Inspection on 07/06/07 for Corben Lodge

This inspection was carried out on 7th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Corben Lodge 08/11/06

Corben Lodge 10/05/06

Corben Lodge 06/03/06

Corben Lodge 27/07/05

Corben Lodge 05/01/05

Corben Lodge 01/06/04

Corben Lodge 01/12/03

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

CARE HOME ADULTS 18-65 Corben Lodge Moorings Way Milton Portsmouth Hampshire PO4 8QW Lead Inspector Ian Craig Unannounced Inspection 7th June 2007 09:00 Corben Lodge DS0000044248.V338801.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 Corben Lodge DS0000044248.V338801.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. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Corben Lodge Address Moorings Way Milton Portsmouth Hampshire PO4 8QW 023 9273 1941 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) www.portsmouthcc.gov.uk Portsmouth City Council Mr Michael Paul Collinge Care Home 19 Category(ies) of Physical disability (19) registration, with number of places Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate up to 19 male and female service users in the PD category between 18 and 65 yeas of age. 8th November 2006 Date of last inspection Brief Description of the Service: Corben Lodge is a local authority home situated in a residential area on the eastern side of Portsmouth. The home is a purpose built single storey building that provides care for up to nineteen service users between the ages of 18 & 65 years. The home offers rehabilitation to physically disabled adults to enable them to achieve greater independence and to move into specialist housing provision in the community. The home accommodates a mixture of longer- term residents as well as short stay, respite care and weekend programmed. In addition there are some care packages available for people living in the community who may need use of Corben Lodge facilities, for example assisted bathing, in order to sustain them living independently. Fees range between £734.00 - £1,055.00. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the premises, examination of records, documents and policies and procedures. Four residents gave their views on the home. Survey forms were sent to the home for residents, staff, relatives and professionals linked to the home, to complete. Three residents, one staff member and 4 professionals, returned the survey forms. Two staff were interviewed during the visit. Two staff were interviewed and discussions took place with the deputy manager, an assistant manager and a senior member of the care staff team. The home’s manager also completed a Commission Annual Quality Assurance Assessment, which was used as part of the inspection process. What the service does well: The home has made considerable progress over the last 12 months to improve the service it provides to residents and in ensuring that national minimum standards are met. The Commission Annual Quality Assurance Assessment completed by the manager shows the areas in need of improvement are recognised and planned for, as well as the home’s strengths. Feedback from residents, relatives and professionals are positive with minor exceptions, which are highlighted in the relevant sections of this report. One resident stated that it has been “a pleasurable experience staying at the home,” and that the home’s staff and management “are free and easy to talk to.” Another resident stated that he/she considers 99.9 of his/her stay as being positive. A relative made the following comment in a card to the staff: “Excellent care and first class meals, whilst I was reassured that my relative was in the very capable hands of the friendly staff giving me complete peace of mind.” Care plans are of a good standard, are comprehensive and reflect current good practice of providing care at the same time as recognising the individual’s abilities. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 6 There are opportunities for developing independent living skills and the home has a separate wing specifically for this purpose. The home provides and facilitates social and leisure activities as well as education courses. The home liaises with community medical teams. Feedback from social services and medical staff refer to residents being well looked after. The home’s environment is light, airy and well maintained. The home provides adequate staffing which can be adjusted to meet the residents’ needs. Staff training is well organised and the staff on the day of the inspection demonstrated a comprehensive knowledge of individual resident’s needs. What has improved since the last inspection? What they could do better: A resident commented that he/she was not given information about the home other than photographs before moving in. This should be reviewed to ensure that each person referred for possible admission has a copy of the home’s Information Pack. Symptoms and circumstances indicating when medication ‘as required’ need to be recorded. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 7 Opportunities for residents to access community facilities should be developed, including the availability of the home’s own transport. 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. Corben Lodge DS0000044248.V338801.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 Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is given to those considering moving into Corben Lodge. The home ensures that it only admits those residents whose needs can be met. EVIDENCE: The home has an Information Pack which is supplied to each resident and includes the home’s Statement of Purpose, information on meals, details of the management and staff, the complaints procedure, the terms and conditions of residence, and other relevant information. Whilst each resident is given an Information Pack, it was not clear what information is provided to those considering a move into the home. Residents confirmed that they are shown photographs of the home and that there are opportunities to visit the home before making a decision about moving in, but one resident stated he only shown photographs of the home, and was not Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 10 given any information. This should be looked into to ensure that potential residents are given information about the service before moving in. Potential resident are able to visit and spend time at the home before deciding to move in. This was confirmed from residents themselves and from the home’s management. The home completes a referral questionnaire when someone is referred for possible admission. Copies of referring care manager’s assessments are obtained so that the home can make a decision about whether or not the home is suitable for the person’s needs. A member of staff from the home also visits the service user and an assessment of need is completed. Corben Lodge DS0000044248.V338801.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and assessments of need are of a high standard and residents are able to make choices about their lives. EVIDENCE: Assessments of need and care plans were examined for 4 residents. These are comprehensive and include completion of the following: • Key information sheet with photograph • Key names and addresses • Pen picture • Daily contact sheets • Assessment/ care plan document • Personal risk assessment score sheet Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 12 • • • • • • Specific risk assessment Care plan Care plan agreement signatures Working guidelines/instruction sheets Goal related programmes Monitoring for health and well being The Pen Pictures show comprehensive attention to detail regarding each person’s wishes and preferences. For instance, a record is made about what checks at night the person prefers including whether or not they sleep with the light on or off. Care plans and daily records are completed in detail. Care plans are completed promptly following admission to the home. Records show that residents are involved in devising their care plans. This was confirmed by residents. Two resident stated that they have a copy of their care plan. Care plans are reviewed each month. The Health and Personal Care section of this report also includes details of the home’s assessment and care planning. Risk assessments are carried out for residents’ behaviour and specific activities, such as going out. A recent event for one person indicated that this needed to be reviewed and updated on a regular basis especially following specific incidents. Residents confirmed that they have their own meetings and that the home’s management and staff are receptive to their views. Feedback was also received from the residents that they are able to spend their time as they wish. The home’s management stated that residents were consulted about the development of the newly created independent living unit. Corben Lodge DS0000044248.V338801.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): 11, 12, 13, 14, 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. Residents have opportunities for developing independent living independent living skills and for taking part in a variety of social and leisure activities in the community. EVIDENCE: The home has recently opened a unit where residents are able to develop independent living skills for returning home and in preparation for a move to more independent living. Two residents were observed making a meal with staff support. The unit has specialist facilities so that wheelchair users can access sinks and cooking equipment. Residents spoke positively about the facilities of the unit and of the support they receive from staff. One person, Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 14 however, felt that additional staff might enable him/her to develop independent living more easily. Care plans include assessments and plans for developing independent living skills entitled, ‘To develop my daily living skills.’ These were seen to include planned target dates for developing domestic skills, for instance. Residents also access community facilities for socialising and leisure. One person attends a sailing club and an archery club. Several residents confirmed that they are supported by staff with trips to the pub, restaurants and the cinema. There are opportunities for residents to attend social groups. One person felt that there could be more to do in the home but also confirmed that entertainment is provided. One person attends an advocacy group each week and recently attended a Self Advocacy conference. The home has its own transport and 2 residents have their own car. Comment was made by one resident and two staff that the frequency of residents being able to access the community can be dependent on the availability of staff numbers and those staff who can drive the home’s bus. This should be looked into as an area for improvement. Residents confirmed that they are able to spend their time as they wish although one person stated, ‘on occasions I have been told what to do.’ Some residents attend day centre activities and educational courses, such as in computing. Residents were asked about the food, which was said to be ‘ok’ and ‘reasonable.’ A relative described the meals as ‘first class.’ Fresh fruit was available in various locations around the home. A light lunch is provided with a main meal in the evening. On the day of the inspection residents were observed having a midday meal of Cornish pasty or sandwiches. The home plans meals in advance on a menu plan. The planned evening meal for the day of the visit was beef cobbler with cheese scones, or tuna, or salmon and broccoli bake, served with vegetables. A full English breakfast is available at the weekends. The cook organises theme evening with specialist food for special occasions, such as haggis on Burns Night. Corben Lodge DS0000044248.V338801.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. Support and arrangements for meeting health and personal care needs are of a good standard reflecting each person’s needs, preferences and abilities. EVIDENCE: Residents described how they are satisfied with staff support for personal care needs. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 16 Care records for health and personal care needs give specific details of how each person’ care is to be delivered. These include details of the specific tasks that staff should undertake alongside the tasks that the resident is able and willing to do for himself so that independence is maintained. Care plans for personal care are written in a style that places the resident as the person making decisions about how the care will be provided. Each person signs a record to acknowledge agreement with his/her assessment and care plan. Records show that the following health needs are assessed and plans devised to meet those needs: • Assistance with physical exercise following assessments by occupation therapists and physiotherapists • Pressure sore risks • Risk of falls • Physical health • Mental health • Weight • Eyesight, dental care and podiatry Monitoring sheets are used to check on the health needs of individual residents. Where appropriate a moving and handling assessment is completed and recorded. These include guidance for staff in transferring the person with the use of photographs to give staff clear instructions. Specialist equipment is provided to ensure that resident’s are moved safely. The home plans to increase the involvement of physiotherapists. Care records also show evidence of liaison with health care professionals and that the home obtains reports and advice regarding needs such as speech and language therapy as well as from medical staff such as consultant practitioners. The home’s procedures for the handling and administration of medication were examined. One resident administers his/her own medication. Residents described how they receive help from staff with medication. Medication administration recording sheets are signed by those staff responsible for administering medication. Examination of the containers of medication showed that medication is being administered as prescribed. Procedures for medication that must be stored as a controlled drug are appropriate and include two staff signing a record including a balance of medication. The home does not have guidelines for two residents who receive medication as required. The management staff responded positively to this finding and began to implement this during the inspection visit. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 17 Corben Lodge DS0000044248.V338801.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home listens to the views of the residents and takes steps to promote the safety of residents. EVIDENCE: The home’s complaints procedure is contained in the home Information Pack, which is supplied to each resident. Those residents spoken to on the day of the inspection said that they are aware of what to do if they wish to make a complaint. Comment was also made that home’s staff and management are receptive to the residents airing their views. Staff expressed the view that residents’ views are listened to and that complaints are looked into. The home has a ‘whistle blowing’ policy which staff are aware of. The home has a copy of procedures to follow should a situation arise whereby an allegation of abuse is made regarding the care of an individual. In addition to this, staff attend training courses in adult protection. This was evidenced from training records plus interviews with staff and management. Procedures for the handling of residents’ finances were examined. Appropriate records are maintained of any resident’ s valuables or money held for safekeeping, which includes the dates of any amounts withdrawn or deposited Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 19 plus a corresponding balance. Each person’s money is held in a bank account in the name of the resident. The home has policies and procedures regarding the safeguarding of residents’ money and valuables as well as for staff accepting gifts from residents. This was evidenced from discussion s with the staff and management. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 20 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, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-maintained and clean environment, which has adaptations and facilities so that those with a physical disability can maintain and develop their independence. EVIDENCE: The home is divided into 4 units. Since the last inspection a new unit has been created specifically for the purposes of enabling residents to develop independence. Residents were observed using the home’s facilities including those in the newly created unit. Extensive adaptations have been made to the home, including ramped access, wide doors, a variety of specialist bathing facilities, track hoists in bedrooms, Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 21 plus kitchen units and wash hand basins that can be raised and lowered by the resident for ease of use. The home also has several mobile hoists. Residents have been able to personalise their bedrooms with their own belongings including computers, televisions and audio equipment. One resident was seen to have his own wide screen television with Sky sports channel and another person has an Internet connection for his computer. Several bedrooms have direct access to a bathroom with specialist facilities. A number of bedrooms have direct access to the garden via a ramp and patio door. The home is clean and well maintained with a plentiful supply of light. Residents commented that the home is always clean and tidy and that the domestic staff are good at their job. Revised infection control procedures have been introduced. There is an outside area where residents can cultivate plants as well as a conservatory for growing indoor plants. At the time of the visit several residents were growing sunflowers as part of a competition. It was noted that the maintenance of the garden could be improved. The home has lounge areas, offices for staff to use and areas for storing equipment such as wheelchairs. Three residents spoke of the home’s environment describing it positively. Two residents described how they have benefited from the facilities of the newly created unit, which has allowed them to develop independent living skills. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 22 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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-trained staff team who have a thorough knowledge of each person’’ needs and have access to a variety of training courses. The home’s recruitment procedures protect residents. EVIDENCE: Examination of staff rotas, discussions with the staff and management as well as observation confirmed that the home attains the care staffing levels that have been assessed as necessary to meet the needs of the residents as follows: • At least five staff from 7am to 12.30pm • At least three staff from 12.30pm to 4.30pm, and, • At least 4 staff from 4.30pm to 9.30pm. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 23 The staff rotas show that these staffing levels are often exceeded. Adjustments can be made to increase the staffing levels to meet the service uses changing needs. Nighttime staffing consists of one ‘sleep’ in and two ‘waking’ staff. In addition to the above staff the home provides the following staff hours: • Administrative assistant of 37 hours per week • Cook 37 hours per week • Kitchen assistant 20 hours per week • Kitchen assistants totalling 40 hours per week • Domestic assistants of 57 hours per week • Laundry staff of 28 hours per week • Driver for 37 hours per week. Staff stated that the home’s staffing levels have improved and that this has allowed time to facilitate activities with residents outside the home. Comment was also made that the staff levels could be further increased and that this would give further opportunities for residents to take part in activities. This was also reflected in a survey form completed by a resident particularly in relation to transport considerations. Residents described the staff as helpful and patient although one person felt that the responses from staff sometimes varied according to who is on duty. Records and discussions with the staff and management confirmed that each staff member has a period of six weeks induction involving 1 week shadowing other staff. During this time the staff member attends a variety of courses in moving and handling, adult protection, first aid, personal safety, foundation course, personal care skills, medication, food hygiene, infection control and mental health. Records of induction are contained in staff portfolios and include a signature of the staff member to acknowledge completion of the training. The portfolios also contain records of training courses attended by staff. Recruitment procedures were examined for 2 recently appointed staff. These showed that the staff members had undergone the required checks such as criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks. The inspector discussed the guidance on the CSCI website regarding the availability of staff records. Staff receive appraisals and supervision from their line manager. This was confirmed from records and fro discussions with staff. The home’s management stated that supervision has not been as consistent as they would like it to be and plan to improve its frequency in the future. Staff have a thorough knowledge of the needs of the individual residents. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 24 Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 25 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. The home is managed to a good standard and reflects a commitment to improvement for the best interests of the residents. EVIDENCE: The registered manager is qualified in NVQ level 4 and had a diploma in management. The CSCI annual Quality Assurance Assessment, which was completed by the manager, shows a recognition of the home’s strengths and weaknesses and the areas for improvement. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 26 The home seeks the views of the residents and involved professionals about the home’s performance. A member of the city councils’ management team complete monthly visits to the home when an audit report is also produced. The city council also carries out a health and safety audit. An annual business plan is completed for the home. A resident confirmed that the home’s staff listen to what he service users say, and that the management are open to receiving comments and suggestions. The home’s annual Quality Assurance Assessment confirmed that the home’s equipment is serviced. Staff receive training in health and safety, first aid, food hygiene, infection control and moving and handling. Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 27 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 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 28 N/a 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 Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Corben Lodge DS0000044248.V338801.R01.S.doc Version 5.2 Page 30 - 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!