Inspection on 07/03/06 for Caroline House

This inspection was carried out on 7th March 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.

Other inspections for this house

Caroline House 16/10/08

Caroline House 20/03/07

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Caroline House 191 London Road Horndean Waterlooville Hampshire PO8 0HJ Lead Inspector Mr Rodney Martin Unannounced Inspection 7th March 2006 09:30 Caroline House DS0000064919.V284733.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 Caroline House DS0000064919.V284733.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. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Caroline House Address 191 London Road Horndean Waterlooville Hampshire PO8 0HJ 02392 592502 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) Dolphin Homes Limited Ann Mary Phillips Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection None Brief Description of the Service: Caroline House is a detached property situated set back from the London Road in Horndean. A section of the road is fronted by hedgerows shielding the residential properties from traffic using the main road. Caroline House is undistinguished as a care home from other houses in the road. The home is owned and run by Dolphin Homes Limited and provides accommodation for up to six adults with a learning disability and or physical disability. The service was first registered on 10 August 2005. Dolphin Homes has currently another two homes in the Portsmouth area. The mission statement of the home is “to provide a service based on the ultimate rights and needs of our service users. To maintain an environment that is conducive to developing his/her needs towards greater independence and reducing or eliminating his/her presenting challenges. Enabling them to enjoy a decent life as normal and as full as thy wish”. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the service, following registration in August 2005. On the day of the inspection the home was accommodating four female service users whose ages ranged from nineteen to twenty-one years old. The unannounced inspection took place between 9.35am and 1.40pm and during the visit Ann Phillips, registered manager, was available. The two staff members on duty plus the administrator were also spoken to. A tour of the building was completed. There was only one service user in the home as the other three service users were out at college. There was a relaxed atmosphere in the home and a good rapport was observed between the support worker and the service user. Care, medication, fire and staffing records were inspected. These were relevant and up to date. All the standards, bar one [standard 10] were inspected on this occasion, which includes all the key standards. What the service does well: What has improved since the last inspection? This is the first inspection of this service. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 6 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. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 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 Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 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 and 5 The home’s admission procedure ensures that prospective service users have opportunities to visit the home. Service users assessed needs and aspirations are met within Caroline House and are supported to maximise their potential. EVIDENCE: Caroline House opened as a registered care home for six service users, in August 2005 and to date has admitted four residents. Each prospective service user was involved in a comprehensive introductory process before a final decision to admit was made. This was confirmed as one service user took three to four months before deciding Caroline House was the right placement for them. The placement is reviewed after twenty-eight days and again after three months. Caroline House has a robust and lengthy introductory process and so does not take emergency placements. Referrals come via Havant Adult Services [previously known as Social Services] with the care manager approaching the home to find out if there is a vacancy. Following receipt of the referral assessment the manager then visits the prospective service user, wherever they are residing. If the prospective service user is appropriate for the home they will then make subsequent visits to Caroline House, including having meals and meeting the other residents. Each potential placement is taken at the pace and the needs of the prospective service user. Caroline House currently has two vacancies. The manager Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 9 reported that she has met a prospective service user but they have not visited Caroline House yet. The service philosophy of the home subscribes to the United Nations Declaration of Rights for Disabled People [1975] in that “disabled people have the inherent right to respect for human dignity. Whatever their origin, nature and seriousness of their handicaps and disabilities they have the same fundamental right as their fellow citizens of the same age, which implies first and foremost the right to enjoy a decent life as normal and as full as possible”. One parent had completed a questionnaire in January 2006 and writing the words of their daughter said, “I like living here, any problems I will ‘phone my dad. I like all the staff they are great”. In discussion with the manager as well as evidence of the service users’ files, the assessed needs of the four service users are met in Caroline House. The home has a statement of purpose and service users guide, which is available to each service user. Each service user has an individual written contract with Hampshire County Council and a terms and conditions of residency from Dolphin Homes, which were signed and available on the day of the inspection. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 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 and 9 There is a clear care planning system in place with evidence of consultation with service users about decision making, which ensures that their needs are met. EVIDENCE: Each service user has a comprehensive file, which includes important relevant information; the service users plan detailing the resident’s general abilities with complete details of the care required. The care plan detailed under headings the various aspects of activities of daily living as well as different risk assessments and in one file, seen, a specific care plan in relation to epilepsy and seizures. The file also contained copies of the reviews, an incident relating to the individual service user that required notification to the Commission [Regulation 37], a daily diary [which were up to date], the complaints’ procedure and a list of personal items brought into the home. The files were easy to read and gave a good pen picture of the individual service user. The home has completed a PCP [person centred planning] file on one service user and is going to extend this to the other three service users. The file sheets were laminated and included pictures, photographs and symbols giving a good picture of the individual’s needs and preferences. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 11 Staff are actively encouraged to help service users make decisions in promoting independence. Individual choices are documented in the service user’s care plan and in the service user’s daily diary. Service users are able, with support, to voice their choice of meals at the weekly meeting. They are also involved in their reviews. A separate activities’ plan for each service user was available, indicating that service users participate in an extensive list of activities. Risk assessments and manual handling assessments are carried out as part of the referral procedure and are updated, as appropriate. Records are kept in the office. The home has a policy on confidentiality. Service users can have access to their records. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 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 and 17 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Day services/activities and the resident’s social life is part of the care plan. Each resident has a timetable of activities, with a full programme for each one. Three service users attend Southdowns and Chichester Colleges for courses in music, art, communication, independent living, I.T. English, mathematics et cetera, three and four days a week. One service user has one-to-one structured activities as well as attending Locksheath day services for swimming and use of the Snozelen area [sensory equipment to help people relax]. Each service user has an individual risk assessment, including outings, swimming, in the garden, medication and eating and drinking. Residents enjoy a variety of outdoors and community activities during the week that are varied, interesting and appropriate for the needs of the individual service user, including horse riding, visit to a farm and eating out. Caroline House has a mini-bus to transport service users to their various activities and courses. The four service users enjoy attending a Gospel Church in Portsmouth on Sunday, where they Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 13 meet a lot of young adults of similar age to themselves. Service users also enjoy attending the Gateway youth club. The manager reported that there is good family contact with all four-service users, who are local to the Portsmouth area. Two service users regularly go home at weekends. All the service users can express a view about meals and staff sit down with them on Sunday and plan the forthcoming week’s menu. The home shops online for the bulk of their food requirements but service users are able to shop for personal toiletries, accompanied by staff. Service users enjoy eating out and the home is able to facilitate this for them. One service user is due a birthday later on in the month. They want to go bowling with friends and have a meal out. Service users can choose what they want to do for their birthday. One service user requires liquidised food, as they have swallowing difficulties. A dietician is involved. It was confirmed that portions are separately liquidised, although some food is avoided, for example pizza, which does not lend itself to being liquidised. The manager reported that she takes a liquidiser out with her when they go out for a meal, in case the restaurant does not have one, so that this resident is not disadvantaged. The manager reported that all the service users have a healthy appetite and enjoy their food. The home is complying with the new food hygiene legislation that came into force on 1 January 2006. Caroline House has a documented food safety management system. The environmental health officer visited the home on 14 July 2005 as part of the home’s registration process and met the conditions of the Food Safety Act 1990. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 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 and 21 The residents’ physical and emotional health needs are being met, with evidence of good support from health care professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. Although service users’ wishes concerning terminal care and arrangements after death had been discussed, this requires further development. EVIDENCE: All service users are on some form of medication. The home operates a monitored dosage system from a local pharmacist. The pharmacist inspected the home’s drug and medication system on 25 January 2006. The report stated that there were no problems with three suggestions for improvement, which had been implemented. The individual cassettes were found to be correct. Some medication is kept in a separate container, for each service user. The drugs’ cabinet was found to be clean and tidy. The manager has a meeting with the service users’ GP to review their medication, every six months. There was evidence of visits to health professionals, in the residents’ files. The manager and the two senior support workers have attended a safe handling of medicines course, through Basingstoke College. There are risk assessments on file for each service user, including for one service user who has epilepsy and is prone to seizures. Two service users are Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 15 registered with a surgery in Horndean and the other two, were able to keep their own GP in Waterlooville. The manager reported that the GP’s are very supportive. One service user has a fear of surgeries and the GP will visit them in Caroline House. Health professionals, such as community nurses from the adult learning disability team, physiotherapists, dietician are involved with residents as appropriate. The home has a policy on death and dying, including what to do in the event of the death of the resident. However, although the service users’ wishes concerning terminal care and death has been discussed with their next of kin, this was not recorded on the care plan. It was agreed, with the manager, that the home would be proactive in obtaining this information. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 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 The home has a satisfactory complaints procedure and an adult protection procedure, to safeguard residents from abuse. However, staff would benefit from adult protection training. EVIDENCE: The home has a complaints book. There have been no complaints recorded or referred to the Commission. From a discussion it was agreed that the manager would make up a ring binder to include both complaints and compliments and would make up a complaint log on the computer. Caroline House has a full complaints procedure and a copy is given to all residents. A summary of the complaints procedure is also within the service user guide. Caroline House has an adult protection policy. It was noted that staff have not received training in preventing and dealing with suspected abuse. The manager reported that the responsible individual is in the process of arranging adult protection training. The manager also agreed to contact PACT [Partnership in care training, an organisation which is in partnership with Hampshire County Council, Hampshire Care Association and Hampshire Domiciliary Care Association providing social care training for care providers in Hampshire], who runs a course on adult protection. There have been no incidents of abuse recorded in the home. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 17 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, 25, 26, 27, 28, 29 and 30 A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment. EVIDENCE: A tour of the building was completed. Caroline House is double-glazed throughout and has enclosed rear garden. Caroline House was previously a family home that has been adapted. The basic layout of the home has not changed apart from an adjoining garage converted into a bedroom and en suite facilities provided in the bedrooms. There is a feeling of spaciousness within the home. Caroline House is light, bright and there is a pleasant atmosphere within the home. The home has a lounge with an attractive conservatory and an open plan large kitchen, which includes dining space. The kitchen/dining room is light and bright with two double glazed doors and overlooks the garden. There is a bathroom with toilet and separate shower on the first floor. Caroline House provides sufficient communal space for up to six service users. The home has various hi-fi, television and video equipment. Each resident has a single bedroom, which are different. All six bedrooms are provided with en suite toilets. On the ground floor, one bedroom has a separate ground level shower. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 18 In another bedroom the service user has a shower trolley and the other bedroom has an en suite bath. Upstairs, one bedroom has a large Jacuzzi bath. The other two bedrooms do not have bathing facilities. The two residents will share a bathroom, which has a separate enclosed shower and separate bath, wash hand basin and toilet. One bedroom has an overhead hoist and in another bedroom there is a large ground hoist. All radiators are covered. Residents have personalised their rooms with their own possessions and electrical equipment. The manager reported that residents choose the colour of their bedroom. Caroline House currently has two vacant bedrooms. The office is situated upstairs, in what was previously a bedroom and contains the staff sleep-in bed. There are separate staff facilities within the home. The laundry room is situated away from the kitchen and food preparation. Caroline House has an industrial washing machine, with sluice action and an industrial tumble dryer. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and residents’ health and safety is promoted. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 19 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): 31, 32, 33, 34, 35 and 36 Residents are well supported by a sufficient, well-trained and consistent supervised staff team, who offer continuity of care. EVIDENCE: Caroline House employs six-day staff and two night staff members; included in the eight support workers are two shift leaders. One support worker was recruited from another Dolphin Home and the rest came via the home advertising for staff. The home advertises in ‘the News’ and following an inquiry sends out an application form. An interview date is then arranged. A prospective support worker is selected not necessarily for their previous experience in residential care [although previous experience with learning disability is preferred] but consideration is given to the applicant’s general manner, caring nature et cetera and that they have an understanding of the client group and possess the necessary attitudes and aptitudes for their role within the home. The inspector was able to view staff files. These contained a photograph of the staff member, the application form, which included a signed declaration under the Rehabilitation of Offenders Act, proof of identity, Criminal Records Bureau checks [CRB] and Protection of Vulnerable Adults [PoVA] checks. There was also a signed statement regarding confidentiality and whistle blowing. The rota indicated that three support workers are on shift from 7am to 7pm and two from 7pm to 7am. The manager works Monday to Friday, from 9am Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 20 to 5pm, and is generally supernumerary unless there is a necessity for a last minute adjustment to the rota. All staff have had a comprehensive induction training programme. The home uses a programme of induction from a training company. Staff members complete an individual workbook that is then sent to the firm for marking and a certificate is then sent. All staff have completed the five foundation units which includes food and health and safety legislation. The manager has a training log for each staff member. Staff receive core training in fire safety, health and safety, administration of medicines, manual handling, infection control, food hygiene, risk assessment and diet and nutrition. One support worker has obtained NVQ level 2 [national vocational qualification] and has commenced NVQ level 3. All the staff are currently on NVQ courses and this is to be commended. One parent had completed a questionnaire in January 2006 and writing the words of their daughter said, “I like all the staff they are great”. Staff receive one-to-one supervision, every six to eight weeks. The inspector discussed various forms of supervision to include one-to-one, work practice issues dealt with in-group supervision or supervision covering all aspects of the staff member’s practice. There was evidence that staff had received regular supervision. The manager reported that she is going to delegate supervision of the support workers to the two senior shift leaders. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 21 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, 38, 39, 40, 41, 42 and 43 Caroline House is a well run home by a qualified and experienced manager, who provides effective leadership. Service users rights and interests are safeguarded and protected by the home’s policies and procedures and health and safety measures. EVIDENCE: Ann Phillips is the registered manager, who was appointed to her post on 16 May 2005, prior to the registration of the home in August 2005. She has worked in care since 1995 and having obtained NVQ level 2 and 3 is currently on the registered managers award for NVQ level 4 in both management and care. The service in Caroline House is based on the five service accomplishments of O’Brien of competence, respect/status, choice, community presence and community participation. There was evidence that the home is striving to fulfil these accomplishments in Caroline House. Relevant records were satisfactorily maintained. The fire logbook was inspected and fire safety equipment had been tested and serviced regularly, Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 22 where appropriate. A fire officer from Hampshire Fire & Rescue Service had visited the home, as part of the registration process, on 1 July 2005 and the fire safety arrangements were found suitable. Staff have received fire instruction and there was evidence of this in the fire logbook, as well as two fire drills taking place on 26 August and 9 November 2005. The home has a current fire risk assessment, which was reviewed in December 2005. The health, safety and welfare of residents is promoted and protected by the manager ensuring that Caroline House is a safe environment to work in, by staff having received current training in first aid, manual handling, infection control, fire safety et cetera. Relevant assessments have been carried out. The responsible individual completed a quality assurance audit on 9 January 2006. One parent had completed a questionnaire in January 2006 and writing the words of their daughter said, “I like living here, any problems I will ‘phone my dad. I like all the staff they are great”. There are regular monthlyunannounced visits by a representative of the organisation to report on the conduct of the home [Regulation 26 visits]. The manager is not agent or appointee for any service user. Service users and/or their relative/representative manage their finances. The home does however hold cash for each service user for incidentals, toiletries, hairdressing et cetera. The records were available and were satisfactorily kept. There is a business and financial plan and the home’s accountant audits the accounts each year. The home is financially viable and there is sufficient insurance in place. There is a current certificate of employers liability insurance, which is due for renewal on 5 February 2007. Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 23 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 4 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 4 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 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? NA 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 Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Caroline House DS0000064919.V284733.R01.S.doc Version 5.1 Page 26 - 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!