Inspection on 09/02/07 for Dolphin Lane

This inspection was carried out on 9th February 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dolphin Lane 31/01/06

Dolphin Lane 13/10/05

Dolphin Lane 24/11/04

Dolphin Lane 06/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Dolphin Lane 1 Dolphin Lane Thorpe Wakefield West Yorkshire WF3 3DN Lead Inspector Dawn Navesey Key Unannounced Inspection 9th February 2007 10:15 Dolphin Lane DS0000001444.V329793.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 Dolphin Lane DS0000001444.V329793.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. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dolphin Lane Address 1 Dolphin Lane Thorpe Wakefield West Yorkshire WF3 3DN 01924 872080 01924 872620 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.craegmoor.co.uk J C Care Ltd Angela Galloway Care Home 13 Category(ies) of Learning disability (13), Physical disability (13) registration, with number of places Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user over the age of 65, named on variation dated 26th September 2006, may reside at the home. 31st January 2006 Date of last inspection Brief Description of the Service: Dolphin Lane is owned by J C Care, which is a subsidiary of Craegmoor Health Care. The home is managed by Angela Galloway. The home is situated in its own grounds and parking is available to the front and rear of the property. The care home is on Dolphin Lane and is within easy walking distance of the main road. The area is well served by public transport. There are a number of local facilities and residents make good use of these. The care home is registered to provide accommodation and care services for up to thirteen residents, who have a learning disability. The home is spread over three floors, the basement being used for laundry facilities, maintenance office and a games/recreation room. There is a second laundry (domestic in style) on the ground floor. There is no passenger lift, however some ground floor bedrooms are available. There are five single bedrooms on the first floor, six on the ground floor and one double bedroom. At the time of the visit this room is being used as a single room. The fees at the home are currently £366 per week. Additional charges are made for hairdressing, chiropody, activities, magazines and transport. The costs for these vary depending on the residents’ choices. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk One inspector, between 10-15am and 5-20pm, carried out this unannounced inspection. The purpose of this inspection was to make sure the home was providing a good standard of care for the people living there. The people who live at the home prefer the term resident; therefore this will be used throughout the report. The methods used at this inspection included looking at care records, observing working practices and talking with residents and staff. Information gained from a pre-inspection questionnaire and the home’s service history records were also used. Before the visit, surveys were sent out to residents, relatives and visiting professionals to the home. Fifteen of these have been returned and this information has also been used in the preparation of this report. There were no visitors to the home on the day of the visit. Feedback was given to the manager at the end of the visit. Thank you to everyone for the pre-inspection information, returned surveys and for the hospitality and assistance on the day of the visit. A requirement and recommendations made during this visit can be found at the end of the report. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The residents’ care plans have been developed to be more individual and person centred. The decorating programme has continued throughout the home. The laundry room flooring has been replaced. The manager has made sure that all staff’s training is up to date. The manager has now been registered with the CSCI. (Commission for Social Care Inspection). Dolphin Lane DS0000001444.V329793.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. Dolphin Lane DS0000001444.V329793.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 Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide give good information about the way of life at the home and the standard of support and facilities it can provide. Residents are assessed to make sure that their needs can be met by the home. Residents’ contracts do not have the current costs of the place at the home in them. EVIDENCE: The Statement Of Purpose and Service User Guide, which provides information on the services provided by the home, have been produced in an easy read format, using large print and pictures. These are both kept on display in the entrance hall of the home where families and visitors can have access to them. Residents also have their own copy. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 10 Residents have a contract with the organisation. The contracts, however, do not have the costs for the home listed in them, therefore the residents are not aware of the current costs and their contribution to this. Residents’ needs have been assessed to make sure the home can meet their needs. The assessments are detailed and are reviewed every month. A resident who wanted to move on to more independent living has been supported well by the manager and staff in this process. A resident who had recently moved in to the home said she had been for visits, including overnight stays before deciding to move in. She said, “It’s lovely here, that’s why I chose it.” The manager completes pre-admission assessments for residents and then uses this information as a basis for care plans. In returned surveys, residents said, “I came to look round before I moved in and was given a brochure.” Another said, “I like living here.” Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments provide clear detailed instruction on how residents’ needs are to be met. Residents are involved in the day to day running of the home. EVIDENCE: Residents’ care plans are detailed and give specific information to staff about care and support needs. Staff have a good knowledge of residents’ needs. They were able to accurately describe the care and support they give and talk about the detail of how service users like to be supported in their daily routines. Some staff said they had received training in care planning and risk assessment. Some of the care plan information is being developed to be more person centred. This information is written in the first person and in the Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 12 resident’s own words. Some residents’ families have also been involved in this. Residents have signed their care plans and risk assessments to show they are in agreement with them. All care plans have been regularly evaluated and reviewed, with changes being made as needed. Key-workers have a monthly meeting with residents to do this. Notes are made at these meetings so that issues can be followed up each month. One resident said, “We talk about stuff like new hobbies and any suggestions we have.” All the care plans are linked to risk assessments. Staff and the manager have a good attitude to risk taking and furthering residents’ independence. Risk assessments are up to date and reviewed. Staff show a good awareness of the care plans and risk assessments. They are familiar with care plans that have changed recently due to a resident’s changing needs. A relative who returned a survey said, “Very impressed with level of care and information available and response to concerns.” A resident who returned a survey said, “They know when I am upset and help me when I need it.” Residents have a regular meeting. Topics at the meeting include any forthcoming events, food choices, likes and dislikes, shopping, activities and holidays. Residents are encouraged to voice their opinions. One resident said, “We can make suggestions such as needing new cups in the kitchen.” A resident who returned a survey said, “I make my decisions and the staff help me.” Residents were also offered choices throughout the day; what to do, where to go and what to eat. They were also encouraged to take responsibility such as shopping and washing up. One resident said, “We all take our turn, we have a rota for it.” Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents lead interesting lives and have the opportunity to be involved in a variety of activities, including paid employment. Residents receive a nutritious and balanced diet. EVIDENCE: Residents are involved in various activities each week. This ranges from day centres, paid employment, college courses, meals out, shopping, pubs and clubs and socialising. Residents said they like to organise parties and functions in the home too. A Valentines disco was being planned at the time of the visit. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 14 Residents are encouraged to meet up with friends and to keep in contact with their families. Staff said that residents are known in the local community and use all local facilities such as shops and pubs. The manager has arranged for road safety awareness training for those residents who go out independently. This is good practice. The home has its own transport but also uses public transport with residents. During the visit, all residents went out for some part of the day. The residents’ care plans contain information on their likes, dislikes and activity preferences. Residents’ cultural and spiritual needs have been explored with them. Any wishes with regard to this, are documented in the care plans. For example, a resident who has decided not to attend church on a regular basis wants to be supported to attend weddings and funerals at church. A number of residents smoke but have agreed they will not smoke in the home. They go out into the garden to smoke. One resident said he wished there was some sort of shelter in the garden, which would provide some protection from the rain and bad weather. Staff were seen to support people with courtesy and thought for their dignity. Staff said it was important to make sure residents are as independent as possible. They said they are encouraged to get involved in household tasks and food preparation. One resident has decided he no longer wishes to do this. Staff respect this choice. There was plenty of social interaction between the staff and residents. The atmosphere is relaxed and there was lots of laughter throughout the day. Residents have an annual holiday. Residents said they are in the process of discussing this at the moment. Holidays are arranged in small groups of residents and staff. The manager makes sure holiday risk assessments are completed before the holiday and on arrival at holiday destinations. This is good practice. Menus appear to be well balanced and nutritious. Menus are put together based on residents’ likes and dislikes. This is done through the residents’ meeting and also through a food comments book. If a resident wants something different to what is on the menu, this can be done. A good variety of food is available and staff try to make sure there is a good selection of fresh produce available. Most of the home’s food shopping is done on the Internet with a local supermarket. Residents get involved with this. They also shop locally on a daily basis for fresh produce. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported properly with their personal care needs. Health care support is provided in a way that meets residents’ individual needs. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Staff supported residents with any personal care needs in private and with dignity. The support that resident’s need is detailed in the care plans. It is specific and gives clear instruction to staff to make sure residents’ needs are properly met. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 16 The care plans also have details of any health professionals that residents see. These included, GP, dentist, specialist nurse, psychologist and chiropodist. Records are kept of any health appointments and their outcome. Some service users have specialist health needs. These include diabetes and mental health needs. Staff have received training on mental health issues and are in the process of arranging training on diabetes. The training on diabetes is in response to a newly admitted resident. The manager is also making sure that this resident is referred to all the community support professionals for help in managing the diabetes and insulin administration. A visiting professional to the home said in a returned survey, “No concerns with the standard of care delivered by Dolphin Lane.” The home uses a monitored dosage pre-packed system for medicines. All staff take responsibility for the administration of medication and have been trained to do so. There are good ordering and checking systems in place, with a clear audit trail for any unused medication returned to the pharmacy. The medication administration record (MAR) sheets were checked and showed no errors in administration. The manager has discovered some omissions of medication recently and is taking steps to investigate the reasons for this. Handwritten entries on the MAR sheets have been checked and countersigned by two people. This is good practice. Controlled drugs are properly managed. A resident who is prescribed controlled drugs has said he wishes to self medicate. Staff are assessing the risk of this and contacting a CSCI pharmacy inspector for advice on how to manage this. Dolphin Lane DS0000001444.V329793.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents or their representative’s concerns are listened to and acted upon. Residents are protected from abuse by the home’s policies and procedures on adult protection. EVIDENCE: The home has a complaints procedure displayed in the entrance to the home. This has been produced in an easy words and pictorial format to make it more accessible to all. All residents and relatives who returned a survey said they knew how to complain but had never had to make a complaint. The home has a complaints book but has not received any complaints recently. A resident said, “ If I needed to complain I would ask for a complaints form and speak to the manager.” Staff have received training on the protection of vulnerable adults. They were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were also able to describe the different types of abuse. One staff member said the protection of vulnerable adults training was one of the best courses she had ever been on as she felt she learnt a lot. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 18 The organisation has a detailed policy on the protection of vulnerable adults. Good records are kept of residents’ finances and their monies are kept safe. The home has a cash handling policy which makes sure two people handle money and any financial transactions. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment in the home is homely, clean, safe and hygienic. Staff’s practices control the spread of infection. EVIDENCE: A tour of the building was carried out, accompanied by the manager and residents. The home is spacious, homely and well laid out, providing sufficient room for all residents. Residents’ bedrooms have been decorated and furnished to suit them as individuals. They are all en-suite. The styles of the rooms show their interests and personality. Residents said they had chosen the décor and furnishings. The home is very clean and fresh smelling throughout. Staff and residents work hard to maintain this standard. The home is nicely decorated and has Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 20 furniture and furnishings of a high standard. A maintenance officer is employed by the home. He makes sure any maintenance work is attended to promptly and has a programme of regular re-decoration for the home. The laundry floor covering has been replaced since the last inspection. A relative who had returned a questionnaire on the home said, “We visit once a week and always find things clean and tidy.” In a returned survey, a relative raised some concerns about security at the home. This was discussed with the manager who will keep the issue raised, under review. Staff wear protective clothing when attending to residents’ personal care needs. They also make sure they do this when cleaning or when cooking. Staff have received training in infection control and were able to say what infection control measures are in place. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 21 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 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent to meet the needs of residents; they are well supported and supervised. Residents are protected by the home’s recruitment procedures. EVIDENCE: There are staff on duty throughout the day and night. There are usually two staff on the morning shift and two staff on the afternoon shift, with the manager working flexibly around this. At night there is one member of staff sleeping in, who can be called upon in emergency. An on-call manager supports this person. Residents and staff said they felt there were enough staff to meet residents needs properly. The manager said she would seek extra funding if any of the residents’ needs changed. A relative who had returned a questionnaire on the home said, “Staff are always approachable and helpful.” Another said, “Staff are all very friendly.” Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 22 Recruitment is properly managed by the home; interviews are held, references and CRB (Criminal Record Bureau) checks are obtained before staff start work and checks are made to make sure staff are eligible for work. Staff’s training is up to date. This includes any bank staff used. Good records are kept of staff’s training and when their updates are due. The manager assesses this every month to make sure training doesn’t get missed. Staff spoke highly of their training and the support they get from the manager. Senior staff are given opportunity for management training within the organisation. All staff have induction training which covers all their mandatory training needs. The manager arranges specialist training for the staff team if any of the residents have specialist needs. For example, epilepsy and diabetes. 40 of the staff team have achieved an NVQ (National Vocational Qualification) in level 2 or above. Two other staff are also currently working on their NVQ and the home will then meet the target of 50 . All staff said they felt they had a good team and the manager was very supportive. Staff said they felt communication and teamwork within the home is good. Staff receive regular supervision from the manager and monthly team meetings take place. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 23 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, 38, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, the interests of the service users are seen as important to the manager and staff and are safeguarded at all times. EVIDENCE: The home has an experienced manager who is currently undertaking her NVQ level 4 and Registered Managers Award. She said she has only two units to do and this will then be complete. She works alongside staff to make sure of good practice. She also has some administration time to complete her management tasks. Staff said she is supportive and shows good leadership. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 24 The area manager visits the home on a monthly basis to carry out regulation 26 visits. This involves talking to residents and staff about the home. A report of these visits is made showing details of any action to be taken to improve the service. In addition to this, the organisation sends out questionnaires to residents and relatives asking for their views of the home. These are then analysed and any changes are made to the service as necessary. In one of the returned questionnaires a relative had said, “Communication is at a much better standard due to regular contact and meetings.” Maintenance staff carry out weekly or monthly health and safety checks around the home such as fire alarms, emergency lighting, water temperatures and checks on the house vehicle. Maintenance records are well kept. Environmental risk assessments are completed. Water temperatures are checked regularly and shower heads and trays are bleached regularly. The maintenance officer makes sure the electrical wiring safety and gas safety checks are carried out. Accident or incident reports are completed. The manager has a system in place where she can analyse accidents to see if there are patterns, trends or ways of avoiding future accidents. The home has a comprehensive range of policies and procedures in place. The manager makes sure staff read and understand these. She sets targets with staff and monitors if they are being read. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 2 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 26 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. 1 Standard YA5 Regulation 5 Requirement The manager must make sure that each resident has a contract, which states the cost of the place at the home. Timescale for action 30/04/07 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 Refer to Standard YA24 YA24 Good Practice Recommendations The manager should consider approaching the organisation for some sort of shelter in the garden to provide protection from the weather for residents who smoke. The manager should make sure the issue of security at the home is kept under review and make any changes as necessary. Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Dolphin Lane DS0000001444.V329793.R01.S.doc Version 5.2 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. 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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