Inspection on 08/02/07 for Craigmore House

This inspection was carried out on 8th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Craigmore House 25/01/06

Craigmore House 05/07/05

Craigmore House 08/11/04

Craigmore House 09/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

1 Lanark Close

Sixth Avenue, 53-55

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

CARE HOME ADULTS 18-65 Craigmore House 49-51 Bede Road Barnard Castle Durham DL12 8HB Lead Inspector Mr. Paul Emmerson Unannounced Inspection 8th February 2007 11:00 Craigmore House DS0000007461.V328183.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 Craigmore House DS0000007461.V328183.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. Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Craigmore House Address 49-51 Bede Road Barnard Castle Durham DL12 8HB 01833 630684 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.britnettcarver.co.uk/craigmore/craigmore_house.html Mrs Christine Taylour Mrs. Julie Marmont Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Craigmore House provides personal care, support and accommodation for up to 10 adults (aged 18 - 65) with learning disabilities. The service operates within the private sector and is owned by Mrs. Christine Taylour and managed on a day-to-day basis by Mrs. Julie Marmont. The home was formerly 2 large terraced houses. A door between the dining room and the television room connects the two properties. All bedrooms are for single occupancy. The home is situated within walking distance of Barnard Castle town centre and other local amenities. Fees charged by the home range from £378 to £386 per week. Additional charges include a contribution towards the cost of the home’s vehicles: £5 per month plus 20 pence per mile. Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7½ hours on the morning, afternoon and early evening of Thursday 8th February 2007. In line with current CSCI policy on ‘Proportionality’, the inspection focused on a number of key standard outcomes for service users. The inspector looked around the building and a number of records were examined. The home’s proprietor, manager, 4 staff members and the 10 people who use the service were spoken to. In addition to these interviews, Survey questionnaires were returned by all of the 10 people who use the service. Comment cards / survey questionnaires were also returned by 7 of their relatives. What the service does well: What has improved since the last inspection? Since the last inspection most of the service users’ bedrooms have been redecorated. Two rooms have been recarpeted and a number of new items of furniture have been bought. External maintenance has also been carried out. Garden areas have been tidied and landscaped. The home looks well. Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 6 A separate manager for Craigmore House has been registered with CSCI. The home’s owner continues to be involved in the running of the home. This partnership works well. Commitment to staff training and development (and the development of the service generally) is continuing. More staff have NVQ3. The home has greater links with it’s day care service. Most service users now use the service’s day care. Most staff work shifts at day care and in the home. Administrative documents such as the home’s ‘Statement of Purpose’ have been reviewed and updated. A number of more efficient business systems have been introduced. 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. Craigmore House DS0000007461.V328183.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 Craigmore House DS0000007461.V328183.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home are managed well. EVIDENCE: Craigmore House is registered to accommodate up to 10 people with learning disabilities. On the day of the inspection 10 people were living there. There are no vacancies and there is a waiting list. Most people have lived at Craigmore House for some time. However, since the last inspection of the home, one person has moved in. Documents in the home confirm that prior to and during this person’s admission, appropriate assessments were conducted. After admission, a more detailed care plan was prepared, which is now informing the delivery of the person’s care. The home has its own assessment and care planning documents for this purpose. Copies of assessment documentation and other relevant information from the Local Authority Social Services Department were also obtained. Service users considering a move to Craigmore House would be welcome to visit the home with their relatives, have a meal, stay overnight, stay for a weekend or longer if necessary. In this way service users can get to know the Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 9 home before moving in. Any move is initially on a trial basis, after four weeks or so a review meeting is held to consider permanency. The person who recently moved in did so gradually over a number of weeks. When asked about Craigmore House he said, “It’s nice. I like my room. I like the day care. I like my keyworker.” In a CSCI inspection questionnaire he wrote, “I had a look round with my Mum, had a talk about it and stayed a few times to see if I liked it”. Another service user wrote, “I tried several places but liked it here best”. Another person wrote, “I wanted to come and live here. I came for a trial I liked it”. Craigmore House has a ‘Statement of Purpose’ and a ‘Service User’s Guide’ to provide service users and potential service users with information about the home. A more informal brochure about the service, with pictures and photographs, has also been prepared and made available. The home also has its own website (www.britnett-carver.co.uk/craigmore/craigmore_house.html), which provides further information about the home. Since the last inspection, all service users have been provided with an updated ‘Statement of Purpose’ and ‘Contract’ (statement of terms and conditions) with the home. However, although it is acknowledged that contracts contain information about fees and some other additional charges, contract documents should be amended to include any other additional payments required. For example, charges made as contributions towards the cost of the home’s vehicles: £5 per month plus 20 pence per mile. Craigmore House DS0000007461.V328183.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 & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users’ needs are met. They are offered choice and any decision-making is appropriately supported. Care plans record service users’ needs and aspirations, together with the actions required and being taken to meet them. EVIDENCE: Craigmore House provides an excellent standard of support to the 10 service users accommodated. The care provided is underpinned by the knowledge, values and experience of the home’s management and staff. Specialist needs are met through interventions within the home or through access to specialist services as required. Service users interviewed spoke about choosing their meals. One person said, “We choose menus on a weekend, they write down what we want and it’s cooked”. Another person who had assisted in making the evening meal said, “We also take it in turns to organise a dinner party once a month”. Service users have their own keys for their bedrooms. They can chose to spend time in their rooms if they want to and were observed to do this. They Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 11 can also choose to get up and go to bed when they want. They can choose to participate in activities and day care options that are arranged for them. House meetings are regularly held and are used as a means for service users to express their views. Role-play is also used. For example, by copying the TV show Big Brother’s ‘Diary Room’ as a means for service users to speak up about issues concerning them, how they are feeling, what changes they’d like to see etc. Art and crafts are also used as both an activity and a means of expression and communication. A booklet of creative writing and drawing has recently been produced and is a creative and powerful insight into service users’ life at Craigmore House. Craigmore House has its own people carrier transport. Three vehicles are available, which are used to take people to social events and other activities. Service users spoke of their visits: to Blackpool & Skegness and trips to Spain. One service user said, “Spain was really nice, really hot, it was lovely going out on a night for a drink and a meal”. Care plans have been prepared for all service users and these documents contain much information. Care reviews have been held or arranged for all the service users. The care plans examined showed that care planning arrangements reflect a person centred approach to the care and support required and being provided by the home. Service users are enabled to make choices and any associated risks are considered within risk assessments. For example, service users’ unaccompanied use of public transport and air travel to visit relatives. The home’s activity in promoting positive outcomes in this area is commended. Craigmore House DS0000007461.V328183.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): 12, 13, 15, 16 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Wide-ranging activities are arranged and service users live as part of the local community. Contact with family / friends is supported. Meals are wholesome and nutritious, all dietary needs are met. EVIDENCE: Service users spoke about the wide range of activities they are involved in. On the day of the inspection service users had been to day care placements and on the evening were going to The Gateway Club in Darlington. The owner of the home has holiday apartments in Spain. Service users spoke about their holidays and trips to Spain and also about their visits to Blackpool and Skegness last year. Service users spoke enthusiastically about their work in ‘Andalucia’, a nearby shop, opened by the home’s day service (Taylour-Made Day Care) which sells ceramics and craft items. One service user said, “I like La Cala market. It’s Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 13 good going to Spain. It’s for our business, but we also get to see what Spain has to offer”. The home’s brochure describes Andalucia as: “Dedicated to promoting opportunity and meaningful employment. It states, “The shop forms part of the integrated resource centre in Barnard Castle. Andalucia offers work placements for those who wish to experience working within the community. In addition it also offers clients the opportunity to travel, source merchandise and gain an invaluable insight to the overall logistics of the retail trade.” 2 service users have studied catering at college. In house projects have also been taking place. For example, under ‘Good for the Soul’ and a local pottery class on a local ‘Arts on Referral’ initiative, service users have enjoyed working with ceramics and being involved in creative writing workshops. Service users also spoke about the enjoyment they obtain from social events and contact with friends outside the home. The home’s carnival float in Barnard Castle’s Whit Monday Parade always goes down well and won first prize last year. Recently service users put on a show production of the musical Grease in a local church hall. This is going to be repeated at other venues and also used as the theme of this years carnival float. Wherever possible, family links and friendships are supported. The home recognises the importance of family and has worked to facilitate family involvement, particularly where family links have lessened. There is documented evidence of contact between service users and families held within care plans. The home has open visiting arrangements and visitors are warmly welcomed. From discussions with service users, there continues to be a clear sense of ‘family’ within Craigmore House and a feeling of the home’s participation in the local community. Service users feel free to express their views and opinions. One service user said, “You can always speak to staff when you want to”. Policy / procedure documents have been developed regarding service users’ right to have intimate personal relationships and access to specialist guidance to support service users in making appropriate decisions. The home’s activity in promoting positive lifestyle outcomes is commended. Craigmore House DS0000007461.V328183.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 & 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are met. Any medicines required are dealt with correctly. EVIDENCE: The inspector spent time talking to, and in the company of, service users and saw that they are supported to live relatively independent lives. The people who live at Craigmore House are well-cared for and comfortable in their home. Systems are in place to ensure service users receive highly effective personal and healthcare support. Care staff work to a high standard and constantly monitor pain, distress and other symptoms to ensure individuals receive the care they need. The home works closely with external professionals and specialists for advice and support to help the service users, their family and the home’s staff. Records confirm that contact with GPs and other health professionals is maintained and where necessary, referral to specialist services has been facilitated. Where service users’ needs change over time the home responds accordingly. Staff are particularly alert to health care triggers and warnings. They fully Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 15 understand how they should respond and take action. Staff are trained and competent in health care matters. The home arranges training on health care topics that relate to the health care needs of the residents. There are good relationships between care staff and service users. Staff have a good understanding of service users’ needs, wishes and preferences and respond appropriately. Staff ensure personal support is flexible, consistent, and responsive to any changing needs and have responded with great tact to the changing personal and healthcare needs of service users as they get older. Individual plans clearly record personal and healthcare needs and detail how they will be delivered. Care plans identify: assessed health, personal and social care needs; goals & aspirations; and highlight the specific action / interverventions required and being taken to meet them. Care plans have been prepared in a person centred manner and operate within a risk management framework. Care planning arrangements are regularly monitored and reviewed where necessary. Appropriate policies and procedures are in place with regard to the receipt, recording, storage, handling, administration and disposal of medication. The home uses a monitored dosage (Nomad) system. Although no service users administer their own medication, staff are adhering to the home’s medication policies and procedures. The home’s medication records were found to be accurate and complete. Care staff who administer medication receive training in the safe handling of medicines. The home’s activity in promoting positive outcomes in this area is commended. Craigmore House DS0000007461.V328183.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 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to respond to any complaints. Service users are safeguarded from abuse. EVIDENCE: The home’s complaints policy and procedure is made available to service users. From observations made and from discussions with service users, management and staff, service users are positively encouraged to raise concerns about matters affecting their lives. Staff interviewed voiced a commitment to the service users they work with and to upholding service users’ rights. Regular house meetings are held. There is a comments box in the home’s kitchen. User satisfaction questionnaires have been distributed and completed by service users. More creative ways to obtain service users’ views have also been adopted. For example, through role-play using one of the home’s lounges as a ‘Big Brother style Diary Room’ for service users to discuss any concerns they have or raise matters if they wish to. Systems are in place within Craigmore House to ensure the protection of service users. A copy of Durham & Darlington Adult Protection Committee’s Inter-Agency Adult Protection Policy & Procedures is available in the home. The home also has its own policy and procedure documents relating to abuse and whistle-blowing. Policy and procedure documents relating to adult protection provide information and guidance to staff. Staff training in this area is also provided. Since the last inspection these documents have been reviewed and updated. Craigmore House DS0000007461.V328183.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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Craigmore House is homely, safe and clean. EVIDENCE: Craigmore House was formerly two large terraced houses. The premises are in keeping with the local community. A door between the dining room and the television room connects the two properties. All bedrooms are for single occupancy. Bedrooms meet the National Minimum Standards minimum space requirements. The home is situated within walking distance of Barnard Castle town centre, other local amenities and public transport connections. Craigmore House provides homely and comfortable accommodation with adequate living space for the service users currently accommodated. The furnishings and fitments of the home are domestic in style and appearance. The building, furnishings and fittings are kept in good order and repair. Since the last inspection most of the service users’ bedrooms have been redecorated. Two rooms have been recarpeted and a number of new items of Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 18 furniture have been bought. External maintenance has also been carried out. Garden areas have been tidied and landscaped. The home looks well. Bedrooms are individually decorated and furnished to reflect personal style and taste. Bedrooms have been further personalised with service users’ own pictures, posters, ornaments and other personal belongings. Discussions with service users confirmed that each person has in the past been involved in choosing the colour scheme and décor within their rooms. Adequate communal and private space is provided for service users and staff. There is a large communal lounge, two dining rooms and a fitted kitchen. Office accommodation for staff / management use is also provided in a basement room and in a room to the rear of the kitchen. Offices are situated away from service users’ living space. Craigmore House has bathroom facilities, which meet the requirements of the National Minimum Standards for ‘pre-existing care homes’ registered prior to 31 March 2002. Two bathrooms are provided, each with a shower. One service user has an en-suite shower room. The inspector looked around the home, which was found to be clean, tidy and free from offensive odours. Appropriate systems are in place to prevent the spread of infection. Staff have received infection control training, via a distance learning study programme. Craigmore House DS0000007461.V328183.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 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate staffing and recruitment arrangements are in place. The home’s commitment to training is commendable. EVIDENCE: Staffing levels and rostering arrangements within the home are considered adequate to meet the needs of the service users currently accommodated. Where additional staff hours are required to provide additional support for individual service users it is provided. From observations made, documents examined and discussions with service users, management and staff, the people employed are experienced and competent. Service users are supported by an effective staff team of sufficient number. The home has appropriate recruitment policy / procedure documents based upon equal opportunities. Albeit informally, service users are involved in the recruitment process for new staff. Two written references are taken before employment can commence. New staff receive a statement of terms and conditions and their appointment is Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 20 subject to a probationary period. CRB (Criminal Records Bureau) enhanced disclosures are obtained. The home is working with an accredited training provider to deliver appropriate staff training through induction and NVQ (National Vocational Qualification) courses. All of the home’s care staff have an NVQ qualification. Most staff either have, or have nearly completed, NVQ level 3. The home’s activity in achieving such a high proportion of staff with NVQ qualifications is commended. Craigmore House DS0000007461.V328183.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 & 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Craigmore House is a very well-run home. Appropriate quality assurance systems are in place to identify and rectify any concerns. EVIDENCE: Since the last inspection a separate manager for Craigmore House has been registered with CSCI. She is well-qualified, experienced, holds the NVQ4 Registered Managers Award and has recently completed an NVQ4 in Care. The home’s owner continues to be involved in the running of the home. Although primarily from a business and administrative perspective, she too is well-qualified and experienced in the needs of people with learning disabilities. The management team at Craigmore House have sound knowledge of both strategic and financial planning and review. They are providing value for money through effective management. The development of the home’s dayCraigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 22 care services including the ‘Andalucia’ project shows that they are creative and visionary in their approach to the service. They lead by example, have extremely high standards and communicate a clear sense of direction for the service; all with clear benefits for the people who use the service. The home’s owner was recently nominated for ‘One North East’s Woman Entrepeneur of the Year Award’. In her nomination a referee wrote, “Christine has built up a financially successful business without compromising the essential qualities of care and compassion that are the true strengths of the service she provides in the provision of care for adults with learning disabilities.” The home has the regular support of a qualified Accountant and Business Advisor. The insurance cover in place ensures that the home is well able to fully meet any loss or legal liabilities. Through day-to-day and formal supervision, the manager ensures that staff follow the policies and procedures. Staff and Residents meetings are held. The ethos of the Home is open and transparent. The views of both residents and staff are listened to, and valued. The home has efficient systems and records to ensure effective safeguarding and management of individual’s money. Residents have access to their records whenever they wish. Residents and their families trust the home implicitly in the handling of their money. Record keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. Residents can get access to their records and contribute to them. All working practices in the home are safe. There have been no preventable accidents. Craigmore House DS0000007461.V328183.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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 3 X Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. 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. 1. Refer to Standard YA5 Good Practice Recommendations ‘Contract’ documents should be amended to include any other additional payments required. For example, charges made as contributions towards the cost of the home’s vehicles: £5 per month plus 20 pence per mile. Craigmore House DS0000007461.V328183.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Craigmore House DS0000007461.V328183.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. 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. 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