Inspection on 23/08/07 for Elliot Avenue

This inspection was carried out on 23rd August 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

Elliot Avenue 23/10/08

Elliot Avenue 11/10/06

Elliot Avenue 31/01/06

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Elliot Avenue 1 Elliot Avenue Bretton Peterborough PE3 9TG Lead Inspector Joanne Pawson Unannounced Inspection 23rd August 2007 10:00 Elliot Avenue DS0000064274.V349438.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 Elliot Avenue DS0000064274.V349438.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 Older People and 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. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elliot Avenue Address 1 Elliot Avenue Bretton Peterborough PE3 9TG 01733 331731 01733 331762 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.communitycaresolutions.com Community Care Solutions Limited Zoe Allcock Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the age range of service users will be 16 - 25 years only Date of last inspection 11th October 2006 Brief Description of the Service: Elliot Avenue was opened in May 2005 and is run by Community Care Solutions. The company operates residential homes specialising in the provision of care to adults with learning disabilities and associated challenging behaviours. The company has other homes in the Bedford, Peterborough, Rushden and Biggleswade areas. Elliot Avenue offers accommodation and support to 6 young people between the ages of 16 and 25 years. The current basic fees for the home are £1750 per week. A copy of the inspection report is kept in the office and is available to service users and their families. The home is situated in a quiet cul-de-sac in South Bretton and there is access to local shops and transport. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out from 10am until 4pm. The inspector spent time talking to the service users, the manager and her deputy and looking at health and safety documents, staff recruitment, supervision and training documents, and talking to the and members of staff on shift. Information in this report is also taken from surveys completed by the service user and written information supplied to the commission by the manager. What the service does well: What has improved since the last inspection? The manager has greatly reduced the amount of agency staff used. The home regularly uses one member of agency staff who has built up a relationship with the young people in the home. All of the staff who do not already have a NVQ in children and young people are working towards a NVQ 2 and when completed will then start working towards an NVQ 3 in children and young people. The manager ensures that all complaints are recorded and the person making the complaint is kept informed of the investigation and action taken. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 6 The home is no longer using surveillance equipment within the home. If the staff need to be aware of where the young people are during the night they use monitoring equipment in communal areas such as the landing. 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. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome are good. All young people have their needs thoroughly assessed to ensure that they can be met at the home. Admission procedures allow young people to ‘test drive’ the home before deciding whether or not it is for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a Statement of Purpose and Service User Guide that give good information about the home and the services it offers. The Service User Guide is in a simple format, with pictures, to help service users understand it. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 9 Admissions are not made to the home until a full assessment has taken place, and information from a range of health and social care professionals is sought. Staff at the home also spend time at the service user’s current placement to ensure they fully understand their needs before they are admitted. Prospective residents and their families always have the opportunity to visit and all service users spoken to confirmed that they had visited the home several times before moving in. Each service user is given a written contract that clearly tells them about the service they will receive. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome are is good. Service users are treated as individuals and encouraged to pursue their own interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users take part in the running of the home such as helping to choose the menu, shopping, cooking, laundry and housework. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 11 Each service user has a care plan which they are involved in writing and includes personal details, weekly timetable, communication, assessed needs and instructions for staff on how they should meet the needs of the service users. The risk assessments and care plans are very detailed. There is a lot of information including current and old information all in the same file. It would be clearer for staff to have the current information in one file with the other information available if needed. The care plans are written to encourage independence for example ‘ staff must give the service user enough time to process the information and not answer questions for her’. The care plans are reviewed six monthly. All of the service users spoken to stated that they are encouraged to make their own decisions for example what they would like to do in there leisure time. On the day of the inspection one service user was going ice skating and she confirmed that it was her choice and that if had been discussed with the member of staff accompanying her. One service user stated that she has to be in her room by 9.30pm as after this time there are only two members of staff on shift. She stated that she would on some occasions like to stay up in the communal areas later than 9.30pm and have more evenings out to nightclubs. The manager stated that the issue had never been raised with her but did confirm that all service users were expected to be in their bedrooms by 9.30 due to staffing levels. The manager also stated that if a service user has requested to go out in the evening then extra staffing is arranged to facilitate this. The manager confirmed that she would review the situation and if needed would apply for extra funding so that service users can stay up later on a regular basis. Service users have their own front door key depending on their ability/ risk assessment. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 13 12,13,14,15,16,17 Quality in this outcome are is excellent. Each service user leads a varied and fulfilling lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Some of the young people are undertaking courses at a local college. Independent living skills are promoted within the home and service users take responsibility for their own room, domestic chores and cooking. The home offers a number of leisure activities for service users to enjoy such as swimming, ice-skating, picnics and going to the gym. Some of the young people are part of a weekly drama group. Staff support the service users to maintain links with their families and friends. Staff accompany service users on trips out with their family. Some families have attended training courses organised by the home with the aim that they may be able in future to go out with their relatives without needing staff present. One of the service users told the inspector that she would like time on her own with her boyfriend. The manager confirmed that she is aware of this and is supporting the service user towards this goal. The service users reported that food at the home was good and that they took it in turns to cook the evening meal. They also confirmed that if they did not want was on the menu then they could choose something else. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome are is good. Service users receive personal and flexible support from the care staff according to their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users spoken to on the day of the inspection confirmed that staff give them the support they required with personal care but that for some of the service users this was minimal. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 15 All staff receive thorough training in non-aggressive physical intervention. The inspector spoke with a service user who had been subject to a number of these interventions. This service user reported that she had never been hurt during them, and that staff intervened appropriately to protect her and others. All incidents of these interventions had been clearly recorded. Each service users has a key worker that enables staff to establish a special relationship and work closely on a one to one basis. One service user stated that she was aware that she became too dependent on her keyworkers so they were sometimes changed to prevent this from happening. All staff have received training in administering medication and are observed by the manager before administering medication on their own. The medication administration records were in good order. Boots the Chemist provide further advice and training. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome are is good. Service users views are listened to and taken seriously by the manager and staff of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has met the requirement from the previous inspection and now records all of the complaints received. The investigation and any necessary action are also recorded and the complainant is made aware of the outcome of the investigation. The service users spoken to stated that they would talk to the manager or another member of staff if they needed to make a complaint. Staff are aware of the procedure to follow if they suspect a service user has suffered any kind of abuse. All staff have received training in the protection of vulnerable adults. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 17 Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25,26,28,30 Quality in this outcome are is good. Service users live in a comfortable and well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 19 Elliot Avenue is a large and recently converted detached house with a goodsized garden. The home meets all the environmental requirements of the national minimum standards. All bedrooms exceed minimum size requirements and all of the bedrooms have either an ensuite bath or shower in addition to a toilet and wash hand basin. In addition to the six bedrooms, there is a large sitting room, dining room, study room, utility room, staff office/sleep in room and lots of cupboard storage. There are also two large garages. Quality of the furnishings and fittings is good and the environment adequately meets the needs of its service user group. The service users confirmed that they had chosen the colours in their bedrooms. One service user showed the inspector the study which has lots of photo’s of the people living at Elliot Avenue. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome are is good. Service users are supported by competent staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels in the home are high and there are sufficient staff on duty during the day to meet the needs of the service users. The home does use Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 21 agency staff but they try to use the same members of staff who have got to know the service users. All new staff receive a good induction training, as well as training in managing challenging behaviour, medication, autism and protecting vulnerable adults. All new staff receive a job description, contract and a copy of the GSCC code of conduct. All staff receive regular supervision and those interviewed reported that it was useful and in reviewing their care practices and identifying their training needs. All staff have either got or are working towards NVQ 2 in children and young people. After completing the NVQ 2 the staff will then complete a NVQ 3. The home has a thorough recruitment process which now includes a telephone screening process and personnel files for two recently employed staff members were checked: each contained appropriate references and POVA and CRB checks. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43 Quality in this outcome are is good. Service users benefit from a well run and organised service. This judgement has been made using available evidence including a visit to this service. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager has been in post for two years. She is attending a Management Development Programme, which is run by Community Care Solutions. All of the staff and service users spoken to on the day of the inspection stated that they found the manager approachable and would discuss any issues with her. It was clear on the day of the inspection that the manager has developed warm working relationships with the service users and understands their needs and wishes. The manager completes weekly and monthly management checks, which ensure the safety of the home by assuring fire/nurse call checks are conducted, regular evacuations, emergency lighting and fire fighting equipment is checked. The records for the testing of the fire alarms was inspected and found to be satisfactory. The home holds monthly service users meetings so that everyone has a chance to discuss any issues. The manager has also sent out quality assurance questionnaires twice in the last year. The results are collated and a plan of action is drawn up to deal with any problem areas. The records for money held on behalf of service users were inspected. The current system is for the service users to spend the money and put the receipt in their purse and the manager then transfers this information into the relevant record normally at least once a week. However on the day of the inspection the records had not been updated for two weeks as the manager had been on leave. The records must be accurate and up to date at all times. This will allow for any mistakes to be highlighted immediately. The home uses policies and procedures supplied by Community Care Solutions. It was highlighted at the last inspection that is not clear if all the polices are being reviewed regularly. Some of the policies showed a review date and changes had been made as necessary. However it was still unclear if all of the policies had been reviewed. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 4 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 4 39 3 40 3 41 2 42 3 43 3 3 4 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Elliot Avenue Score 3 3 3 X DS0000064274.V349438.R01.S.doc Version 5.2 Page 25 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 Standard YA41 Regulation 17(2) Schedule 4 (9) Requirement An accurate record of money held on behalf of the service users must be kept. Timescale for action 01/10/07 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. Refer to Standard YA40 Good Practice Recommendations The home’s policies and procedures should show evidence of regular monitoring and updating. Home manager to complete NVQ 4 in management and care. 2. YA37 Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. Elliot Avenue DS0000064274.V349438.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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