Inspection on 18/04/07 for Deyes Lane, 14

This inspection was carried out on 18th April 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

Deyes Lane, 14 14/12/05

Deyes Lane, 14 04/07/05

Deyes Lane, 14 28/01/05

Deyes Lane, 14 27/07/04

Deyes Lane, 14 08/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Deyes Lane, 14 14 Deyes Lane Maghull Liverpool Merseyside L31 6DJ Lead Inspector Ms Lorraine Farrar Unannounced Inspection 18th April 2007 12:30 Deyes Lane, 14 DS0000005273.V331659.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 Deyes Lane, 14 DS0000005273.V331659.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. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Deyes Lane, 14 Address 14 Deyes Lane Maghull Liverpool Merseyside L31 6DJ 0151 531 1792 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) Parkhaven Trust Mrs Ann West Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 9 LD. Date of last inspection 14th December 2005 Brief Description of the Service: 14 Deyes Lane is owned and operated by Parkhaven Trust, a local organisation who are based in Maghull and provide care services to people with different support needs. The home is registered to provide support for nine adults who have a learning disability. The house was originally two semi-detached properties and both externally and internally presents as a family type home, in keeping with the surrounding area. There are nine single bedrooms, two lounges, a dining conservatory and enclosed back garden. Some parking is available at the side of the house. Located in a residential area of Maghull it is within walking distance of local shops, transport and facilities. Staff are available throughout the day and night and provide support to people in all areas of daily life, including household tasks and getting out and about in their local community. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. An unannounced visit took place for five hours on the 18th April 2007. This included reading records and looking at the building. Time was spent looking at the support three of the people living at Deyes Lane receive. This included looking at the support they get with their care plans, medication, money, activities and environment. The inspector met all of the people living at Deyes Lane. She had discussions with four of them and with three members of staff, including the manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last inspection about the home is also taken into account in writing this report. This includes information provided by the manager on a pre-inspection questionnaire and comment cards sent to the people living at Deyes Lane and their relatives. Five comment cards were received from relatives and four from people living in the home. It costs £586.36 per each week to live at Deyes Lane. Social Services may contribute to this fee. The people living there pay for their own holidays, activities and personal items. They also pay towards the cost of the vehicle. This is currently £21.50 per month with a cost of £5 per month towards petrol. An easy to understand copy of the summary of this report is available. If you would like to see it please ask the manager or staff at Deyes Lane. What the service does well: Deyes Lane provides a service based on the choices and support needs of the people who live there. Staff communicate effectively with the people living there, involve them in all aspects of life in the home and spend time socialising with them. The people living there explained that they make their own choices and are supported to become more independent. Through care planning and support from staff the people living at Deyes Lane have increased their skills in personal care and managing their money and medication. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 6 All of the people living at Deyes Lane have a variety of hobbies and activities that they enjoy and support is provided for them to take part in these regularly. Activities are arranged within the home and bedrooms are arranged so that people can enjoy their hobbies. Staff also support people to get out into the wider community very regularly and to go on holidays of their choice. One person explained, I am very happy here at Deyes Lane and enjoy myself with my friends”. The manager and staff team are clear about their role in supporting people to live the life they choose and in understanding that Deyes Lane is their home. The people living there explained that they are involved in making decisions about the home and are comfortable in talking to staff and in using their room and all shared areas of the house as and when they choose. One relative said that, “Deyes Lane provides an excellent service. We cannot rate the service highly enough, and are extremely happy that our (relative) lives there)” and another that, “(My relative) is really happy, the care he gets is really special, I could not ask for better”. The house is well situated for accessing local facilities. It provides a suitable, safe and homely environment for people to live in. The staff team are experienced in their role and have a good knowledge of peoples individual support needs and their choices. Residents are confident that any requests or concerns they have will be listened to. This support means that any changes to peoples health or support needs are quickly noted and acted upon and that residents are confident their views and choices will be acted upon. There are systems in place for formally obtaining the views of the people living there and their relatives and for checking that required paperwork is up to date and the home is safe to live in. These checks provide a clear way for the manager, staff and people living there to plan for future improvements to the service. What has improved since the last inspection? Since the last inspection staff have had up to date training in basic areas of care and safety. A clear training plan is in place to ensure that staff remain up to date in these areas. This helps to make sure that staff are aware of how to identify peoples needs and support them safely. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is provided to and obtained about people, considering moving into the service. This helps everyone to decide if the home suits their lifestyle and can meet their needs and choices. EVIDENCE: All of the people who completed a survey form said that they were asked if they wanted to move into the home. They also said that they received enough information about the home to help them to decide if it was the right place for them to live. This was confirmed by their relatives who said that they received sufficient information to help their relative make a decision. One relative commented, “Deyes Lane provides an excellent service. We cannot rate the service highly enough, and are extremely happy that our (relative) lives there. Copies of the homes service user guide are available to everyone in their care plans. This tells them about Deyes Lane and the support it provides. At present these are not in an easy to understand format. The use of different formats such as photographs or tapes may help people considering moving to Deyes Lane to better understand the service it offers. Records were looked at for someone who had not long moved into the home. These showed that the manager had carried out an assessment of his needs Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 10 and choices and obtained a copy of his social workers assessment. This information helps the manager plan and make sure that staff and the environment can support people in a way that they need and prefer. Before moving in the manager arranged for one person to visit on six different occasions. These varied from visiting with family, to attending a party and staying overnight. These visits help the person to see how life is living in the home and to decide whether they would like to live there. They also provide everyone living in the home with the opportunity to meet and socialise with people who may move in. In their comment card one person explained, “I made visits to the home so that I got to know everyone, so moving in was easy with no problems” Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living at Deyes Lane are supported to make choices, live the lifestyle they choose and increase their independence EVIDENCE: The people living at Deyes Lane who completed survey forms all said that they can make decisions and choices about what they want to do each day. A relative said that the people living at Deyes Lane are “exceptionally well cared for and looked after and all their needs are met”. Another relative explained, “(My relative) is really happy, the care he gets is really special, I could not ask for better” Individual care plans are in place for everyone living at Deyes Lane and two of the people living there explained that their keyworker writes the plan with their input. Plans contain information about the person, their choices and the support they need. This is individual to the person, for example one plan explained that the Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 12 person likes to go to church with his family or staff, and he confirmed that he receives this support. Another plan explained how to communicate with the person and explain things to him and staff were seen to routinely follow these guidelines. Plans were up to date and had been reviewed. They contain information about possible risks for the person and how to lessen these. A resident confirmed that he follows these guidelines with staff support. The level of information recorded in care plans helps the person and staff to identity peoples individual needs and choices and make sure these are routinely met. Two people spoken with confirmed that the contents of their plan were accurate and recorded the things they do and don’t like as well as the things they need support with. A relative expressed the opinion that, “I think they meet with all the differing needs” of the people living there. Regular house meetings are held which are attended by the people living in there and the staff team. This provides everyone with the opportunity to discuss plans and any issues that arise. Discussions with the people living at Deyes Lane confirmed that they are confident in expressing their opinions to staff and aware of future plans. They explained that they are involved in all aspects of life in the home from preparing meals to recruiting new staff. During the site visit staff were seen to regularly consult with people and respond positively to their choices and requests. Staff provide support to the people living at Deyes Lane to manage their money as independently as possible. Everyone has been supported to set up their own bank account and pay their fees by direct debit. Two people explained that they go to the bank for their money and have a safe place to keep some money at home. They choose how to spend this with staff support. This support enables people to be more involved in the day to day running of their lives and increase their independence. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living at Deyes Lane are fully involved in life within the home and local community and are able to make decisions and live a lifestyle of their choice. EVIDENCE: One of the people living at Deyes Lane explained, “I am very happy here at Deyes Lane and enjoy myself with my friends”. The relative of another person explained, “(My relative) is very happy in the care home and very much enjoys the community spirit, they go on trips and holidays regularly.” During the site visit all of the people living in the home were engaged in different activities according to their individual preferences. Two had recently returned from a garden project run by the organisation, which they said they enjoyed. One man was watching a favourite TV programme, then spent time talking with staff and playing basketball. Other people were baking, going supermarket shopping with staff, doing jigsaws or spending time in their room. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 14 Record showed and the people living there confirmed, that they received a lot of support to pursue activities of their choice both at home and in the wider community. One lady explained that she is leaving college this year and has an appointment, with her keyworker to look into doing voluntary work. Apart from the TV and music there are a number of hobbies and activities within the home. These range from doing household tasks with support if needed, to making meals and attending a weekly art and craft club. Records showed that people also get out and about a lot. Again there is a wide range of activities people are supported to go to, this includes, local clubs they have been members of for years, church, pub lunches and shopping. Going on holiday is an important part of life for many of the people living at Deyes Lane and they enjoy going several times a year. One holiday a year is funded by the organisation and staff fund themselves for other holidays they support people to go on. In the past year holidays have included, Benidorm, Blackpool and Disneyland Paris. In addition people regularly go on days out and one man explained he recently very much enjoyed attending a pop concert. The people living at Deyes Lane said that staff help them keep in touch with their family and friends and relatives said in their comment cards that they can visit Deyes Lane at any time with one explaining, “No matter when we come to see (my relative) we are always made welcome”. Peoples preferred routines are recorded in detail in their care plan. One explained that the person likes their room and hobbies laid out in a certain way, this was seen to be followed when the inspector visited his room with him. Throughout the site visit the people living at Deyes Lane and staff were seen to interact with each other and spend time together engaged in activities, household tasks and chatting. All communal parts of the home were used freely by the people living there and one lady explained that everyone has a key for their bedroom and can choose to lock it or not as they prefer. During the visit some people were out shopping for food and others were involved in baking or making drinks. One lady explained, “you just help yourself” to drinks. Menus showed that there are a variety of meals provided for people and discussions with the people living there and staff confirmed that meals are made to suit people’s preferences and health needs. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living at Deyes Lane receive individual support with their personal and health care. They are supported to be as independent as possible and seek medical advice if needed. EVIDENCE: The people living at Deyes Lane said that there is no set routine within the home. One lady explained she can choose to get up and go to bed, “when I want,” another person explained that he goes “ anytime” he is ready. Relative said that they are pleased with the support people receive with their personal care, with one explaining, “I am very happy with the care (my relative) gets” and another that “(My relative) is really happy, the care he gets is really special, I could not ask for better”. Care plans give detailed information about the support people prefer with their personal care. One explained that the person likes to set his alarm clock to wake up and likes a cup of tea in bed. He confirmed that staff support him with this each day. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 16 This level of detail helps the person to identify their choices around the support they need and ensure all staff are aware of the support to offer them. One man explained that since moving to the home staff are supporting him to become more independent with his personal care. Records in the home confirmed that staff support people to attend and make any health care appointments and to monitor their health. This includes regularly monitoring their weight and altering their diet if needed. The people living there are supported to attend regular health appointments such as the dentist and well woman clinic. They are also supported to seek advice if their health changes. This was particularly evident for one person whom staff had supported to seek medical advice on several occasions due to changes they had noted in their health. Discussions with staff confirmed that they are aware of people’s health care needs and have put provisional plans in place to support one person with medical procedures they need and any changes to the support they require as a result. This support ensures that any changes to the person’s health are quickly noted and expert advice obtained where needed. The manager explained that they are aware of possible long term changes to peoples health needs and are considering if alterations need to be made to the building as a result of this. Risk assessments are in place so that the people living in the home are able to manage their own medication as much as possible. For some people this means keeping it locked in their room and taking it with staff support. This practice enables the people living there to have more control over their lives and increase their independence. Medication is stored correctly and clear records are kept of all medication received and given out. This helps to lessen the risk of mistakes being made with people’s medication. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Deyes Lane are confident that any concerns they have will be listened to and acted upon. EVIDENCE: Although no complaints or concerns have been made about the service provided at Deyes Lane, the people living there and their relatives all said that they are confident any concerns they had would be listened to. One relative explained, “ I have never had to complain, I know if I needed to I would be listened to”. The people living there said that they know who to talk to if they are happy and one lady explained, “I am always happy. You can talk to staff and they help”. There are polices in place within the organisation to deal with any complaints or adult protection concerns that arise. These are available to the people living there along with information in picture format about how to recognise abuse and report it. This information helps ensure that people are aware of their rights and know what they can do about it. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Deyes Lane provides a comfortable, bright and safe place for people to live in. EVIDENCE: The people living at Deyes Lane said in their comment cards that the home is always fresh and clean, with one person describing it as “spotless”. Deyes Lane was originally two semi detached houses and still appears as such. It is located in a residential area of Maghull and fits in well with other domestic houses in the area. Everyone has their own bedroom, which is decorated and personalised to suit their needs and their hobbies. Three downstairs bedrooms are available, other bedrooms are on the first floor. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 19 Although there are toilets on the ground floor currently the bathrooms are both upstairs. No lift is available which may, in the future, restrict people who have difficulty getting around. The Manager explained that they are considering options to improve facilities when looking at long term planning for the people already living there. All areas of the home were bright, clean and furnished in a homely fashion. There are two lounges available for people to use. One lady explained the smaller lounge can be used, “if you want to talk in private”. A recent conservatory is used for dining and outside there is an enclosed garden. Throughout the visit the people living there were seen to make use of all shared areas, including the kitchen and garden. There are polices in place to control any risk of infection spreading and staff have completed training in this area. There are also supplies of gloves and aprons to use if an outbreak of infection occurred. This helps to ensure that good standards of hygiene are in place and any occurrences can be dealt with swiftly. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living at Deyes Lane are supported by staff who have the knowledge and ability to meet their individual needs and choices. EVIDENCE: The people living at Deyes Lane said that staff treat them well and listen to what they say, with one describing the staff team as “brilliant”. Their relatives said that staff have the skills and experience to look after people. One explained, “ I don’t think I can suggest any improvements, the staff all do a wonderful job” and another that, “ All the staff are caring and give (my relative) the help and support she needs”. Throughout the day staff were seen to spend time with the people living at Deyes Lane, supporting them with household tasks, hobbies and chatting. They communicated well with people and took time to establish their choices and views. Discussions with the people living there confirmed that they are comfortable with the staff team and confident that they will get support when needed. Staff had a good understanding of peoples individual support needs, including how to support them with their personal and health care as well as with socialising and increasing their independence. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 21 Records showed that before employing a new member of staff checks are carried out, including obtaining references and a Criminal Records Bureau Check (CRB). These checks along with the interview process carried out, help to ensure that new staff are suitable to work with the people living at Deyes Lane. Once employed new staff receive regular supervision and have a probationary period and induction programme. This regular supervision and support ensures new staff are aware of their role and the standards expected of them. A member of staff explained that the manager, “keeps up the training” and that they regularly attend courses that will help them support the people living there and ensure they are safe. The organisation has a training department and records showed that the manager identifies with staff their training needs and arranges courses for them to attend. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Deyes Lane is a safe, well managed home that support people to live a lifestyle of their choosing. EVIDENCE: Mrs Anne West is the registered manager of Deyes Lane. She holds qualifications in care and management and is experienced in managing a care service for adults with a learning disability. Throughout the site visit the manager was observed spending time with the people living in the home and ensuring that their views were listened to and acted upon. She explained that Deyes Lane is “their home” and everything staff do is based upon supporting people to be comfortable and involved in the home and making their own decisions. It was evident that this approach works for the people living there who were confident in talking with the staff team, making decisions and expressing their views. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 23 There are several systems in place within Deyes Lane for monitoring the quality of the service. This includes the organisation carrying out monthly visits to check the quality of the service. The manager meets regularly with staff to discuss their work and any support or training they need. She also carries out monthly checks on paperwork and the environment to make sure things are up to date and safe. The organisation have carried out a survey of the people living at Deyes Lane and their relatives and also held a recent meeting with relatives. The people living there also attend regular house meetings in which they can air their views. This provides everyone with the opportunity to express their views and enables the manager, staff team and people living there to plan further improvements to the service offered. Regular checks are carried out on the building and equipment in the home to ensure they are safe to use. Training is provided to staff in areas of health and safety such as fire and infection control. This helps to ensure that the people living at Deyes lane are supported safely and live in a safe environment. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 4 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 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 4 3 X X 3 X Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 25 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 YA1 Good Practice Recommendations The manager should provide information about the home in different formats. This will help people living in or considering moving to the home to have a better understanding of the information. Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Deyes Lane, 14 DS0000005273.V331659.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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