Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 18/07/05 for Chantry Gardens

Also see our care home review for Chantry Gardens for more information

This inspection was carried out on 18th July 2005.

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

The home provides a safe, warm, welcoming and homely environment, which is maintained to a good standard being kept clean, tidy and comfortable. The home is suitably furnished and attractively decorated providing sufficient, light heating and ventilation. Service users are provided with their individual bedrooms, which they have personalised to reflect their own interests. The health, safety and welfare of the service users and staff are promoted and protected. Service users have valued daytime occupation and are provided with opportunities to take part in appropriate leisure activities within the community. Service users are actively encouraged and supported to maintain contact with their families. Service users` rights are respected and they receive a varied and satisfactory diet, which takes into account their preferences. Service users are supported to ensure physical and emotional and health care needs are suitably met. Information is provided to service users on how to complain, should they wish to do so and systems are in place to ensure service users are regularly consulted whereby any issues can be addressed at an early stage. Appropriate procedures are in place to protect the service users from abuse. Service users benefit from living in a home, which is run and managed by a manager who is suitably experienced and qualified. Service users are supported by a dedicated, competent and experienced staff team. Despite the shortfalls of formal supervision being offered to staff, they have felt well supported by the manager. The staff team undertake a multi purpose role, providing all aspects of care for the service users. The staff were observed undertaking their duties in a warm, caring, attentive and respectful manner and service users appeared relaxed and at ease in the company of staff and within their environment.

What has improved since the last inspection?

Since the last inspection some improvements have been made to the service users` living environment. The number of staffing hours to the home has been increased and morale appears to be improving with the recruitment of more permanent staff and the less reliance on the use of agency staff. This in turn benefits the service users by providing greater continuity of care. The manager continues to address the outstanding requirements made by the Commission at the previous inspection. To this end a number of improvements have been made to the administration of the home, such as service users` care plans, the complaints procedure, establishing a system for reviewing the quality of care provided and fire prevention.

What the care home could do better:

The home should be provided with copies of all relevant documentation relating to the recruitment process of newly appointed staff to be able to prove that service users are being protected by the home`s recruitment practices.

CARE HOME ADULTS 18-65 Chantry Gardens (69) 69 Chantry Gardens Southwick Trowbridge Wiltshire BA14 9QT Lead Inspector Thomas Webber Announced 18 July 2005 th 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 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 Stationary 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. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chantry Gardens (69) Address Southwick Trowbridge Wiltshire BA14 9QT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01225 766381 Milbury Care Services Limited Adele Flegg Care Home 3 Category(ies) of LD Learning Disability (3) registration, with number PD Physical Disability 18 years - 65 years (3) of places SI Sensory Impairment 18 years - 65 years (3) Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 3 service users with Learning Disabilities between the ages of 18 to 65 can be accommodated at any one time. Date of last inspection 28th January 2005 Brief Description of the Service: 69 Chantry Gardens offers accommodation and personal care to three service users with learning disabilities. The home is one of a number of services run by the organisation called Milbury Care Services. The registered manager is Miss Adele Flegg. The home is a detached bungalow situated in a residential area being located in the village of Southwick, which is to the west of the county town of Trowbridge. There are a small number of shops within walking distance of the home. The premises are in keeping with the local community and have a style and ambience that reflect the home’s purpose. Service users are provided with their own bedroom and all other facilities are located on the ground floor level. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, undertaken from 14:00 to 17:45. The inspection primarily focused on the direct care provided to the residents and to undertake a check against a number of the core standards. A spot check of the premises was undertaken and the three service users were observed within their environment. What the service does well: The home provides a safe, warm, welcoming and homely environment, which is maintained to a good standard being kept clean, tidy and comfortable. The home is suitably furnished and attractively decorated providing sufficient, light heating and ventilation. Service users are provided with their individual bedrooms, which they have personalised to reflect their own interests. The health, safety and welfare of the service users and staff are promoted and protected. Service users have valued daytime occupation and are provided with opportunities to take part in appropriate leisure activities within the community. Service users are actively encouraged and supported to maintain contact with their families. Service users’ rights are respected and they receive a varied and satisfactory diet, which takes into account their preferences. Service users are supported to ensure physical and emotional and health care needs are suitably met. Information is provided to service users on how to complain, should they wish to do so and systems are in place to ensure service users are regularly consulted whereby any issues can be addressed at an early stage. Appropriate procedures are in place to protect the service users from abuse. Service users benefit from living in a home, which is run and managed by a manager who is suitably experienced and qualified. Service users are supported by a dedicated, competent and experienced staff team. Despite the shortfalls of formal supervision being offered to staff, they have felt well supported by the manager. The staff team undertake a multi purpose role, providing all aspects of care for the service users. The staff were observed undertaking their duties in a warm, caring, attentive and respectful manner and service users appeared relaxed and at ease in the company of staff and within their environment. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 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. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 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 standard(s) 2, Prospective service users are only admitted on the completion of a full assessment to ensure that the home can meet their needs. EVIDENCE: There have been no new admissions to the home since the last inspection. However, as part of the admission process, the home would obtain a copy of the community care assessment in relation to any prospective service user admitted to the home. Prospective service users and their representatives would be informed in writing if the home cannot meet their assessed needs. Evidence was previously available to confirm that updated copies of the community care assessments had been obtained in relation to the existing service users. Copies of these documents, care plans and risk assessments had been obtained from the service users’ previous placements. Assessments (adaptive behaviour skills) have also been completed with the involvement of the service users. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 9 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 standard(s) 6, 7 and 9 The level of care provided to the service users is based on a detailed care plan. Service users are given every opportunity, with the assistance of staff, to make decisions and they are consulted in all things based on their varying degrees of ability. Risk assessments have been undertaken for the protection of service users. EVIDENCE: Since the last inspection service users’ care plans have been streamlined, dated and signed by the member of staff completing them as well as the service user where appropriate. The content of the two checked is detailed, informative and extremely well written. The review process involves all relevant people. Service users have varying degrees of ability but they are provided with every opportunity to contribute and they are consulted in all things they want to do. Observations and service users’ records confirmed this. Although service users have access to the home and grounds, they require support when out. Milbury Care Services are the corporate appointee for two of the service users. All service users have their own building society books but they require staff support with their finances including the withdrawal of money. The system for maintaining service users’ financial records was checked and found to be Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 10 suitably maintained. Information is available independent advocacy by way of leaflets. to service users about Detailed risk assessments have been established both on an individual basis and in relation to the building. Action is taken to minimise identified risks and hazards to service users and these are reviewed on a yearly basis or where changes occur to service users’ individual circumstances. A missing persons procedure has also been established. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 11 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 standard(s) 12, 13, 15, 16 and 17 Service users are provided with valued daytime occupation and opportunities are available to them to take part in appropriate leisure activities within the community. Service users are actively encouraged and supported to maintain contact with their families. The rights of service users are respected by staff. Service users receive a varied and satisfactory diet that takes into account their preferences. EVIDENCE: All service users have valued daytime occupations and attend Aston Street for four to five days per week with one of the service users also attending the Community Care centre, one day a week. One service user attends the Gateway club in the evening with the other two attending No Limits. Service users access the local amenities and go out on trips when staffing allows and the home has its own people carrier for this purpose. Service users also go shopping for clothes and food. The home has established good relationships with their neighbours and has recently developed a rapport with a farmer due to the interests of two of the service users. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 12 The home actively encourages and supports contact between service users and their families and friends. Family contact depends on the individual circumstances of the service user. The home has an open policy regarding visiting times, although service users’ families are advised to phone in advance to ensure that service users are at the home before visiting. Service users can choose whom and where to see any visitors, either in their bedrooms or in the communal areas. Staff cover the issue of respecting service users’ rights and responsibilities during their induction. Service users’ bedrooms are considered as their private areas and are treated as such by staff. Appropriate locks have been fitted to their bedroom doors as well as to the toilet and bathroom doors. Service users’ mail is given directly to them unopened but staff support them to understand the contents where required. Service users’ preferred form of address is suitably recorded in their case records. Service users can choose where to spend their time and when to get up and go to bed, particularly at weekends. Service users have unrestricted access to the home and grounds. In conjunction with the specialist services, the staff from the home are developing a policy with regard to a particular service user around the issue of consent. Satisfactory and varied menus are in operation, which provide service users with a choice at all mealtimes. To this end individual menus have been established for each service user, which records their meals eaten according to their preferences. Service users have a choice of where and when to eat their meals and this was evident on the day of inspection. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 13 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 standard(s) 18, 19 and 20 Service users receive personal support in the way they prefer. Service users are appropriately supported to ensure physical and emotional health care needs are suitably met. Medication procedures are safe and staff have a good understanding of their responsibilities when administering medication. EVIDENCE: A key worker system has been established within the home and personal support is provided in private to those service users who require it. Service users can choose when to get up and go to bed and what clothes to wear. Technical aids and equipment are provided to those service users who require them. One service user has an adjustable bed and specialist chair and requires support when walking. Specialist services are accessed to meet the needs of the service users. Prospective service users could maintain their own GP, although this would be dependent upon where they were admitted from and if the GP concerned was agreeable. Currently two different surgeries are used by the service users who tend to attend these for any appointments with the support of staff. Other health care services are accessed as and when required such as dentist and opticians. Service users do not receive an annual health check due to the regularity of visits already made by them. Service users are appropriately Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 14 supported by staff, their families and specialist services to ensure that their physical and emotional health care needs are suitably met. Policies and procedures are in place regarding the administration of medication but at the time of the inspection, none of the service users were deemed capable of maintaining control and administering their own medication. However, the manager reported that any prospective service users would be supported to maintain control over their own medication if they were deemed capable following a risk assessment. All staff, who have received appropriate training, administer medication to service users apart from any agency staff used. The Boots monitored dosage system is used for this purpose and examination of service users’ drug sheets showed that, in the main, these are being suitably maintained. However, it was noticed that on one occasion, there was an error in the recording of medication administered. In addition, appropriate systems have also been established for the receipt, storage and return of any unwanted medicines. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 15 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 standard(s) 22 and 23 Information is provided to service users on how to complain should they wish to do so. Systems are in place to ensure service users are regularly consulted whereby any issues can be addressed at an early stage. Appropriate procedures are in place to protect the service users from abuse. EVIDENCE: A complaints procedure has been produced for service users, which is user friendly and has been designed in a suitable format and language for service users’ use. Since the last inspection the home’s statement of purpose and service users’ guide has been amended to provide contact details of the Commission for Social Care Inspection and inform complainants that they can contact the Commission at any stage should they wish to do so. The home and the Commission have not received any complaints since the last inspection. Service users’ views are continually sought on an individual basis by staff. The home has established procedures for responding to suspicion or evidence of abuse and these include a Whistle Blowing procedure. Since the last inspection, the home’s procedures have been updated to reflect those of the Wiltshire and Swindon Vulnerable Adults procedures. The manager has obtained copies of the shortened version of this document, which are in line with the Department of Health guidance “No Secrets” and distributed to staff. However, she acknowledged that further copies need to be obtained for the new staff recently employed. Staff cover the issue of abuse during their induction and a new member of staff recently employed confirmed this. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 16 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 standard(s) 24, 25, 26, 27, 28 and 30 The location and layout of the home is suitable for its stated purpose. The home provides a homely, comfortable and safe environment, which is maintained to a good standard and meets service users’ individual and collective needs. The home is kept clean and tidy and provides sufficient communal space together with toilet, bath and shower facilities. Service users are provided with individual bedrooms, which they have personalised to their individual wishes with the support of staff. EVIDENCE: The premises are in keeping with the local community and have a style and ambience that reflect the home’s purpose. The premises are homely, safe, and comfortable, being free from offensive odours. The home also provides sufficient light, heating and ventilation with the decoration, furnishings and fittings being maintained to a good standard. West Wilts Housing Society are responsible for the maintenance of the building and undertake any works required. Improvements continue to be made to enhance the service users’ environment, which has included the purchase of a new lounge suite and the re-location of the laundry facilities. Further improvements are planned such as the installation of radiator covers for the protection of service users. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 17 Each service user is provided with their own single bedroom, although two of the bedrooms measure less than the required ten square metres. However, the level of communal space makes up for this shortfall. Service users’ bedrooms are suitably furnished and attractively decorated. Service users are encouraged and have brought a range of personal possessions to make their bedrooms more homely and to reflect their individual tastes. All bedroom doors are lockable to enable service users to exercise the right to lock them and a lockable storage space has been provided to each bedroom. The home provides sufficient bath, shower and toilet facilities to meet the needs of the service users and these facilities are situated close to service users’ bedrooms and communal areas. The communal space consists of an open plan lounge/dining room for shared use with a separate smaller room being located off the main communal room which is available and used for listening to music or alternatively used as a quiet area. These facilities are comfortable and suitably decorated and furnished. There is a no-smoking policy in operation throughout the home. The home continues to be maintained to a good standard being clean, tidy and comfortable. Since the last inspection, the current laundry facilities have been relocated from the kitchen to an area between the kitchen and lounge. The facilities meet the needs of the home and the staff primarily undertake these duties, although one of the service users undertakes her own. Some of the service users’ clothing is labelled, where the clothes are of similar design, to ensure they are returned to the appropriate person. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36 Service users are supported by a dedicated, competent and experienced staff team. Staff training has been somewhat restricted due to the staffing situation. There was a lack of evidence to show that service users are being protected by the home’s recruitment practices. Despite the shortfalls of formal supervision being offered to staff, they have felt well supported by the manager. EVIDENCE: The deployment of staff continues to ensure that there are two members of staff on duty when all service users are in the home. Two members of staff also sleep in each night. The manager reported that the number of staffing hours has been increased and together with the recruitment of more permanent staff this enables service users to receive more continuity of care and less reliance on the use of agency staff. The staff team undertake a multi purpose role, providing all aspects of care for the service users. The staff were observed undertaking their duties in a warm, caring, attentive and respectful manner and service users appeared relaxed and at ease in the company of staff and within their environment. A sample file of a newly appointed member of staff was checked in relation to the recruitment practices of the home. The manager reported that the Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 19 responsibility for collating all the various checks are carried out by head office and copies are then returned to the home. However, at the time of this inspection not all copies of relevant documentation were stored at the home. These include a lack of a recent photograph and two satisfactory references. In addition, as only part of the CRB enhanced check had been returned to the home, there was no evidence to confirm that it was satisfactory. It was suggested that either a photocopy is kept on file within the home of the complete CRB check or, alternatively, if only part of the form is returned to the home from head office, it should be suitably initialled, dated and recorded as such that it is satisfactory. A training budget has been established and a training officer has been appointed by the organisation. All new staff receive structured induction and foundation training in line with the Learning Disability Award Framework. Each member of staff is provided with a training plan and staff can normally access a combination of training provided by Milbury and through external resources. However, due to the staffing situation, training has tended to concentrate on completing mandatory subjects. The vast majority of staff are very experienced in the care of people with learning disabilities with half of them having worked at the home and with the service users for a very long time. Due to the changes within the staff team the home is working towards achieving the target of at least 50 of staff being trained at NVQ level 2 by 2005. The aim of the home is to provide formal and recorded supervision to staff every five weeks, which exceeds the frequency of this Standard. However, it was acknowledged by the manager and staff that due to the staffing situation, this target and that of the national minimum standards are not being achieved. There has been a strong reliance on regular, informal supervision and the use of the communication book to keep staff up to date. Staff spoken to commented that, despite this, they have felt well supported by the manager who is always very approachable. However, due to the improvements within the recent staffing situation formal and recorded supervision is due to be recommenced. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 42 Service users benefit from living in a home, which is run and managed by a manager who is suitably experienced and qualified. The health, safety and welfare of the service users and staff are promoted and protected. EVIDENCE: The manager has appropriate management and supervisory experience in the care setting she manages. She undertakes periodic training and development to update her knowledge, skills and competence and has recently completed the Registered Managers’ Award. The manager has overall responsibility for the management of this and another home. The organisation ensures that there are safe working practices within the home and these comply with the relevant legislation. Risk assessments are in place to ensure a safe working environment. The home intends to provide radiator covers for the protection of service users. Evidence was available to show that appropriate testing and servicing of equipment is being carried out. The vast majority of staff have completed training in the core subjects which include Chantry Gardens (69) Version 1.40 Page 21 D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Fire Awareness, Health and Safety, First Aid, Food Hygiene and Manual Handling, Staff also have access to appropriate Infection Control procedures. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 4 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chantry Gardens (69) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 23 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. 1. Standard 34 Regulation 19 (1)(b)(i) Requirement The registered individuals must ensure that copies of all documentation relating to the recruitment of new staff are maintained in the home. Timescale for action 08/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 24 36 Good Practice Recommendations The registered individuals should strongly consider the installation of radiator covers for the protection of service users. The registered individuals should ensure that all staff receive regular and formal one to one supervision. Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 24 Commission for Social Care Inspection Avonbridge House Bath Road Chippenham SN15 2BB 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 Chantry Gardens (69) D51_D01_S36136_CHANTRYGDNS(69)_V194697_140705_STAGE4.doc Version 1.40 Page 25 - 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!