Inspection on 30/09/05 for Court View

This inspection was carried out on 30th September 2005.

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

Court View 22/07/08

Court View 18/09/07

Court View 28/12/06

Court View 28/02/06

Court View 17/03/05

Court View 05/10/04

Court View 12/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Court View 23 Parkfield Road Pucklechurch South Glos BS16 9PN Lead Inspector Odette Coveney Unannounced 30 September 2005 & 19 October 2005 09:30 th th 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 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 Stationary 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. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Court View Address 23 Parkfield Road Pucklechurch South Glos BS16 9PN 0117 937 4021 0117 9709301 admin@aspectsandmilestones.org.uk Aspects & Milestones Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Philip John Chard Care Home for Younger Adults 5 Category(ies) of LD Learning disability for 5 registration, with number of places Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 5 persons aged 18 - 64 years of age Date of last inspection 17 March 2005 Unannounced Brief Description of the Service: 23 Parkfield Road, Pucklechurch, known as Court View provides accommodation for five service users with learning disabilities aged between 19 and 64 years. It is one of the homes operated by the Aspects & Milestones trust formally known as Frenchay and Southmead Care Trust. The house is a detached dormer bungalow with a large rear garden. The ample front garden is also used as parking space; there is a large, well-established garden to the rear.The accommodation consists of 5 single bedrooms, 2 bathrooms, dining room, kitchen, and lounge. The house is within walking distance of a public house and local shops. There is a bus service to the centre of Bristol and the house is within easy access of the motorway system. The mission statement of the organisation is:To enable people with learning difficulties, mental health needs and physical disabilities to develop a fulfilling life in the community and To continually seek to improve and be responsive to the changing needs and wishes of the people we support. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection with the focus being on reviewing the requirements and recommendations that were made at the previous inspection, also unannounced in March 2005. There were a number of standards that were not inspected on this occasion and therefore will be fully evaluated at the next inspection in order to ensure that all of the standards are reviewed during a twelve-month period. Standards of service delivery have been well maintained at the home, those living at Court View appear to be settled and relaxed in their home. During this inspection time was spent with four of the people who live at Court View, the registered manager and with a support worker. What the service does well: What has improved since the last inspection? The home has worked diligently in order to meet the requirements and recommendations, which were made at the previous inspection. Those living at Court View can be confident that their views and wishes underpin self-monitoring, review and development of the home and individuals choices since the introduction within the home of a formalised recorded quality assurance initiative. Those living at Court View can be assured that their needs are reviewed on an ongoing basis and that their care plans are altered accordingly in order to direct and guide staff The environment for those living at Court View has been much enhanced. Since the last inspection the kitchen has been refurbished with new units and flooring. The dining room also has new flooring and has been redecorated. The sluice area is now self contained and has a new entrance from the corridor and as staff no longer have to take laundry through the dining room the dining area is free from the potential for cross contamination. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 6 Those living at Court View can be further assured of their safety in the event of a fire as the home has undertaken a comprehensive fire risk assessment and emergency lighting is being checked every month consistently. 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. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 5 Information is made available to individuals about the services and facilities that are provided and what their rights are in respect of these areas. EVIDENCE: There have not been any new admissions to the home for a number of years. There is a stable group of people living at the home. It was evident that the home had initially liaised with the individual, their family and professionals during the assessment process and that the information received during the admission and assessment period enabled the home to develop care plans, these were in place for all individuals living at Court View. Information had been gathered over a long period of time and the inspector saw that the plans in place had been tailored to the specific needs and expressed wishes of the individual. The information seen within care plans, minutes of staff meetings, essential lifestyle and person centred information and quality assurance review meetings with individuals confirmed that individuals aspirations and choice are well supported, monitored and encouraged by both the manager and staff employed at the home. The inspector sampled four of written terms and conditions of the placement between the organisation and the individual, these are entitled ‘Licence Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 9 agreements’. Information seen within these documents included the contributions that individuals are expected to pay, including an annual rise and additional extras such as use of the mini-bus. Other information included within this document included specific services to be provided at the home, various activities and therapeutic intervention. Information is also supplied about the organisations complaints procedure and the arrangements for ending the agreement, these documents had been signed by the home’s manager and had been dated. The document also provided evidence that it’s contents had been explained to the individual and recorded by whom. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 The healthcare needs of individuals are well met and are reviewed and monitored on a regular basis. Relationships between those living at the home and staff are well established with other needs and choices being met. EVIDENCE: The inspector saw that individuals’ rights to make decisions have been well recorded within care documentation; the documents show how individual choices have been made. Information was in place to show when decisions had been made by others and why. The examples seen had been based on an assessment of individual need and preference. The inspector saw in care records that decisions made by others had been undertaken in the best interests of that individual and that the manager and staff advocate on behalf of individuals to ensure that their rights are not ignored. During the inspection staff were observed asking service users questions and encouraging them to make decisions. Information seen in day care review meetings show that service users were asked their opinion and were given appropriate information in order to make choices. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 11 Information seen within care documentation provided a number of examples of how individuals are offered opportunities to participate in the day to day running of the home and participate with activities of daily living. Individuals were actively supported and encouraged in these areas and were observed in tasks such as snack preparation, hoovering and the tidying of their own room. The inspector saw that there are comprehensive risk assessments in place that have been developed in partnership with the individuals care plan. The assessments in place had evaluated the activity, the identified risk and provided information on the actions that are required. The assessments in place had been reviewed in February 2005, those seen included: accessing the community, support required when crossing the road, and for individuals’ holidays. The inspector saw that the assessments recorded action to be taken to minimise identified risks and hazards and that service users are supported by staff with their personal safety in order that their preferred activities and choices are not limited. The inspector saw that when a new risk was identified an assessment had been undertaken to evaluate the whole situation, so that the impact on the life of the individual is not restricted. The inspector saw that the terms ‘encouragement’, ‘offer information’ and ‘support’, ‘guidance’ and ‘encourage choice’ were incorporated within care documentation demonstrating a commitment from the staff team to promote individual choice and respecting the individuals as adults. During the inspection both the manager and a support worker were heard to be using such terminology when talking with those living at the home. Resident’s and staff records are kept in an office that can be locked when not in use. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16. Social activities and community presence are well managed, and are tailored to the specific wishes and abilities of the individuals. These are creative and provide daily variation and interest for the people living in the home. EVIDENCE: Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 13 Staff continue to support those living at the home to maintain family links and friendships inside and outside of the home; information seen linked into care plans in place. In individual’s files was information of significant and important relationships and their contact details. At the time of the inspection one of the people living at the home was attending work, another was out, partaking in an activity of their choice, having one to one support with a day care worker. A staff member told the inspector about an individual’s recent holiday to Ireland and how much both the person and the staff member enjoyed themselves. The individual told the inspector they liked the ‘fields and the ‘place’. During the inspection one individual was seen enjoying a jigsaw puzzle and also doing some artwork. Weekly programmes for individuals are in place in care records; these include activities that individuals had chosen to participate with, and activities of daily living for individuals to be supported with. On the day of the inspection individuals were supported with activities that corresponded with the information seen in these plans. The home has access to it’s own transport which further facilities access to activities and places within the community. One of the individuals living at the home said they enjoyed going to parties, the manager said that individuals had been invited to a forthcoming Halloween party. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, Individuals are supported in their preferred manner and individual’s physical, emotional, healthcare needs are well met. EVIDENCE: The care documentation in place for individuals provided clear guidance for staff on how they should support those living at the home with their personal care. Individuals had recorded their preferences and the assistance required with personal hygiene and personal support. Some of those living at the home have complex needs and exhibit some behaviour which challenges. The inspector saw that the home monitors individual’s behaviour and the service provided is tailored to needs of the individual. Staff have received guidance and support to ensure they are equipped with the skills to support individuals in an appropriate manner. The health needs of individual’s are well met with evidence of good multi disciplinary working taking place on a regular basis. All of those living at the home are registered with a general practitioner; evidence was in care records to confirm that individuals are supported with their primary healthcare needs such as optician, dentist and chiropody. At the time of the inspection one of the people living at the home was supported with a dental appointment and as a result of this staff implemented Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 15 actions to support the individual in this area. The manager said that the Trust are currently looking to explore and develop health action plans for each individual. This is a government led initiative and is a positive move to ensure that individuals are supported fully in aspects of their health, in their own preferred manner. The inspector looks forward to seeing some progress in this area at the next inspection. It was evident at this inspection that the management and staff spoken with are sensitive to the emotional needs of those living at the home and through observation and discussion demonstrated respect to the wishes of individuals living at the home. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The home has a satisfactory complaints system in place with some evidence that individual’s feel their views are listened to or acted upon. EVIDENCE: The complaints procedure for the home was viewed at the previous inspection; information within this is clearly worded and gives information on how a complaint would be dealt with including timescales etc. The inspector saw that incorporated within the statement of purpose, the organisational policy and individuals licence agreement were details of the complaints procedure and how individuals would be supported in this area. A complaints log is held at the home, the inspector viewed this; there had been one recorded complaint since the last inspection, records clearly showed how the complaint had been dealt with in order to resolve the situation to a level of satisfaction The home has contacted the Commission for Social Care Inspection to inform of incidents that have affected the wellbeing and safety of those living at the home. Upon examination of records and discussions with a staff member it was confirmed that the situations had been dealt with professionally and in line with the organisation’s policies and procedures. No complaints have been received by either the home or the Commission for Social Care Inspection. No staff members at the home are on the protection of vulnerable adults list. No areas of concern were recorded on care documentation. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 17 Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28, 29, 30 Following recent investment the standard of the environment for those living at the home has improved and has created an attractive and homely place in which to live, EVIDENCE: There have been no changes in the services and facilities provided at the home since the previous inspection. The location and layout of the home is suitable for its intended purpose. The home is a detached house with accommodation set over two floors; there is no lift access so individuals are required to be fairly ambulant. Disabled access is in place at both the front and rear of the house. Court View was found to be well maintained, comfortably furnished and homely in appearance. The kitchen has been refurbished with new units, tiles that were chosen by those living at the home and new flooring. The wallpaper in this area needs attention as strips had been torn off during the work. A staff member confirmed that she had spoken to maintenance and redecoration of this area was imminent. The dining room has recently been re-decorated with shelving, ornaments and pictures making this a pleasant area for individuals to eat and participate in activities. The home also benefits from a large garden, Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 19 during the summer months staff repainted the fencing and the garden furniture, enhancing the area for those living at the home. A recommendation was made at the previous inspection that consideration be given to the replacing of the flooring in the kitchen and dining areas, during the refurbishments both of these have had new flooring laid. It was recommended at the previous inspection that consideration be given to moving the laundry room elsewhere in the house in order that laundry was not carried through areas where food is eaten, this has been undertaken and the dining room is a self contained area and is not now used as a walk through area. Those living at the home were seen making full use of this area during the inspection. The home was found on the whole to be cleaned to a good standard and there were no unpleasant smells. Staff should be commended for their efforts in this respect, especially as the home does not employ a housekeeper. However it is recommended that the ceiling fan and lampshade in the kitchen be cleaned of dust and cobwebs removed in the hall. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 The relationships between staff and those living at Court View are good, creating a warm, supportive environment in which individual’s quality of life is improved. EVIDENCE: There is a core of well-established staff with varying abilities most of which are skilled and experienced to meet the needs of those living in the home. There is a stable staff team; there have been minimal changes in the staff group since the last inspection, with minimal agency or bank staff being required at the home. The home has in place a ‘Court View Guide’ this provided an induction for both agency and bank staff. This is comprehensive and covers all aspects of supporting people on an individual basis incorporating the principles of treating residents with dignity and respect as well as including practical advice and guidance of job responsibility. The inspector saw that regular staff meetings are held at the home and provide an opportunity to further discuss the needs of residents to ensure continuity of care, discussion of routines and roles of staff to ensure consistency of service delivery at Court View. A staff member confirmed that staff meetings are a useful method of communicating to all staff the fire procedure and their responsibilities. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 21 Those living at the home can be assured that staff employed have been done so following clear and robust recruitment practices and the implementation of organisational policies and procedures. The inspector saw that the home has in place employment documents for staff, these were available and viewed at the inspection, this included references, completed application form, a criminal records bureau check and contracts of their employment terms and conditions. Staff members spoken with were able to demonstrate a clear understanding of their role and responsibilities within the team and their own personal role and accountability. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 42 The home is well managed ensuring that individual’s interests and rights are promoted and protected by a knowledgeable and experienced staff team. EVIDENCE: Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 23 Mr Phillip Chard is the registered manager of Courtview and has a great deal of experience of working within this care profession. He is an advocate for individuals and champions on their behalf to ensure their wishes and right are heard and that approprite actions are taken. Staff spoken with at this visit and a previous visit two weeks earlier to the home spoke of the respect they have for him. All of those in the home have learning disabilities, and some have limited communication skills. However, the information seen within care records demonstrated that individuals are encouraged to participate where appropriate in making choices and decisions upon day-to-day issues which affect their well being. Staff have become skilled at recognising how choices are made, for example, through observation of individuals language, expressions and individuals behaviour. A requirement was made at the previous inspection that the home put in place a quality assurance/monitoring system that had been based on the views of those living at the home. The inspector saw that a quality assurance questionnaire had been developed by the manager and was completed on a one to one basis in May 2005 and covered areas such as; in house relationships, how do you let people know if you want something to change? how do you choose what you want to do each day?. From these audits action plans have been completed to evidence and plan how individuals wishes will be met. One individual had no information on their action plan, the manager was aware of this and it is planned that this will be completed shortly. The manager said that quality audit and individual satisfaction is monitored on a daily informal basis and through spending time with individuals completing opportunity plans and monthly key worker meetings. The inspector has previously reviewed the organisational policies and procedures in place at the home, these are robust and provide sufficient information in order to direct and guide staff practice. The policies seen were appropriate to the service provided at the home. Two recommendations were made at the previous inspection. These were that the home develops a ‘discharge policy’ to include the planned discharge and termination of service delivery. Also the organisation’s personnel policies and procedures are to be updated in order to reflect current Trust status; these must be signed and dated by the registered manager. The office appears to have an open door policy, those living at the home and staff freely entered to make comments or to pass on information. The inspector saw that visits are undertaken on behalf of the registered provider on a monthly basis and copies of these reports are forwarded to the Commission for Social Care Inspection on a monthly basis. A requirement was made at the previous inspection that the home develops a risk assessment in respect of fire and to incorporate what the home’s Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 24 procedure was at night, The inspector saw that the home has completed and now has in place a comprehensive fire risk assessment; this document covered how individuals will specifically be supported. The inspector viewed the fire logbook for the home. The home was completing the appropriate checks on the fire equipment and the recording of training, fire drills and the testing of equipment were satisfactory. It was noted that the daily record check of the fire panel had only been recorded intermittently. Upon examination of the daily report records staff had demonstrated that they had completed this check, however this had not been recorded in the fire logbook During the inspection the fire alarm was activated by a health and safety coordinator to simulate a drill, staff were observed as being fully competent and confident in what to do in the event of this occurring. Those living at the home were reassured and supported appropriately. A requirement was made at the last inspection that the emergency lighting in the home must be checked on a regular monthly basis, these records were viewed at this inspection and it was found that this is being undertaken. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Court View Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 2 2 x 3 x D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 26 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 YA 39 Regulation 24 Requirement Quality Assurance action plans must be completed for all of those living at the home. Timescale for action 20/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard YA 40 YA 40 YA 42 YA 30 Good Practice Recommendations That the home compiles a discharge policy to include the planned discharge, and termination of service delivery. Personnel policies and proceedures to be updated to reflect the current Trust status; these must be signed and dated by the registered manager. Daily fire checks to be recorded in the fire logbook. Cleaning the ceiling fan and lampshade in the kitchen and remove cobwebs from the hall. Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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 Court View D56 D05 S3382 Court View V243217 300905 Stage 4.doc Version 1.40 Page 28 - 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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