CARE HOME ADULTS 18-65
Care Stanley Grange Samlesbury Preston Lancashire PR5 0RB Lead Inspector
Christopher Bond Unannounced Inspection 19th September 2007 09:30 Care DS0000005873.V344588.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 Care DS0000005873.V344588.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. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Care Address Stanley Grange Samlesbury Preston Lancashire PR5 0RB 01254 852878 01254 851154 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.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Miss Kelly Estelle Livesey Care Home 43 Category(ies) of Learning disability (43) registration, with number of places Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following categories of service only. Care Home only code PC; to people of the following gender either; whose primary care needs on admission to the home are within the category of Learning Disability - code LD (maximum number of places: 43) 4th September 2006 Date of last inspection Brief Description of the Service: Stanley Grange is located in a rural setting half a mile from the A 675, which is one of the main roads linking the towns of Preston and Blackburn. Because of its rural setting, access to local facilities such as post office, shops, public house is via the half-mile walk for the service users or an escort is provided from the home. The service does have a number of vehicles, which are available to be used for transport for the service users. Stanley Grange is one of eight communities run by the CARE organisation and provides a range of accommodation and day care facilities for people with a learning disability. There are a number of cottages that surround a central ‘green’. Each cottage houses a varying number of residents. One cottage has recently been refurbished to provide specialist accommodation for three gentlemen who have autism. There are also five flats that are used for the residents. Residents live in the flats with agreed support networks, to develop their independence living skills. The complex also has an administrative block and a reception area. In this block there is also an IT suite, a pottery workshop and a photographic laboratory, all of which are used by the residents on a regular basis. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (19/09/07) the information given to the Commission showed that the fees for care at the home are £625.00 per week. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. As part of the inspection process an unannounced site visit took place over a total of 5 hours on the 19th September 2007. A tour of the service was carried out, which included some of the cottages, IT suite, photo lab and dining room. All areas were clean and hygienic. The residents’ personal files and person centred plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication records for the service were also examined. The managers, residents, care staff and visitors to the home were spoken to during the inspection and the lunchtime meal was sampled. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well:
This is a service where people are supported well. There are plenty of support staff at important times. This means that the service users can be supported to do things that they enjoy. There is a strong emphasis on care planning and everyone’s individual plan is ‘person centred’, meaning that the plan is written with the service users needs in mind and from their perspective. The plans describe each person in a positive way (for example what people like and admire about them, and their skills and abilities). There is also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. There is a good training programme for the support workers so that they have the necessary skills to do their jobs more successfully. The manager is well qualified to run the home and has excellent values that are passed on to the staff team. Every effort is made by the managers and support staff at Stanley Grange to ensure that this service does not become insular and inward looking. The residents are encouraged to use community facilities, wherever possible. Activities, such as employment, education and leisure take place in the local towns of Preston and Blackburn. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 6 There is a large IT room where the residents can develop their computer skills. There are also leisure groups that use the local countryside, such as rambling groups and cycling. The cycling group completed the Manchester to Blackpool charity ride in July to raise money for a new bike that disabled residents are able to use. Residents enjoy their lunchtime meals in the main dining room where there is lots of choice and healthy alternatives. One of the residents said, “I always use the salad bar. I like salad at lunch and have a big meal at night.” People are given lots of information about what foods are best to eat for a healthy lifestyle. All of the residents are able to enjoy a holiday each year. There is a group travelling to Prague for a short break and other residents have enjoyed holidays in Europe and America. Good support is available from care staff during these breaks. Families and friends are encouraged to visit the residents and are invited to important meetings. They are consulted about future plans and are involved in making decisions. One relative who we spoke to commented, “It’s wonderful knowing that my son is safe and in good hands.” What has improved since the last inspection?
There has been an increase in the amount of people travelling into the local towns to enjoy the facilities and resources available there, this includes employment, education and leisure. All of the cottages now have a computer and are linked to a central network. This helps to ensure that information is available across the site and everyone receives the same information. A new interactive person centred plan is being introduced ‘on-line’ and residents can be involved in contributing to these in different ways, according to their needs and abilities. The residents are involved in the recruitment process and help to decide which support workers will be employed at Stanley Grange. This is a good example of how the people who live there are involved in the decision making process. A total of 70 of the support staff have achieved a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). Others have achieved the Learning Disability Award Framework qualification, which is another nationally recognised qualification specifically for those supporting people who have a learning disability. The support workers have gained important skills to do their jobs more successfully.
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 7 Home managers are encouraged to undertake the Registered Managers Award. This is helping to improve their management skills. 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. The summary of this inspection report can be made available in other formats on request. Care DS0000005873.V344588.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 Care DS0000005873.V344588.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): Standards 1, 2, 3 and 4. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good corporate information about the service and thorough admittance procedures help to ensure that prospective residents are informed about the service on offer. Good pre -admission assessment ensures that the care staff are fully prepared and aware of their needs. EVIDENCE: The service had an illustrated Service User Guide and Statement of Purpose that gave out important information about the service on offer and the organisation as a whole. It was good to see that these documents were both ‘easy read’, so that it was easier for people to understand them. These were given to each individual resident to explain the services that were on offer and the arrangement that were made within the service to care for people successfully. The manager explained the process that was used to ensure that people were admitted properly. One gentleman had moved to Stanley Grange from another area and visits had been made to him by the manager to assess his current living arrangements and his specific needs. A number of visits were then made
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 10 by this gentleman to Stanley Grange and a ‘getting to know you’ process was started where important information was written down in preparation for his move to the service. The person concerned had autism and the time prior to moving in was used to ensure that the care staff had current training in autism awareness. The gentleman was also able to choose the colours for his bedroom and a specialist in autism was called in to ensure that the environment in the house was appropriate. Once this process had been completed the gentleman was able to move to Stanley Grange. The moving process was far less stressful for the person because a lot of preparatory work had been done. He was also fully aware of where he was moving to and was familiar with his support workers. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 11 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): Standards 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 residents health and social care needs are met and well planned. Residents are supported and protected in their daily lives. The people in this service were looked after well and treated with dignity and respect. EVIDENCE: Each of the residents had a Person Centred Plan that contained important information on how people wanted to live. The plans described each person in a positive way (for example what people liked and admired about them, and their skills and abilities). There was also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. Each plan also held long and short-term goals that were set down to help people reach achievable targets that were important to them. There were different types of plans in use throughout the service, each one tailored to fit the needs of the residents. Each separate house within the community had a computer that was linked to a computer in the main office block. A new
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 12 interactive person centred plan was being introduce ‘on-line’ and residents could be involved in contributing to these in different ways, according to their needs and abilities. One resident was having a ‘review’ meeting whilst we were there. This was to formulate new goals and to assess what changes could be made to this person’s life to make his care more successful and to develop interests, activities and abilities. Several people had been invited to the meeting, including friends and family. The information had been presented clearly in the form of a ‘pathway’, and was displayed on the wall so that everyone could clearly see the information. The resident was involved throughout and had been involved in making important decisions about his life. We spoke to one of the relatives who had been invited to the meeting. She was very complementary of the standard of care and support that Stanley Grange was giving her son. She commented, “We are very fortunate to have found somewhere so caring for him to live.” It was clear that the service users were being encouraged to take part in all aspects of running the service. The support workers confirmed that the residents were helped to shop for food etc, prepare meals, clear up after meals, clean their rooms and help clean the house. Risk assessments had been completed to help ensure that people were safe whilst undertaking these tasks. A measured amount of risk is good as it helps to ensure that people develop and fulfil an active lifestyle. It is important that the people living in the house take part in such activities because this helps build confidence and maintain important self-help skills. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 13 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): Standards 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. The service users lead full and active lives due to good support and effective planning and assessment. Arrangements for meals were good and healthy eating was promoted. EVIDENCE: Every effort is made by the managers and support staff at Stanley Grange to ensure that this community does not become insular and inward looking. The residents were encouraged to use community facilities, wherever possible, and activities, such as employment, education and leisure took place in the local towns of Preston and Blackburn. Transport links into Preston and Blackburn are fairly good. The residents also take advantage of a flexi-bus system that can be hired for journeys. Some residents have their own cars, that are paid for via their mobility benefits and there were also pool cars for residents and support workers to use.
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 14 The community ran a tearoom and restaurant in Blackburn where residents gained valuable work experience. People also attended local colleges and some of the residents had regular employment. There were workshops on site at Stanley Grange but these were only used by those who had difficulty travelling. There was a large IT room where the residents could develop their computer skills. There were also leisure groups that used the local countryside, such as rambling groups and cycling. The cycling group completed the Manchester to Blackpool charity ride in July to raise money for a new bike that disabled residents were able to use. All of the residents were able to enjoy a holiday each year. There was a group travelling to Prague for a short break and other residents had enjoyed holidays in Europe and America. Good support was available from care staff during these breaks. People were encouraged to have friendships and to maintain family relationships. One of the residents confirmed that he had friends both at Stanley Grange and outside of the service. There were visitors to the service when we were there. One visitor commented, “They always keep me informed of what’s going on and I’m encouraged to visit. I’m welcomed when I’m here.” There were regular cottage meetings and residents’ meetings. There were illustrated minutes to help people to understand what was said. We looked at some of these minutes, and it was clear that there was a strong input from residents. People felt ‘listened to’ and were included in the decision making process. A large dining room was part of the complex and most of the residents that were on site whilst we were there were having lunch. There was a good choice of food, including a selection of main meals and a salad bar. We sampled the meal and spoke to residents and support workers over lunchtime. All the residents that were able to express their views said that the food was good and that hey looked forward to lunchtime. The meal was nutritious and enjoyable. One resident said that the food was ‘great’ and she liked meeting her friends and having a chat. Evening meals were taken in the cottages and the residents took it in turns to shop for food and prepare meals with staff support. The residents were given advice about what foods were nutritious and healthy eating was promoted. Some residents had attended a ‘food awareness’ course and others had been to a healthy eating seminar.
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 15 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): Standards 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. Personal and health care issues were dealt with properly and professionally in a way that the service users preferred. EVIDENCE: There was lots of evidence within the service to show that individual health matters were being dealt with appropriately and properly. There were sections in each person’s individual plan to record health issues and visits to healthcare professionals. Each person had a yearly full health check and there was appropriate input from health professionals and specialists. It was clear that throughout the inspection the residents were being spoken to politely and respectfully. Staff were courteous and the residents views were respected. Permission was sought from the residents before we entered bedrooms and the staff ensured that the residents were present. Some of the residents required help with their personal care and there was equipment
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 16 available to ensure that this was done properly and respectfully. Staff had received training to make sure that they moved people safely and respectfully. It was good to see that some of the residents were encouraged to control their own prescribed medication. Lockable storage was available for each person and risk assessments were completed. Medication records were looked at and these were found to be in order, storage for medication was good. Proper procedures were being followed for controlled medication and there were regular audits and checks by the managers to ensure that procedures were being followed. One relative that we spoke to whilst we were there commented, “I’m confident that my son is being cared for properly.” Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 17 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): Standards 21 and 22 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good policies and procedures within the service helped to ensure that people were listened to and protected from harm. EVIDENCE: The manager of the service confirmed that the residents were encouraged to speak out about their care and there were several policies and procedures available for the support workers to use for guidance and support. There was a thorough and robust complaints procedure, which was in illustrated form to enable people to understand it. The support workers had received training in safeguarding people. Two of the support workers were spoken to and both demonstrated that they had a good knowledge of protection issues and what they should do if they were worried about how people were being treated. The manager was aware of her role if she felt that things weren’t right within the home, which is important because it helps to make sure that vulnerable adults are safeguarded properly from harm. All of the staff at Stanley Grange had been thoroughly checked before being employed and the correct disclosures had been applied for (Criminal Records Bureau disclosures and Protection of Vulnerable Adult checks).
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 18 There had bee several training events in abuse awareness to ensure that the support workers were aware of their roles and responsibilities when it came to ensuring that people were properly safeguarded from harm. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 19 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): Standards 24, 25, 26, 28 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Old and poorly designed property needs replacing to ensure that the residents live ordinary and more individual lives. EVIDENCE: One of the cottages at Stanley Grange had been earmarked for closure for some time. This was because of the condition of the building. Plans for rebuilding this facility had been halted due to a restructuring of the service and uncertainties regarding future planning proposals. Some residents were still living in this accommodation although the total numbers had been reduced since the last inspection. A decision needs to be made as to when this facility will be demolished to make way for three smaller cottages. Another of the cottages had twelve residents and plans had also been made to reduce the numbers of people who lived there. This will mean that the residents will receive a more individual service and live in a more appropriate environment.
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 20 One cottage had been refurbished over the past twelve months and three gentlemen who have autism had moved into this specialist environment. Professional guidance had been sought to help ensure that the environment was suitable for people who had autism and specific staff training had taken place to make certain that support workers had the correct skills. There were also a number of small flats where residents could have more autonomy and develop their self -help skills. Overall, there had been a strong effort made to ensure that people lived in a homely environment with their own possessions around them. Two resident allowed us to look at their bedrooms. One resident commented, “I love my room. I’m very happy here.” There were lots of important possessions around that gave the rooms individuality. People were asked about what their wishes were when it came to redecorate bedrooms. The residents were encouraged to help clean their own rooms and there were domestics employed to ensure that everywhere was clean and hygienic. This gave the support workers more time to work individually with the residents. All of the places we visited were very clean. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 21 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): Standards 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. A well -trained and competent staff team support the residents. People are protected by good recruitment procedures. EVIDENCE: Proper checks were carried out prior to people being employed to ensure that the service users were protected from unsuitable staff (Criminal Records Bureau disclosures and Protection of Vulnerable Adult checks). The staff files were looked at and were found to be in order with the correct information available for each support worker. We looked at seven staff files in total. A total of 70 of the support staff had achieved a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). Others had achieved the Learning Disability Award Framework qualification. There was also a comprehensive staff-training programme for all staff. The service had a training administrator who helped to ensure that appropriate training was available both in core safety areas and skills training. Well-trained staff enhance the level of support that is available for the residents.
Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 22 The support workers worked in teams in each of the cottages. They were supervised by home managers who gave regular one-to-one support for each staff member. Home managers were encouraged to undertake the registered managers award. We spoke to four of the care staff. Each said that they felt well trained and valued. The residents were involved in the recruitment process and helped to decide which support workers would be employed at Stanley Grange. This is a good example of how the people who live there are involved in the decision making process. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 23 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): Standards 37, 39, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Strong values and management approach means that this is a good service, which is run in the best interests of the service users. EVIDENCE: The manager of the residential service had been in charge for approximately two years. She had successfully completed a recognised qualification in management. She is currently working towards a Diploma in Management Studies. This meant that she had had the necessary training to help her do her job properly. It was clear that she had very good values with regards to the care and support of adults who have a learning disability. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 24 Three of the support workers that we spoke to said that they were well supported by the management team and were complementary of the management style within this service. Proper safety checks were being carried out throughout the service. The service had a Health and Safety manager who ensured that the community was safe to live in. Risk assessments were available for all areas of concern. Staff also received good training in all key safety areas to help ensure that safe practices were being adhered to. There were regular cottage meetings and residents meetings that helped ensure that people had a voice in the service that they received. We looked at the records of these and illustrations had been added to help ensure that everyone could understand them. Regular reviews of individual residents helped to improve the service for them through achievable goals. There were also regular audits undertaken by the management team to improve the safety and quality of the service. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 25 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 4 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 2 25 3 26 3 27 X 28 3 29 X 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 4 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 3 Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 26 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. 1 Refer to Standard YA24 Good Practice Recommendations Closure of one of the cottages should be completed and the programme of renewal continued in order that appropriate accommodation is available for all of the residents within the service. Care DS0000005873.V344588.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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
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