Inspection on 12/11/07 for Cardinals Gate 55

This inspection was carried out on 12th November 2007.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cardinals Gate 55 05/11/08

Cardinals Gate 55 09/03/07

Cardinals Gate 55 05/10/05

Cardinals Gate 55 20/04/05

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

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 Cardinals Gate 55 55 Cardinals Gate Werrington Peterborough PE4 5AT Lead Inspector Lesley Richardson Unannounced Inspection 12th November 2007 2:10 Cardinals Gate 55 DS0000063088.V355637.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 Cardinals Gate 55 DS0000063088.V355637.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. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cardinals Gate 55 Address 55 Cardinals Gate Werrington Peterborough PE4 5AT 01733 576660 01733 576650 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.communitycaresolutions.com Community Care Solutions Limited Manager post vacant Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning Disability (6) Mental Disorder (2) - Only associated with learning disability Date of last inspection 9th March 2007 Brief Description of the Service: 55 Cardinals Gate is a bungalow in a cul de sac in a residential area of Werrington, a village on the outskirts of Peterborough. It is no different in appearance from the neighbouring properties. There is a small parking area and garden to the front of the bungalow and a spacious enclosed garden to the rear. There are six single bedrooms, all with en suite facilities. There is a spacious L shaped lounge dining room and an additional conservatory with patio doors to the garden. The home can accommodate up to 6 young adults with a learning disability and is registered for two of those people having associated mental health problems. The home has its own transport and there is also local public transport, which is accessible from close by. Local amenities are within walking distance and staff support people living at the home to use all the amenities of Peterborough. The weekly fees are £1250. Copies of CSCI inspection reports are available to the residents and their relatives and are kept in the office. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was a key inspection of this service and it took place over 6½ hours as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. Only one person living at the home was able or wished to speak to us during the inspection. There were no requirements made at the last inspection. There have been two requirements and two recommendations made as a result of this inspection. Information obtained from the Annual Quality Assurance Assessment was also used in this report. Surveys were sent to people in the home and the home was asked to send surveys to people’s relatives. However, no surveys have been received back by the Commission. We spoke to one person’s relatives by telephone. What the service does well: The home provides care and accommodation for up to 6 people with learning disability. The home is clean and smells nice, and people can bring their own things in with them. The person who spoke to us during the inspection said he likes living there. We spoke to another person’s relatives and they also said that the staff are very nice and care for their son well. An assessment is obtained before people go to live at the home to make sure staff there are able to care for them. Each person has a care plan to tell staff members how they like to be cared for and risk assessments are done to try to make some of the things people do safer. People know about their care records and they can write their own person centred plan if they want to. They have their own GP and are able to see other health care professionals like opticians and dentists, as well as specialist doctors and nurses. Day placements, activities and different types of entertainment are available and people are able to take part in these. One person said he likes being able to go to the different social activities, like the disco and drama that are available. Staff go shopping with people who live at the home to buy separate food for each person. Different meals can be made if someone does not like the main meal. Staff know what to do if someone is not happy with something or they think someone might have been abused. One person said he would talk to the Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 6 manager if he wasn’t happy. Staff have training to make sure they know what to do and how to act if they have to use restraint. Proper checks are carried out before people start working at the home. Staff members have training when they first start working at the home and at other times during their working time at the home. This means most staff have the skills and knowledge to safely care for the people who live there. There are some staff with a National Vocational Qualification and others are working towards getting it. There are some people who don’t have all the training, but this is talked about in the section about what they home could do better. Health and safety maintenance and servicing checks are carried out when they need to be done. What has improved since the last inspection? What they could do better: There could be more information about individual wishes and likes and dislikes in care records. Not everyone has information about what food they do and don’t like or about other things they do and don’t like. If people don’t mind what products they use the care records should say this. People have a right to take risks and make decisions about when they do things. Staff should think about how they can let people do this so they can make a decision or without it being as much of a risk. Three people at the home need one to one staffing at times during the day, but there aren’t always enough staff on duty for this to happen or for people to go out of the home at these times. Staff members generally have enough training for them to be able to properly and safety care for people at the home. Although not all staff members have training in safeguarding people, or safely using restraint or moving people if they cannot move themselves. Because there are people living in the home who need to be restrained sometimes and one person who has a condition that might mean staff have to move him, it is important that all staff have the training. The manager is not yet registered with the Commission as the manager of this home, despite telling us she was in the process of doing this at the last inspection. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 8 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 Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. The home has adequate information about people before they live there. This means they are able to make a decision about whether the person can be properly cared for before moving into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager carries out assessments before people move into the home. Other assessments are obtained from health and social care teams and give more information. We looked at the care records of one person who had moved into the home in the last 6 months. The manager had carried out a pre-admission assessment and obtained an assessment from the social care team. The home’s own assessment gave little detailed information, although the social care assessment was very detailed and gave a lot of information about the person. We spoke to one of the people who lives at the home and he said he had visited and spent time there before moving in. This means the home is able to say whether it has the staff with the skills and experience to properly care for someone before they move in. Cardinals Gate 55 DS0000063088.V355637.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. Care is provided in a person centred way that makes sure people are able to say what they want. Further work needs to be done to make sure care records give staff enough guidance to be able to meet all needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person at the home has an individual care plan and support plan, which some people have written and others helped to write. The care plans for all four people living at the home were looked at in detail. These plans are written using a person centred approach and generally contain a good amount of information about how each person likes to be cared for and what they want or need help with. One person’s plan shows that person likes the bedroom door to be locked at night and contains information about food likes and dislikes and other plans show the times people usually like to get up and go to bed. Not all records show this level of detail, but they should show where there are no particular preferences or people are able to decide for themselves. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 11 Although plans are written in some detail, there should give clearer information about exactly what staff need to do to help people achieve particular tasks and at what times staffing levels need to be increased. For example, one person’s plan says he needs help to dry, but doesn’t say exactly what help staff should give for him to be as independent as possible. The manager said two people who live at the home have ‘one to one’ and one person has ‘two to one’ staffing levels for periods of between 6 and 8 hours during the day. However, care plans don’t tell staff when this is needed or what activity or behaviour might need this level of staffing. Plans are reviewed and people who live at the home sign their care plans if they are able to. Not all of the reviews are signed, which may mean that people are not always involved when the plans need looking at. Detailed risk assessments are completed and clearly show how risks are to be managed and what is to happen to reduce any risk. One person has an assessment that shows how possible danger in the kitchen should be reduced, although this information has not been put into a care plan. This means that staff don’t always get enough guidance on how to reduce risks. People at the home said they are able to choose what they do, what they wear and when they get up and go to bed. Routines about getting up and going to bed are written in care records, although, as already mentioned, this isn’t available for everyone living at the home. One person said he would like to go to bed much later at night and we talked to him about this. After we talked about the good points and bad points of going to bed very late, he said he had had the same conversation with staff at the home and understood that it would make doing things during the day difficult if he was very tired. However, staff at the home could look at giving this person this experience as a way for him to come his own decision about an appropriate bedtime. Cardinals Gate 55 DS0000063088.V355637.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who live at the home take part in activities and have contact with family, but more individual arrangements need to be put in place for them to receive a person centred lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People at the home attend day placement, workshop activities, or employment during the day. They take part in activities, such as drama and dance, at local venues, and attend clubs and entertainment venues aimed at the local community and their peer group. People living at the home said they liked going out to day placements and activities. Care records contain information about some activities that people take part in, but not everything is included. A full list of workshops, day placements and activities that people at the home attend is in the manager’s office and shows there is more available that was seen at the last inspection. However, details of all activities and placements must be included in care records so that staff are able to plan care and interventions around that person’s daily routine. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 13 Staff members are polite to people at the home, they respect their wishes and know when people want to be alone. People at the home are able to see and visit relatives. Details of friendships and family members are kept in care records and tell staff the routines people have when they visit their family or if they are visited. One relative said staff travel with his son when he goes to stay with them, although the other people who live in the home often accompany him. He said this had happened when his son had not been managing well at his day placement and a decision had been made to leave early. However, the home’s owner said this had only happened once because the other people from the home would have had to wait a long time for the bus to return and pick them up. Locks are fitted to some bedroom doors at individual’s request and there is information in people’s care records to tell staff what they like to be called and how they like to be approached. There is information in some people’s care records to show what they do and don’t like to eat, but not everyone’s records showed this. Staff members go shopping with the people living at the home and help them buy the food they want to eat. A main meal is cooked in the evening, although people are able to eat what they wish as shopping is done on an individual basis. Cardinals Gate 55 DS0000063088.V355637.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. People receive personal and health care in a way that preserves their privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records tell staff how people living at the home like to be helped with personal care, information about likes and dislikes and things they like to do when they feel anxious. As mentioned in an earlier section of this report, all this information is not available in everyone’s care records, although there is enough for staff to know what people usually do. The person or their representative agrees the information is what they want and care plans are signed to show this agreement. One person has written their own person centred plan. Care records show people have access to a variety of health care professionals, including specialist doctors and nurses, and dentists and opticians. Staff arrange for people who are unable to go to practitioners to have visits at the home. This was being done for one person who needs to see an optician, although there were delays while the responsibility for payment for the optician was arranged. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 15 The medication administration records (MAR) were looked at and were completed satisfactorily. There is information on MAR sheets to show staff when medication has to be given differently. Medication is provided in blister packs and these tallied with MAR sheets. Referrals are made to health care professionals if the home has concerns about medication or possible side effects. Cardinals Gate 55 DS0000063088.V355637.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Staff members have enough training and knowledge for people to be safe at the home. Safeguarding issues are handled correctly and people are able to raise concerns and have these acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided before the inspection shows the home has received no complaints about their service. The manager confirmed this during the inspection. One person at the home said he would talk to the manager if he were not happy with something and has done this on one occasion. This is talked about in the section ‘Individual Needs and Choices’. The home has policies and procedures in place to safeguard the people living there. About half of all staff members have had training in protecting people from abuse and those we spoke to were able to give appropriate answers to questions we asked about protection. There has been one safeguarding referral made to the local adult protection team, which has lead to a referral being made to the PoVA register. Information provided before the inspection shows restraint had been used 23 times in the 12 months before this inspection. Care records shows that staff are given guidance about when to use restraint techniques and these are methods taught by NAPPI, which is accredited by the British Institute of Learning Disabilities. Most staff members have received this training; although the training matrix indicates only 3 people have received the 2 day course that Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 17 also includes training in restraint. All staff should receive this training from an accredited trainer if restraint is needed. Staff members are polite to people at the home and one person said they are nice and he gets along with them. We saw staff interacting with people in a non-threatening way that does not trigger aggression, although one staff member called for help while giving personal care to someone while we were there. This was done by using a push button bell that alerts other staff to the situation, but without leaving the person alone. Cardinals Gate 55 DS0000063088.V355637.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The standard of the home provides a safe and homely place for people to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home consists of a detached house in a residential part of Peterborough. There is a small combined driveway and parking area at the front of the house and a garden at the back of the property. There is one main lounge area, a dining room and a sensory room in the conservatory. The house was clean and tidy with no offensive odours. One person has chosen to have a lock on her door and people are able to have personal possessions in their rooms. Cardinals Gate 55 DS0000063088.V355637.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is adequate. Staffing levels do not always ensure people are able to do what they want and sometimes levels drop enough to put people at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are examples in other areas of this report that show people who live at the home are not always able to complete activities or continue things when one of the other people has to leave. Information provided before the inspection shows there were 10 members of staff, 6 of them were full time and 4 were part time. At the inspection the manager said there were 9 members of staff, including her and the home always has at least two staff members on duty. She also said 3 people who live at the home need attention from staff on a one to one basis for up to 8 hours for one person and up to 6 hours for the other two people. And, that when one person leaves the home to go out two staff members have to accompany him, but that the home is not staffed for this to happen. This means that going out is not always something this person can do, and staff members are not always able to distract him by taking him for a walk. There were two staff members on duty late on the first day of this inspection, plus the manager who was on a morning shift. This meant that two Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 20 people who live at the home were able to go to the library and for a walk, but it also meant that there was only one staff member (the manager) left with the other people in the home. We looked at staff files for two new members of staff to see if recruitment checks were completed properly before new staff start working at the home. All the required checks had been carried out and most of the information to show this was in the staff files. One person’s employment history only gave the months and years of employment and the manager had not looked at possible gaps in employment for this person. Information to show the PoVA 1st check had been returned was also not available in this person’s file, although an application had been made for a CRB and PoVA check before the person started working at the home. The manager thought that as staff files are kept at Community Care Solutions head office, the PoVA 1st disclosure might be waiting to be filed. The training matrix from August 2007 shows staff members have received mandatory health and safety training, although not everyone has received moving and handling training. Although people living at the home are all mobile, there is one person who suffers from a condition that might mean staff need to move him out of danger if he is not able to do this himself. All staff members, therefore, should have moving and handling training to make sure they are able to safely move this person if needed. Information received after this inspection shows this training has been arranged for 6 other staff members, leaving only one staff member without the training. One quarter of the care staff have a National Vocational Qualification (NVQ) in care at level 2 or above. Another 25 are working towards the qualification, which will then meet the expected 50 of care staff with this qualification. Other training that is relevant to the people who live at the home and the medical conditions they suffer, like epilepsy, is also given and means that staff members have the skills and knowledge to safely care for people at the home. Cardinals Gate 55 DS0000063088.V355637.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate. There are procedures in place to obtain the views of people living in the home, but further work needs to be done to show how this is developing and improving the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been working at the home since December 2006 and is still in the process of submitting an application with the Commission to register as manager. She has experience working with people with learning disabilities and is undertaking a NVQ at level 4 in management. A quality assurance survey is completed every year and a report is produced to show the results. The manager said the survey includes questions and responses from people who live in the home and the 2007 survey is still being processed. A range of other audits and checks are carried out on a regular Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 22 basis, like regulation 26 visits and medication audits. There are monthly meetings for people who live at the home and staff members, and minutes are taken of these meetings and a report is made available. We asked the home to complete an annual quality assurance assessment before this inspection, which they did. However, many of the areas in the outcome sections were poorly answered with one and two sentence responses only. Policies and procedures are in place, but there was no information to show when these had been reviewed, although this is planned for the next 12 months. Information received after the inspection shows that the organisation has reviewed these policies and procedures in the last year. Information provided before the inspection shows that health and safety maintenance and servicing is carried out at the required intervals. Fire equipment was looked at when we walked round the building and this has been checked within the last year. Cardinals Gate 55 DS0000063088.V355637.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 1 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 24 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. 1 Standard YA33 Regulation 18(1)(a) Requirement Staffing numbers must be enough to make sure people living at the home are able to exercise choice and care staff are able to meet the needs of people. Timescale for action 31/03/08 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 2 Refer to Standard YA6 YA7 Good Practice Recommendations Care plans should contain as much information about personal like and dislikes as possible. Staff should enable people in making a decision about lifestyle choices. Cardinals Gate 55 DS0000063088.V355637.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Inspection Team Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cardinals Gate 55 DS0000063088.V355637.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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