Inspection on 12/06/07 for Chestnut Street, 59

This inspection was carried out on 12th June 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chestnut Street, 59 23/11/06

Chestnut Street, 59 13/03/06

Chestnut Street, 59 24/11/05

Chestnut Street, 59 28/02/05

Chestnut Street, 59 13/12/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Chestnut Street, 59 59 Chestnut Street Southport Merseyside PR8 6QP Lead Inspector Mr Paul Kenyon Unannounced Inspection 12th June 2007 16:00 Chestnut Street, 59 DS0000005270.V332977.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 Chestnut Street, 59 DS0000005270.V332977.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. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnut Street, 59 Address 59 Chestnut Street Southport Merseyside PR8 6QP 01704 539505 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) Speciality Care (Rest Homes) Limited Mrs Greta Morphet Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD Date of last inspection 23rd November 2006 Brief Description of the Service: 59 Chestnut Street is a registered care home offering support to three individuals with learning disabilities. The home provides term time accommodation for students who attend Arden College, a local educational resource that specialises in the provision of life skills to individuals with a learning disability with a view to promoting future independent living. Greta Morphet is the Manager of the service. Arden College is a subsidiary of Speciality Care, a private organisation. The home is located in a residential area of Southport, close to local amenities and transport links. The home is a semi-detached property that has not been specifically adapted for the purpose of the service. The home consists of a ground floor, which contains a kitchen, dining room and a lounge to the front. All bedrooms are located on the upper floors with two rooms on the first floor and a further one on the second floor. A bathroom is available with toilet as well as a staff sleep-in room/office on the top floor. The home is not suitable as accommodation for students with a physical disability at present. Students are able to access all parts of the home. As a result, no adaptations are required at present. Current fees are charged over a 38-week period relating to the term time occupation of students and range from £782 to £925 per week. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main key inspection to be held this inspection year at Chestnut Street. Limited notice was given to the service about the inspection to ensure that students and staff would be present in the home at the time of the visit. The inspection included interviews with two students and the member of staff on duty. A tour of the building was also undertaken as well as an examination of the records relating to the support of the students living there. National Minimum standards for younger adults were used to measure the standard of support provided in the home. What the service does well: The service is good at ensuring that the needs and personal goals of students are outlined in a care plan that is agreed by them and is reviewed on a regular basis. Students benefit from being able to make decisions in their everyday lives. Students benefit from having any risks they face in everyday life identified and reviewed by the staff team. Students benefit from having a wide range of educational opportunities made available to them and have significant access to the wider community. Students are supported to maintain contact with their families and friends and have their rights respected. Students benefit from being involved in the planning of menus and in the preparation of food. Stduents are supported in an appropriate way and have their health needs met. Medication systems are safe. Students have the information they need to make a complaint if they so wish and are protected from abuse. Students live in a comfortable and home like environment, which is clean and hygienic. Students are supported by a staff team who have received relevant training and have been recruited to their posts appropriately. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 6 Students receive support form a service, which is managed by an individual with the experience and qualifications to do the job. The health and safety of students is promoted. Comments made during the inspection included: ‘I am alright it my last year at college’ ‘I have enjoyed being at Arden’ ‘I go out to the pub and disco and bowling, it has been good-and it has been good because of the people who live here and the staff’ ‘I have my own bank account and get money when I need it’ ‘I use transport or sometimes walk’ ‘I keep in touch with my mum an dad as well as my friends in Arden-I am involved in cooking, decide what food to have and help with shopping-staff help. I feel well but if I were not they will get a doctor, been happy here but if I had complaints I would go to the staff or my tutor. I feel safe and am not worried about anything’ ‘I do not get asked what I think of the home’ ‘It is my last year in college’ ‘Have enjoyed it here with all the activities-shopping, cinema, pub, bowling-it is my turn to cook the meal tonight-we take it in turns-I need a bit of help from staff-I can decide if I want to do something then I will do it’ ‘I tell staff what I want to do-I get out and about either on the bus or on foot because we are close to Southport’ ‘I keep in touch with my family and phone them. Involved in hoovering and cleaning and take it in turns’ ‘Staff are nice’ ‘I am keeping well, I have not visited the doctor but they are there if I need them’ ‘If I am not happy I will tell someone-they would sort it out- I feel safe here-it is marvellous-I have a key to my room’ ‘I am not sure if I have been asked to give my views on the home while I have been here’ ‘I get support from manager-they are good managers and approachable’ What has improved since the last inspection? Fire drills now take place more frequently and the safety of the electrical wiring has been confirmed through testing. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Chestnut Street, 59 DS0000005270.V332977.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 Chestnut Street, 59 DS0000005270.V332977.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No new students have come to live at Chestnut Street since the last inspection and therefore this standard was not measured on this occasion. EVIDENCE: All three students were living at the home during the last key inspection in November 2006. The assessment information for two students were examined at that inspection and found to be in order. Chestnut Street, 59 DS0000005270.V332977.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students have their needs and aspirations identified in a plan of care, which is agreed by them and reviewed regularly. Students benefit from being able to make decisions about their lives and risks faced by them through independent living are identified and reviewed. EVIDENCE: Three care plans were examined in relation to all students. All include a care plan, which is related to both their education and living skills within the home. All care plans have been signed by the individual and have been recently reviewed in March 2007. The plan outlines the interventions needs by staff to support students successfully and the goals, which have been set for each person during their stay within Chestnut Street, include their future aspirations. In addition to this, the aspirations of students have been written by each person and these are included in profiles located in the dining room. These offer a summary of the person as well as issues, which are important to Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 11 them in their daily living. In respect of decision-making, all students meet with staff on a regular basis in the form of a tutorial. This tends to occur on a weekly basis. Interviews with two students noted that they have strong aims for the future beyond Chestnut Street and consider that they have enabled to decide on these goals with the assistance of the service. Two students confirmed that they have bank accounts and have a degree of financial independence. In respect of decisions one person said-‘ if I want to do something I will do it’ another stated ‘I can decide where I want to go out to in the evening-I told the staff tonight about what I want to do and where I want to go-we can decide about food as well’. Evidence was available to suggest that another student is able to go out independently and is able to make decisions about his social life independently. All risk assessments were viewed. These were all reviewed in March 2007 and they indicate risks which are individual to each person in respect of medical conditions as well as general risks in the environment and wider community. One person is more independent in the community than others and there was evidence that any risks have been identified and discussed with the individual themselves. Chestnut Street, 59 DS0000005270.V332977.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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students benefit from having their education maintained in such a way that assists in preparing them for the future. Students are able to access the community either with support or independently. Students now have to pay for their own activities and it is recommended that this decision be reviewed. Students benefit from being able to maintain contact with families and friends and are supported in doing this. Students have their rights and responsibilities upheld and are involved in all aspects of food provision. It is recommended that the cut on the food budget is re-reviewed. EVIDENCE: Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 13 In respect of education and occupation, all students attend Arden College and have done for some time. The care plan for each is a document that covers social activities within both the college and home as an ongoing experience and learning process. All students attend the college full time and there are concrete links between the college and home. Many of the contents of the care plan carried out in the home are relevant to college life. Given the regular attendance of students, the reasons for them living at Chestnut Street to be able to attend the college and the degree to which the ‘learning’ process overlaps the daily life within the home and in college, this standard continue to be exceeded on this occasion. Interviews with two students confirmed that they are able to maintain links with the community through the activities that they do. Two require support from staff, the other does not. The student who does not need staff support is familiar with the facilities in the local community and is able to inform staff about where he is going and the anticipated time he will return. For the others, interviews confirmed that they are able to pursue a variety of activities such as the pub, cinema, bowling etc. Plans were made for students to go to the pub later on in the evening and both confirmed that they either use transport or go on foot given that the service is close to local facilities. Two students confirmed that they are able to maintain relationships with families and friends despite the distances involved for two of them from home. This is maintained in a variety of ways. They confirmed that they are able to speak to their friends etc on the telephone and during the inspection; one student was being supported by staff to set up an email account so that they could carry on contacting friends and family. Occasionally, students are able to either visit or be visited by relatives. Another student has maintained a personal relationship and he has been able to continue this using his independence in the community. Since the last inspection, a concern has been raised about the removal of monies paid for by the organisation. All activities are now funded by the individual themselves. This is to be the subject of discussion between the Commission for Social Care Inspection and the responsible individual in the near future. A requirement at the last inspection noted that two students did not have keys to their rooms. This has been rectified and the two concerned confirmed that they had keys now. They also confirmed that they felt as though they had their rights and privacy respected. Staff members there play a key role in communicating with students in respect of prompting and support through encouragement rather than hands on personal care and the staff member on duty was noted to be interacting with students continually in a positive and supportive manner. A rota is available for housekeeping tasks such as setting tables, the preparation of meals with staff support and drying dishes. All students were observed doing this during the visit. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 14 A rota is on display and students seem to enjoy doing this. No students smoke and no students need any aids and adaptations such as guide dogs etc since all are able to mobilise independently. A kitchen is available which is domestic in scale. A menu is also available and this points to the preferences of students rather than a set menu. A rota is in place and there is an expectation that students will take it in turn each night to prepare the meal with differing levels of staff support. One student has been able to secure a job in the future assisting in a kitchen once he leaves the college in July 2007 and this has been assisted by his work with Café Arden, a retail facility operated by the college. This employs students as part of their employment experience. Two students confirmed that they assist in all aspects of the planning of menus, shopping and preparation of food. No student has specific nutritional needs and a dining room is available for the eating of meals. A concern received by the Commission for Social Care Inspection since the last inspection points to a reduction in the food budget. This inspection showed that foodstuffs are still available yet students did not refer to any deterioration in the food provided. There was a perception that more budgetary pressures were on staff during shopping. This matter will be discussed with the responsible individual and Commission for Social Care Inspection in the future and it is recommended that the budget be reviewed to enable more choice to be provided to students at mealtimes. Chestnut Street, 59 DS0000005270.V332977.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students benefit from support that promotes their independence. The health needs of students are met. Medication systems are safe. EVIDENCE: The philosophy of the service is one of promoting independence rather than providing intimate personal care from staff. As a result personal care to students does not involve intimate personal care but is reliant on prompting. Other evidence included notes for students to ensure that they have attended to their personal care needs and this was present in one bedroom and served to remind students of personal care routines. Staff monitor the levels of progress of each students’ maintenance of their personal care through documentation. Students consider that they still have positive relationships with staff- ‘staff are marvellous’ and ‘staff help me’. At many times during the inspection, banter between staff occurred and this was done in a light-hearted manner. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 16 All students are registered with a General Practitioner and NHS registration cards are available for all students. One student said that he was well and had not needed to go to the Doctor. Another confirmed that he had been to the Doctors and had a hospital appointment. All medical appointments are recorded and monitored at present. All students confirmed that they need support from staff to attend appointments. Medication is stored securely in a purpose built cabinet located in the staff office, which in turn is locked when not in use. Records are available and are appropriately signed. One person self medicates and he confirmed this. He has been risk assessed to do this. One other person relies on staff to administer medication and the other person is not prescribed medication. All medications received are recorded in a book. No controlled medications are prescribed at present. Evidence was available that staff on duty had had medication awareness training. Disposal of medication records are available. Chestnut Street, 59 DS0000005270.V332977.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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are provided with the information they need if they wish to make a complaint. Students are protected from abuse. EVIDENCE: Interviews with two students confirmed that both were clear that they would refer any complaints to the Unit Manager. They stated that they had no complaints and were happy with the house. A complaints procedure is available and on display. All students are able to read and the procedure is presented in symbols as well as written text. Complaints records reveal no complaints for some time and no complaints have been received by the Commission for Social Care Inspection. A complaints procedure in place for relatives and others and includes contact details of regulator’s Local Office. Two students stated that they felt safe in the home and no allegations of abuse have been reported. The organisation has policies and procedures and the Registered Manager serves as an abuse co-ordinator in the event of any allegations being made. Physical or verbal abuse is not a feature of students at present although all staff have recently attended a control and care course which discussions with the staff member on duty noted that this had focussed on diffusing technique rather than physical intervention. Guidelines for staff in relation to involvement in student financial interests are included within a staff handbook. A whistle blowing procedure is on display and includes reference to the Commission for Social Care Inspection. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 18 An anti bullying procedure is available for students and indicates that this will not be tolerated. Students retain their cash cards and the staff team has no involvement with these. Training records noted that all staff have attended abuse awareness training. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students benefit from living in a comfortable, home like and clean environment. EVIDENCE: A tour of the premises was undertaken. The front door now has a doorbell this was raised as a recommendation in the last report. The front hallway is presentable. A front lounge is available with furniture, a television and curtains ensuring privacy and is home-like in appearance. The kitchen is domestic in scale and clean. Laundry facilities are located in the kitchen although infection control guidelines continue to be reinforced in respect of this. A dining room is available with sufficient seating for all. A computer is available in this room and is linked to the Internet. A bathroom/toilet is located on first floor. It was noted bath not in use and has not for some time. It is recommended that this be repaired to ensure more choice for students in bathing. All areas are pleasantly decorated although some minor wear and tear was noted. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 20 No issues at present with the exterior of the home and no offensive odours were noted and the home appeared clean and hygienic. Two students commented that they liked the house. The home is close to local facilities and blends in with the local community. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 21 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): 35. Standard 34 was not assessed given that no new staff had come to work at the home and that all personnel files had been found to be in order at the last key inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are protected through the recruitment procedure. Students benefit from a staff team that has received the basic training to perform their role. EVIDENCE: No new staff have been recruited to the service since the last inspection. This was confirmed through staff rotas and the personnel files provided during the inspection. All personnel files have been examined on previous occasions and have been found to meet National minimum standards and regulations. Training records noted that all mandatory training and other training has been undertaken in respect of: Moving and handling Fire safety Health and safety COSHH Food Hygiene Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 22 First Aid POVA Training Infection control Management of Challenging behaviour Medication training One member of staff has attained an NVQ Level three qualification. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 23 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, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students benefit from a well managed service. Students still do not consider that their views are always taken into account through the quality assurance process. The health and safety of students and staff is promoted. EVIDENCE: The home’s management structure works in two ways. The Registered Manager is responsible for other registered student accommodation run by the same organisation. In addition to this the home has a Unit Manager who has received training as evidenced through certificates. The Registered Manager has been approved by the Commission for Social Care Inspection and is qualified to perform the role having the necessary experience in addition to Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 24 this. The Unit Managers role is to deal with the day-to-day issues that students have as well as supervise the staff team. Quality assurance is provided by monthly visits to the service to assess the quality of the support given. During this process two students do not consider still that their views were take into account. This was raised as a requirement during the last inspection and remains so at this one. All staff have received mandatory training as evidenced through training records. The following health and safety checks are in place: fire drills, checks to fire detection systems, servicing of fire extinguishers, checks to water temperatures (even though thermostatic valves in place), health and safety checklists, accident forms, Control of substances hazardous to health (COSHH) assessments. Certificates of insurance are available as well as the certificate of registration on display. Portable appliances tested have also been tested. Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 N/A 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 26 YES 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 YA39 Regulation 26 Requirement The service must fully include students in the quality assurance process. Previous requirement timescale 01/01/07 Timescale for action 01/09/07 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 YA17 YA24 Good Practice Recommendations The recent cut in the food budget should be reviewed The bath should be repaired to provide more choice for students in relation to them maintaining their personal care Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Chestnut Street, 59 DS0000005270.V332977.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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