for health professionals to visit residents at home when necessary. Staff are very aware of each residents health issues and concerns and fully understand how they should respond and take action. The manager stated that staff are trained and competent in health care matters with training provided by district nurses in relation to specific medical procedures. The district nurse then certifies the staff as competent in that procedure for that particular resident. The home regularly arranges training on health care topics that relate to the health care needs of the residents. The home has a medication policy, procedure and practice guidance. The home has a record of medication administration. Care staff have the required accredited training to enable them to administer medication. The home does not allow agency staff to administer medication. The manager said that there has been a change in Boots Monitored Dosage System (MDS) and there are some tablets they are unable to put in the blister packs because of possible degradation and these have to be administered from the fully labelled packet. The home has recently had a resident pass away unexpectedly after some time in hospital. From information provided by the manager the staff and residents visited him and this was seen to have a positive affect on him and those who visited. Staff said they receive in house training and practical advice and have continuous support and opportunities to discuss any areas of anxiety and concern. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is excellent. The judgement has been made using available evidence including a visit to the home. The homes complaints procedure is good. The home also provides a form and envelope in each bedroom to ensure confidentiality should a relative wish to make an anonymous complaint. The home has not received any complaints by which to judge the effectiveness of the procedure. EVIDENCE: The service has a complaints procedure that is up to date, clearly written, and easy to understand. It is incorporated in the homes statement of purpose and service user guide. There is also a copy in the bedroom of each resident together with a form on which to complain and a stamped addressed envelope to ensure confidentiality. There have been no formal complaints since the last inspection. The home has policies and procedures regarding protection of individuals. The manager is clear when incidents need external input and who to refer the incident to. Training of staff in the area of protection is regularly arranged by the Home. There have been no reported incidents of abuse. Staff said they had had the relevant training and demonstrated their understanding of abuse. There has been one internal issue that has been dealt with satisfactorily by the manager. Staff said the home was run in an open way that enables anyone to express their views, and concerns in a safe and none blame environment. The Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 17 questionnaires received from the relatives of some residents showed that they were very satisfied with the service provision, felt their relative was safe and well supported. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the home. The home is generally well maintained and decorated, but where improvements have been agreed, they must be completed within a reasonable time scale. EVIDENCE: The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the residents who live there. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe and comfortable. The home is on one level with access to the garden and a large fishpond where residents enjoy feeding the fish. The home also has a small vegetable garden where the tomatoes were growing in abundance. There is a small building outside that contains a snoezlem room. This is used to calm or provide stimulation for the residents of Bramley Avenue. Other local homes are encouraged to use the room and for their residents to then visit those in Bramley Avenue allowing friendships to develop or be maintained. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 19 Residents are involved, as far as practicable, in decisions about the décor. The lounge was decorated before new equipment was put in. The lounge has some sensory equipment and a waterbed that has been bought with money from a bequest to the home. There is one bathroom with specialist Jacuzzi bath and shower, and a separate toilet. The bathroom has an interesting light display that the manager said one resident in particular loves. The home is looking into getting the same type of lights put in this persons bedroom. There are no shared bedrooms in the home. Each resident has a very personalised bedroom with many individual belongings and pictures. The rooms do not have en-suite facilities, as all residents require full assistance with all aspects of their care. The kitchen is the one area of the home that is poor. The manager said they are waiting for a new kitchen to be put in. There is no immediate risk to any resident and staff are always present. A recommendation has been made in relation to Standard 24. The laundry has been redecorated. Staff said they had received infection control training. There were no offensive odours in the home on the day of inspection. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the home. Residents are supported by a competent and qualified staff group. EVIDENCE: The home currently has three full time care staff vacancies. The recruitment procedure was seen during the inspection. One staff file was inspected and all the necessary information and checks to ensure the safety of residents were there. The home has a conscientious staff team that has a balance of skills, knowledge and experience to meet the needs of service users. On talking to staff they were able to demonstrate a thorough understanding of the particular needs of the service users. The manager keeps a record on the computer of all statutory training required and when it needs updating. Staff confirmed they had received relevant training. The home has a full induction, LDAF training and Boots medication training. Staff are encouraged to complete NVQ Level 3 in care. Staff understand their roles and responsibilities. Relatives felt that the staff provided excellent care and knew all residents well. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 21 Staffing levels reflect the needs of the residents, and rotas are flexible to fit around the needs and activities for residents. Staff spoken to evidenced that they have the skills to communicate with residents. Staff handover meetings happen when the shift changes ensuring all necessary information is passed on. Staff said they receive supervision regularly and that they had also completed their yearly appraisal. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 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): 37,38,39,40,41,42,43 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the home. The home is managed very effectively, for the benefit of the residents. Detailed health and safety policies ensure the safety of service users and staff. EVIDENCE: The Manager has the required qualifications and experience and is competent to run the home. She works to improve services and provide an increased quality of life for residents. The home is run in an open and transparent manner and staff commented this on. The manager is person centred in their approach, and leads and supports a strong staff team who have been recruited and trained to a high standard. Information in the pre-inspection questionnaire provided evidence that the home has the necessary policies and procedures. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 23 The home has a good record of meeting relevant health and safety requirements and legislation. Records are of a good standard and are routinely completed. The home has completed a quality assurance review and the report is with Granta head office awaiting approval before being sent to the Commission. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 4 4 4 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 2 25 4 26 4 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 3 32 3 33 4 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 4 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 4 3 4 3 3 3 3 3 Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 25 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 YA24 Good Practice Recommendations The registered person should ensure that the home is well maintained. This is in relation to the kitchen. Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Bramley Avenue (73) DS0000015150.V306340.R01.S.doc Version 5.2 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. 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