Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 23/04/08 for Falkner Square 12

Also see our care home review for Falkner Square 12 for more information

This inspection was carried out on 23rd April 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service is provided to meet the needs of people who have autism and as such routines and activities are planned with the specific needs of the people living in the home in mind. Each of the people living at the home has a plan of care. The information in the plans is specific to the needs of the person concerned. For example there may be clear guidelines on how to support a person with using public transport or when going out to a busy place. People living at the home are supported to use the local community and to pursue interests outside of the home including educational facilities. They are also well supported in using and developing their daily living skills such as personal care, cooking, shopping and housework. People living at the home are supported to remain healthy and staff support people to attend appointments on a regular basis. The staffing levels are good and as such people living at the home have a good level of one to one support. Staff carry out regular safety checks so that people living at the home are provided with a safe place to live.

What has improved since the last inspection?

Staff have been provided with further training since the last inspection. This has included training in report writing, positive intervention, risk assessment, adult protection, food hygiene and health and safety. There have been improvements to how medication is managed and it is now safely managed. There have been some improvements to the presentation of the home. This has included redecoration of the lounge, dining room, hall, corridors, stairs and landing. New furniture has been provided in the dining room and lounge. Staff meetings and staff supervisions are taking place on a more regular basis. These provide staff with a regular chance to talk about the needs of the people living at the home, to look at ways in which to improve the service and to look at staff development.

What the care home could do better:

The home could be improved upon further so as to make the home feel more welcoming and homely whilst also meeting the needs of the people using the service. People living at the home appear to enjoy spending time in the rear garden. The garden area could be improved to provide a nice outdoor space for the people living at the home. The manager must make sure that there is a copy of the adult protection procedures at the home so that staff can have ready access to this. The quality of the service is not being checked. There are no regular visits to the service being made by a person from the organisation.

CARE HOME ADULTS 18-65 Falkner Square 12 12 Falkner Square Toxteth Liverpool Merseyside L8 7NU Lead Inspector Debbie Corcoran Key Unannounced Inspection 23rd April 2008 12:00 Falkner Square 12 DS0000025344.V362192.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 Falkner Square 12 DS0000025344.V362192.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. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Falkner Square 12 Address 12 Falkner Square Toxteth Liverpool Merseyside L8 7NU 0151 709 4568 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) 12falkner@firstinitiatives.org www.peterhouseschool.org Autism Initiatives Mrs Jacqueline Christine Emmett Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability: Code LD The maximum number of people who can be accommodated is: 6. Date of last inspection 21st August 2007 Brief Description of the Service: 12 Falkner Square is a care home registered with CSCI to provide accommodation and care for up to 6 adults with a learning disability. The home is part of a network of homes managed by Autism Initiatives. Autism Initiatives was formerly called the Liverpool and Lancashire Autistic Society and it was established in 1971. The organisation provides a variety of services to adults and children who have autism. These include residential care, day care, supported tenancies, outreach, domiciliary care, respite and educational services. Autism Initiatives is a voluntary organisation with charitable status. 12 Falkner Square is situated in the Toxteth area of Liverpool and is close to local amenities, bus and rail routes. The building comprises of three floors with the ground floor providing kitchen, W.C, office and communal space and the first and second floors providing service users’ bedrooms, bathing, W.C, and staff sleep in facilities. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was carried out on an unannounced basis and over a period of approximately 5 hours. Most of the people living at the home were met at some point throughout the visit and a number of staff were spoken with. Service user plans, health and safety records and other relevant records were examined in some detail. A tour of the home was carried out. This included all areas. The manager of the home returned a quality assurance assessment to CSCI prior to this the visit and some of the information in this has been used to inform the inspection. In addition to this service user surveys and staff surveys were returned to CSCI. Some of the information in these has also been used to inform the findings of the inspection. What the service does well: The service is provided to meet the needs of people who have autism and as such routines and activities are planned with the specific needs of the people living in the home in mind. Each of the people living at the home has a plan of care. The information in the plans is specific to the needs of the person concerned. For example there may be clear guidelines on how to support a person with using public transport or when going out to a busy place. People living at the home are supported to use the local community and to pursue interests outside of the home including educational facilities. They are also well supported in using and developing their daily living skills such as personal care, cooking, shopping and housework. People living at the home are supported to remain healthy and staff support people to attend appointments on a regular basis. The staffing levels are good and as such people living at the home have a good level of one to one support. Staff carry out regular safety checks so that people living at the home are provided with a safe place to live. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 7 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 Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information on the services provided at the home is available so that people can make a choice as to whether the home is appropriate for them. An assessment of needs is carried out with new people before they move into the home so as to make sure their needs can be met. EVIDENCE: A statement of purpose, which describes the services offered by the home, is available. A service users guide is also in place. It was reported by the manager that a new version of the service user guide has been produced and this includes the use of pictures. A copy of this was not available at the time of the visit as it was reported to be being finalised at the organisation’s head office. No new people have moved into the home since the last inspection visit. The manager was able to describe how an assessment of needs is carried out with a new person before they would be offered as place so as to ensure that their needs could be appropriately met. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 9 Records held for prospective new residents showed that the manager is also attaining assessment information from relevant professionals. Along with general assessment information risk assessments are carried out and these identify potential risks to people using the service and include guidelines to inform staff on how to best manage those risks. The manager reported that new people are given the opportunity to visit the home on a number of occasions, as per their needs, before moving in. This gives the person the opportunity to decide if they want to move into the home on a trial basis and gives members of the staff team the opportunity to build up a greater knowledge of the persons needs and determine the appropriateness of the home in meeting those needs. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 10 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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each of the people living at the home has a plan of care which describes their needs and how to meet them. Risks to the safety and well being of people living at the home are assessed and plans are put in place to manage these. EVIDENCE: Each of the people living at the home has a document entitled ‘about me’ and this describes the support they need in areas such as communicating, understanding, staff support, activities, meals, medication, health and safety. Each person also has a support plan which describes goals for their personal development and how to support the person with these. This may include supporting a person to develop their independent living skills, their personal care skills or learning new ways of interacting with other people. In addition to this there are some good examples of information on the needs of the people using the service written as ‘guidelines’ for support. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 11 Information and support plans were looked at for two of the people living at the home. The level of information in these was sufficient to guide staff in how to support people with a good level of consistency. Those support plans which were looked at were up to date. People living at the home are encouraged to make decisions about their daily lives. Care plans include information about the person’s preferences and daily routines. Staff were able to describe how they encourage and support people living at the home to make choices and a staff questionnaire stated ‘We always encourage the service user to have choices and the rights’. One of the people living at the home is encouraged to use a communication board to communicate. Risk assessments are carried out with regard to the health and safety of the people living at the home. These identify potential hazards to the person’s safety and well being and include guidelines as to how to then manage the risk or prevent the risk from occurring. The risk assessments cover different aspects of the persons support. For example support with working in the kitchen or support with community access. The risk assessments for two of the people living at the home were looked at and found to be detailed and up to date. Information was found to be appropriately stored so as to protect the privacy and confidentiality of people living at the home and staff. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are supported with their personal development and are supported to pursue social and leisure activities and use the local community. EVIDENCE: Each of the people living at the home has a support plan and these identify goals for their personal development and guide staff in how to support the person to achieve these goals. The support plans also ensure that staff work consistently in supporting people to achieve new skills and to monitor progress in meeting targets and moving on to develop further skills. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 13 During discussions with staff and staff surveys the following comments were made which give a good indication that people living at the home are supported in their personal development. ‘We promote independence, social interaction and empowering the people we support’, ‘We help the service users to get better skills and access the community and promote their independence’ and ‘We aim in helping them to develop self esteem and independent skills. Also we offer learning opportunities to service users to assist each person to fulfil their personal goals’. Each of the people using the service has a care plan and these include information on activities which the person likes to be involved in and includes information on the person’s social and recreational needs. Each person living at the home also has a weekly plan for activities to be used as a guide by staff. A daily record is maintained for each of the people using the service and this includes information on what activities the person has had the opportunity to be involved in. Daily records and weekly plans were looked at to assess the frequency of leisure opportunities and community access for two of the people living at the home. These, along with discussions with the manager and members of the staff team indicated that people are supported to use their local community on a regular basis. Most people living at the home have some one to one and some two to one time allocated with staff to support for outdoor activities and leisure. In assessing the diet and meals available to people using the service menu records were examined and the availability and storage of food was checked. This indicated that people using the service have a choice of meals and food. Information on the service user’s likes, dislikes and needs with their food and meals is recorded in their personal records. Staff reported that people living at the home are supported to shop for their food and meals and prepare their meals where this is appropriate to their needs and wishes. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are supported with their individual routines and are supported to remain healthy. Medication is managed safely. EVIDENCE: Each person who lives at the home has a care plan which includes information on how to meet the person’s personal care needs, physical care needs and emotional care needs. These indicate that the needs of the people living at the home are well understood and well communicated. People living at the home are supported to visit a General Practitioner or district nurse when this is required and are supported to visit a dentist, optician etc on a regular basis. Records and discussions with the manager showed that relevant professionals are referred to as appropriate to the health needs of the people living at the home. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 15 Care plans and other information is available to guide staff on how to support people using the service with their emotional well being. When appropriate records include guidelines for support with specific activities. For example there may be detailed guidelines for supporting a person when they are out and about in the community or if they have difficulty in managing social interactions. The medication storage and administration records were checked for two of the people living at the home. These were found to be well maintained. There were significant improvements to medication practices since the last inspection visit. Medication is only administered by staff who have been provided with appropriate training. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff act upon the views and wishes of the people living at the home. Policies, procedures and practices are in place to safeguard people against potential abuse. EVIDENCE: The home has a complaints procedure which is time scaled appropriately. The statement of purpose and service user guide for the home include information on how to make a complaint and give an overview of how complaints are dealt with. There have been no complaints made since the last inspection visit and therefore how complaints are the managed could not be practically assessed. Staff appear to know the needs of the people living at the home well and they are aware of the resident’s needs and choices and listen to people when these need to be changed. Autism Initiatives has a ‘service user protection document’. This provides a guideline for staff on how to deal with a potential adult abuse allegation. The manager reported that this was available on the computer but a paper copy of this was not available at the home at the time of the visit. This should be available to staff at all times in the event of an allegation of abuse. Staff have been provided with adult protection training. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 17 The home has a ‘whistle blowing policy’ the purpose of which is to protect staff who identify and report allegations of abuse. During discussions with the manager she was able to demonstrate that she is aware of the reporting systems which need to be implemented if there is a potential adult protection issue raised. The home has further policies and procedures aimed at protecting people who use the service and these include a physical intervention policy and a management of service users money policy. A record of key events is maintained for example incident reports and accident reports. These reports were checked and there were no particular issues identified as a result. However, the manager must ensure staff record incidents/accidents accurately and that any outcomes as a result of an incident are fully recorded. Falkner Square 12 DS0000025344.V362192.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, 25, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are provided with a clean home which is presented to a satisfactory standard. There have been numerous improvements to the home environment. EVIDENCE: A tour of the premises was carried out which included all areas. The home provides accommodation over 3 floors. On the ground floor there is a communal lounge, a dinning room and a domestic sized kitchen. Each of the people living at the home have their own bedroom and these are located on both the first and second floor. Bedrooms were found to be well decorated and furnishings and fittings were of an appropriate standard. Those rooms viewed had been personalised to the needs / tastes of the person. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 19 There have been a number of improvements to the home since the last inspection visit. These include redecoration of the lounge, dinning room, hall, corridors, stairs and landing. New furniture has been provided in the dinning room and lounge. The carpet needs to be cleaned / replaced in some parts of the main hallway. The manager reported that this carpet is to be replaced in the near future. In addition, the overall presentation of the home could be improved upon so as to make the home feel more welcoming and homely whilst also meeting the needs of the people using the service. A member of staff did report that pictures are going to be put up around communal areas and there have been some recent improvements to the lounge to make it more homely. People living at the home appear to enjoy spending time in the rear garden. The garden area could be improved to provide a nice outdoor space for the people living at the home. Discussions with the manager and records showed that health and safety practices and procedures are carried out. These aim to ensure the home is safe, clean and free from hazards. Falkner Square 12 DS0000025344.V362192.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, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are flexible and based around the needs of the people using the service. Staff are well trained and qualified. Staff are provided with regular supervision to look at their practice and development needs. EVIDENCE: The staff roster indicates that when appropriate people using the service are supported on a one to one basis. Staffing levels are good and Information provided to CSCI prior to the site visit time showed that there are 14 members of care staff on the team and of these 7 had attained an N.V.Q (National Vocational Qualification) in care. In addition tot his it was reported in pre inspection information that 3 members of staff are working towards attaining a relevant qualification. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 21 Information on staff training was available in staff records and as a training matrix. Staff training includes topics such as introduction to autistic spectrum disorder, communicating with people with autism, keyworking, supporting people who have epilepsy, the mental capacity act, positive intervention, food hygiene, medication administration, moving and handling, health and safety, fire safety and adult protection. Each member of staff has a learning and development plan and staff identify training needs in regular supervision meetings with the manager. One member of staff stated ‘Training is always offered around all aspects of my work. I can always ask for any training I require’. Discussions with a member of the staff team indicated that staff are supporting the aims and objectives of the home in encouraging the people to make choices, develop their independent living skills, learn new skills and use their local community. Staff comments in surveys also supported this. Staff files were viewed for four newly recruited members of staff in order to assess the staff recruitment and selection practices. These showed that all required pre employment checks are carried out before new staff start working at the home. The only area of concern was in the verification of one of the references for one member of staff as one of these had been hand written and there was no indication that this had been verified and no indication as to the capacity in which the referee knew the applicant. Staff are being provided with the opportunity of supervision meetings and team meetings take place. These provide staff with the opportunity to discuss their practice, discuss service development and personal development. Falkner Square 12 DS0000025344.V362192.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 good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people using the service. The quality of the service is not being checked on a regular basis. Policies, procedures and practices are in place to safeguard the safety and well being of people living in the home and staff. EVIDENCE: The manager is registered as manager with the Commission. The manager has a number of years experience in management in another registered service and has been manager of this home for approximately 1 year. The manager holds relevant qualifications. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 23 The home appears to be run in the best interests of the people living at the home. However, there is currently no evidence that a system for measuring the quality of the service is in use at the home. There was no evidence of monthly unannounced visits taking place under Regulation 26 of the Care Home Regulations 2001. These must take place as they are a valuable means of checking the quality of the service provided. An effective quality assurance system must be in place and it is recommended that an annual development plan is produced which reflects aims and outcomes for people using the service. Staff are provided with training in health and safety topics and the home has health and safety policies and procedures. Fire safety and health and safety practices are adopted and checks carried out. These were found to be up to date. Falkner Square 12 DS0000025344.V362192.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. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 1 X X 3 x Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 23 Timescale for action Carpet in the hall and corridor 23/06/08 needs to be thoroughly cleaned or replaced and the home environment needs continues improvement so as to ensure people living at the home are provided with a homely environment. A system must be established 23/06/08 and maintained for reviewing at appropriate intervals and improving the quality of care provided at the care home. Requirement 3. YA39 24 26 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 YA34 Good Practice Recommendations 1. Staff recruitment and selection practices should include verifying references and ensuring the capacity in which the candidate is known to the referee. Falkner Square 12 DS0000025344.V362192.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Falkner Square 12 DS0000025344.V362192.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!