Inspection on 24/11/07 for Coopers Way Respite Service

This inspection was carried out on 24th November 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Coopers Way Respite Service 25/11/06

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 Coopers Way Respite Service 1a Coopers Way Blackpool FY1 3RJ Lead Inspector Mrs Ruth Edgington Unannounced Inspection 24th November 2007 09:15a Coopers Way Respite Service DS0000067774.V350597.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 Coopers Way Respite Service DS0000067774.V350597.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. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coopers Way Respite Service Address 1a Coopers Way Blackpool FY1 3RJ 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) 01253 393531 Blackpool Borough Council Mrs Barbara Mary Crouch Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 4 service users to include up to 4 service users in the category LD (Learning Disability) up to 4 service users in the category PD (Physical Disability). 25th November 2006 Date of last inspection Brief Description of the Service: Coopers Way is a purpose built home situated in a residential area and within reach of local amenities and shops. The home can provide accommodation for a maximum of 4 adults who have a learning disability and require respites care (short stay). The period of stay depends on the needs of the individual resident and their relatives. The accommodation consists of four single bedrooms, all of which have ensuite toilet and bathing facilities. There is also a large lounge, kitchen-dining room and a separate toilet on the ground floor. The home is fitted with a passenger lift and aids are provided throughout the home to assist service users as required. The information contained in the home’s Statement of Purpose/ Service User Guide is included in the information provided to prospective service users and their families. This written information explains the care service that is offered, the management and staff and what the service user can expect if he or she decides to stay at the home. Information received prior to the visit (24/11/07) showed that the fees for an over night stay were £9.55. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the home’s key Inspection. The visit started on a Saturday morning and took place over 7.15 hours. This included a visit to the home in Mansfield Road, which operates in conjunction with Coopers Way. Service users are able to stay at either home depending on their needs and the availability of accommodation at that time. The homes are managed by the same manager, deputy and the staff group work between the two homes, depending on which service users are staying at the time. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. Comment cards were sent out prior to the visit to a number of service users and their representatives. In total two service users, three relatives, two staff and one health care professional returned these to express their views about the service. On the day of the visit there were four service users being accommodated in the home. As part of the visit a random selection of the service user records, staff records and other relevant documentation were looked at and a tour of the home took place. Discussions took place with the manager, deputy and four staff. Two service users were also spoken to and although in the main interaction was through non-verbal communication, they were able to make a positive contribution to the visit. From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well: The registered manager, deputy and staff group are very committed and work well together to provide a high quality service, which ensures that those using the service enjoy their stay and have all their needs met. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 6 The manager is very responsive when areas for improvement are brought to her attention and works to resolve matters that are within her responsibilities in order that the needs of the service users are met. Evidence was gained that the service users and their families are involved in all aspects of the individuals care and are encouraged to voice their opinions in order that the service continues to be one of quality. One relative said that the managers and staff give great support at all times. Another stated that if they had any concerns these were dealt with immediately. Through observations made and comments received, it was evident that the principals of equality and diversity are followed in the care and support given to service users by the managers and staff. Comments received from a care professional indicated that they had found that all aspects of individual needs were supported. Staff spoken to confirmed that they enjoyed their work and felt supported by the manager. The staff group has remained very stable since the last visit, which is important in providing continuity for all the service users. Staff training is given priority to ensure that the people who use the service are cared for by an experienced, qualified and competent work force, who can meet the different and changing needs of the service users. What has improved since the last inspection? Improvements have been made in regard to the policies and procedures in the home for the administration of medication. The medication records have been re-designed and all the required information is now included in one document to ensure an efficient audit throughout the time that service users’ medication is in the home to ensure that their needs have been met. Lockable facilities have been provided for service users who may wish to keep their own medication in order to ensure the safety of the individual and other service users in the home. All documentation used in the home is continually reviewed and amended where necessary to ensure that the needs of service users continue to be identified and met. A new document named the ‘Transitional Action Plan’ has been devised by the deputy manager to ensure that sufficient information is obtained in order to make service users introduction into the home as smooth as possible. The provision and promotion of a healthy balanced diet has been further developed for the benefit of those using the service. Coopers Way Respite Service DS0000067774.V350597.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. Coopers Way Respite Service DS0000067774.V350597.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 Coopers Way Respite Service DS0000067774.V350597.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. The admission and assessment procedures are clear to ensure that the prospective service user’s individual needs and aspirations are assessed and can be met. EVIDENCE: The admission procedure for any prospective service user includes a home visit carried out by the manager or deputy and their allocated Link Worker, during which the relevent documentation is completed in order to assess their individual needs and ensure that these can be met. During the individual’s transition every effort is made to arrange introductory visits to the service when their friends and acquaintences are staying at either of the homes. This process enables the managers and staff to look at the needs of the individual and those of the other service users to ensure that everyones needs can be met. The care records of three service users were looked at in detail and were found to contain very comprehensive assessment information, which had been obtained before an admission had taken place. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 10 The deputy manager has devised a new document ‘Transitional Action plan’, which is to be used for all prospective service users. A copy of this document had been completed for a service user who was due to come for their first overnight stay that day. The managers felt that the use of this document was another way in which they can obtain sufficient information to ensure that the assessed needs of the service user are met fully by the service provided. From comments received from staff, both prior and during the visit evidence was gained that they received sufficient information about individual service users to ensure that the needs of the service users accommodated at any time can be met. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 11 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&9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All individuals have a comprehensive plan of care ensuring that staff have clear guidance regarding their needs and aspirations. EVIDENCE: On examination of three service users’ files it was found that they contained detailed information in their Guest Profile document and care plan in relation to their personal, social, emotional and health needs. The care plans also contained all the relevant information in relation to their individual goals and aspirations, likes and dislikes and help required with decision making. Service users are very much involved in all decisions that affect them and they are consulted at all times. Care plans show the level of support and assistance being provided to service users with their decision-making. The records also included risk assessments, which enable the staff to give support in encouraging service users to maintain their independence. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 12 Comments received from a care professional confirmed that the care plans are always updated and available. All service users have an individual Essential Lifestyle Plan compiled with the assistance of the staff member who is their Link Worker and who is responsible for liaising with individual service users and their families once a month. This enables information in the individual’s file to be updated in order that their needs continue to be met. Following each stay the staff complete an ‘Information Sharing Booklet’, which gives the family feedback on what sort of a stay the service user has had. The document also gives the family the opportunity to make any comments that they have about the service provided. A comment received from one relative raised a question has to whether or not an individual service user was passing on the booklet, therefore the manager decided that steps would be taken to ensure that relatives did receive the information. Comments received from a service user indicated that they were very happy with the service, which met their needs and that, “The staff know me well, that helps me very much”. A relative stated “The care home provides a happy and safe environment for the service user and they are fully aware of their needs”. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 13 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 &17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Opportunities for development and community participation are addressed in the care plans, ensuring that people have a lifestyle that meets their individual needs and expectations. EVIDENCE: During the visit discussions took place with the managers and staff on duty and it was very clear that they understood their role in encouraging independence and promoting the residents’ personal development. They recognised the importance of working very closely with the relatives in order that the needs and wishes of the residents are met appropriately. Service users are encouraged to carry on with any pre-arranged activities and to maintain relationships with their family and friends during their stay. A relative said that the individual service user likes meeting the friends that they have made and when they come home always ask when they are going again. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 14 The service users have a range of activities available to them, which included television, music, videos and board games. Staff and service users have compiled an “Out and About” resource file, identifying facilities available within a three-mile radius of the home, which service users can visit and become involved in if they wished to. The service has its own transport, which enables the service users to get to the different venues much easier. From observations and discussions during the visit evidence was gained that the management team and staff had a clear understanding of equality and diversity and actively promote these principles for the wellbeing of the service users. The two homes in the service operate together and service users can choose which to stay at depending on availability of rooms. Their choice is often dependent on who is in the home at that time, as they develop friendships with other service users. The managers and staff recognised that additional staff would be beneficial to ensure that there was greater flexibility to meet individual needs in relation to activities. In order to ensure that the needs of everyone staying in either home at any one time, staff liaise with each other to arrange suitable activities that will accommodate the needs and wishes of everyone. Comments received from a care professional confirmed that they had found that individuals had a choice of activities whether at the home or out socially in the community. Sample menus were looked at and these confirmed that service users were provided with a varied and healthy diet and a degree of choice. Details of individual preferences and dietary needs were recorded on the service users’ care plan. One staff member is also the parent of a service user and their input in regard to the provision of a healthy, balanced diet has proved beneficial for all service users. This member of staff was spoken to and they confirmed that the manager took on board their concerns in regard to their relatives diet and confirmed that they felt that the meal provision has improved whilst still enabling choice. Meals times are flexible to meet individual needs and what activities the individual is involved in. At weekends the service users usually have ‘Brunch’ as this enables them to have a lie in if they wish. The manager and deputy had previously attended a series of training on diets etc and are looking into all the staff team undertaking the ‘Essence of Care Nutritional’ training, which looks at healthy lifestyles healthy balanced diets. Routines in the home are very flexible to meet the needs of those accommodated at the time. During the week the time service users get up is Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 15 in the main dictated by the activities for the day, such as attendance at college or day centre. However at weekend the service users dictate their own routine. At the time of the visit one service user had only just got up and was getting ready to go out. The manager confirmed that this service user would be out all day and that a risk assessment had been undertaken to ensure their safety and enable the staff to contact them if necessary. The service user said that they did not have time to speak to me as they had so much to do. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 16 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. EVIDENCE: The records of three service users were looked at in detail and all contained very comprehensive information in regard to their physical and emotional needs and the amount of support that they required. Throughout the visit observation were made of the support that was given to the service users to maximize their privacy, dignity and independence. Evidence was seen to confirm that service users health care needs were met through the continuity of care within their health action plans that have been compiled and agreed by all professionals involved with their package of care. A relative commented that “They are very supportive and provide excellent care”. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 17 Prior to the previous Key Inspection shortfalls in the medication procedures were identified and certain requirements and recommendations were made to ensure the safety of the service users. Examination of the medication records showed that these had been complied with fully. The policy for administration of medication had been updated and the medication records had been redesigned ensuring that there is a clear audit of all medication brought into the home, administered and returned to the service user or their representative on discharge. A designated member of staff on each shift is responsible for administering medication and all staff undertaking this role have received appropriate training. A monthly audit is undertaken to ensure that the procedures are being followed correctly for the protection of the service users. Facilities for the safe keeping of medication have also been provided for any service users who wishes and is capable of self administering their medication. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 18 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 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to and taken seriously. EVIDENCE: Evidence was seen that the complaints policy and procedure was clear, accessible and met the requirements of the standards. It is very unlikely that the majority of service users would be able to make a formal complaint, but from comments made by the relatives it was clear that they were aware of the procedure and would do so on their behalf. Staff were able to demonstrate that they were aware of individual behaviour changes and gestures that may indicate if a person was not happy and not able to communicate verbally. Staff are given guidance around “ Awareness of Abuse” through the NVQ (National Vocational Qualification) in care and the Learning Disabilities Award Framework (LDAF). There have been no complaints received by us or referrals to POVA (Protection of Vulnerable Adults) in the time that the home has been open. Comments received from relatives were very positive and confirmed that the staff acted upon any concerns that they brought to their attention. Coopers Way Respite Service DS0000067774.V350597.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 & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users live in a comfortable, homely and safe environment. EVIDENCE: This home was purpose built and opened in August 2006 and met all the requirements of the National Minimum Standards and other relevant agencies. A great deal of time and effort was put into ensuring that the needs of those using the service could be met by the facilities in the home. All bedrooms are for single occupation and have their own bathing and toilet facilities. Aids are provided throughout the home especially in relation to meeting the needs of service users with more complex physical needs. A passenger lift enables easy access between the ground and first floor. A tour of the home found it to be warm, clean and free from any obvious hazards ensuring that the service users had a homely and comfortable environment in which to stay. Coopers Way Respite Service DS0000067774.V350597.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): 32,34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment procedures and training provided for all staff ensures that the service users are protected and care for by staff who are competent and qualified to undertake their role. EVIDENCE: There have been no new staff recruited to the service since the previous inspection visit. However an issue raised during the previous visit was the lack of evidence in the home to confirm that robust recruitment procedures were being followed. The manager confirmed that this matter had been resolved and now all staff files contained the relevant information in relation to recruitment and selection. The files of three staff members were looked at and were found to contain the information required therefore ensuring the protection of the service users. The staff working in the repite service have been recruited specifically and have specific job descriptions. All new staff undertake a six week induction process during which time they commence their LDAF training and mandatory training courses. Evidence was seen of the training undertaken and the Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 21 training, which was planned for the future. All of which ensures that the staff employed by the home are competent and well trained to meet the needs of the residents. The staff spoken to said that they enjoyed the training that was provided, which they felt benefited them in meeting the needs of the service users. The staff work in both homes in the scheme and all staff records are kept at Coopers Way. Evidence was provided to show that over 50 of staff had achieved level 2 NVQ(National Vocational Qualification) or above. Comments received from staff spoken to confirmed that they felt supported and included in all aspects of the service users’ care. Comments received from staff prior to the visit indicated that they felt that more staff were required to ensure that individual needs continued to be met appropriately. Every effort is made to ensure that the staffing levels provided at any one time meet the care needs and support required by any individual service user. On the day of the visit a service user was due to be admitted and in order that their assessed needs could be met the number of staff on duty had been increased, however due to personal circumstances the service users visit was cancelled. A relative commented they wanted to say a big thank you to all the staff for all their hard work and dedication. “The home is Home from Home”. A health care professional stated that the staff and managers were very professional and they always witness a good rapport with the individuals accessing the service. Coopers Way Respite Service DS0000067774.V350597.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): 37,39 & 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 run in the best interests of the service users. EVIDENCE: The registered manager is very experienced and has worked in a caring environment for many years. She has achieved the required qualifications to ensure that the service is managed by a competent and qualified person for the benefit of the service users and staff. Coopers Way operates in conjunction with Mansfield Road and the manager is supported by an experienced and competent deputy, which ensures the smooth running of both homes in order that the needs of all service users are met. Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 23 The leadership from the managers is very good and staff confirmed that they felt valued in their role. The manager confirmed that she had a very committed team, who work well together and support each other all of which provides the service users with a quality service that meets the needs and expectations of everyone. Information received during the visit in relation to the maintenance of services and equipment indicated that any work required to service and test equipment and systems in the home was due to be undertaken to ensure a safe environment for the service users and staff. The health and safety of the service users is protected by the policies and procedures in place in the home. Evidence was seen confirming that staff receive mandatory training in relation to these issues. The quality of the service being provided is assessed in a number of ways. The feedback from the link workers provides a quality check on how service users and their carers rate the service. Staff meetings are held on a regular basis and waking watch staff are seen regularly for their input. Coffee mornings and open days enable relatives and others to have a say and see how the service operates. A service user attends the Learning Disabilities Committee Forum, which gives the opportunity for service users to have a say in the service. A copy of the Team Plan for June to December 07 was provided and this clearly showed the objectives of the service and how these were to be met and by whom. Comments received prior and during the visit indicated that the manager and deputy were excellent and that they offer as much support as they can. The home is visited on a very regular basis by a senior representative of the local authority and they also keep in regular contact via email and supervision with the manager. However there was no evidence to confirm that they complete a monthly report following these visits. This was discussed with the person concerned following the visit and they confirmed that they would ensure that this matter was complied with in the future. Following a recent incident in the service the manager was reminded of her obligation under Regulation 37 of the Care Homes Regulations to inform us in writing of any incident that affects the welfare of the service users. The manager confirmed that she would ensure that this was complied with in the future. Coopers Way Respite Service DS0000067774.V350597.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 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 4 25 x 26 x 27 x 28 x 29 x 30 4 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 3 x x 3 x Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42 Regulation Requirement Timescale for action 31/12/07 2 YA43 37(1)(g)(2) Written information in relation to any incident that affects the health and welfare of service users must be sent to the Commission without delay. 26 The representative of the 31/12/07 registered provider must complete a report following their monthly unannounced visit to the home and ensure that a copy is provided to the manager for retention in the home. 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 Coopers Way Respite Service DS0000067774.V350597.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Coopers Way Respite Service DS0000067774.V350597.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!