Inspection on 24/06/08 for Drakes Place

This inspection was carried out on 24th June 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Drakes Place 15/01/07

Drakes Place 04/01/06

Drakes Place 07/06/05

Drakes Place 02/02/05

Drakes Place 03/08/04

Drakes Place 24/02/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Drakes Place Taunton Road Wellington Somerset TA21 8TD Lead Inspector Jane Poole Unannounced Inspection 24th June 2008 9:30 Drakes Place DS0000059632.V364914.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 Drakes Place DS0000059632.V364914.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. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drakes Place Address Taunton Road Wellington Somerset TA21 8TD 01823 662347 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) Voyagecare.com Voyage Ltd Caroline Gudgeon Care Home 28 Category(ies) of Learning disability (28), Physical disability (28) registration, with number of places Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. registered for 28 persons in categories LD and PD Date of last inspection 15th January 2007 Brief Description of the Service: Drakes Place is registered to provide care for up to 28 people with a Learning Disability. Voyage Ltd owns the home. Drakes Place is a large detached period property set in extensive and well maintained gardens. All bedrooms are of single occupancy and some have full en-suite facilities. There are a number of communal facilities. The home is within walking distance of Wellington town centre close to all local facilities and resources. The home has a discreet on-site day resource. This provides opportunities for leisure, recreational and educational activities for all service users at Drakes Place. Resources include an art room, heated swimming pool and a computing resource. The Registered Manager is Caroline Gudgeon. Fees at the home range from £540.00 to £1500.00 per week. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This inspection was carried out over a one-day period. The inspector was joined for part of the day by Jeffery Osbourne, who is known as an ‘expert by experience’, and his supporter from Bristol and South Gloucestershire People First advocacy group. The inspector was given unrestricted access to all areas of the home, was able to talk with people living and working there, view records and observe care practices. The ‘expert by experience’ spent time talking with people who live at Drakes Place. Prior to the inspection questionnaires were sent to the home. 5 people living at the home, 2 relatives/carers and 1 member of staff completed these. 1 relative wrote comments to the inspector. The manager completed an Annual Quality Assurance Assessment (AQAA) which set out the homes achievements, identified areas that needed improvement and plans for the future. It also gave some numerical information. The following is a brief summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: Everyone wishing to move into the home has their needs fully assessed and is able to spend time in the home to ensure that it meets their expectations. The home is effectively managed by a well-qualified and experienced management team. There is evidence that the views of people living and working at the home are taken into account in the day to day running of the home and when planning changes. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 6 There are good training opportunities for staff leading to a competent workforce. People spoken to said that staff were polite, helpful and respected their privacy. The expert by experience wrote in his report “the staff are friendly and not patronising.” The opportunities for social stimulation are excellent. Many people attend college and adult education classes. There are opportunities to take part in a wide range of activities at the home and in the community. People are encouraged to make choices about their day-to-day lives including the activities that they take part in. Everyone spoken with, and those who completed questionnaires, stated that they knew how to make a complaint. People said that they would be comfortable to approach the manager or member of staff if they were unhappy about any aspect of their care. What has improved since the last inspection? What they could do better: One of the care plans seen did not give up to date information and guidance for staff. Although staff spoken to were fully aware of the change in need, care plans would benefit from up dating to ensure a consistent approach to care. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 7 The environment in one part of the home, Squirrel Park, does not promote a homely atmosphere. There is no natural light in one seating area and limited light in the main lounge. The garden to this part of the home needs to be up graded to ensure that it is safe and accessible for the people who live there. Currently only 29 of the care staff have a National Vocational Qualification (NVQ) in care at level 2 or above. This is below the 50 recommended in standard 32.6 of the National Minimum Standards. 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. Drakes Place DS0000059632.V364914.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 Drakes Place DS0000059632.V364914.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): 2, 3 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To home carries out comprehensive assessments to ensure that they are able to meet the needs of people wishing to move to the home. There are opportunities for people to visit the home, and to stay on a trial basis, before deciding to move in permanently. EVIDENCE: Since the last inspection two people have moved into the home and the inspector was able to view their personal files. Both contained comprehensive pre admission assessments completed by the home and full assessments of need completed by other professionals. The pre admission assessment carried out by the home also gives details of training that may be required by the staff group to ensure that staff have the skills to meet individual needs. People spoken to stated that they had been able to visit Drakes Place on several occasions before making a decision to make it their home. Records are maintained of all visits and these were available in personal files. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 10 The manager gave evidence that when assessing people, who may wish to move in, she considers their compatibility with people already living at the home as well as their personal needs and wishes. All 5 people who completed questionnaires prior to the inspection said that they had received enough information about the home before they moved in. Drakes Place DS0000059632.V364914.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 good. This judgement has been made using available evidence including a visit to this service. Some care plans would benefit from up dating to ensure that they give clear guidelines for staff to follow. People living at the home are encouraged to make decisions about how they spend their day and the activities that they take part in. EVIDENCE: The inspector viewed three care plans in detail and briefly viewed a further three. Care plans are completed on a six monthly basis when a full review of care is undertaken. It was noted that one care plan had not been up dated to reflect changing needs and therefore did not give up to date guidelines for staff to follow. Although staff spoken to were fully aware of the change in need, care plans would benefit from up dating to ensure a consistent approach to care. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 12 The home is in the process of changing the format of care plans and one new style plan was viewed. The new format is more person centred and gives clearer guidelines to ensure that people receive care in their preferred manner. Daily records are written about each person and these are summarized on a monthly basis by keyworkers. Daily records and monthly summaries were comprehensive and gave details of day-to-day life as well as significant events. There was evidence that the staff encourage people to make decisions about their daily lives. The inspector noted that people chose how they wanted to spend their time. On the day of the inspection some people were at college, some went out on a trip, some people went into the local town and others took part in activities at the home. People said that they were able to choose what time they got up and when they went to bed. All 5 people who completed questionnaires answered YES to the question “Can you do what you want, during the day, in the evening and at weekends?” Risk assessments are in place for some activities and it was noted that appropriate control measures were in place for a person who goes out without staff supervision. The company acts as a financial appointee for the majority of people living at the home. The staff assist people to manage their personal allowance and clear records are kept of all transactions. Everyone living at the home has access to their personal allowance to spend as they choose. Drakes Place DS0000059632.V364914.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. There is a wide range of social and leisure activities available for people of all interests and abilities. Staff at the home assist people to keep in touch with friends and family. EVIDENCE: There is a wide range of activities available for the people who live at Drakes Place. People spoken to stated that they can choose which, if any, activities to take part in. Some people attend college and local adult education classes and one person has a work placement. People attend clubs outside the home in line with their personal interests. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 14 There are various facilities at the home including a swimming pool and well equipped art room. An art tutor is employed each weekday and there are samples of peoples artwork throughout the home. Therapists visit the home on a regular basis, these include a reiki therapist, a creative play therapist and a music therapist. The home has 5 vehicles to enable people to access community amenities and leisure facilities. People spoken to talked about going sailing, swimming, horse riding, playing golf and going to the gym. On the day of the inspection a group of people went out for the day and the inspector observed people chatting with staff to decide where they would like to go. People use the facilities in the local town such as shops, cafes, churches and social clubs. Two relative/carers who completed questionnaires prior to the inspection said the home assisted people to keep in touch with them. People spoken to stated that they were able to have visitors at anytime and that family and friends were always invited to social occasions and parties. There are regular meetings in the home where various issues including activities and meals are discussed. This ensures that the food in the home and activities on offer are in line with peoples’ wishes and likes. The main meal of the day is at lunch-time and people make choices about what they would like the day before. In the smallest unit of the home, The Oaks, people plan their menu on a weekly basis and shop in the local supermarket. The expert by experience noted that at lunchtime in the Main House there was “no salt or pepper etc on the tables and that people were offered juice from a jug and there was no other choice.” Everyone asked said that their privacy was respected and staff assisting with personal care did so in a respectful manner. All bedrooms have keypad locks on, which some people are unable to use without staff assistance. The inspector noted that many rooms had been left unlocked so that people could access their rooms without requesting assistance from staff. Throughout the day it was observed that people appeared extremely comfortable in their environment and moved freely around the home. People are able to choose how they dress and present themselves, Two people said that they went clothes shopping with their keyworker. The inspector observed that staff interacted in a friendly and respectful manner with the people living at the home. Everyone who completed a questionnaire answered ALWAYS to the question “Do the staff treat you well?” Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 15 Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. People living at the home have access to healthcare professionals in line with their individual needs. Medication records are well maintained and give evidence of good practice. EVIDENCE: Care plans give some detail about how people wish to be assisted with their personal care and one person told the inspector that their wishes were respected. The new style care plan seen gave much more detail about peoples likes and dislikes and therefore much clearer guidance for staff. The new care plans cover all aspects of life from the way people like to be assisted with personal hygiene to their wishes about how they want to be cared for at the end of their life. People living at the home have a wide range of abilities and needs. Everyone is registered with a local GP and has access to other healthcare professionals according to their individual needs. Day to day reports record all appointments Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 17 with healthcare professionals. These showed that people have access to psychologists, psychiatrists, dentists, opticians, physiotherapists and other people appropriate to the individual. Medication is stored and recorded separately in each area of the house. The inspector viewed these in two areas. There are suitable storage facilities including storage for medication that requires refrigeration. The home uses a Monitored Dosage System for medication and all staff who administer have received specific training. The Medication Administration Records (MARs) were looked at. All medication is signed for when it enters the home and when it is administered or refused. This gives a clear audit trail. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 18 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. Appropriate systems are in place to minimise the risk of abuse to people living at the home. EVIDENCE: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. The complaints procedure is displayed in the home in a simple format. Everyone asked during the inspection said that they knew how to make a complaint and would be comfortable to do so. People living at the home and relatives/carers who completed questionnaires all answered YES to the question “Do you know how to make a complaint?” One complaint has been received by the home since the last inspection. Records show that this was dealt with and resolved to the satisfaction of all parties. All staff receive training in the protection of vulnerable adults when they begin work in the home. Staff spoken were aware of the homes’ whistle blowing policy and the ability to take serious concerns outside the home. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 19 Staff undergo a Criminal Records Bureau (CRB) check and are checked against the Protection Of Vulnerable Adults (POVA) register before they begin work in the home. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 20 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, 26, 27, 28 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are able to personalise their bedrooms to reflect their likes and personalities. Some areas of the home require up-dating to ensure that they provide a light and airy environment. EVIDENCE: Drakes Place is set in extensive grounds within walking distance of the town centre of Wellington. The home is divided into three units, The Main House, Squirrel Park and The Oaks. Each unit has its own garden area. Each unit is locked by an electronic keypad but people living in the home are free to access all areas in line with Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 21 assessed needs and risk assessments. Some people require staff assistance to use the key-pads. Each unit has its own kitchen and communal facilities, laundry facilities are shared. The Main House provides large, well-furnished and decorated, communal areas, which can be accessed by people with all levels of mobility. The expert by experience commented in their report that they felt The Main House was “more like a posh hotel not like a home.” All bedrooms are for single occupancy. Bathrooms and shower rooms are for communal use and are adequate but not homely in appearance. One person told the inspector that they felt there should be another shower in the Main House. (Bathrooms seen had over bath shower attachments but no curtains or screens.) Squirrel Park is able to accommodate up to 8 people who have complex needs. It does not have a homely appearance and many areas are dark. One seating area has no natural light and there is limited light in the main lounge. This was raised at the last inspection, carried out in January 2007, and it was stated that funding had been made available to improve the light issues and enhance the garden. The Annual Quality Assurance Assessment cites planning permission as a barrier to improvement, which has meant that works have not yet been carried out. One relative/carer who completed a questionnaire commented on the very poor state of the garden area and said that “it is a hazard that should be attended to as soon as possible.” The Oaks is a smaller unit, which has been adapted to meet the needs of people who have a physical disability. All bedrooms in The Oaks have en suite facilities that are suitable for people with mobility difficulties. The Oaks is homely in appearance and comfortable. The expert by experience commented in their report that “There was a really nice feeling to The Oaks.” The inspector viewed a selection of bedrooms throughout the home, all had been personalised to reflect the needs and tastes of their occupants. All areas of the home seen were clean and tidy. Hand washing facilities where available throughout the home although the manager stated that they were still waiting for some towel dispensers to be put in place. In answer to the question “Is the home always clean and fresh?” 4 people said ALWAYS and 1 said USUALLY. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 22 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, 33, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported by a well trained, competent workforce. EVIDENCE: The home employs 42 staff, 12 (29 ) have a National Vocational Qualification (NVQ) in care at level 2 or above. A further 9 people are currently working towards the award. The inspector viewed the recruitment files of the three most recently appointed members of staff. Documentation in relation to new staff is now kept at the companies head office but checklists are available in the home. All checklists gave evidence that written references and enhanced Criminal Records Bureau checks are in place before someone begins work in the home. All new employees complete a comprehensive induction programme in line with the ‘Skills for Care’ core standards. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 23 Several staff were spoken with in the course of the inspection and 1 person completed a questionnaire. Staff were very well motivated and demonstrated a good knowledge of the people that they worked with. There are clear lines of responsibility and staff appeared confident in their roles. Staff stated that there were regular meetings and good communication in the home. Generally people felt that the home was adequately staffed although one person living at the home told the expert by experience that they had not been out much lately due to staff shortages. The Annual Quality Assurance Assessment (AQAA) states that staffing levels have been increased in the past twelve months. Since the last inspection training has improved due to the continued use of the el-box (computer based training), which is available in the home. This is especially useful for people who work at night and are unable to get to training sessions during the day. Everyone was very happy with the training opportunities available. One person said “training is brilliant.” Regular supervision sessions are now taking place and records of these show that a wide range of issues, including training needs, are discussed at these sessions. People living at the home said that staff were kind and helpful. One relative/carer wrote on their questionnaire “Very good staff who take an interest in the residents” another wrote “Key workers are very good.” The expert by experience wrote in their report “Staff are friendly and not patronising.” Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 24 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 & 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 effectively managed taking into account the views of people living and working there. Regular safety checks minimise the risk of accidents. EVIDENCE: The registered manager of the home is Caroline Gudgeon, who has managed the home for many years and has considerable experience in working with people who have a learning difficulty. Caroline holds the Registered Managers Award (NVQ level 4) and demonstrated that she keeps up to date with current Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 25 legislation and best practice. In addition to the registered manager there is a well-qualified deputy who has also worked at the home for many years. People living and working at the home said that the management was open and approachable. People said that they were kept informed of what was going on and that they were comfortable to view their opinions and ideas. The manager is very visible in the home and during the inspection people living and working at the home appeared very comfortable in her presence. There are regular meetings for people living and working in the home to share information and opinions on the running of the home. The company, Voyage has quality assurance measures in place that include monthly audits by the area manager and an annual quality assurance review. To ensure the health and safety of people at the home there are weekly checks, which include monitoring the temperature of hot water outlets and testing the fire alarms. Records show that emergency lighting is currently being tested by outside contractors. The fire alarm went off during the inspection, whilst the inspector was talking to a person living at the home. The person knew exactly what to do and calmly led the inspector towards the muster point. The AQAA gives evidence that all equipment such as portable electrical appliances and the fire detection system has been tested/serviced within the past 12 months. The home records all accidents and there is evidence that these are checked by the manager on a regular basis. Up to date certificates of insurance and registration are displayed in the home. Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 26 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 3 4 3 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 2 25 x 26 3 27 3 28 2 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 4 14 4 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 Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 27 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA6 YA24 YA28 Regulation 15 (2) [b] Requirement Timescale for action 15/08/08 15/08/08 Care plans must be kept up to date to ensure that they give clear guidance for staff. 23 The Registered person must (2)[a][f][o] supply an action plan, with dates, to the CSCI for the up grading of Squirrel Park, including the garden area. 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 YA24 Good Practice Recommendations The Registered Manager should review the style of the doors to Squirrel Park accommodation area to further promote natural light and to create a more ‘open’ feeling to the area. Recommendation made at last inspection. 50 of care staff should have a National Vocational Qualification in care at level 2 or above. 2 YA32 Drakes Place DS0000059632.V364914.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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