Inspection on 26/03/07 for Charlton House

This inspection was carried out on 26th March 2007.

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

Charlton House 17/03/09

Charlton House 08/02/06

Charlton House 23/03/05

Charlton House 26/07/04

Charlton House 29/01/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Charlton House 21 Walliscote Road Weston Super Mare North Somerset BS23 1EB Lead Inspector Catherine Hill Key Unannounced Inspection 26th March 2007 10:35 Charlton House DS0000008082.V319473.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 Charlton House DS0000008082.V319473.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. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Charlton House Address 21 Walliscote Road Weston Super Mare North Somerset BS23 1EB 01934 625978 01934 625978 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) Mr Lal Gunaratne Mrs Veronica Bishop Care Home 15 Category(ies) of Learning disability (15), Learning disability over registration, with number 65 years of age (15), Physical disability (1) of places Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 15 persons aged 18 years and over requiring personal care only May accommodate 2 named persons aged 18 years and over with physical disabilities, requiring personal care only. Will revert to LD when named persons leave. The Manager to gain a formal LDAF qualification by June 2006 Date of last inspection 8th February 2006 Brief Description of the Service: Charlton House provides care for up to fifteen people with learning disabilities. Though most of the people who live there are over fifty years of age the home also provides care for some younger adults, including two specific places for people with additional physical disabilities. There is an activity room in the garden in which a good range of in-house activities are provided. The home is a short walk away from local shops and facilities, and a reasonable walking distance from the town centre and seafront. The current scale of charges is £475 to £700. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection consisted of a one-day unannounced visit to the home, following questionnaires being sent out to health and social care professionals in contact with the home. One reply was received from a social care professional. Last year, the inspector also visited a day centre attended by some of the residents, and spoke to residents and staff there about the home. During the visit to the home, the inspector spoke with seven of the residents and six of the staff, including the manager. As many of the residents have communication difficulties, the inspector spent a large proportion of the time with residents in the activities hut or the communal rooms, observing interactions. She also spoke with a visiting GP. Feedback from all sources was very positive. External professionals felt that any issues are dealt with promptly, care is good, and that the home liaises well with them. One person commented on the progress a resident has been able to make. Another professional commented on the unusual level of support the home gives to its residents to attend external activities, and the very high level of activities the home arranges itself. The inspector looked at all communal areas and some of the bedrooms. She also looked at a number of records, including: • information given to residents before they move into the home • documents relating to residents care • medications records • activities records • the maintenance log • staff rotas and task lists • staff recruitment and training records • fire precautions checks and training records. What the service does well: People are treated with liking and respect. Staff and residents evidently have a real fondness for each other. The home manages some difficult behaviours with warmth and humour, and has made very good links with external professionals. The team is very open to constructive criticism and to working alongside other carers to ensure the best possible quality of life for residents. The manager and staff regularly measure the type of service they are providing against residents changing needs, and make adjustments as necessary. The team is working very hard to gradually move the home’s Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 6 culture from one of kindly parenting to a more empowering adult-to-adult approach. There is an unusually good range of activities laid on for residents, and residents get a high level of support to participate in external activities. What has improved since the last inspection? What they could do better: No requirements or recommendations were made at this inspection, although the inspector suggested some minor improvements such as keeping a list of residents dislikes in the kitchen to ensure alternatives to the main menu are always provided when necessary, ensuring all records are dated, and discussing the current arrangement for PoVA checks with the organization that carries these out. Some fire doors were wedged open but staff had a good Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 7 understanding about the need to promptly remove wedges, and quotes for fitting safe hold-open devices have been obtained. 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. The summary of this inspection report can be made available in other formats on request. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents needs and preferences are thoroughly explored before they move in. Clear information is provided on what the person can expect from the service. EVIDENCE: The Statement of Purpose gives a good depth of information and is kept up-todate. This is very straightforward document in plain English with pictures, and is likely to be useful for residents. The pre-admission assessment not only looks at the persons needs but also gathers a lot of information about their preferences. People are encouraged to make as many visits as they need to before deciding to move in for a trial period. Each resident has a straightforward contract with clear information on the terms and conditions. Contracts specify the persons room number, and have been signed by the resident and two senior staff members. Charlton House DS0000008082.V319473.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care needs are thoroughly assessed and well met. Residents own points of view are taken into consideration as far as possible, and any restrictions are carefully weighed up to ensure they are in the persons best interest. EVIDENCE: Two residents files were sampled in depth but the inspector also looked at aspects of some other residents files. The information in these files has been re-organised, and index sheets have been made up at the front of the file. Information is now much easier to find. Each file also has a profile of the person with their photograph and a note of essential information. Significant information is noted in red at the top of care plans and at the front of residents files. Out of date information is filed in a separate section, and then archived. It is now easy to see which documents are in current use. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 11 Care plans are kept under regular review. Those care plans seen today had been expanded to more fully reflect individual needs and behaviours. Some entries on documents such as body charts or goal plan summaries had not been dated, which meant these documents were not as useful as they might have been otherwise. Residents care documents are written from their point of view, and emphasize their control over their own care. One persons file included a list of their aims and goals for the future. Detailed information is kept on each persons personal care routines and how staff should help them with those. This information clearly shows the persons own level of ability and where they need support from staff. There is also an explanation of why they need this support, so that staff are clear what the outcomes of their intervention should be. Additional one-to-one staffing has been provided for one person at key times of day. The home worked closely with external professionals to explore reasons for this persons occasional challenging behaviour and ways of taking the pressure off as far as possible. Thorough records were kept to show possible triggers or common denominators. Risk assessments are drawn up on any areas of particular risk for individual residents. These are succinct and straightforward, showing what the risk is and what strategies should be adopted to reduce this. Risk management strategies are designed to increase safety without unduly restricting freedom. People are offered choices wherever possible, and routines are arranged round residents’ individual needs and preferences. Charlton House DS0000008082.V319473.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents get exceptional opportunities to experience varied and fulfilling lifestyles. EVIDENCE: Records included lots of references to residents activities, social events, and visitors. Each person has their own timetable of regular activities, but many small group activities are also provided. Several people attend the same day centres, and some people go to college courses. Quite a few of the residents regularly go to the local church for a coffee morning. Some residents go to the Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 13 local pub for karaoke and bingo one night a week, and there are regular minibus outings. The home has now employed a driver, who regularly takes residents out and keeps a diary of all outings. Individual residents records showed that they are supported to be active members of community groups such as the Deaf Club and the Trefoil guides. The activities co-ordinator puts on a range of activity sessions in the occupational therapy hut in the garden. The day centres were closed during the week that this inspection took place, so most residents were at home and the four people who live at the sister home - Southside House - were spending the day at Charlton House. The activities co-ordinator was not on duty during this inspection, but another staff member was in the hut with most of the residents, supporting them to do a range of activities. Residents looked absorbed, and occasional bursts of laughter came from the couple who were playing a board game. Some of the residents showed the inspector the arts and crafts items they were creating. Each year, the residents and staff put on a pantomime at the church over the road. One person is not completely satisfied with the range of activities at present. He used to attend more college courses but access to these has become more restricted over the past year. The home is actively working with this person and his social worker to identify other interesting activities. As some of the residents age, they are no longer enjoying holidays with a high level of activity, and some people do not want to spend a long time away from their own home. Two staff take small groups of the residents to various holiday destinations, and a schedule of regular days out is laid on for some of the older people. There is a wide age range among the residents accommodated. This is reflected in the widely different interests of the residents as well as in their attitudes to life. Some of the older residents have long-term institutionalized behaviours that can be challenging to people around them, and many of the younger residents have strong expectations of leading a normal life. These differences can sometimes give rise to tension. Strategies are in place for dealing with antisocial behaviour and defusing situations, and some aspects of the service are divided so that they can better cater for different needs. Staff in the activities hut introduced the inspector to each resident when she arrived. Staff allowed residents space to communicate privately with the inspector, but offered support with communication when this was needed. Staff took care to keep the person involved as far as possible and to give them plenty of opportunities to take back control of the conversation themselves. The lunch served during this inspection and the menu records showed that residents can have alternatives to the main menu if they prefer. Two people who were not keen on fish were offered meat pies instead, but the cook had Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 14 not remembered that a third resident also dislikes fish, so an alternative had not been prepared for this person. The inspector suggested that a list of residents likes and dislikes is kept in the kitchen for easy reference. This will be particularly useful if the regular cook is away for any reason. Menus show a good range of interesting and nutritious meals. Residents can also have nice snacks between meals. A variety of chocolate snack biscuits and crisps were offered around at break time in the activities hut, and residents also enjoyed a lager shandy after lunch. Tea was served during the morning break from a plastic jug, in which it had been ready-mixed. Staff also had their cup of tea from this jug. However, this sort of practice does not allow individual preferences to be catered to, and harks back to old institutional practices, which the team is trying to show residents are now outdated. The manager said that this is not expected practice and that she will be following it up with staff. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health care needs are well documented and well met. EVIDENCE: Two professionals from Social Services with particular responsibility for health action planning have visited the home on several occasions to offer support with drawing up residents Health Action Plans. A checklist on each persons file prompts regular reviews of health care issues such as weight, digestion, sleep, pain control, skin care, mobility, foot care, breathing and circulation. This list also covers individual residents particular health care needs, such as epilepsy, physical disability and any specialist advice that needs to be put into practice. This checklist is cross-referenced to other written instructions or charts, and clearly identifies what further input is needed and when. Staff are about to start completing a monthly Health Action Plan checklist. This will look at the persons overall health in the past month, their diet, and specialist issues such as breast screening, testicular screening, or the menopause. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 16 Records show that staff are quick to identify any possible new needs, and that external health-care input is promptly sought. A record is kept of all health care appointments, a note of who supported the person to attend this appointment and of when the next appointment is due. Any treatments or checks that have been refused by the resident are also recorded, as are any refusals for support with personal care. Staff responded very quickly to an emergency during this inspection. The situation was managed calmly and tactfully, so that the person themselves and the other people around them suffered the minimum of distress. Staff also reassured everyone present, once the incident had been dealt with. Medications records were thorough and up-to-date. Residents are on very few medications. One persons medication has recently been increased in response to higher stress levels, but this is being very closely monitored in regular liaison with external professionals to ensure that the dose is appropriate. Lists of current medications are kept updated on each persons file, and a hospital transfer form is kept up-to-date with all essential information on the persons needs. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents wellbeing is protected by a culture in which their concerns and rights are taken seriously. EVIDENCE: The home has a written complaints procedure. Residents felt very comfortable raising any concerns with staff or the manager. Staff felt encouraged to raise any concerns on residents behalf. Conversation with staff and observation of their interactions with residents showed that they regard this as the residents home and are well aware of residents rights. No complaints had been received by CSCI since the last inspection. The home has recorded one complaint which was in fact due to a misunderstanding and was quickly resolved. Staff said they would report any concerns to the manager, and felt confident that these would be dealt with appropriately. Charlton House DS0000008082.V319473.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is well suited to residents needs. EVIDENCE: The home is well decorated and maintained, and comfortably furnished, creating a very pleasant and welcoming environment. There are two lounges and a dining room. The downstairs bathroom has been adapted to suit the needs of the residents with additional physical disabilities. There are two double bedrooms, one used by a married couple and the other by two people who both prefer not to sleep on their own. The manager has confirmed that all bedrooms meet the old spatial standard of 10 square metres. Most bedrooms have been redecorated over the past year. A large part of the back garden is taken up by the activities hut, but there is Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 19 also room for two sheds, a sizeable lawn, and a patio area with a variety of seating. One of the residents helps with the gardening. Some attractive potted flowers make the patio more colourful. The home plans to make the patio bigger so that more chairs can be accommodated. Some fire doors to communal rooms are wedged open at some points during the day, but staff are evidently alert to the need to remove wedges promptly. The manager has got quotes for safe hold-open devices to be fitted to all communal doors. An occupational therapist has been asked to give advice about where grab rails should be fitted to maximize residents independence and safety, and these have since been installed. All areas of the home seen at this visit were clean and tidy. Charlton House DS0000008082.V319473.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well protected by safe staffing practices. EVIDENCE: The manager is on duty during normal office hours, supported by the administrator. Two care staff are on duty at all times of day. Two staff are on duty at night, one waking and one sleeping-in. Staff and residents comments indicated that staff have plenty of time to spend doing activities with residents, either at home or out in the community. The job description for Support Workers covers their responsibilities regarding residents’ social and emotional wellbeing as well as their physical care and other tasks. Task lists are drawn up for each shift so that staff are clear about what should be done on a daily basis. The records relating to the newest staff member were checked and those seen were in good order. The home keeps a checklist of all documents requested and received. Criminal record checks are carried out on all staff before they Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 21 start work in the home. The e-mails from the organization carrying out PoVA first checks only specify the CRB (Criminal Records Bureau) form number, so the home has hand-written staff names on the email printouts. The inspector suggested that the home discusses this arrangement with the umbrella organization. Staff records and conversations with individual staff indicated that staff turnover is unusually low. New staff go through the home’s own induction training checklist but the home has recently asked a training organization to provide an induction training format. Newer staff described plenty of useful training early on in their employment. Five of the fifteen care staff hold NVQ level 2 or above. Staff have recently had safeguarding adults refresher training, fire training, health and safety, first aid and challenging behaviour. The manager is trying to arrange training in dementia awareness and use of Makaton (a system of signing for people with speech and comprehension difficulties). The home usually provides two dates for each training course so that staff can choose which will suit them best. The two staff who were on duty for the early shift gave a full handover to the two staff coming on to the late shift. Each resident was mentioned, and additional information was given on any changes. Other information is included in the communication book or residents own records. Staff supervision has been patchy over the past couple of years: the system has been up and running more than once but then lapses again. Records and conversations with staff at todays visit showed that formal supervision had again lapsed but has recently started again. Staff gave many examples of the support they receive from the manager and team, and were generally clear about their roles. However, a system of formal supervision can help to ensure that all staff are working consistently towards shared goals such as shifting the homes culture from one of benevolent parenting to a more empowering adultto-adult approach. Charlton House DS0000008082.V319473.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and has an open culture in which a mutual respect has developed. Health and safety issues are carefully monitored and recorded. EVIDENCE: Veronica Bishop is an experienced manager and holds the Registered Managers Award. Lal Gunaratne, the owner, visits regularly and spends time talking with residents and staff. Comments by all the groups the inspector consulted indicate that both people are seen as highly approachable. Several staff gave the inspector examples of how flexible the manager has been in ensuring they get the support they need to do their work. When staff Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 23 raised a grievance, this was dealt with promptly and in a manner that promoted good relationships among the team. The manager and administrator regularly attend training courses, support groups, and discussion groups with the local authority. The home sends out questionnaires to relatives and external professionals to get feedback on the service, and makes changes to practice in response to useful suggestions. Accident records indicated that staff understand the importance of fully recording any possibly significant events. Fire precautions checks and training records showed that equipment is regularly checked and staff have regular training and practice fire drills. Regular housekeeping checks are carried out to ensure that all areas and equipment are safe and in good condition. The maintenance log shows that any necessary repairs are carried out promptly. Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 X Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Charlton House DS0000008082.V319473.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Charlton House DS0000008082.V319473.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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