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Inspection on 24/04/07 for Chilmington House

Also see our care home review for Chilmington House for more information

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 continued to have a friendly, relaxed atmosphere with positive relationships between residents and staff. Staff had a good understanding of residents` support needs. Meals provided are good. Personal care and healthcare support provided in this home is excellent. The home would be able to meet the needs of individuals of various religious, racial or cultural backgrounds. Residents indicated they like living in their home. Residents` relatives or advocates make positive comments about this home. The home has built excellent working relationships with healthcare and social care professionals.

What has improved since the last inspection?

Chilmington HouseDS0000011123.V330653.R01.S.docVersion 5.2Page 6The home is now fully staffed and the staff team say morale is high. Some residents bedrooms have been redecorated and had new fitted furniture installed and a new carpet fitted in the lounge making the home a nicer place to live.

What the care home could do better:

From what the inspector saw during her visit to the home and from comments received from different individuals involved with and in regular contact with the home she is not able to suggest any way the home could do better at this time. The proprietor and the manager already look to develop and improve all aspects of the care provided for the benefit of it`s residents.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Chilmington House Armadale Court, Westcote Road Reading Berkshire RG30 2ES Lead Inspector Catherine Kane Unannounced Inspection 24th April 2007 3:00 Chilmington House DS0000011123.V330653.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 Chilmington House DS0000011123.V330653.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 Older People and 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. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chilmington House Address Armadale Court, Westcote Road Reading Berkshire RG30 2ES 0118 956 7877 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) manager_chilmington@yahoo.co.uk Chilmington Homes Ltd Ms Martine Patricia Lesley Dell Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29 July 2005 Brief Description of the Service: Chilmington House is a purpose built building which provides seven bedrooms for people with a learning disability and with associated physical disabilities. The home has a lounge, dining room kitchen and laundry room. There is also a garden area with seating and a barbecue. All seven bedrooms have been decorated to reflect the individual tastes of the service users and the home in general has been furnished with service users needs at the forefront of thinking. The fees for this service range from £1,155.18 to £2,209.90 per week. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 3.00pm on Tuesday, 24 April 2007. The inspector was in the service for just over three hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The manager was present at time of the inspection visit. Four members of staff were on duty for the afternoon shift. The inspector spoke with all seven residents. The inpsector saw staff and some residents take part in afternoon activities, prepared for their evening meal and saw how staff help residents look after and take their medicines. She also looked at residents care plans and other records kept in the home and made a tour of the part of premesis. The inspector would like to thank the manager and her staff team for their assistance with the inspection. She also thanks residents who shared their experience of this home. What the service does well: What has improved since the last inspection? Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 6 The home is now fully staffed and the staff team say morale is high. Some residents bedrooms have been redecorated and had new fitted furniture installed and a new carpet fitted in the lounge making the home a nicer place to live. 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. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 (Adults 18-65) Quality in this outcome area is good. The admission procedure is good although not tested, as there have been no new admissions to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection there have been no new admissions to this home. At the time of the inspectors visit there were no vacancies at this home. Generally, admissions would not made to the home until a full needs assessment has been undertaken. The home would then be able to confirm that they can meet the needs of the individual through the service they deliver. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 (Adults 18-65) Quality in this outcome area is good. The care planning system in place to provide staff with the information they need and for assessing risk is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection the inspector viewed three residents’ care plans. These were easy to understand, written in plain language, considered all areas of the individual’s life including health, personal and social care needs. The plan is regularly reviewed and includes comprehensive risk assessments. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 10 The inspector became aware that the home was using listening monitors for two residents to alert staff should the resident require assistance at night. The manager informed the inspector that she understands the decision taken to put these limitations, which could compromise residents’ privacy, dignity or restrict their freedom, that may be in the best interest of the resident must be done only though a full care planning process if the resident is not able to give their consent. She confirmed reviews that would involve the individuals who would be able to act on the resident’s behalf, for example, their relatives or advocate and other social care or healthcare professionals are to be held shortly and clear guidelines will be included in each residents care plan. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. (Adults 18-65) Quality in this outcome area is excellent. Opportunities for people who use this service to take part in a variety of interesting activities are excellent. This judgement has been made using available evidence including a visit to this service. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 12 EVIDENCE: On the day of the inspection the inspector was in the home during the afternoon and early evening. She spent this time with all seven residents and the staff on duty. None of the seven residents had verbal communication skills, however two residents clearly understood the inspector and were able, with the help of staff who know them well, to communicate using some basic signs or facial expressions about some things that were important to them. One resident, helped by their advocate, completed a survey where they indicated that they are happy with the care they receive. Many activities provided in house were based on what residents prefer to do in their leisure time and take into account their age range and need for either stimulating activity or tranquillity; these included watching TV, listening to music, being read to, sensory activities, massage, drawing, puzzles and cooking. Most residents have a full programme of regular activities outside the home that include frequent outings to pubs and meals out, cinema and theatre, bowling, football matches, social clubs and attending sessions at the day services. Some residents are now quite elderly and prefer a bit more peace and quiet and this is respected. The relatives or advocates of six residents returned surveys where they all indicated that the home provides excellent care. One relative said “Chilmington provides a warm and friendly atmosphere”. Another said that “It is a very good home”. The inspector was in the home when the evening meal was being prepared and served. Most residents have their meal together in the dining area. The meal was freshly cooked chicken casserole followed by fruit and custard. Regular drinks and snacks are available. A varied menu is provided and residents special dietary needs are catered for. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. (Adults 18-65) Quality in this outcome area is excellent. The personal and healthcare needs of residents are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Essential information needed by staff to be able to provide personal and health care support was included in residents’ files. Staff help residents to look after their own medication and see they get to see their local GP and other community healthcare services when needed. The inspector saw how the home helped residents to access specialist healthcare support when this was needed. This included providing support to Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 14 two residents while in hospital and taking into account and respecting their wishes. Six comment cards were returned from residents’ GPs and other healthcare professionals, including a district nurse, a community learning disability nurse, a physiotherapist and an occupational therapist. They all indicated that they were satisfied with the overall care provided in this home. They commented that the home has always worked well and in partnership with them. One healthcare professional commented “The service users have complex healthcare needs, ill health is inevitable. The staff work very hard, maintain accurate records and good communication. They seek advice and actively pursue the best healthcare available for their service users”. Residents’ medicines are securely kept in a locked medicines trolley, which is stored in a locked cupboard when not in use. The home uses a pharmacist produced medication administration record (MAR). Records seen were neat and well maintained. Most residents medicines are supplied in pharmacist produced monitored dose system. Records were kept of staff assessed as competent to administer residents’ medicines. During the inspection two members of staff confidently demonstrated how a residents’ medicines are looked and how residents are helped to take their medicines. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 (Adults 18-65) Quality in this outcome area is good. The home has a protection from abuse policy and the complaints procedure is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager declared that home has received no complaints in the last year. The Commission has received no information relating to complaints in the last year. Staff have attended specific training on protecting vulnerable people from abuse and about local adult protection procedures. Staff who spoke with the inspector were clear about their responsibilities and were aware of the homes ‘whistle blowing’ policy. Systems are in place to ensure that residents’ finances are well monitored and protected. The Commission has received no information relating to adult protection issues since the last inspection. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. (Adults 18-65) Quality in this outcome area is good. The home was tidy and clean at the time of the inspection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The furniture and fittings are modern and domestic in style providing a homelike environment. The comfortable open plan lounge/dining leads to a small well maintained the garden. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 17 The home has a programme of repair and renewal. Since the last inspection three residents’ bedrooms have been redecorated, new fitted furniture in two residents’ bedrooms and new carpets have been fitted in the lounge. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 24 and 35 (Adults 18-65) Quality in this outcome area is excellent. This homes recruitment procedures and training for staff to do their jobs well is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection visit the inspector spoke with two members of staff on duty. The home has a core of well-established staff that understands residents’ needs and they relate well to. Five staff members have left and eight new members of staff have been recruited since the last inspection. Staff commented that morale is high. Comments received from relatives or advocates were complimentary of the staff team. A healthcare professional Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 19 commented that “The staff team are creative and dedicated. They use all of the staff teams skills to ensure that each service user has all the opportunities open to them that they would wish and could access”. The recruitment process is thorough. The inspector viewed three staff files. These were well organised and contained the necessary documentation. The manager confirmed that the home intends to renew the Criminal Record Bureau (CRB) disclosures made on staff every three years. The home keeps a record of training completed by staff; staff spoken with confirmed details of the training they have undertaken. This was a comprehensive training programme. The manager places high importance on quality training for her staff team. Of 15 care staff 11 staff members have completed a relevant National Vocational Qualification (NVQ). A deputy manager has recently passed her NVQ4 and Registered Manager’s Award. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 41 and 42. (Adults 18-65) Quality in this outcome area is excellent. The registered manager has a good understanding of management areas in which the home needs to improve and has plans in place to address this. This judgement has been made using available evidence including a visit to this service. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 21 EVIDENCE: The experienced registered manager is competent to run the home and meet its stated aims and objectives. She has sound knowledge and experience in care of people with a learning disability and complex healthcare needs, quality assurance systems, equal opportunity issues, development and implementation of the services policies and procedures, good people skills, strong leadership of staff, responds to need and provides an excellent role model and manages the service efficiently. She has a strong ethos of being open and transparent in all areas of running of the home and is aware of current developments both nationally and by CSCI and plans the service accordingly. The manager is well respected by members of her staff team and is trusted and well liked by the residents of the home. The registered manager provided details and positive outcomes of the last quality assurance survey that included the views of residents and their family representatives or advocates. The managing director and owner of the home routinely carry’s out unannounced monthly visits and produces a report of their findings; these were made available in the home for inspection. The home has sound policies and procedures in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice. The home works to a clear health and safety policy and checks take place to ensure the home meets relevant health and safety requirements and legislation. Records kept were good and are routinely completed. Where issues have been identified these have been acted upon successfully to ensure residents’ care is not compromised. . Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 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 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT Standard No Score 37 4 38 X 39 4 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chilmington House Score 4 4 3 X DS0000011123.V330653.R01.S.doc Version 5.2 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. 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 Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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. Chilmington House DS0000011123.V330653.R01.S.doc Version 5.2 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. 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