Inspection on 19/09/06 for Carlton Autistic Care Centre

This inspection was carried out on 19th September 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Carlton Autistic Care Centre 26/09/07

Carlton Autistic Care Centre 05/10/05

Carlton Autistic Care Centre 07/06/05

Carlton Autistic Care Centre 22/03/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Carlton Autistic Care Centre 23 Greenway Milnsbridge Huddersfield HD3 4RZ Lead Inspector Cathy Howarth Key Unannounced Inspection 19th September 2006 10:15 Carlton Autistic Care Centre DS0000044408.V312288.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 Carlton Autistic Care Centre DS0000044408.V312288.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. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carlton Autistic Care Centre Address 23 Greenway Milnsbridge Huddersfield HD3 4RZ 01484 649899 01484 649899 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) Carlton Nursing Homes Ltd Mrs Julie Christine Wignall Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2005 Brief Description of the Service: Carlton Autistic Services is a care home providing personal care and accommodation for up to sixteen younger adults with a learning disability and autistic spectrum disorder. Carlton Autistic Services is a purpose built home that comprises of three separate units. Carlton House provides accommodation for up to eight service users. Opposite Carlton House, separated by a driveway, are two, four place houses, Greenway and Sycamore. All bedrooms are single and have en-suite facilities. Carlton House has a small communal lounge and separate dining room and also has a sensory room. Spacious hallways both on the ground and first floor of Carlton House add to the feeling of space. A passenger lift to the first floor is provided in Carlton House ensuring that any relatives or visitors with mobility difficulties can access the first floor if necessary. Both Sycamore and Greenway have a large kitchen with space for dining, a separate dining room and good-sized lounge. A small laundry room is available in all three houses. Carlton House has its own secure garden, and a shared garden is available to the rear of the two four-bedded homes. A driveway with parking separates the main house from the two four-bedded houses. The home is situated approximately five miles from Huddersfield town centre. There are some local shops within a twominute walk. Milnsbridge and Golcar offer a range of amenities and are within easy reach. There is a bus stop opposite the home. Information about the service and inspection reports are available from the main office. The fees range from £1100 to £2050 dependant on the care package agreed with commissioners. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and was conducted over a 7-hour period. The inspector looked at all areas of the buildings that make up the home, met with service users and staff and also looked at records within the home. Questionnaires were sent to service users, relatives, GPs and social care professionals before this inspection. Six service user, six relatives two GPs and three social care professionals responded. These responses were overwhelmingly positive about the service indeed several relatives took the time to send in accompanying letters in praise of the service. Overall the inspection was positive. The inspector found that the service has been developed since last year and the staff team have become more confident and cohesive in their approach to supporting service users. While there are still improvements to be made the home has established itself as being able to provide a good quality service to people with autism. The inspector would like to thank all the service users and staff for the welcome and assistance on this visit. What the service does well: The processes for admission to the home are service user focused. Service users are well supported to ensure their individual needs and aspirations are met. Service users are well supported to follow their personal goals and lead meaningful lives. Health care support for service users is comprehensive and proactive. The management of medication is good. Service users are protected from harm and service users’ and relatives’ views are listened to. The environment at the home suits the needs of service users. The home is generally clean and hygienic but some improvements are needed. Staff rotas and training is designed to ensure that service users’ needs are met. Quality assurance systems are being developed. Carlton Autistic Care Centre DS0000044408.V312288.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. Carlton Autistic Care Centre DS0000044408.V312288.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 Carlton Autistic Care Centre DS0000044408.V312288.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, 4 5 The processes for admission to the home are service user focused. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: Admissions are not made to Carlton Autistic Services until a full needs assessment has been undertaken. This involves the individual, and their family or representative, where appropriate. Where the assessment has been undertaken through care management arrangements the service insists on receiving a summary of the assessment and a copy of the care plan. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. Prospective individuals are given the opportunity to spend time in the home. One relative commented that they felt “the transition from home to Carlton Care was done sensitively and with understanding.” This was after a fairly lengthy admission process, which was undergone to ensure the service user was assisted to feel comfortable within the surroundings. The service is also providing a respite service to two service users at present on the basis that Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 9 this may help a future transition to full placement. This is a proactive approach which is service user focused. New service users are provided with a Statement of Terms and Conditions/Contract. Carlton Autistic Care Centre DS0000044408.V312288.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 and 9 Service users are well supported to ensure their individual needs and aspirations are met. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The service involves service users in the planning of care that affects their lifestyle and quality of life. The home has an advocacy manager whose role is to consult with service users to establish that they are getting the service they want and that their personal goals are being met. Staff use written agreements with service users as a means of establishing how goals are to be met. Care plans are developed with the input of service users about what is important for them. The service is in the process of implementing a new style care planning document which is very clear and states simply what the service user wants to achieve as well as what is expected of staff in order to achieve Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 11 this. It is easy to understand and considers all areas of the individual’s life including health; specialist treatments, personal and social care needs. Staff have skills and ability to support and encourage service users to be involved in the ongoing development of their plan. There is a key worker system in operation but it seems this is not well developed in terms of care planning but enables staff to establish special relationships and work on a one to one basis with service users. Staff are aware of good practice in autism and their practice promotes individuals to develop skills, including for some service users, independent living skills. Risk assessments take into account the age, specialist needs of people who use the service and their need for independence and choice. Where limitations are in place, the decisions have been made with the service user using a written agreement; for example two service users have agreed to limit their intake of alcohol in order to meet their goals. The home ensures that service users are consulted on a regular basis to gather information about their satisfaction with how they are involved in both the development and review of the plan. This is achieved by the advocacy manager. There are procedures in place to ensure that service users are informed of their rights to confidentiality. Carlton Autistic Care Centre DS0000044408.V312288.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): p12, 13, 14, 15, 16 and 17 Service users are well supported to follow their personal goals and lead meaningful lives. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The service has a strong commitment to enabling service users to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. Service users have the opportunity to develop and maintain important personal and family relationships.. The practice of staff promotes individual rights and choice, but also considers protection of individuals, supporting people to make informed choices. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 13 Service users are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; they have been fully involved in the planning of their lifestyle and quality of life. Education and occupation opportunities are encouraged, supported and promoted. There are a wide variety of opportunities available for service users to enhance their lives. Some service users have part time jobs, are enrolled on college courses or taking lessons, for example in learning a musical instrument. Service users can access and enjoy the opportunities available in their local community, e.g. using public transport, library services, the local pub, and local leisure facilities. The service is committed to the principles of inclusion and promotes, and fosters good relationships with neighbours and other members of the community. Two service users work in a local drop- in café and local shops are frequented by service users who develop their social and independence skills by shopping and meeting local people. Feedback from relatives and social care professionals indicate a high level of satisfaction with this aspect of the service; one relative said: “my son’s quality of life has improved dramatically as has his general health, well being, social interaction, outdoor activities etc.” A social care professional said: “this is an excellent home that goes above and beyond what is asked for.” Where it suits service users, they are supported to have holidays. One service user’s relatives were extremely pleased that their daughter could join them on a family holiday, supported by staff, for the first time in many years. Such flexibility makes it possible for service users to ensure they have valuable opportunities and can maintain their family relationships. Where appropriate service users are involved in the domestic routines of the home, they take responsibility for their own room, menu planning and cooking meals, making sure that they are able to enjoy the food they prefer and like. Some service users have difficulties with food because of their autism, which prevents them from embracing a varied diet. However there was evidence that staff continue to make efforts to widen the opportunities and offer choices as far as possible. It was observed that meal times are organised to suit the specific needs of individuals and several service users are able to make their own food, especially snacks for lunch, for example on service user was observed making his own cheese on toast. High staffing levels, mainly 1:1 make this a realistic option for most service users. Carlton Autistic Care Centre DS0000044408.V312288.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 and 20 Health care support for service users is comprehensive and proactive. The management of medication is good. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: Service user plans detail any specialist health requirements. Where it has been identified as necessary, appropriate referrals have been made for psychological or specialist health support. Feedback from GPs who responded to surveys was positive about the way the service uses primary health care support. Comments from relatives also indicate a high level of satisfaction in the way that staff have supported service users in this respect. One relative took the time to write to the inspector to say how pleased they were that aspects of health care such as settling down bowel habits, periods and supporting the service user to become medication free after many years of difficulties in all these areas, has meant so much to the family. This is clearly an area where the service excels and is to be commended for its efforts. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 15 Staff were observed to offer personal support in a sensitive way and are clear about the expectations of them in offering consistent personal support to this group of service users. Where possible service users are supported and helped to be independent and responsible for their own personal hygiene and personal care. Staff have access to training in health care matters and are encouraged and given time to attend training courses relevant to this client group. The home works to an efficient medication policy supported by procedures and practice guidance. Although all staff receive medication training, ordinarily, only senior staff give out medication. In exceptional circumstances trained staff can give medication out to individuals within their own house but not in the other two houses. For most service users the home operates the Boots monitored dose system. This was found to be working efficiently on the day of this inspection visit. It was pleasing to note that since the last inspection, safe medication cabinets have been installed into the two smaller houses. Carlton Autistic Care Centre DS0000044408.V312288.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 and 23 Service users are protected from harm. Service users’ and relatives’ views are listened to. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: Evidence from surveys indicates that service users, their families and involved social care professionals are confident that the views and concerns raised will be responded to effectively by staff and managers within the service. One relative spoke of incidents where bruising has occurred and that staff dealt with this proactively, informing the family and giving explanations clearly and promptly. This approach clearly inspires confidence that the service is open an honest when mistakes are made. There is a complaints procedure, which is clearly communicated to service users, families and professionals. A copy of this was found on files. There were no complaints recorded on the record, but there were many compliments from relatives and social care professionals. It is a testament to the staff that people take the time to express their gratitude and to say how pleased they are. There are systems in place to prevent abuse of service users. The home has recently had to revise its financial procedures to provide adequate protection to service users’ monies following incidents where a member of staff Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 17 misappropriated money from a service user’s account. Managers acted promptly once this came to light to protect service users by limiting access to monies by staff. These procedures are generally working effectively now, although there are some accounting errors, which were found during this inspection. The monies therefore need careful monitoring to ensure that there is no recurrence of financial abuse. Staff have received training in the protection of vulnerable adults and guidance in using the company’s whistleblowing procedures. Staff who spoke with the inspector were very clear about what they should do if they suspected any abuse of service users. Carlton Autistic Care Centre DS0000044408.V312288.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): 24 and 30 The environment at the home suits the needs of service users. The home is generally clean and hygienic but some improvements are needed. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The accommodation at Carlton Autistic Services is provided in three buildings, two four bed houses and one 8-bed unit. The physical environment that is suited to the specific needs of the service users who live there. The décor is kept fairly bland because of the need to keep the environment free from too much stimulation, as this can be detrimental to people with autism. In Carlton House, the carpets in the main areas are all in need of replacement as they are very badly stained, but generally speaking the environment in all buildings is well maintained, thanks to a handyman who works permanently at the home. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 19 Service users are encouraged to personalise their bedrooms. Some service users have bought large beds and all can choose their preferred colour of paint. All rooms are ensuite. As well as lounge area there are activity areas in Carlton House, such as a sensory room and an art activity room. Outside there are gardens; at Carlton House there is an enclosed safe area for service users to use, where there is a rabbit belonging to one service user. There is also a seating area, which would be pleasant, but a manager’s motorbike was parked there obstructing access to the seats. This must be moved to ensure the area can be used by service users. The home is well lit, clean and tidy and smells fresh. The management has a good infection control policy; they seek advice from external specialists, e.g. infection control nurse has visited, and encourage staff to work to the homes’ policy, through providing training. It was noted however that the lid for the clinical waste bin in the large bathroom in Carlton House was missing. This needs to be replaced. Carlton Autistic Care Centre DS0000044408.V312288.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): 32, 34, 35 and 36 Staff rotas and training is designed to ensure that service users’ needs are met. Staff recruitment procedures and support needs to be improved. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: Service users have confidence in the staff that care for them several commented that they like the staff that work with them and the inspector observed good relationships between service users and staff. Relatives who made comments were particularly positive about the staff. One relative said: “I have nothing but admiration and respect for the staff” another said “ I can not overstate the admiration I feel toward the staff” Staffing levels are good, generally there is one to one staffing for service users throughout the day. At night there is one member of staff in each building. This intensive staffing level enables service users to follow their aspirations and receive the support to take risks to achieve their goals. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 21 There is a training co-ordinator for the home that oversees training and organises and keeps records for all staff. Staff members undertake external qualifications beyond the basic requirements. Managers encourage and enable this and recognise the benefits of a skilled, trained workforce. Staff are registered for NVQ2 training in addition to basic training and specialist training in relation to this service user group. As yet the home has not, however, reached the 50 target for qualified staff. The service uses external providers to deliver relevant training if they have not got the appropriate skills within the organisation. The service has a recruitment procedure that clearly defines the process to be followed. Unfortunately on this visit it was noted that there were shortfalls in the way the procedure has been used on several occasions. Managers need to be clear that robust procedures are an important means of protecting service users and shortcuts should not be taken with it. Some of the shortfalls included inadequate work histories, inadequate references and no checking of certificates to verify qualifications. Improvements need to be made in this area to protect the welfare of service users. Staff meetings take place but not as frequently as some staff would like apparently and usually in response to an event rather than as a planning tool. Supervision of staff is about six monthly. It is recommended that staff support mechanisms be improved. Carlton Autistic Care Centre DS0000044408.V312288.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): 37, 39 and 42 The manager is well qualified to manage the home. Quality assurance systems are being developed. Health and Safety systems are generally good but fire safety must be improved. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The manager is well qualified to run the home being a qualified learning disability nurse. There is a strong ethos of being open and transparent in all areas of running of the home, which was confirmed by a relative who said they were pleased that they were contacted if mistakes were made and appreciated the staff’s openness. Staff at the home expressed confidence in the management team and there was evidence of the team working effectively in the best interests of service users. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 23 The advocacy manager’s role is to ascertain the views of service users and to conduct quality assurance surveys with service users, relatives and social care professionals. The home works to a clear health and safety policy and the home has policies and procedures in place to meet health and safety requirements. Records are generally of a good standard and are routinely completed. Service users are aware of safety arrangements, such as fire drills. On touring the building it was noticed that several fire doors were wedged open. If this is for the benefit of service users, then consideration should be given to using a magnetic hold open device so that the fire safety arrangements are not compromised, or reliant on human intervention to ensure they are restored to standard at key risk times such as night time. Also several fire doors were not closing properly, these must be adjusted to make sure they are effective as fire doors. The home has access to professional business and financial advice and has all the necessary insurance cover in place to enable it to fulfil any loss or legal liabilities. Carlton Autistic Care Centre DS0000044408.V312288.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 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 2 33 X 34 1 35 3 36 2 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 1 X Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2. 3. Standard YA30 YA34 YA42 Regulation 13 (3) 19(1) 23(4) Requirement The clinical waste bin must have a lid. Recruitment procedures must be tightened up to protect service users. Fire safety precautions must be reviewed and action taken to ensure the safety of service users . Timescale for action 25/09/06 30/09/06 31/10/06 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. 2. 3. Refer to Standard YA23 YA24 YA32 YA36 Good Practice Recommendations The monitoring of finances needs to be tighter. The motorbike obstructing the seating area in the garden of Carlton House should be removed. 50 of staff should have NVQ2 or equivalent qualifications. Staff should have supervision a minimum of six times per year. Carlton Autistic Care Centre DS0000044408.V312288.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Carlton Autistic Care Centre DS0000044408.V312288.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. 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