Inspection on 11/07/07 for Drummonds

This inspection was carried out on 11th July 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

Drummonds 15/08/06

Drummonds 25/11/05

Drummonds 20/05/05

Drummonds 16/11/04

Drummonds 21/04/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Drummonds The Street Feering Colchester Essex CO5 9QJ Lead Inspector Ray Burwood Unannounced Inspection 11th July 2007 10:00 Drummonds DS0000017806.V345964.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 Drummonds DS0000017806.V345964.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. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drummonds Address The Street Feering Colchester Essex CO5 9QJ 01376 570711 01376 570580 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.scope.org.uk SCOPE Mrs Sheila Oldham Care Home 40 Category(ies) of Learning disability (40), Learning disability over registration, with number 65 years of age (7), Physical disability (40), of places Physical disability over 65 years of age (7) Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a physical disability who may also have a learning disability (not to exceed 40 persons) Seven persons of either sex, aged 65 years and over, who require care by reason of a physical disability who may also have a learning disability, whose names have been made known to the Commission The total number of service users accommodated in the home must not exceed 40 persons 15th August 2006 Date of last inspection Brief Description of the Service: Drummonds is a large purpose built home, which is divided up into smaller units within the main building each providing kitchen, dining and sitting areas. There is a bungalow in the grounds that can accommodate three people and there is also a self-contained flat. Drummonds provides a residential service for younger adults and older people with physical disabilities and other needs associated with cerebral palsy. The service offers a wide range of facilities to meet the needs of service users in the home and to support them in the local community. The manager and staff work with the service users to encourage and enable them to lead individual and fulfilling lifestyles. Information about the service may be obtained by contacting the manager. The home charges between £560.00 and £1,435.48 a week for the service they provide. This information was given to the Commission in July 2007. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Drummonds on the 11th July 2007 without telling the person in charge of the home he would be visiting. The inspector spent a total of five hours at the home. He also: • • • • • • Spoke to staff that work in the home. Spoke with visitors to the home including Social workers, tutors and healthcare professionals. Looked at a number of files and paperwork. Examined information about what services are provided for people living at the home. Talked to people who live at the home and the person in charge of the home. Looked around where people live, the gardens and grounds. To help the inspector to write the report, the manager sent the inspector information about home. The manager also wrote to the inspector and told them what they thought the home did well and what improvements had been made. The inspector also used other information that they already knew about the home from information regularly sent to the inspectors’ office. If you would like to know how people are cared for and supported you can read the inspectors report. You can ask the person in charge of the home for a copy, or contact the inspector. The person in charge of the home will give you the inspectors’ telephone number and address. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 6 What the service does well: These are some of the good things that the inspector found out about Drummonds: • The service is a well run by good managers and good support staff who recognise and practice Equality and Diversity relating to all people using the service. The home uses pictures to help some people to say how their needs should be managed, what their interests are, the activities they like and places they like to visit. These pictures also help people that live at the home to make decisions about things that are important in their lives. The manager meets with staff on their own to make sure that they are happy working home at the home, and what they need to do and how to do it, so that they can give the best support to people living at the home. Drummonds has developed good systems for care planning and reviews that ensure residents needs and aspirations are realised. Resident groups and committees have been formed to help make decisions about how the service is run and involves people living at the home. • • • • • What has improved since the last inspection? Drummonds has continued to improve the service since the last inspection through: • The number of residents’ groups being doubled to make sure that people living at the home are involved in making decisions about how the service can improve. • Resident groups are now involved in staff induction and training. DS0000017806.V345964.R01.S.doc Version 5.2 Page 7 Drummonds • The home has continued to improve how it looks by way of new furniture, carpets, redecoration and special equipment. Better facilities have been provided for dental and chiropody services for people living at the home. The home has purchased a number of special beds for residents comfort and to help staff to assist with moving people. Gained the Investors in People Award for the fourth time and were part of the Health & Wellbeing at Work Study. The home has introduced a number of checklists to be completed during induction to prove that new staff have read policies, procedures & risk assessments. • • • • What they could do better: • The home could offer photographic diaries to other residents and encourage other staff to use cameras to record activities and interaction. Access a provider to train staff in medication practice to ensure that residents’ health and welfare is maintained. • 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. Drummonds DS0000017806.V345964.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 Drummonds DS0000017806.V345964.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 and 2. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The homes’ pre-assessment arrangements are well managed and ensures that a service is not offered until a full needs assessment has been undertaken and the home can meet the needs of the person applying. EVIDENCE: The home’s Statement of Purpose and Service User Guide as been updated to include pictorial images and both documents reviewed on a regular basis. A range of residents’ files from different group dwellings on the complex was looked at during this site visit, most of which was of established residents, with the exception of one new person who had been transferred from another SCOPE home. All files contained a comprehensive and detailed record of individuals needs. Records for the new resident had been transferred to Drummonds who had reassessed his needs. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 10 Evidence seen in files confirmed that information is obtained and recorded from a range of sources, in particular, the person requesting to live at the home and significant others, including health professionals and case managers. Where the individual is unable to provide the information, relatives or local authorities are asked to contribute. The assessment process records factual information such as age, gender, ethnic origin, and nationality. Areas such as religious beliefs and cultural backgrounds, life experience is expanded upon to meet the needs of the individual. Prior to admissions taking place, a prospective resident has the opportunity to visit the home to meet other people who live and work there and to look round. The new resident previously mentioned had their transitional arrangements reviewed throughout the assessment process to determine suitability of the placement and to allow them to make an informed decision on whether or not to proceed. Drummonds DS0000017806.V345964.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 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The home has a clear consistent care planning system in place to provide staff with the information they need to meet the needs of people they support. EVIDENCE: Care plans examined had been developed with, and owned by the person living at the home, based on a full and up to date holistic assessment of needs. Plans seen were person centred and focussed on the individuals’ strengths, personal preferences and aspirations. This information sets out how current needs in relation to therapeutic, communication; disability needs; and support are to be met by staff. Key-workers actively provide one to one support, keep care plans up to date and inform other staff of current needs and any changes to daily living arrangements. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 12 People living at the home are helped to understand their care plan through a range of pictures, photographic dairies and reports being written in plain language. Care plans examined included comprehensive risk assessments, which are reviewed regularly and when significant changes occur. An independent person not employed by SCOPE, reviews financial risk assessments. This could be a member of the family, social worker, or someone independent from an advocacy service. Care plans for the higher needs group included information to staff relating to behaviour, speech guidelines, bathing risks, food and drink monitoring (pictorial) for each resident. The registered manager explained that although there are risk assessment sections in care plans the home has started to introduce risk areas in the care/support sections relating to going to bed, getting-up, bathing, and mealtimes. Communication with residents is maintained through a range of meetings; including a general residents’ meeting and a residents’ committee group who meet monthly. The following sections are part of the overall committee group: • • • • • • Activities. Management. Training. Health and Safety. Recruitment. Development (Buildings and Environment). Drummonds DS0000017806.V345964.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): 12,13,15,16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. People who use the service are able to make informed choices about their life style and are supported to develop their life skills. The service provides activities covering a range of activities to meet the assessed needs of people living at the home. EVIDENCE: People living at Drummonds access a range of stimulating and enjoyable activities both at the home or in the community. People spoken with during the site inspection said they were involved in the planning of activities both individually or as group members. An activities representative (resident) is included on the Home’s Committee to put forward suggestions and ideas from their meetings. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 14 One person spoken with said they had recently moved into the home and is involved in more activities than they did in their previous home. The resident said they also liked being involved in decision making within various groups. Activities, including education and social events are planned with residents by the home’s activities co-ordinator who maintains good links with local colleges. Some educational workshops are held at the home with tutors from the various colleges supporting the sessions. The registered manager said residents still access colleges placements, but some people living at the home prefer their tuition at the home because the facilities for the physically disabled are better and the staff support greater. The home has introduced photographic diaries for a group of residents with higher needs who are unable to communicate their participation in activities and outings, this is to share with their families. The registered manager said this facility could be offered to other residents and further developed by encouraging support workers to make better use of the cameras. A newsletter to the relatives of the higher needs group keeps them informed of progress and special events. Throughout the home are programmes listing individual and group activities, one group spoken with were about to commence a music session with an outside tutor, they said they looked forward to the sessions. Other activity sessions provided in the home include computer skills, sensory art, hoticulture, leading to cooking the produce and communication skills, some of the sessions are facilitated by external tutors. Some of the people living at the home have completed their award for trampolinning. Transport for activities, appointments and visits home are met through the five minibuses and two estate cars available at the home. All groups visited confirmed that visitors were encouraged and they were encouraged to maintain contact. For those who did not have regular family contact, various means of communication from letters to e-mails and telephone calls were used and supported by staff. One relative responded to recent visits to the home by e-mail and was complimentary about the service and the professional manner in which the service was run. People who live at the home contribute to food planning from menus to shopping, to some food preparation. Two residents spoken with during the morning were in the process of preparing vegetables for lunch and discussed what they were having. They said they enjoyed helping and the food was good. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 15 The registered managed said the five-a-day principle of having fruit and vegetables is encouraged with all residents. Drummonds DS0000017806.V345964.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 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The home provides residents with the support based on their individual needs, in a manner that respects their privacy and dignity. The medication and healthcare arrangements in the home are very well managed and ensure the good health and wellbeing of people living at the home. EVIDENCE: People using the service receive effective personal and healthcare support using a person centred approach that ensures their privacy and dignity, is respected. Care plans seen clearly record individual personal and healthcare needs and are comprehensively detailed for staff about how they are to be delivered. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 17 People using the service are provided with physiotherapy sessions at the home, the Physiotherapist and residents were spoken with about the treatment offered. One resident said it relieved their leg muscles and helped to prevent stiffness and aches. Changes to some services since the last inspection include dispensing with the services of the local dental surgery because of the lack of facilities for people who are physically disabled. Referrals are now made to the PCT Dental Department where the facilities meet with the needs of people with a disability/wheelchair user. This also applies to chiropody services with people now using NHS facilities as apposed to Chiropodists visiting Drummonds and charging for the service. A visiting social worker was complimentary about the service and the support that is offered to residents, also, the services record keeping was by far the most efficient he had seen and the home was always able to innovate. Aids and equipment are provided to maximise the independence of people who use the service. The registered manager explained that due to health and safety and medical alerts, thirty-seven new overhead hoists have been ordered. The home has also purchased a number of profiling beds for residents’ comfort and for the health and safety of staff. Beds can be raised to the appropriate height and be positioned for those residents wishing to watch TV or read. All staff attended either the foundation or advanced medication training accredited by a pharmacy until recently. The registered manager said the pharmacy have withdrawn this training and are currently updating this course. The home will be commissioning the training again, as soon as the pharmacy have the training materials ready. Regulation 26 reports highlighted the excellent drug recording and administration provided by a designated healthcare co-ordinator who is employed by the home. Surveys completed by healthcare professionals and an inspection of medication records confirmed good practice. Drummonds DS0000017806.V345964.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 and 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People living at the home can feel confident that any concerns they have will be dealt with and they are protected. Arrangements for the protection of people using the service and staff training are good and protect residents from abuse. EVIDENCE: The home’s Complaints and Adult Protection Policies, including Whistle Blowing, was comprehensively detailed and available in a pictorial format that is appropriate to the needs of people living and working at home. The complaints register was examined and found to be up to date. The society had responded to three complaints since the last inspection of the service. All complaints had been dealt with appropriately and agreed verbally with the complainants. The registered manager produced a register of compliments received since the last inspection visit praising the service. The registered manager said an independent provider who was known to the people who use the service and was from the community college, delivered complaints training to the service users. However, the registered manager said the provider was not available any longer and another provider will have to be found. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 19 Staff spoken with during the course of the inspection said they had received Adult Protection training in recognising and responding appropriately to any form of abuse. Drummonds DS0000017806.V345964.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service provides a well-maintained environment that has good facilities, is comfortable and is a safe place for those living there. EVIDENCE: A tour of the home provided the evidence of work carried out relating to the environment. All areas seen were clean, bright and provided residents with a comfortable environment in which to live. People spoken with, who live at the home, said they had contributed to the style of decorations, colours and fittings. A number of improvements have been made to the environment since the last inspection visit. All bathrooms and shower-rooms have been refurbished and redecorated. A shower trolly, commode insert steriliser and another macerator has also been fitted. New carpets have been laid around the newly decorated corridors. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 21 A new kitchen has been fitted in group 2 living area with low fitting cabinets and work tops, the flooring has been replaced. A number of external doors have been repaired or replaced and all extenal doors have been fitted with push-bar openers. All ceiling skylights have been replaced. Numerous items of kitchen dining equipment has been purchased and a new washing machine and dryer has been fitted in the laundry room. The registered manager said the service would be continuing to update and decorate areas of the physical environment. At the time of this inspection the people living at the home who smoke are not permitted to use the current designated smoking lounge, this lounge will now become a communal lounge for the use of all service users and smokers will use an area outside the building. Outside of the home are well maintained gardens and lawned areas that residents can access. Car parking spaces are available around the premises. Drummonds DS0000017806.V345964.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): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff in the home are trained, skilled and in employed in sufficient numbers to support and meet the needs of people who use the service. The service operates a robust recruitment process that helps to keep vulnerable people safe. EVIDENCE: People spoken with who use the service said the staff teams working in the different living group areas were accessible, approachable and that they had the confidence in the staff that care for them. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 23 Rotas inspected provided the evidence that the home is creative in making sure that the it is staffed efficiently, with particular attention given to busy times of the day and changing needs of people who use the service. On commencing employment staff undergo a period of induction, the induction process provides a mixture of practical training, personal reading, completion of workbooks, checklists and supervised learning opportunities. All training is planned at the earliest opportunity as is specialist training. Staff are required to complete the Common Induction Standards designed by the ‘Skills for Care’ Council. The service have a detailed Staff Training Plan for 2007/8 together with an Analysis of Training and Development Plan which identifies links to the Common Induction Standards, NVQ2, GSCC Code of Practice and National Minimum Standards. Staff spoken with confirmed that they receive the appropriate training to enable them to meet the needs of the people they support and provide personal care for. The home’s Equality and Diversity policy is contained in the staff induction folder and training profile together with other policies such as Adult protection policy, Grievance procedure, Anti-harassment and bullying at work policy. Scope has updated the disability equality training to include diversity with most of the home’s staff having completed Diversity training. Since the last inspection visit the service has introduced a number of checklists to be completed during induction process to evidence that new staff have read policies, procedures, risk assessments and have understood information and guidance. The service has not as yet, developed a diversity training programme for people who live at the home, however, the registered manager has contacted independent providers with a view to adapting the staff training programme for residents. The registered manager said all staff would complete Stress Management Training and what happens when under pressure and develop personal strategies and skills for managing stress at work. This training will be funded through Essex County Council following the services successful application for funds. The registered manager said the service is also planning to undertake a staff satisfaction survey this year and will feature gaining feedback about training & development, quality, range and ideas. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 24 The files of the two most recent members staff were examined and contained all of the required information and checks before they commenced working in the home. These included two references, proof of identity, Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) clearances. Staff files also included relevant qualifications. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 25 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 and 42. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service There is leadership, guidance and direction to staff to ensure that people who use the service receive a good quality of care, their views listened to and are safe. EVIDENCE: The registered manager, who is responsible for the whole of the complex, is experienced and competent to carry out her duties in a professional manner. Two experienced and qualified team leaders supports the registered manager. The registered manager has recently successfully re-interviewed for her post at Drummonds. The interview process was rigorous and consisted of a panel of 4 senior managers and a presentation focussing on the financial, health, and quality outcomes for Drummonds. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 26 Scope has developed a 5-Year Plan – ‘From Here To Equality’ that has been cascaded to all staff members at Drummonds through team meetings. This has provided all staff with a clear plan for the future direction of the service. The home’s quality assurance process was examined and found to include comprehensive systems for gaining information about how the service is performing. Questionnaires and surveys are given out to healthcare professionals, social workers and relatives/representatives who attend residents’ reviews. One social worker who was visiting a resident and conducting a residents’ satisfaction survey, completed one for the service. Visitors to the home are also encouraged to complete questionnaires. The registered manager provided documentation to evidence that an Action Plan and report was in place and the findings were specific to Drummonds. Scope has developed a Safety Standards Manual that is used at Drummonds to guide health and safety practices. Accident and Incident reports generate risk assessments. The registered manager said the monthly staff meetings includes topics relating to Health and Safety practice at the home. A range of safety certificates and the servicing of equipment information was examined and found to be up to date. Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 27 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 CONCERNS AND COMPLAINTS CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score Standard No 22 23 Score 3 3 4 4 X 4 X 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000017806.V345964.R01.S.doc LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Drummonds Score 3 4 4 X 4 X 3 X X 4 X Version 5.2 Page 28 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. Refer to Standard Good Practice Recommendations Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Drummonds DS0000017806.V345964.R01.S.doc Version 5.2 Page 30 - 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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