Inspection on 15/05/07 for Eynesbury House

This inspection was carried out on 15th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eynesbury House 19/09/06

Eynesbury House 15/11/05

Eynesbury House 16/06/05

Eynesbury House 11/02/05

Eynesbury House 16/06/04

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 ADULTS 18-65 Eynesbury House Howitts Lane Eynesbury, St Neots Cambridgeshire PE19 2JA Lead Inspector Elaine Boismier Key Unannounced Inspection 15th May 2007 10:00 Eynesbury House DS0000048527.V332682.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 Eynesbury House DS0000048527.V332682.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. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eynesbury House Address Howitts Lane Eynesbury, St Neots Cambridgeshire PE19 2JA 01480 218899 01480 218900 eynesbury@brookdalecare.co.uk na Brookdale Healthcare Limited 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) Mrs Nicola Caroline Grauwiler Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2006 Brief Description of the Service: Eynesbury House was established and registered in September 2003 to provide accommodation and support for adults with a diagnosis of Autistic Spectrum Disorder. An application to increase the number of registered places from six to eight was approved in December 2006. The home is situated in its own grounds and the accommodation for service users comprises of two units. There are six bedrooms split into one unit with four bedrooms and two single bed sits all with ensuite facilities. There is a communal kitchen, dining room, lounge and one WC. The second unit that was registered in December 2006 is adjacent to the main building of Eynesbury House and provides two ensuite bedrooms. There is a communal kitchen and shared dining/living room area within this unit. Access is via its own door, rather than via the existing build. The home is within walking distance of St Neots town centre and there are shops and facilities close by. Fees range between £2013.83 and £2797.99. Additional costs include payment for more than one holiday per year. A copy of the CSCI inspection report is available at the home or via the CSCI website. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a key inspection of Eynesbury House. The inspection was unannounced and was carried out between 9:45 and 14:45 and took 5 hours to complete. Eight residents’ surveys were sent out and 5 of these were returned. Six relatives’/visitors surveys were also sent out but we did not receive any of these back. At the time of the inspection there were 5 people living at the home and 4 of these were spoken to. A tour of the premises was made, documentation was examined and staff, including the Team Leader who was in charge of the home that day, were spoken to. For the purpose of this report people who live at Eynesbury House are referred to as “person”, “people” or “resident/s”. Currently Eynesbury House provides an adequate service, as there have been some failings in the management of the safety of the home. Nevertheless this service has the potential to become a good service and even an excellent one should action be taken to meet the requirements and recommendations in this report and any improvement is sustained. What the service does well: People wrote in their surveys positive comments about their experience living at Eynesbury house including, “ I have a very active lifestyle and this has developed through my decision making” and “The House is maintained to a high standard and regularly cleaned.” Care plans and assessments of the people living at the home continue to be of an excellent standard. People living at the home are supported in making decisions and to live their lives within a framework of risk. People who live at the home receive care from a well-supervised and caring team of staff. People who live at the home receive care from a team of staff who are knowledgeable about the individuals’ needs, likes and dislikes. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The home must not admit people that it is not registered for. A requirement has been made about this. A recommendation has been made for people to be assessed in self-medication care practices. The home should have 50 of care staff with NVQ level 2 or equivalent in care. A recommendation was made about this and this recommendation remains. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 7 The Registered Manager should have a nationally recognised qualification in care. A recommendation was made about this and this recommendation remains. A requirement has been made for all electrical goods to be tested to make sure that they are safe. A requirement has been made for all staff to attend fire safety training. 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. Eynesbury House DS0000048527.V332682.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 Eynesbury House DS0000048527.V332682.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 Quality in this outcome area is adequate. People have access to a good standard of information to help them in making a decision where to live. Compliance with the Care Standards Act 2000 is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the respondents of the residents’ survey said that they had received enough information about the home before moving in so they could decide if it was the right place for them. One respondent/person added, “ There was lots of information available…” Examination of two people’s care records indicated that they had full assessments of their needs by health care professionals before moving into the home. Eynesbury House is registered to provide accommodation, support and personal care for people with a Learning Disability (LD). Since the last inspection the home has received new people to live there. It was noted however during examination of one of these person’s care notes and discussion with staff that the home had admitted this person outside the category of registration without making an application for a minor variation of registration to be considered. This is an offence against Section 24 of the Care Standards Act 2000. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 10 A requirement has been made that the home may not admit any person outside the category that it is registered for. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is excellent. The standard of care plan documentation is excellent providing staff clear guidance how best to support people’s assessed needs. People are very well supported in their daily lives in making decisions and live within a non-restrictive framework of risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two people’s care records were examined and both of these provided an excellent standard of detail about the person’s needs and their likes and dislikes. These care records provided the reader a clear picture of the person as an individual and how the person was to be supported in their decision making. There was evidence that suggested the people were consulted about their care and included in the decision making process (including signed agreements by the person for engaging in activities that may be monitored by staff) and signed agreements for sharing information and inclusion in the review process. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 12 40 of respondents of the residents’ survey said that they always made decisions about what they did each day. One person wrote, ““ I have a very active lifestyle and this has developed through my decision making”; 40 of respondents of the residents’ survey said that they usually made decisions about what they did each day; 20 of respondents of the residents’ survey said that they sometimes made decisions about what they did each day. One person wrote, “ I ask the staff to support me in making decisions”. This was also noted at the inspection by observing staff interacting with the residents. In December 2006 an application was approved to increase the number of registered places from six to eight. The two new registered places are located in a building adjacent to the main building. The main purpose of this adjacent building is to encourage people living there to become more independent by practising daily living skills. A visit was made to this building and one of the people was spoken to. People living in this building have the opportunities to clean, cook and carry out housework and laundry with a reduced level of support from staff. It was considered by the person to be a very positive experience of living in the new building. At the time of the inspection it was noted that people were going to the local town with or without support from staff and these activities were based on risk assessments. Care records for two people contained risk assessments for a range of activities that included helping in the kitchen to taking part in activities outside such as shopping and playing bowls. Eynesbury House DS0000048527.V332682.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. People are provided with excellent opportunities for work, education and leisure to improve their quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the inspection in September 2006 there has been an improvement in the life style for people living at the home. Opportunities have been created for people to attend part time employment, such as working in a local garden nursery and working at a fast-food outlet. Opportunities have also been created for people to attend educational courses in arts and crafts. During the inspection people were coming and going into the local town with or without support from staff, depending on the assessed level of risk. During the inspection of September 2006 there were arrangements in place for some of the people to go on holiday to Spain. During this inspection a photograph was seen of people on this holiday and both the Team Leader and staff confirmed the location and activity i.e. “holidaying” in Spain. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 14 People reported that they had opportunities to engage in activities such as going to the local pubs and cafes, outdoor pursuits such as swimming, playing bowls and practising shooting at a rifle range. Other activities include working on the computer and writing for the organisation’s newsletter. People’s care records also included details of the activities that they had taken part in. People confirmed that contact with families and friends were maintained. This included staff escorting people to travel to the person’s family home. During the inspection people were supported by staff in contacting their families via the telephone, in private if they so wished. All respondents in the residents’ survey considered that they were well treated by staff and this was also observed to be the case during the inspection. People were included in conversations, able to wear their own choice of clothes and some people were noted to have personal keys to the front doors. People are provided with responsibilities for shopping and cooking food with an assessed level of support from staff. Currently people living in the new building are independent in preparing and cooking their food. On the day of the inspection people were getting their own breakfast at times when this suited them. Lunch time was also flexible with some people going into town and having a meal there. People’s care notes that were seen provided records of kitchen activities, including preparing food with support from staff and types of food also eaten including pie and mash potatoes and Chinese food. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. People are well supported in their health and personal care. Medication practices have improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Following the inspection of September 2006 a requirement was made for the safe administration of medication. Following the organisation’s consultation with our Pharmacy Inspector action has been taken to meet this requirement. The Team Leader described a system of providing clearly labelled medication, giving the medication and signing of medication records either by staff or relatives when the person is out of the home. This description followed the advice provided by our Pharmacy Inspector. At the time of the inspection no person was out of the home for us to assess how this system was put into practice. Nevertheless it is considered based on the evidence provided that this requirement has been met. A recommendation was made for the air temperatures of the room, where medication is stored, to be checked. Records of these were seen and generally the temperatures were in an acceptable range although were of the upper Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 16 temperature range. Should warmer weather occur the temperature, where medication is stored, could rise to an unsafe level and as such the home should be mindful of what action might be taken to prevent such a possibility occurring. Medication administration sheets (MARs) were examined and these were of an acceptable standard. It was pleasing to note that justifications for the use of sedation were recorded on the reverse side of the MARs. It was also noted staff were mindful of using sedation as a last resort when other strategies were unsuccessful, such as diversion and relaxation therapies. According to the Team Leader no person is currently responsible in giving his own medication although this is an aspect of self-care that people should be assessed on. A recommendation has been made about this. Since the inspection of September 2006 staff have attended training in safe handling of medication and copies of certificates of attendance to this training were seen on the two staff training files that were examined. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. People are listened to and safe from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We have received no complaints against the home and no allegations of abuse have been received. All respondents of the residents’ survey said that they knew who to speak to if they were not happy. All respondents of the residents’ survey considered that staff listened and acted on what the person said to them. 60 of respondents of the residents’ survey said that they knew how to make a complaint although 40 of respondents said that they did not know how to make a complaint. The Team Leader reported that arrangements are in place to consider how people can have this information designed in a way that is appropriate to their level of understanding. Staff spoken to said that they had attended training in Protection of Vulnerable Adults Against Abuse. Two people’s personal monies were counted and the amount of these reconciled with the recorded balances. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. People live in a comfortable and clean home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In December 2006 an application to increase the number of registered places was approved. These additional places are located in an adjacent unit t the main building. Both bedrooms have ensuite facilities, lockable doors, a communal kitchen and a shared dining/living area. The purpose of the building is to encourage and increase the independent living skills for the people living in this unit. Since the registration of this building new furniture has been provided including a dining room table and chairs and sofas. One of the people living in this place said that they had been consulted about the colour schemes. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 19 A requirement was made for the standard of decoration in bedrooms to be improved. This requirement also included that for the floor coverings in shower/bathrooms. During the tour of the premises and discussion with staff and residents the home has a refurbishment programme. Vacated rooms are redecorated and arrangements are in place for some existing furniture to be replaced in communal rooms and bedrooms. Shower rooms were visited and generally were of an acceptable standard. However the home should be mindful that these floor coverings are starting to look “tired” with age and use. Nevertheless it is considered that this requirement has been met. 80 of respondents of the residents’ survey said that the home was always clean and fresh; 20 of respondents of the residents’ survey said that usually the home was clean and fresh. People’s comments included, ““The House is maintained to a high standard and regularly cleaned and “…sometimes can be a mess if a service user spills food and staff have not noticed this.” On the day of the inspection the home was clean and fresh. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 & 36 Quality in this outcome area is adequate. People receive care from a team of knowledgeable, well-supervised staff who are adequately recruited and adequately trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A recommendation was made for 50 of care staff to have NVQ level 2 or equivalent in care. Although this recommendation will not appear in the recommendation section of this report it should be noted that 8 of 18 staff, including the Manager, have NVQ level 2. This is 44.4 of staff with this qualification. According to the Team Leader arrangements are in place to achieve 50 or more of staff to meet this standard. Discussion with staff and observation of them interacting with the people clearly demonstrated that people living at the home are cared for by staff who have a good knowledge and understanding of the people’s needs and how these were to be best met. Three staff files were examined and on the whole the required information was available with the exception of one of the staff’s written references. The content of this reference provided detail of the person’s employment history Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 21 although there was no information about the person’s honesty, integrity or performance at work. On this occasion we have taken a reasonable and proportionate view that a requirement has not been made. It is our expectation that action will be taken, without the enforcement of regulation, to ensure that all information about staff is full and satisfactory according to Regulation 19 of the Care Homes Regulations 2001. Discussion with staff and examination of staff training records indicates that staff have the opportunities to attend a range of training to include critical incident de-briefing, safe handling of medication, gaining an understanding of Aspergers Syndrome Disorder, forensic behaviours, managing challenging behaviours and de-escalation techniques. Two staff records that were seen contained records of supervision sessions that were held every month. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is adequate. People benefit from a home that is adequately managed and must be made safer for people living and working at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the key inspection in September 2006 the Registered Manager has attended training in safe handling of medication and training in antidiscriminatory practice. A recommendation was made for the Registered Manager to have a nationally recognised qualification in management. According to the Team Leader the Registered Manager is working towards this qualification. Although this recommendation remains it will not appear in the recommendation section of this report. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 23 We receive copies of reports of monthly visits made by a representative of the company. These reports contain matters about staffing numbers, checks on staff records, staff training, health and safety records and a review of the condition of the home. A copy of the minutes of a residents’ meeting, held in March 2007 was seen and this record included views and suggestions made by the people. Other quality assurance systems that have been cited elsewhere in this report include improving the standard of information about how to make a complaint and an ongoing refurbishment programme of the home. A requirement was made for the temperatures of hot water provided in the bath and shower facilities to be close to 43 degrees centigrade. Generally this requirement has been met. Records that were seen indicated that the majority of temperatures of hot water were within the acceptable range. Hot water temperatures of one of the showers were recorded as emitting hot water above 50 degrees centigrade although this was not a constant pattern. On the day of the inspection the hot water from this shower was checked and the temperature of this was a safe 43 degrees centigrade. The home should be mindful of this issue to ensure that the person using the shower is safe from the risk of physical harm as a result of too hot water. A recommendation was made for checks to be carried out on temperatures of hot water in bathing and shower facilities. Records of these were seen (see above). This recommendation has been considered. An immediate requirement was made for cleansing agents that are a hazard to health of residents to be stored in a safe way. Cleansing agents were locked away in the main part of the home. In the new building dishwashing tablets were located in the kitchen and according to one of the people living there this was stored based on a risk assessment, “All the paper work has been done…”. This requirement has been met. A recommendation was made for the names of people attending fire drills to be recorded. Two fire drills have been carried out since the inspection of September 2006. The last fire drill in January 2007 was recorded and names of people in attendance and names of those out of the home were written down in these records. This recommendation has been considered. Checks for fire alarms, emergency lighting and fire inspection records were seen and these were satisfactory. Two staff that were spoken to reported that they had not attended fire training in the last year. One person, who joined the home in May 2006 said that they had not received any training in fire safety and this nonEynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 24 attendance was confirmed by examination of the person’s training file; no records of attendance were available. For another member of staff they had not attended training in fire safety within the last year. Discussion with the person and examination of their training file indicated that they had last attended fire training in December 2004. A requirement has been made about this. Records for portable appliance tests (PATS) were examined. The last PATS was carried out in March 2006. During a tour of the new building electrical appliances, including the television, toaster, microwave, kettle and fridge freezer were examined and there was no evidence to suggest PATs had been carried out on these appliances. A requirement has been made about this. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 2 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 4 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 x 3 x x 2 x Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 26 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 YA3 Regulation S24 CSA 2000 Requirement No person may be admitted that the home is not registered for until CSCI considers that people are protected from a fit service. All staff must attend fire training to reduce the risk of harm from fires. All portable electrical appliances must be tested to safeguard people from the risk of electrical fires. Timescale for action 23/05/07 2. YA42 13(4)(c) 30/06/07 3. YA42 13(4)(a) 30/06/07 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 YA20 Good Practice Recommendations People should be assessed in taking their own medication to promote an increased level of independence. Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office 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 Eynesbury House DS0000048527.V332682.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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