Inspection on 16/05/07 for Self Unlimited Bagatelle

This inspection was carried out on 16th May 2007.

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

Self Unlimited Bagatelle 11/05/09

Self Unlimited Bagatelle 26/01/06

Self Unlimited Bagatelle 13/06/05

Self Unlimited Bagatelle 16/12/04

Self Unlimited Bagatelle 07/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 CARE Bagatelle 116 Burnmill Road Market Harborough LE16 7JG Lead Inspector Diane Butler Key Unannounced Inspection 16 May 2007 12:50 CARE Bagatelle DS0000001642.V330026.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 Bagatelle DS0000001642.V330026.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 Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service CARE Bagatelle Address 116 Burnmill Road Market Harborough LE16 7JG 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) 01858 468776 01858 432079 www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Catherine Anne Gilbert Care Home 10 Category(ies) of Learning disability (10) registration, with number of places CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Care Bagatelle is a period residence situated close to the centre of Market Harborough. It has been sympathetically renovated maintaining many of its period features. The property provides single accommodation with ensuite facilities for eight service users with a learning disability and two self-contained flats. There is a lounge and kitchen on each floor and all the communal areas within the home provide space in which the residents can spend time together in comfort. The property has large gardens, which residents help to maintain. Current charges range from between £488.80 and £738.97 per week. Details of the services that are provided in the Service User Guide (a document which provides relevant information about the home) which is given to all prospective and current residents. The most recent CSCI (Commission for Social Care Inspection) inspection report is displayed on the office door and is available for anyone to read. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which took place over a four and a half hour period on Wednesday 16th May 2007. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents. This means the inspector checked their care records and met with them. Observation was also used to evidence whether care and support needs were being met. A further two residents were spoken with during the visit to gather their views of the home. The inspector was able to talk to the registered manager and three members of staff on duty at the time of the visit and observed them going about their daily work. Questionnaires were also sent to the ten service users currently living in the home and their relatives to gain their views of the agency. Comments received from relatives included: “Care Bagatelle provides a caring environment for our daughter”. “My daughter is very happy at Bagatelle, She would be very upset if she had to move”. “My daughter likes her independence, but staff are always their if she needs help”. “Bagatelle is a super place and our daughter is very happy there”. “I always feel fully informed of changes and developments both in relation to the organisation and issues relating to my daughter”. “A good team”. Comments received from residents included: “I can do my own thing”. “I am alright thank you, I am very happy”. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? A home safety questionnaire has been developed and this is completed with the residents every six months. This enables the manager to review the day to day tasks that the residents are able complete on their own. A healthy eating clinic has been held with the support of the community nurse. This gave the residents the opportunity to learn about healthy eating and the benefits this has. A nine seater mini bus has been purchased for when the residents go out together and a four door car has been purchased to enable the support workers to take smaller groups of residents out. A table football has been purchased. This is kept on the first floor landing and residents are able to play at any time. A quality of life board has been developed and is kept in the main hallway of the home. This looks at different aspects of the resident’s daily lives, includes statements about how they feel and includes photographs to confirm those statements. Statements include: CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 7 ‘I take part in every day choices’. ‘People listen to my views’. ‘People treat me with respect’. ‘I am safe from bullying and abuse’. This is seen as good practice. Three windows now have Internal double glazing and one window has been replaced. 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 Bagatelle DS0000001642.V330026.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 Bagatelle DS0000001642.V330026.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): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are assessed to ensure that their care and support needs can be met. EVIDENCE: All the residents living at Care Bagatelle have previously lived at Care Shangton, a sister home to Care Bagatelle. Whilst at Care Shangton their needs are assessed to determine whether they can move to the more independent living facilities offered at Care Bagatelle and whether this would be the lifestyle that the resident wishes to adopt. The registered manager explained that all prospective residents are invited to look around the home and stay for a meal with the other residents, they are then invited to stay for a night or two to enable them to get a feel of the home and to decide whether it is the right place for them. All residents spoken with confirmed that they were able to visit the home before moving in and comments included in the questionnaires received also confirmed that they had had the opportunity to look around and stay for a meal. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 10 Comments received included: “I visited and came for tea” “I came to look around”. “I came to have a look before I made my decision”. “I looked around and said yes”. Once living in the home the resident’s needs are further assessed and the necessary risk assessments are carried out. The registered manager explained that if risks are identified with regard to day to day tasks, such as using the microwave, the support workers will work with the resident over a period of time to train the resident to carry out the task safely enabling them to be as independent as possible. This is seen as good practice. All residents have a statement of terms and conditions of residency. This document includes details of what services will be provided and is signed by both the resident and a representative of the home. A copy of this document is given to the resident and a copy is included in their paperwork kept at the home. All files checked on this occasion included a copy of this document. A statement of purpose and a service user guide are in place and all residents spoken with confirmed that they had received a copy of the service user guide when they moved into the home. CARE Bagatelle DS0000001642.V330026.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): 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: All three residents case tracked had both a care plan and a person centred plan in place. All three care plans had been completed with the involvement of the residents, had been agreed and signed by the residents and had recently been reviewed. Two of the person centred plans were more thorough than the other, the inspector was informed that this was because the resident was completing it at her own pace with the help of her mum. All residents living in the home are able to make decisions on a daily basis, these include when to get up and when to shower, what to wear, what to eat and where to eat it, and what activity they wish to complete in their free time. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 12 Evidence was seen throughout the inspection of the resident’s making there own decisions. This included one resident deciding what to have for lunch and a second deciding what to buy at the shops. All residents are fully involved in life at the home. Issues that arise are discussed on a daily basis and resident meetings are held once a month. Minutes of the last meeting held in April 2007 were seen. On speaking with one of the support workers on duty during the visit the inspector was informed that four or five of the residents had been involved in her interview when she applied to work at the home. Support workers enable the residents to take responsible risks on a daily basis and risk assessments are in place for all activities undertaken. An independent living home safety questionnaire is also completed with each resident every six months to reaffirm that the residents remain safe when carrying out every day tasks. If issues arise a number of training sessions are put in place to enable the resident to relearn the task and enable them to carry it out safely again. Residents are enabled to live an independent life style within the home and support workers support the service users to meet their individual goals. A relative stated in one of the questionnaires received: “The staff at Bagatelle care, support, promote independence and self worth, communicate and listen to people, both residents and carers and they put the residents needs and wishes first”. A second questionnaire stated: “Bagatelle and the staff have been most supportive to my daughter at all times, going I feel that extra mile to meet her needs”. CARE Bagatelle DS0000001642.V330026.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): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are offered a healthy diet and enjoy meals and mealtimes. EVIDENCE: Residents are encouraged and supported to attend places of work and/or day services provided at Care Shangton, a sister home of Care Bagatelle. A wide range of activities are offered at Care Shangton including, woodwork, horticulture, craft and information technology. The residents currently hold a number of jobs including working at a local park, both in the gardens and in the café and one resident has been supported to set up his own car cleaning business. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 14 Evidence was seen to confirm that residents are supported to access appropriate community and leisure activities. This included attending the local gym, swimming, shopping, going to the local pub and attending football and rugby matches. One resident is a member of the St Johns Ambulance and regularly attends their meetings and other residents are supported to attend their preferred places of worship. Daily routines within the home promote privacy, independence and choice. All resident have keys to their rooms and can choose whether to be alone or join the other residents. They are encouraged and supported to cook for themselves, clean and do their own laundry and support workers ensure privacy by knocking on doors and waiting to be invited in. Residents are supported to plan, prepare and serve meals, they are able to choose what to eat on a daily basis and mealtimes are relaxed, unrushed and flexible. The residents are encouraged to eat healthily and the community nurse recently held a healthy eating day at the home to promote its benefits. The residents are also learning about the world, a country is chosen each month, and the manager and support workers encourage learning through photographs, pictures, objects and food. On the day of the visit the residents were looking at China. A large map is displayed in the hallway and all the residents’ names had been translated into Chinese. One resident stated, “I’m looking forward to my Chinese meal”. Visiting and maintaining contact with family is strongly encouraged. One of the residents case tracked explained that his dad was able to visit and stay over when he wanted and a second resident case tracked was preparing to visit her mother for the weekend. Questionnaires received from resident’s relatives also stated that they were encouraged to visit the home and were always made welcome. Comments received included: “Due to the care and support provided the atmosphere at Bagatelle is a happy and homely one, this is reflected in the residents and the welcome given to friends and family”. “Since arriving at Bagatelle my daughter has enjoyed a more independent lifestyle progressing and developing this independence at a pace she directs”. CARE Bagatelle DS0000001642.V330026.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): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents receive support in the way they prefer and require. EVIDENCE: The residents living at the home are very independent and are encouraged and enabled by the support workers to care for themselves. Residents spoken with explained that they are able to get up, shower, dress and make their own meals on a daily basis. Residents spoken with also explained that they were responsible for cleaning their rooms and carrying out their washing and ironing. Throughout the inspection residents were seen receiving support in a sensitive and flexible manner. On checking the daily records held for each resident it was evident that the manager and the support workers assisted them to access healthcare services when needed. Services contacted on the resident’s behalf included GP’s, CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 16 dentist, opticians and chiropodists. A questionnaire received from one of the community nurses who visit Care Bagatelle explained that there was “excellent communication and cooperation with staff and residents”. Medication is now kept in the resident’s own rooms with the exception of one resident who did not wish to have a lockable cupboard in his room. All support workers have completed safe handling of medicines training and the inspector was informed that they now visit each resident individually to assist with their medication at the required times. One support worker explained that this was working well as it meant that they could spend five or ten minutes with them each day to check that every thing was all right and offer any extra support they might need. CARE Bagatelle DS0000001642.V330026.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from harm. EVIDENCE: A complaints procedure is in place and copies of this are displayed throughout the home and included in the service user guide, which is given to each resident. The registered manager stated that no complaints had been received since the last inspection in January 2006. This statement was supported on checking the complaints file and on reading the monthly Regulation 26 visits carried out by the Responsible Individual for the home. Residents spoken with were aware of whom to speak to if they had any concerns and all of the questionnaires received showed that the residents knew who to talk to. Comments received on the day of the visit included: “I would speak to Catherine” [Registered Manager]. “I would tell the manager”. “There is always someone to talk to”. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 18 One of the questionnaires received stated: “If I’m not happy I would talk to the house manager or the inspector”. A comprehensive policy on abuse is in place, training in abuse awareness is provided during the support workers induction period and both management and support workers were aware of the actions to take should any form of abuse be suspected. Residents spoken with said that they felt safe living in the home. On checking the money held on behalf of one of the resident’s case tracked it was noted that it was being stored appropriately, records were in place for each deposit/withdrawal and two signatures were in place, one being the residents and the second the support worker/ manager assisting with the transaction. CARE Bagatelle DS0000001642.V330026.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): 24,25,26,28,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are provided with a comfortable and homely place to live. EVIDENCE: The home is well maintained both internally and externally. Accommodation is on two levels and is easily accessible. The decoration and furnishings throughout the home are of a good standard and are presented in a comfortable and homely way. The home provides eight single rooms and two self-contained flats, all with en suite facilities. There is a lounge and kitchen on each floor and all the communal areas within the home provide space in which the service users can spend time together in comfort. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 20 The rooms belonging to the three residents case tracked were seen. All had en suite facilities and all included the resident’s personal belongings. The inspector was invited to look at a fourth room by a resident who was concerned about the state of their window. The condition of this is window had also been highlighted at the last inspection. It was noted that although internal double glazing had been fitted since the last inspection the window itself was still rusty and in poor condition, which was leaving the resident feeling distressed. During an earlier conversation with the registered manager the inspector was informed that work on the older lead light windows was being looked into and it was hoped that this would be completed this year. Attractive gardens, which are tended by the residents, can be found to the front and rear of the home. There is a patio area to the rear of the building and there are benches and seats available for the residents to use. All areas of the home seen on this occasion were clean, fresh and well cared for. CARE Bagatelle DS0000001642.V330026.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): 31,32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and protected by the homes recruitment policy and practices. EVIDENCE: An appropriate recruitment procedure is in place, application forms are completed, references are collected and a CRB (Criminal Records Bureau) check is obtained. Residents are involved in the recruitment of new support workers when ever possible and on speaking with one of the support workers on duty during the inspection, the inspector was informed that four or five residents had been involved in her interview. A period of induction is provided to all new support workers, this includes both an in house induction, learning about policies and procedures of the organisation and LDAF (Learning Disability Award Framework) training. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 22 All support workers spoken with confirmed that they received the induction training and spent approximately two weeks working at Care Shangton, Care Bagatelles sister home, before being allowed to work at Care Bagatelle. This enabled them to complete the in house induction training, commence the LDAF training and learn the skills and knowledge required to work within a care setting. Other training completed included: dealing with challenging behaviour, first aid, food hygiene, abuse and neglect, health and safety and training in dealing with epilepsy. 50 of support workers have completed an NVQ (National Vocational Qualification) level two with one registered to complete their NVQ level 3. On the day of the inspection a relaxed atmosphere was evident with support workers going about their work in an unhurried and professional manner. On speaking with the assistant manager and one of the support workers on duty at the time of the inspection, the inspector was informed that they felt there were currently enough support workers on each shift to support the residents appropriately and without feeling rushed. All residents spoken with stated that the support workers were approachable and supportive. Relative questionnaires received also stated that the residents were appropriately supported. Comments received included: “Bagatelle and the staff have been most supportive to my daughter at all times, going I feel that extra mile to meet her needs”. “My daughter is very happy and settled due to the excellent support and care she receives”. The registered manager explained that support workers are provided with supervision sessions approximately every six to eight weeks. This was confirmed on speaking with the support workers on duty at the time of the visit and on checking their personnel files. CARE Bagatelle DS0000001642.V330026.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from the ethos, leadership and management of the home. EVIDENCE: It was evident during the inspection that the residents benefit from the ethos, leadership and management that the registered manager provides. There was an extremely relaxed and friendly atmosphere throughout the inspection and the interactions between staff and residents were positive, informal and inclusive. The registered manager has worked within the Care organisation for ten years and has been the manager at Care Bagetelle for two years. She has completed her Registered Managers Award and is currently completing her NVQ level 4. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 24 Residents meetings and staff meetings are held on a regular basis and regular staff supervision sessions are held to enable the registered manager to gain everyone’s view of the service being provided. The responsible individual carries out an audit of services offered at the home on a monthly basis, which enables him to identify and address any shortfalls or concerns identified. Policies and procedures for the health, safety and welfare of the residents are in place and all support workers are made aware of these during the induction process. Records seen during the visit were up to date and accurate. Support workers receive fire safety training and residents spoken with confirmed that regular fire alarm tests are carried out. The registered manager stated that all support workers have received training in first aid, food hygiene, moving and handling and infection control. This was confirmed on speaking with two support workers and the assistant manager on duty during the visit. One support worker stated: “I have had lots of training since I stated work at the home” and the assistant manager stated: “We do a lot of training. CARE Bagatelle DS0000001642.V330026.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 X 4 3 5 3 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 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 3 4 4 4 X 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 3 X 3 4 3 3 3 3 X CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 26 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 Provider should ensure that identified maintenance work is carried out. CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 CARE Bagatelle DS0000001642.V330026.R01.S.doc Version 5.2 Page 28 - 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. 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