Inspection on 11/05/06 for Self Unlimited North East

This inspection was carried out on 11th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Self Unlimited North East 03/10/06

Self Unlimited North East 01/11/05

Self Unlimited North East 30/08/05

Self Unlimited North East 01/06/05

Self Unlimited North East 14/10/04

Self Unlimited North East 13/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Care Ponteland North Road Ponteland Newcastle Upon Tyne NE20 0BW Lead Inspector Elaine Charlton Key Unannounced Inspection 11th May 2006 08:50 Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Care Ponteland Address North Road Ponteland Newcastle Upon Tyne NE20 0BW 01661-860333 01661 821830 careponteland@btconnect.com www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) 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) Care Home 42 Category(ies) of Learning disability (42) registration, with number of places Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Six service users may also have a physical disability Two service users only are accommodated in Craster Cottage. Nine service users only are accommodated in Kielder Cottage, two of whom live in self-contained flats within the Cottage. Fifteen service users only are accommodated in Cheviot Cottage, two of whom live in self-contained flats within the Cottage. Sixteen service users only are accommodated in Burnside Cottage, two of whom live in self-contained flats within the Cottage. 1 November 2005 Date of last inspection Brief Description of the Service: CARE Ponteland is located on the outskirts of Ponteland village, in open countryside, close to local amenities which include shops, public houses, restaurants, health centre, churches and swimming pool. Accommodation comprises four purpose built residential units, 5 independent flats, workshops, central kitchen, dining room and administrative offices. A maximum of 42 younger adults with a learning disability live at CARE and access employment and educational opportunities both on and off site. There are only 34 people living at CARE Ponteland at the moment as work is taking place to provide new accommodation for people who have a learning disability and a dementia. Nursing and respite care are not provided. The weekly fees are £546. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced, Key Inspection, was carried out on the 11 May 2006, at 8.50 am, by Elaine Charlton, and lasted for 7 ½ hours. A member of the Commission for Social Care Inspection (CSCI) administrative staff, Joanne Embleton, also attended the inspection as an observer. The focus of the inspection was requirements made at the last inspection on the 1 November 2005 to ensure they had been completed and the key standards. During the inspection service user care records and daily recordings were seen in Burnside and Cheviot Cottages, as well as fire logs, and food temperature recordings. A random sample of medications were examined in both cottages and a limited tour of the premises took placed. Several service users gave permission for their bedrooms to be visited. Staff rotas, sample menus, details of training courses and details of building work being done on the CARE site were sent to CSCI before the inspection took place. Andrea Fox, Locality Manager, was present on site throughout the inspection. Service users and staff were spoken to in the cottages and around the site. The manager gave questionnaires to all service users, relatives, and regular visitors. Twenty service users and 23 relatives made comments and these are included in this report. What the service does well: Communicates with and takes advice from CSCI to promote and improve the quality of care for people living at CARE Ponteland. Actively promotes the rights and choices of service users to social, leisure, educational and employment opportunities. Is maintaining a full and stable staff team giving consistent and regular care to the service users. Keep service users and their relatives/visitors informed. Helps service users to make choices on a daily basis about what they wish to do. Relatives and visitors to CARE Ponteland said: “I have always been happy with the service given and with all the staff.” Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 6 “The care is very good. I am kept informed about Doctor, Nurse, Dental appointments etc and a member of staff telephones me with the results of these appointments.” “Staff are very responsive to my relatives needs – I feel they are well cared for in Burnside.” “We are completely satisfied with the care our relative is receiving.” “I find the staff at CARE Ponteland to be warm, professional and very helpful.” What has improved since the last inspection? What they could do better: Make sure that food temperatures are regularly recorded to protect the health and welfare of service users. Submit the application for a registered manager as soon as CRB clearance is received for the support and protection of staff and service users. Continue with the work being done by staff and service users to promote a good system for quality assurance. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 7 Relatives and visitors to CARE Ponteland said: “I usually have to ask questions rather then have information given to me.” “The keyworker has changed regularly over the last 18 months.” 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. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Person Centred Plans promote the health safety and welfare of service users. EVIDENCE: Each service user now has a person centred plan (PCP). The range of risk assessments and care plans have increased and improved. Records are standard across all cottages. Included in each file is a pictorial copy of the Protection of Vulnerable Adults (POVA) policy, and a residency agreement. Most staff have welcomed the changes and worked with service users to put their plans together. Two PCPs were looked at in each cottage. Records are good and include emergency information sheets and daily recordings personal hygiene, health and well being, food and drink, social and spiritual needs, education and employment, and finances. Care plans are clear, signed to show service user involvement and evaluated monthly. Reviews have been arranged. Evaluations are more outcome based with great deal of work being done since November. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 10 Service users have had a range of health checks including the optician, dentist, physiotherapist and chiropodist. Care plans note service users wishes, including not wanting to have a job or go to college. One service user wants to try cookery, animal care and hospital visiting. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Person centred plans are signed by service users indicating their involvement and knowledge about the content, promoting their safety and welfare. Care plans record service users wishes and choices about how, by whom and when care is delivered to them promoting choice and independence. Risk assessments have improved promoting the health and welfare of service users. EVIDENCE: Manager has increased opportunities for service users to make choices and decisions. This has been approached logically and with reason, giving service users a chance to know what might happen when they make their choice. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 12 Range and quality of risk assessments has improved. Clear guidance is in place to support challenging behaviours. All records are signed and dated and include signatures of service users. In Burnside formal house meetings take place and everyone gets a copy of the agenda and minutes even if they don’t attend. Copies also go to the Locality Manager, her deputy and head quarters. In Cheviot the system is more informal and there was limited evidence of a quality agenda and minutes available. Meetings have usually been informal/over tea. Eighteen out of 20 service users said that staff always or usually listened to what they had to say. Nineteen out of 20 service users had had the help of an advocate to complete their questionnaire. One questionnaire was returned blank. Two service users who asked to speak to the Inspector could not be identified as their names had not been included on the questionnaires. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities, education and employment opportunities and social events ensure service users are part of the local community. Policies, procedures and guidance promote personal, family and sexual relationships whilst protecting the safety of service users. Meal times offer service users a good choice of health, hot, cold and vegetarian food. EVIDENCE: In the care plans seen two service users said they did not wish to go out to work and one did not want to go to college. Two other service users have paper delivery jobs in Ponteland and are helped by staff member. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 14 One service user is doing voluntary work at Four Paws where pets have hydrotherapy, and Doggi Days which is a dog walking service. Another service user has his own car which staff are insured to drive for him. Two service users who had said they wanted to move to more independent living have been able to do so. One service user will be moving into his own flat as part of the changes taking place in Kielder Cottage. Another service user showed the Inspector her flat and said how she chooses to join in some meals in the main cottage, but can prepare her own food if she wishes. Six other service users have said that they would like to live off site. CARE Ponteland have been given the chance to help service users move into 5 flats in Blyth where they can live more independently. Renovations on the flats will start soon and will provide a supported living model of accommodation. Fourteen out of 20 service users said they were always able to make decisions about what they did each day. Only one said they never made these decisions. Eighteen out of 20 service users said they could do what they wanted through the day, at night or at the weekend. One person said it depended on staff being available. Services users are helped and encouraged to maintain contact with relatives and friends. Nineteen out of 23 relatives said there were always sufficient staff on duty. A main meal is provided in the communal hall at lunch time but service users can have their meal in their cottage. Each cottage has it’s own arrangements for shopping and service users are involved with this. Service users said they were able to choose what they wanted to eat and could make drinks or snacks when they wanted. Temperature recordings of food brought from main hall to the cottages are still not being recorded consistently. A domestic supervisor has been appointed to support one of the business projects. The café building is now taking shape and service users are keeping a keen eye on the workmen. The café will be open to the general public and will be run and staffed by service users. Another project will be to set up a Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 15 retail shop where the cards, pottery, jewellery and other items being made at CARE Ponteland can be sold. CARE nationally has £40,000 to “Make a Dream Come True” as part of their Ruby Anniversary celebrations. Service users have been asked what they most want to do. A panel will review submissions. CARE Ponteland is doing it’s own Make a Dream Come True. A holiday has been donated for 10 people. Staff have offered to support the holiday by working as volunteers on a rota basis. Burnside is carrying out a recycling programme. There are no barriers to people who are physically less able being involved in community, work or educational activities. The new dementia unit has been planned with service users needs at the fore front and will give them freedom to use the house and gardens as they wish. A great deal of research has been undertaken to ensure that the environment being provided is the most appropriate and enabling. Several service users on site have relationships. Staff are also aware and supportive of those who may not be comfortable or understand fully their sexuality. Service users are able to choose who provides their personal care and how this is done. Each of the Cottages has mixed gender carers. Social activities vary between cottages and individual service users. One older gentleman goes out everyday on a 1-1 basis for “coffee and a cake”, he also has very particular routines within the cottage which staff and other service users are well able and willing to accommodate. Service users are helped to follow their religious beliefs and work has recently been done to ensure that, where a service user wishes, they have a death and dying care plan in place. This shows what they want to happen, who they want to be there, and what hymns/music they wish to be played at their funeral. Staff were seen working with service users in a warm, sensitive, and friendly way. One staff member in Cheviot Cottage showed extreme patience with a service user when talking about what they were going to do that afternoon. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records show that appropriate professional and medical assistance is sought to support the physical and emotional health needs of service users. Medication policies, procedures and systems promote the health, safety and welfare of service users. EVIDENCE: A random sample of medications and records were checked in Burnside and Cheviot Cottages. No problems were found. Staff can easily access an up to date medical reference book. Clear policies and procedures are in place and staff have had training to support the dispensing of medication. A new system for storing and dispensing medication is due to start in June 2006. Staff have had training to support this. Each service user will have a secure storage cabinet in their own bedroom for their personal medication. This will promote opportunities for service users to be involved in the management of their medication and to minimise the risk of errors occurring. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 17 A new assessment tool for nutrition is being considered and two service users from each CARE site are on the sub-committee looking at this. Service users can see their GP and a variety of other health care professionals at the local health centre, as well as hospital based staff for more specific needs. Twenty one out of 23 relatives said they were satisfied with the care provided. One said they were more than satisfied. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaint and protection of vulnerable adults procedures (POVA) are confidently used to protect the welfare and wellbeing of service users. EVIDENCE: Clear policies and procedures are in place to help service users and staff make, accept, record and investigate complaints or disclosures. Since August 2005 the manager has shown that she is willing and able to investigate complaints, concerns or disclosures thoroughly and seriously. Staff take time to discuss with service users issues like Data Protection and give copies of policies to service users to look at and then return to talk about. Five out of 23 relatives said they did not know about the complaints procedure. This is detailed in the service user guide and is available in the main office, or each cottage. Nineteen out of 20 service users said they knew who to speak to if they were unhappy or worried about something. One person was able to communicate unhappiness through changes in behaviour and staff had guidance to help them identify such changes. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment within the cottages is homely, comfortable and safe for service users. The cottages are clean and hygienic protecting the health and safety of service users. EVIDENCE: Fifteen out of 20 service users said the home was always fresh and clean. The other five said this was usually the case. Contract cleaners no longer employed on site. Kielder Cottage Major alterations are being carried out to provide an 8 place dementia friendly unit for people with a learning disability. The work should be completed by the Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 20 end of June 2006. There will be 6 single bedrooms and 2 ensuite, wheelchair friendly bedrooms. Attached to the cottage there is also a self-contained flat, with a private front door, for one service user. Burnside Cottage A limited tour of the cottage was carried out. Issues noted were: A water mark to the ceiling in the lounge. The manager was going to see whether this is just a “left over” from previous work or a new leak. Fridge/freezer temperatures are recorded. There is a first aid box was in the kitchen. Food kept in the Freezer in laundry area was dated. The laundry clean and tidy and well organised. Service users help with their laundry as they wish or are able to do so. One service user showed the Inspector their private flat which was beautifully decorated and furnished. Burnside Cottage A limited tour of this cottage was also carried out. Issues noted included: Freezer in laundry – temperatures taken and recorded. Gaps had been identified by cottage manager in the recording of freezer temperatures and had been addressed through a staff meeting. A rota is in place for service users to use the laundry and have support from staff with room cleaning. A computer for service users has been set up in one of the quiet rooms. One service user practices here for college. The computer is also used to produce party invitations, notices etc. It is hoped to expand the use of this in the future. Service users were seen making drinks whilst the inspector carried out the tour of the premises. Contact between service users and staff was good humoured and appropriate. Both Cottages are decorated in a homely way. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full staff team promote the health, welfare and safety of service users. EVIDENCE: The records of four recently employed staff members were seen and found to be complete. All checks had been carried out including evidence of identity, Criminal Records Bureau clearance (CRB) and 2 references. Staff complete the Learning Disability Award Framework (LDAF) NVQ Induction and Foundation course. 50 of staff are now trained to a minimum of NVQ level 2 and some had said that they wished to move onto NVQ level 3. Supervision records in both cottages were seen. These showed that staff were confidently raising issues such as equipment and the quality of food being purchased. These had been listened to, acted upon, and were no longer a problem. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 22 A package of dementia specific training is being put together for the opening of the new unit. Other planned training includes: LDAF NVQ2, 3, 4 and Registered Managers Award Report writing Quality Assurance Fire safety Moving and handling Safe handling of medication Managing through people NAPPI POVA Dementia PCP Loss and bereavement Appraisal Health and safety A partnership has been forged with the Trades Union Congress (TUC) to provide free training for staff and service users to meet the government agenda for adult numeracy and literacy qualifications. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have access to a comprehensive range of policies, procedures and guidance to promote the health, safety and welfare of service users. The five year plan promotes the provision of quality accommodation and care to support service users to live as independently as possible. EVIDENCE: The proposed manager identified to CSCI has now left CARE and the Locality Manager is to submit application to become the registered manager. CRB clearance is needed before she can submit this to CSCI. A monthly report is sent to the Operations Director and covers areas of care and the premises. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 24 Consultation has taken place regarding the format of quality assurance documents and new ones are being produced. These are to be reviewed again in July 2006. Regular maintenance checks carried out and servicing contracts in place. No additional health and safety issues identified. Staff in each cottage have access to policies and procedures which include health and safety, equal opportunities/ethnic minorities, racial harassment, sexuality and relationships, smoking and use of alcohol and substances, values of privacy, dignity, choice, fulfilment, rights and independence, and Whistle blowing. These are part of induction training and are regularly reviewed and amended. Documents are available in large print/makaton symbols. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 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 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 2 X X 3 x Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 26 YES 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. 1. Standard YA17 Regulation 13(4) Requirement Food temperatures must be recorded and available within each cottage. An application must be submitted to CSCI for the post of registered manager. Implementation of a quality assurance system must be progressed. (Previous timescale of 30 March 2005, 1 June 2005 and 30 August, 1 November 2005 partially met.) Timescale for action 11/05/06 2. YA37 8 30/06/06 3. YA39 35 30/11/06 Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 27 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 YA2 YA8 Good Practice Recommendations Promote the increase in outcome based evaluations of care plans. Consider formalising the house meeting arrangements in Cheviot Cottage. Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Care Ponteland DS0000000598.V290499.R01.S.doc Version 5.1 Page 29 - 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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