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Inspection on 13/12/06 for Cornerways

Also see our care home review for Cornerways for more information

This inspection was carried out on 13th December 2006.

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.

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 enables residents to participate in appropriate activities, which are tailored for each service user. Meals are varied, plentiful and well managed to meet residents` needs and preferences. There is continuity of care with staff having worked in the home a long time. Residents support needs are met within Cornerways. The home is managed efficiently and service users benefit from a well run home with their views being sought on the running and development of the service. The management of Glyn Residential are continually seeking ways of improving the services and facilities provided for service users.

What has improved since the last inspection?

Since the last inspection the hall and landing and all three bedrooms have been decorated. Service users were involved in choosing the colour of their own rooms. One service user has had a new wardrobe and wanted her bed moved round, so the overhead tracking was moved to accommodate this.

What the care home could do better:

There were no issues or actions required following this inspection.

CARE HOME ADULTS 18-65 Cornerways 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY Lead Inspector Mr Rodney Martin Unannounced Inspection 13th December 2006 10:00 Cornerways DS0000012279.V323929.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 Cornerways DS0000012279.V323929.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. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornerways Address 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY 01425 613 297 01425 614 595 info@glyn-residential.co.uk 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) Glyn Residential Limited Mrs Shirley White Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 Brief Description of the Service: Cornerways, 2 Dudley Avenue is a care home offering accommodation and personal care to three younger adults with learning or physical disabilities. The service is overseen by Glyn Residential at 6 Dudley Avenue and is owned by Mr and Mrs Hayward. There is a high level of interchange between the homes, with regard to staffing, activities, et cetera. The home is located in a village in the New Forest and there are local shops and a pub within easy reach of the service. All three bedrooms are single rooms. One bedroom is provided with an en suite toilet. The other two bedrooms have external access by means of a French door or patio door. Communal space includes a kitchen/diner but not a lounge/sitting room. The home has a pagoda with decking, which includes a summerhouse, patio tables, chairs and umbrellas. It is established practice that service users go to Glyn Residential at 6 Dudley Avenue, every day, where they can interact with service users there and use facilities such as the computers. Service users have access to a mini-bus and this is wheelchair accessible. The current fees are £410 to £900 per week. This information was obtained on the day of the inspection. There are additional charges for hairdressing, attendance at day centres and some social activities, involving payment such as wheelchair dancing and carriage riding. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 10.05am and 2.35pm. As noted in the description of services, the three service users go to Glyn at number 6 Dudley Avenue after breakfast each day, returning after tea. On the morning of the inspection, two service users went to Estan House, from 10am to 1.30pm, for cooking skills. An opportunity was taken to look around Cornerways, view records and talk to staff at Glyn and the three service users, who were in the home during the visit. The home’s registered manager was present throughout the visit and was available to provide assistance and information when required. The inspector had lunch at Glyn and whilst there met Sue Bull, manager of Glyn and Mandy Henry, manager of Little Orchard, as well as Mr & Mrs Hayward, registered persons. On the day of the visit the home was accommodating three female service users, whose ages ranged from 34 to 52 years old. One service user has been in the home nearly fourteen years and there have been no new admissions since May 1998. There were no action points in the previous inspection report, dated 9 February 2006, and again none were made following this inspection visit. There was a relaxed atmosphere in Glyn and a good rapport was observed between staff and service users. In line with the Commission’s policy, all the key standards were inspected on this occasion. What the service does well: The home enables residents to participate in appropriate activities, which are tailored for each service user. Meals are varied, plentiful and well managed to meet residents’ needs and preferences. There is continuity of care with staff having worked in the home a long time. Residents support needs are met within Cornerways. The home is managed efficiently and service users benefit from a well run home with their views being sought on the running and development of the service. The management of Glyn Residential are continually seeking ways of improving the services and facilities provided for service users. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 7 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 Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 8 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 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents assessed needs and aspirations are met within Cornerways and are supported to maximise their potential. EVIDENCE: Cornerways is accommodating three service users, who have been together since 1998, when the last admission to the home was made. Consequently there has been a long settled period within Cornerways. However, prospective residents would be involved in a comprehensive introduction process, before a final decision is made to admit. The placement would be reviewed on a regular basis. Cornerways does not take emergency admissions. The inspector was able to have a lengthy discussion with two service users, who had been out for the morning, learning new cooking skills. They are very settled in Cornerways and were very positive about the home and living as a ‘family’ unit, where the registered manager and her partner live on the premises. The manager had available the ‘inspecting for better lives’ information from the Commission and reported that this had been shown to the service users. The home has a statement of purpose and service users guide, which is available to each service user. Each service user has a terms and conditions of Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 9 residency from Glyn Residential Ltd and a copy was available in their individual file. From discussion with service users and a sampling of residents’ files, individual aspirations and needs are clearly identified, based on the wishes of residents. Relevant risk assessments were in place. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning are consistent for all service users, ensuring their care needs are met within a risk management framework. Service users can make decisions about their lives with assistance as needed. EVIDENCE: The three residents’ files were seen. These are in a ring binder folder, which are indexed with key information, care plan reviews, contacts relevant to the individual resident, medical information, financial information and confidential information et cetera. The files were up to date and included all the relevant information to ensure that staff are able to carry out the care required. The files were easy to read and gave a good pen picture of the individual service user. The service users plan is reviewed every three months, instead of the required minimum six-monthly. Two of the residents have not been reviewed by Adult Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 11 Services, for over a year, and the home is chasing up the relevant care managers to ensure these take place. Cornerways has a day-book that records significant events et cetera for each resident. Staff are actively encouraged to help service users make decisions in promoting independence. One service user manages her money, where her allowance is paid, by standing order, into her bank account, and the resident is confirmed this. The manager oversees the other two service users’ money. Service users have a lockable moneybox. Individual choices are documented in the service user’s care plan, residents’ meetings minutes and in the service user’s daily diary. Service users are able to voice their opinion at the regular residents’ meetings. They are also involved in their reviews. Each service user has a separate activities’ plan, which details an extensive list of activities. Risk assessments and manual handling assessments are carried out as part of the referral procedure and are updated, as appropriate. One resident, who has communication difficulties, has indicated that she would like have some Snozelen equipment [a method for relaxation with lights and sensory equipment] and this is to be purchased, once the electrics have been checked, in her bedroom, to ensure there is sufficient current et cetera to take the equipment. The manager and her partner live on the premises and are involved on a daily basis with the service users, whilst they are in Cornerways. The three service users, after breakfast, spend the rest of the day at Glyn, as there are more facilities there and they also have the opportunity to interact with the seven residents that live there. The manager then becomes a senior carer in Glyn. Service users are generally happy to go to Glyn and this was discussed with two service users, on the day of the inspection. However, if they did not particularly want to go on a given day, the manager or a carer, would stay behind to care for them. This would also happen if a resident were unwell. Apart from sitting in the garden, on a warm summer’s day, there is not a communal lounge in Cornerways. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of activities in the home and the community, enabling independence, development and choice. Service users have good relations and support from friends and family. Meals are well managed, creative and provide daily variation and interest for the residents living in the home. EVIDENCE: All three-service users are confined to a wheelchair and one service user has communication difficulties, however, there is a varied programme of relevant social activities for each service user. Day services/activities and the service user’s social life is part of the care plan. Service users attend various clubs and activity centres. Since the last inspection two residents go to Estan House in Hordle from 10am to 1.30pm once a week to improve their cooking skills. This was arranged through Brockenhurst College. On the day of the inspection the two residents returned with a Christmas cake they had made, which was Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 13 decorated with icing sugar and iced figurines. One resident said how much they enjoy going, once a week, to the on-line centre in the Hexagon Centre, where they can develop their computer skills. They are also able to use the computer in Glyn and send emails to her family and friends. Another service user attends Leonard Cheshire day centre in New Milton and was looking forward to the Christmas dinner at Sway Manor, with the day centre. The other service user has regular physiotherapy. Service users have opportunities for personal development and fulfil their spiritual needs. The service users are booked to see ’White Christmas’ at the Mayflower theatre in Southampton, after Christmas. The service users in Cornerways have use of the minibus from Glyn, 6 Dudley Avenue, as well as the minibus from Little Orchard, 17 Lavender Road and so have access to the local community and beyond. Once a week residents enjoy going ‘wheelchair dancing’ and carriage riding in the New Forest. There are visits to local pubs. All three-service users had holidays this year. One went to their parents for a week and the other two went to the holiday centre at Netley Waterside. The home has Sky television installed and is connected to each bedroom. Glyn has a beach hut at Milford-on-Sea, where service users can enjoy a break by the seaside, during the summer months. There is also the opportunity to go to the registered persons’ holiday let in Spain. From discussions held with service users and staff it was evident that service users are supported to maintain family links and friendships with all visitors welcome to Cornerways and Glyn with the individual’s agreement. All service users have family and friends involved. Two residents are going home over the Christmas festive period. One service user’s relative has moved abroad and whilst they are out of the country Mr Hayward is appointee in their absence. Service users’ rights are respected and this is reflected in their care plan. The three service users are part of the extended ‘family’ at Glyn and interact well with the staff and other service users. Service users are involved in the care planning process and in their reviews. Only breakfast is taken in Cornerways as other meals are taken at Glyn. Service users can choose what to have for breakfast and tend to have it together. This is served between 8.30am and 9am. They generally arrive at Glyn for 10am. Some service users help to choose the menu. On the day of the visit the inspector had lunch with the service users, at Glyn. Residents were given a choice of the main course and were able to choose from a selection of desserts. Residents, spoken to, were very complimentary about the quality and quantity of food provided in the home. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 14 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. The residents’ physical and emotional needs are being met, with evidence of good support from health care professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. EVIDENCE: Service users can choose when to get up and when to go to bed. Service users have access to professionals such as occupational therapists, speech therapists and physiotherapists and aids and adaptations are in place to meet their needs. Service users are supported and encouraged in all aspects of individual health care and personal care needs. Each service user is registered with a GP in Barton on Sea. There is very good support from the GP and district nurses. All three-service users are on some form of medication. The manager dispenses a week’s medication at a time into a cassette system [WW system]. None of the service users are on controlled drugs. One service user has their medication at Glyn. This is taken up to the home and given and signed for in Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 15 Glyn. The home has an appropriate medication procedure. Medication is kept in a locked cabinet. The manager received training, on 11 October 2006, from the district nurse at Barton surgery to administer rectal Diazepam, if required. From evidence obtained from service users, care plans and discussion with staff and the manager it was clear that service users’ health, personal and social care needs are addressed sensitively to ensure maximum dignity. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 16 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 has a satisfactory complaints procedure and adult protection procedure, to safeguard and protect residents. EVIDENCE: The home has a complaints book. There have been no complaints recorded and the Commission has not received any concerns, complaints or allegations. Cornerways has a complaints procedure, which is also in a pictorial format. It was confirmed that service users are aware of the complaints procedure. There was evidence from observation and discussions, on the day of the inspection, that there was much praise for the care given to the residents and for the relaxed atmosphere within the home. The home has all the relevant documentation relating to adult protection. Staff have received adult protection training on abuse, ensuring that residents are safeguarded from abusive practices. The financial records and money of one resident was checked and were satisfactory. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 17 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, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment and equipment to meet their needs. EVIDENCE: Cornerways is a chalet bungalow with the service user accommodation on the ground floor. The manager and her partner live upstairs. The home was found to be extremely clean and well furnished, decorated and well maintained. There is attention to detail and is homely in atmosphere. The three service users are all wheelchair users and can get around the ground floor. The only communal space is a kitchen/diner. The home does not have a sitting room. However, the garden has been developed for the service users to enjoy being outside, with a pagoda and decking provided. A summerhouse has also been erected and a wooden garden summer swing. Patio tables, chairs and umbrellas are also available, during the summer months. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 18 The inspector had the opportunity to view service users bedrooms. All threeservice users have their own bedroom. Two bedrooms have external access with a French door or patio door. Rooms were found to be individual in layout and in decoration. Rooms are bright and stimulating and have good lighting and ventilation. All bedrooms have TV aerial points and one room has it’s own telephone line. One service user has an en suite toilet provided. The bedroom doors do not have locks and the reasons and risks are detailed in the service user plans. There is one bathroom, which is provided with a hoist, toilet and bidet. There is a separate toilet. Hoists are provided in the home, funded by the provider. Service users are able to call for assistance from their bedrooms via a call system. The home was found to be clean and free from unpleasant odours. The laundry room is situated away from the kitchen and food preparation. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and residents’ health and safety is promoted. A locked cupboard is provided for kitchen and cleaning materials. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 19 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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well supported by a sufficient, well-trained and consistent supervised staff team, who offer continuity of care. EVIDENCE: There has been no recruitment of staff since the last inspection, on 9 February 2006. Cornerways employs three specific staff members, who also work in the other Glyn Residential homes. As noted in other parts of this report, after breakfast, the three service users spend the day at Glyn, 6 Dudley Avenue. However, there is a pool of staff from the other two homes that are involved with their care. All staff have job descriptions. As part of the home’s induction programme, staff familiarise themselves with the company’s policies and procedures and staff sign to confirm that they have read and understood policies and procedures. The home does not have any volunteers or have needed to employ agency staff. Staff receive regular supervision sessions. The manager, who lives on the premises, provides the majority of staffing hours, when the service users are in the home. The home does not use agency staff, but fills last minute gaps in the rota with existing staff. There is Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 20 a large pool of staff that work interchangeably at all the homes and cover when the manager has time off. There are no staff vacancies for Cornerways. Staff have training, skills and knowledge specific to the needs of service users, including different methods of communication. The home has a settled staff team, who have been employed by Glyn Residential for some years. Staff in Glyn Residential have also worked there a long time and so there is continuity of care. Staff, spoken to, confirmed that they felt supported by management. There was evidence of the whole staff team working well together. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 21 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. Cornerways is a well run home, where the management of Glyn Residential are continually seeking ways of improving the services and facilities provided for service users. Residents’ rights and interests are safeguarded and protected by the home’s policies and procedures and the health and safety measures taken within Cornerways. EVIDENCE: Shirley White is the registered manager and has worked for Glyn Residential since October 1994. She keeps up to date with the core-training subjects of manual handling, first aid, health and safety, food handling, medication and fire safety. She has attended a ten-week course on basic BSL [British sign language] through Brockenhurst College and has completed a safe handling of Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 22 medicines course. She also obtained a foundation certificate in health and safety in the workplace on 10 October 2006. As noted in other parts of this report, service users spend most of the day at Glyn. The manager then becomes a senior carer in Glyn and is then involved in activities and care for them, as well as other service users, in Glyn. Staff meetings are held for all staff employed in the three homes. Service users meetings are also held for all fifteen-service users from the three homes. Service users are actively involved in menu planning, activities and holidays. All three-service users have family involvement, although for one resident their only relative is currently living abroad but keeps in touch by letter. There are annual reviews with the service user’s social worker. The home produces a periodic newsletter, to keep relatives and interested parties informed as to what is going on in the three homes. Glyn Residential has the necessary written policies and procedures, for running a residential home. Staff have access to the policies and procedures and as part of their induction and ongoing work within Cornerways and Glyn and are encouraged to familiarise themselves with these. Documents, including codes of practice, are dated, reviewed and monitored and updated where appropriate. Samples of records seen on the day of the visit were satisfactorily maintained. Service users have access to their records and are actively encouraged by staff to make use of this facility. From an investigation of the records and practices observed in Cornerways during the inspection, the health and safety measures taken ensure that the home is a safe environment to work in. The home has a current certificate of employers liability insurance, which is due for renewal on 22 March 2007. The home has appropriate minibus insurance as well as insurance cover for the business. Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 23 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 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 25 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 Cornerways DS0000012279.V323929.R01.S.doc Version 5.2 Page 26 - 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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