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Inspection on 07/06/06 for Self Unlimited - South Coast

Also see our care home review for Self Unlimited - South Coast for more information

This inspection was carried out on 7th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

CARE (Walberton) continues to value resident`s individual and collective needs in a warm, homely and friendly environment. Residents are encouraged to own it as their own home and live their lives in it to the fullest extent. Care plans showed that every aspect of their care needs is identified with staff having good information on how to meet those needs. A high standard of staff recruitment and training ensures residents are supported to seek out new opportunities and develop their independence. There was a clear plan for developing the work of CARE to meet resident`s needs as they become older. Outcomes for residents are good with staff committed to individuality and treating residents with respect and dignity.

What has improved since the last inspection?

Since the last inspection new staff have been recruited and CARE (Walberton) have worked hard to ensure new staff are fully inducted and work according to the values of the organisation. Draft plans have been identified to meet the older person`s needs and a Family Forum has been formed to consider improvements to current provision and identify future needs. This involves a dedicated unit for people with dementia as well as identifying where physical needs require specialist equipment and care. The pharmacy service has agreed to carry out an inspection and pharmacy training has been obtained and provided to all staff.

What the care home could do better:

There were few aspects of care that could be improved as CARE (Walberton) are committed to provide a home where residents are supported to take identified risks. However, where residents are transferred to another area, even on the same site, a full review, including a risk assessment of the new environment must be carried out. It was noted that one less member of staff is employed at weekends. The inspectors recommended that the staffing levels at weekends are re-considered taking account the range of activities and ages of the current residents.

CARE HOME ADULTS 18-65 CARE (Walberton) Freeman Close, Eastergate Lane Walberton Nr.Arundel West Sussex BN18 0AE Lead Inspector Mrs H Church Unannounced Inspection 7th June 2006 09:30 CARE (Walberton) DS0000014424.V299110.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 (Walberton) DS0000014424.V299110.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 (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service CARE (Walberton) Address Freeman Close, Eastergate Lane Walberton Nr.Arundel West Sussex BN18 0AE 01243 542714 01243 544796 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) Mrs Sarah Shallis Care Home 32 Category(ies) of Learning disability (32), Learning disability over registration, with number 65 years of age (32) of places CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only persons in the category LD (Learning disability) under 65 years may be admitted. 28th November 2005 Date of last inspection Brief Description of the Service: CARE Walberton is a care home registered to accommodate up to thirty-two service users in the category of adults with learning disabilities. The service is made up of two residential cottages, a separate day service and administration block located on the outskirts of Walberton West Sussex. Accommodation is provided in twenty-nine single rooms and three flat-lets. Facilities in each cottage include, a large lounge/dining room, kitchen, and a number of sitting rooms. There is a small covered swimming pool to the rear of one of the cottages. Orchards and gardens form the rest of the estate. The service is voluntary owned by Cottage and Rural Enterprises Limited (CARE) and the registered manager is Mrs Sarah Shallis. The Responsible Individual is Mr Michael Keighley. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors planned for this site visit, revisiting previous reports, letters, Regulation 26 reports and any accident or incident forms received since the previous inspection. The home’s documents had been reviewed to inform residents about the service and how to be involved in making changes. The manager was present and assisted the inspectors with the site visit. A number of residents were in the main workshop block during the inspection but there were also a number of residents in the two cottages, Melrose and Russett. It was clear from the comments, manner and demeanour of the residents that they felt part of a large family; doing the work they enjoyed, fulfilling their lives and socialising both inside and outside the home. All of the residents were happy and relaxed in whatever activity they were undertaking. During the inspection, four records and six residents were seen during the inspectors’ tour of the separate cottages, four staff were interviewed and three visitors gave their impressions about the care provided. Most of the residents were able to give a clear account of their lives at CARE (Walberton) but all were enthusiastic. It was clear that residents are encouraged to say what they like or don’t like about the home. There were no requirements made at this inspection. What the service does well: CARE (Walberton) continues to value resident’s individual and collective needs in a warm, homely and friendly environment. Residents are encouraged to own it as their own home and live their lives in it to the fullest extent. Care plans showed that every aspect of their care needs is identified with staff having good information on how to meet those needs. A high standard of staff recruitment and training ensures residents are supported to seek out new opportunities and develop their independence. There was a clear plan for developing the work of CARE to meet resident’s needs as they become older. Outcomes for residents are good with staff committed to individuality and treating residents with respect and dignity. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Trial visits are provided according to the individual and collective needs of the residents. Care plans are well documented and residents are provided with full information of care and services. Contracts are provided. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four residents, one transferred from Russett Cottage to Melrose Cottage and three existing residents in Russett Cottage were case-tracked. Prior to admission, residents are assessed individually for trial visits according to needs. Pre-admission care assessments are reviewed and include a diagnosis, identified needs and aspirations. Care plans were well maintained and included risk assessments, personal goals, health care needs and care planning activity. There was no evidence to show that one resident transferred from one cottage to another had been adequately reviewed to take into account his new needs and the environment. All residents, their representatives and where professionals are involved have signed their agreement to the care plans. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 9 The Statement of Purpose and Service Users Guide and Contracts are re-issued when needed to ensure residents are aware of the responsibilities for all parties. The home’s documents were seen in a pictorial format to ensure all residents are fully informed. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Residents are consulted and involved in decisions involving their individual and collective care and supported to take reasonable risks in both the care home and work placement. Independent living is available and residents have full choice about their work, home and social activities. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four care plans and assessments were examined and were seen to include the health, care and social needs of the resident. Nutritional assessments formed part of the care plans where this had been assessed as a need. There was no evidence to show that one resident had been adequately reviewed to take into account his transfer to the other cottage and did not contain up-to-date information from the daily records. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 11 The residents were enthusiastic about the accommodation and said that the staff help them when necessary. There are residents meeting for people to discuss any issues and both the people spoken with said that staff listen and take their views into account. The staff were clear about the needs of individual service users and observed to be communicating effectively with service users. Residents are encouraged to take responsible risks. One resident requires specialist equipment and this had been provided. The risk assessments for window restrictors were not included on all care plans and manager agreed to rectify this. Radiator covers are still absent in some area but the manager informed the inspectors that this would be completed before the heating is required for the colder weather. Formal residents meetings are held monthly and cottage meetings held separately, led by an advocate although recently a senior staff member represents the care staff to ensure information is successfully transferred across all areas. Family Forum meetings are held quarterly to take forwarded residents ideas for improvements or ideas to support the general work of CARE. Four residents gave very positive comments about the care provided with comments being “it’s good here” and “they listen to you”. Links are made between residents needs and aspirations and goals to determine the care provided. Care plans reflect the needs of residents and the risks to their health, safety and welfare, including accidents. Records are completed and care plans include all information. Generally, care plans were up to date and reviewed regularly. In one cottage, the inspector spoke to two members of staff about the care provided and both members of staff were well informed about the care needed for the three residents case tracked. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 All residents have opportunities for personal development and to take part in activities in the community. Personal activities and relationships are respected and forming new relationships encouraged accordingly. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Key workers provide one-to-one individual time with residents but at weekends when residents are free to enjoy a variety of outside activities, an extra member of staff would ensure residents can enjoy supported outside activities as well as those in the cottage. There was a range of activities offered during the week and transport available for outings. Personal family contacts are encouraged. The planned Family Day for 21 June is evidence of this. Six residents had gone out on a bowling trip and a weekly music club was in full flow in one cottage. Participants said how much they enjoyed this. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 13 Residents are encouraged to participate in all aspects of life at CARE Walberton from the day care workshops to local colleges for formal training courses. Both service users in Melrose said they were satisfied with the activities they take part in. College courses, Day centres and employment opportunities are readily available to residents and a number of residents are involved in these. A seven-day holiday continues to be provided according to the individual wishes of residents and two residents spoke of their plans for these. Formal residents meetings are held monthly with cottage meetings held separately. The residents are encouraged to attend so their views on how the cottage is run can be included. Residents gave very positive comments about the care provided with one comment being “I’m retired so I can help if I want to.” In the cottages, residents agree and shop for the menu. Residents are encouraged to learn about different foods with emphasis placed on healthy eating. When residents occupy one of the flats, they choose their own menu and shop and cook the meals being reimbursed for the cost of the food. Meal times are arranged to suit resident’s collective and individual needs but lunch is provided in the main day centre with residents preparing, cooking and serving this under supervision. Alternatives to suit a variety of diets were seen and where residents were out, plated meals were being cooled to store for consumption later. The nutritional assessments recorded in the care plans were known to the catering staff and these were accommodated in the catering. The menus showed there is a good choice of basic food items with a number of homemade dishes and cakes provided and the inspector observed fresh fruit is available at different areas around the establishment. Both service users in Melrose said that they enjoy the food. One person is supported to cook for himself. The other person spoken with said he could choose what he likes to eat but he does not help with cooking. Four residents gave their views on the food provided and this included “good”, “smashing” and “I like it”. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Residents receive personal care and or supervision and are supported to manage their own medication. The system for recording, storing, handling and disposal of drugs met the Medicines Act 1968, guidelines from the Royal Pharmaceutical Society and the requirements of the Misuse of Drugs 1971. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four care plans and assessments were seen to include the health, care needs of the resident. Assessments identify all aspects of the person’s health, including nutritional needs, and with the health check result from the practice nurse, the resulting document will assist other healthcare professionals and the person themselves to understand and protect their health. Dementia care is to be provided separately as a specialist unit. The home’s medication procedures ensure safe practice with the handling, administration, storage and disposal of medicines. Staff have been trained and assessed as competent to undertake the procedure. Arrangements have been made for a pharmacy inspection. MAR charts were accurate and selfCARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 15 administration monitored and reviewed. The policies and procedures regarding medication protect the health and welfare of service users. Links are made between residents needs and care plans reflect the needs of residents and the risks to their health, safety and welfare, including accidents. Two Accident Records were examined and the information included in the care plan. The inspector spoke to two members of staff about the health care provided and staff were well informed about the health care needs of the resident’s case tracked. One resident required specialist equipment and this had been provided. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Residents are protected from abuse; self harm or neglect and involved in all discussions on all aspects of their daily lives. A complaints procedure is displayed and available in the Statement of Purpose and Service Users Guide. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The complaints procedure is included in the Statement of Purpose and Service Users Guide and in the cottages in a format suitable for this client group. The complaints log was examined and two complaints had been recorded, a full investigation made within the time limits, action taken and the complainant informed of the results. The home’s manager said that people have been given a copy of the complaints policy and that it has been explained to them. Financial procedures were examined and sampled. Records were well managed with residents having good access to their personal records. The inspector observed safe storage of money and valuables and consultations on resident’s finances remained confidential with the persons concerned. Residents meet regularly to discuss their views about the way the home is run and issues of concern in a group. Their views are recorded. Any areas of CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 17 dissatisfaction are noted and action taken. Two service users said that staff would listen and take action if they had a concern or complaint. No relative was visiting at the time of the inspection but two residents told the inspector if there was anything they were unhappy with anything, they would tell the staff or manager. Three visitors were aware that any concerns they had would be discussed and action taken if needed. Two members of staff confirmed that in-house training for Adult Protection Training had been given recently. The West Sussex Multi Agency Guideline was present in the office. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The communal areas and resident’s bedrooms generally met these standards with specialist equipment present in areas where staff are required to assist with resident’s physical needs. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The communal rooms in the cottages were of a suitable size and arranged to allow residents to participate in activities. Both lounges included a television and all areas were seen to be clean and hygienic. The smaller lounges are used for group activities and were well fitted out with appropriate furniture. The kitchen and laundry facilities are suitable for the number of people who live in the cottage. There are handrails on the stairs and corridors; but in Melrose, the manager said that none of the service users currently have any difficulty using the stairs. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 19 All accommodation is in single rooms with 29 single rooms and three single bed-sitting rooms for residents who are more independent. Resident’s rooms were of a good size and decorated in individual styles with personal items arranged according to their wishes. Residents were able to display items and all rooms were lockable. Two residents said they were very happy with their rooms and have the support of staff if needed to keep their space clean and tidy. Window restrictors are not required for this client group but for residents with dementia care needs, this is required. Where residents occupy these rooms, a risk assessment had been reviewed. Radiator covers to protect residents from scalds and burns have been provided in most rooms and an Action Plan has been agreed for all radiators to be covered, including those in communal rooms, before the heating is required for the colder weather. Toilets and bathroom facilities are arranged to meet individual needs with specialist equipment to assist residents with mobility needs. One resident’s room has a special door giving access for emergencies. All areas are well maintained with a programme of redecoration and refurbishment in place. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Staff are recruited according to robust recruitment procedures and receive training and supervision. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The numbers of employed care staff are large and therefore a recruitment drive is held regularly. A core of staff have been employed at CARE Walberton for a number of years with all staff having Criminal Records Bureau clearance and Protection of Vulnerable Adults checks carried out prior to their employment. The inspectors examined these documents. Staff are provided with job descriptions to ensure they understand their roles in the home. Two staff records were seen examined and showed that the recruitment process is thorough. Three references, an Application Form, Interview Format and staff contract were completed even for internal promotions. The induction programme includes mandatory health and safety training. Staff confirmed that training opportunities are very good. A new training manager CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 21 identifies specialist courses, including dementia care and coordinates ongoing and updating training needs of all staff. All staff are expected to undertake National Vocational Qualifications and the home exceeds this standard. Two members of staff told the inspector they are committed to achieving National Vocational Qualifications. During the inspection process, it was noted that at weekends, the absence of the third duty person, identified as needed during the week, could mean that residents activities could not be sufficiently diverse without causing a shortage for residents remaining in the cottage, even if some residents went away. Supervision is being provided as required and two staff confirmed this. Agency staff are only used when bank staff are unable to provide extra duties. Staff spoken with said that the system of supervision is good and that they feel well supported in their work. The staff on duty showed a clear understanding of their role in the home and were well informed about the residents needs. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The management style benefits and protects residents whose views are respected whilst acknowledging their rights as citizens. A new business plan was made available. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The care plans include health, safety and welfare needs to be met. The records demonstrated staff are appropriately trained to identify and meet residents needs. The registered manager is well qualified, experienced and competent to manage the home and meet its stated purpose, aims and objectives. A strong commitment was observed to obtaining essential documents to ensure the standard of record keeping is maintained and seeking advice, information and feedback on improvements planned. Newly appointed staff are provided with training and policies regarding health and safety issues. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 23 A Quality Monitoring Assurance System is in place for residents and the Family Forum is discussing implementing a questionnaire for representatives and visitors to the home. Financial procedures for residents are robust with accurate records kept of all transactions. Not all policies and procedures were examined but some showed that updates in Regulations had been noted. Outcomes for residents are good with good record keeping and staff training in mandatory and specific courses being provided. Overall, the health, safety and welfare of the residents is well met with staff being provided with basic knowledge and know, support and understand the main aims and values of the home. CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 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 3 28 3 29 3 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 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 3 3 3 3 3 3 3 3 CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations CARE (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 (Walberton) DS0000014424.V299110.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!