Inspection on 25/10/06 for Favor House

This inspection was carried out on 25th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Favor House 11/01/06

Favor House 14/09/05

Favor House 01/02/05

Favor House 13/08/04

Favor House 08/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Favor House 38 Walter Nash Road Kidderminster Worcestershire DY11 7BT Lead Inspector Dianne Thompson Unannounced Inspection 25th October 2006 10:00 Favor House DS0000018504.V317271.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 Favor House DS0000018504.V317271.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. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Favor House Address 38 Walter Nash Road Kidderminster Worcestershire DY11 7BT 01562 637435 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) Mr Trevor Burgess Mrs Faith Burgess Mrs Margaret Rowles Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11.01.06 Brief Description of the Service: Favor House provides accommodation and personal care for seven adults with learning disabilities. Mr and Mrs Burgess the owners, are the registered providers for this and one other home. Favor House is managed by Mrs Margaret Rowles. The home is a converted house on two floors and is situated on an estate on the outskirts of Kidderminster. There are local shops and a public house nearby, and a bus route at the end of the road. Favor House was opened in 1983 and in addition to a communal lounge, kitchen and dining area there are two double bedrooms and three single bedrooms. One double bedroom has an en-suite toilet. There is an attractive garden area, which is accessible to the service users and much used in the summer months. A service is offered to a maximum of seven young adults of either sex with learning disabilities. The fees range from £355 to £700 per week. Charges which are additional to the fee includes: • • • • • Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included an unannounced visit to Favor House. The main purpose of this inspection was to see what the service at Favor House was like for the people who lived there. Service user records were examined, and a tour of the building was also carried out. Accumulated information including notifications to the Commission for Social Care Inspection was used to inform this report. Time was spent with three service users, staff on duty and the registered manager. What the service does well: Information is available about the services offered at the home to help people choose whether or not to live at Favor House and if the home will meet their needs. Service users are helped and supported to lead active and interesting lives at Favor House. They are also supported to stay in touch with their families and to develop friendships. The home offers a well-balanced diet and promotes healthy eating for the welfare of all service users. Personal and healthcare needs are written in care plans and provide information to make sure that care is provided in a way that service users like. The home has a medication policy and procedure to make sure that all medication is given and stored safely for the protection of service users and staff. The home’s complaints procedure has easy to understand information about how to complain. Staff support service users to have their say and to share any concerns they may have. Favor House is a safe, spacious and very comfortable home. The home is kept clean, tidy and well decorated. There are enough staff at the home, and the staff are trained to help them support service users. The staff team understand their responsibilities and are committed to their role. They are well supported and work together to provide service users with consistent and good quality care. The home makes sure that suitable staff are employed and that all necessary checks are made to make sure that service users are kept safe. Service users are involved in the recruitment and selection process for new staff. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 6 The home is well managed with an open and positive approach. 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. Favor House DS0000018504.V317271.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 Favor House DS0000018504.V317271.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, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Detailed information is provided about the services offered at the home to help service users make an informed choice about whether they would like to live at Favor House and whether the home will meet their needs. EVIDENCE: The home’s statement of purpose and service user guide provides information about the home to help prospective service users to decide if they wish to live at Favor House. Copies of this information are available in a suitable format, which includes signs and symbols. Copies are accessible to all, including visitors to the home. A thorough assessment is completed for all new service users. The registered manager said that the home makes sure the needs of all new service users can be met, that they wish to live in the home and that they are compatible with the current service users. The home does not have any vacancies at the moment, but the manager said that the admissions policy and procedure would be followed should there be a vacancy. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 9 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 This judgement has been made using available evidence including a visit to this service. Service users make the decisions about their care and how they like their support to be provided. They provide information about their assessed needs that is included in care plans to advise staff. Care plans include risk assessments detailing how risks are to be reduced and independence promoted. Service users make choices and decisions in their daily lives and routines. EVIDENCE: Service user care plans are detailed and informative. The plans show monitoring of identified goals, and how these are to be facilitated and achieved. Information is available for staff to make sure that all care is provided in a preferred and consistent way that encourages independence. The care-planning format shows service users are appropriately involved in planning and reviewing their own care and are supported to express their wishes and goals. Care plan reviews take place regularly and are led by Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 10 service users who are supported by their key workers. Service users decide who they would like to invite to share their meetings. This may include family members, and other interested parties. Evidence was seen where identified changes to care and support have needed more care plan reviews, and these have been completed as required. Files for two service users were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Relevant information and monitoring is provided in service user files to make sure all staff have the necessary information to provide quality care. An example of the home’s ability to respond to diversity is evident in the files seen. The home is supporting a service user to understand their illness using information sheets produced in a pictorial format, and in the compilation of a life book. Staff spoken to are fully aware of the plans and use them to guide their practice. A service user said that the staff are very good and always help them to do what they want if they need it. Service users are supported to make choices in all aspects of their life at Favor House. Risk assessments are used to help and support people in their independence, and relate to all aspects of behaviour, health and activities such as using the bus. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users receive help and encouragement to lead active and interesting lives and are supported to access facilities within the wider community. They are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of all service users. EVIDENCE: The home provides a wide range of activities for service users, both in-house and within the local community. All activities are organised to take into account the individual needs and preferences, making sure that everyone has the opportunity to take part. Activities are recorded to provide a clear record of individuals’ lifestyles. The manager said ‘equality and diversity is making Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 12 sure everyone is supported to take part in whatever they want to do, and should not depend on ability. Service users have a choice and disability should not stop this’. Service users said that they have a full social life and make use of the community facilities. They attend courses at the local college, visit shops, libraries, cinemas, pubs, leisure centres and churches. One service user said she went shopping on Saturday and bought another item to add to her collection. Activities within the home include watching TV and videos, listening to music, and involvement in daily routines. Service users said that ‘this is our home and we own it. It’s our food and staff are the visitors’. All service users said they are involved in the housework and upkeep of the home. This includes looking after pets. Holidays are organised for all service users. Recent holidays included a caravan holiday in Aberystwyth, a holiday to Butlins, and one service user has recently returned from a holiday in Majorca with her mother. Service users were keen to talk about their holidays and the good time they had while they were away. One service user described the bus training she is doing. The purpose of this training is to develop the skills and confidence for travelling on the bus to the day centre without support. The service user and staff feel this is going really well and are pleased with the progress being made. Another service user was getting ready for a night out. He was going to a picture show to see ‘greased lightning’, and said how much he was looking forward to this. One service user helps the builders who are currently doing work around Favor House and its sister home. He says he is very happy doing this and enjoys fetching and carrying the tools and the materials for the builders. He occasionally has a fish and chips lunch with the builders. The home is planning a Halloween Party with a disco, and they intend to invite people from other homes to join them. The home is also planning to have a fireworks party and will invite family and friends. Plans for Christmas celebrations are also underway. Service users said there would be lots of parties to attend including one at the Flyers Club, the Monday Club and the Day centres. Staff said that meals out would also be planned. Service users have regular house meetings where they set their own agendas and discuss their home, social life and menu planning. The home offers a varied and healthy menu. A record of menus is displayed on the home’s notice board. Alternative choices are available as required. The balanced meals include plenty of fresh fruit and fresh vegetables. The Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 13 evening meal at the time of the inspection visit was pork chops, with potatoes, and fresh vegetables of carrots, cauliflower, and broccoli. Dessert was apple crumble and custard. Favor House DS0000018504.V317271.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 excellent This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. The plans provide information and make sure that care and support is provided in a way that service users prefer. The home has a clear medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of service users and staff. EVIDENCE: Service users’ care records and plans provide detailed information about their physical and mental health and the support needed from staff to maintain their good hygiene and health. The care plans sampled contained information about service users preferred personal care routines. The files are well organised with an index so information is easily accessible. Information is regularly updated and clearly communicated, with all service users and staff signing to say they have read and understand the information. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 15 Records of all physical checks are completed where a service user may have particular health related issues such as weight or mood monitoring. In this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. Service users and the home are well supported by medical services, which includes GP’s, psychologist, dentist, community learning disability team, counsellor and Macmillan nursing support. Support is being provided to the home by agencies including Kidderminster hospital, in managing health care and support. This is evident in the accessible information that has been produced, using pictures and symbols, to assist a service user to describe their level of pain. All service users have given consent to their medical treatment and a record of this is kept on their files. Arrangements are in place for preventative health services, e.g. dental checks and annual health screening. Staff on duty and the registered manager says that all personal care is given in private to promote dignity for all service users. The home has a medication policy and procedure in place. Medicines are suitably and safely stored and there is appropriate storage for controlled drugs. Medication storage and records were checked and all was satisfactory. Records are well maintained and hand written entries on Medication Administration Record forms have been double signed to ensure accuracy. Entries in the daily records clearly indicate the reasons for any changes to medication. A list of all staff that have been trained and assessed to administer medication was seen. Information is available to advise staff about all prescribed medication and any possible side effects. Favor House DS0000018504.V317271.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. Service users are protected by the home’s complaints procedure that is available in easy to understand information about how to complain, with appropriate information for staff provided. Staff support service users to express their views and any concerns they may have. EVIDENCE: There are suitable policies and procedures in place to support staff in keeping service users safe. The home’s complaints procedure is available in widget signs and symbols that make it more accessible for service users. The complaints log was examined and there has been one complaint to the home, which has been dealt with satisfactorily. There have been no complaints to the Commission for Social Care Inspection. Time was spent with service users who said staff support them when they need it and they feel able to ask for help or can talk to staff if they have any concerns. During the inspection visits staff were observed engaging with service users in a supportive and respectful way. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 17 Details of staff on duty and a copy of the rota, using photos, are displayed on the notice boards. Information is also available in signs and symbols telling service users how to complain if they are not happy. Staff complete training in relation to abuse and service users’ protection during their induction and through specific training courses. Discussion in supervision and staff meetings also takes place. The home has relevant financial policies and procedures in place to make sure service users money is kept safe. Service users are supported to keep their own money in their rooms, and a support plan is in place to advise staff. Favor House DS0000018504.V317271.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 excellent. This judgement has been made using available evidence including a visit to this service. Favor House provides accommodation for service users that meets their needs and offers a safe, spacious and very comfortable home. The home is kept clean to make sure that good hygiene and infection control is maintained for the benefit of service users. EVIDENCE: Favor House is located in a residential area of Kidderminster close to local amenities with access to the bus route into town. A tour of the home was completed. Favor House consists of a large kitchen, lounge, three single bedrooms, two shared bedrooms and sufficient bathrooms and toilets to meet the needs of all service users. There is a separate utility room. The ground floor shared bedroom has a shower fitted to the ensuite bathroom. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 19 All bedrooms are personalised and demonstrate service users independence and choice of décor. The communal rooms are comfortable and well furnished and provide adequate space for shared activities. There is an enclosed garden to the rear of the property with easy access. This garden is fully paved with small border areas. One of the service users does the weeding and maintains the garden. Service users said that ‘this is a happy home’. At the time of the inspection visit, redecoration work was being completed on the home. Two of the bedrooms have been decorated and a third bedroom is planned. One of the service users confirmed that their room had been decorated in colours and wallpaper of her choosing. The laundry and utility room were being repainted. A new window is to be fitted to the kitchen. The premises are clean and tidy. Policies & procedures for infection control are in place and staff are provided with disposable gloves and aprons. Paper towels and liquid soap are available in the communal bathrooms. Favor House DS0000018504.V317271.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 excellent. This judgement has been made using available evidence including a visit to this service. Suitable staffing levels are being maintained and staff have received relevant training to help them meet service users needs. The staff team understand their responsibilities and are committed to their role. They are well supported and work together to provide service users with consistent and good quality care. The home’s recruitment policy and practices make sure that suitable staff are employed and that all necessary checks are made to ensure the safety of all service users. EVIDENCE: The home has a committed staff team who work to provide quality care for the people living at Favor House. The home shows a commitment to staff training that is to be commended. For example, the home more than exceeds the requirement that 50 of all staff should be qualified to NVQ level. The home works to make sure that all staff complete NVQ training. Additionally, two Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 21 members of staff have completed NVQ level 4, and the deputy manager is currently completing the Registered Managers Award. Staff undertake mandatory health & safety training such as fire safety, first aid, food hygiene, moving & handling and infection control. Other training courses include communication, safe handling of medicines, and abuse. Dates when refresher courses are due are highlighted on staff individual training plans. The induction programme is accredited for people working in care services with people who have learning disabilities (LDAF). Induction also includes new staff being supported by senior staff to familiarise themselves with the home, service users and safety matters. The manager confirmed that all prospective staff complete an application form and that appropriate references are obtained including one from their most recent employer. An enhanced CRB and POVA (police) check is undertaken before their appointment is confirmed. Applicants are formally interviewed and invited to visit the home and meet service users. Service users are involved in interviews if they wish and evidence was seen where their opinions had been included. All staff have a copy of the terms and conditions of their employment and their own copy of the GSCC code of conduct and practice. All staff are required to work a probationary period at the home. Due to the limited storage space available in the home it has been agreed with the Commission for Social Care Inspection that all staff records are stored by the registered provider in the sister home and made available to the inspector by prior arrangement. Evidence was seen from staff supervision records that all staff receive regular structured supervision from the manager. The manager said that a new supervision format has been devised which will develop the structure of supervision sessions. Staff meetings are held regularly and minutes are kept. Favor House DS0000018504.V317271.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 excellent This judgement has been made using available evidence including a visit to this service. An experienced and committed manager who has an open and positive approach manages the home. Through their quality assurance system, the provider and manager monitor the home to make sure that the service continues to develop as service users want and that the home remains a safe place to live and work in. EVIDENCE: The registered manager Margaret Rowles, has undertaken a range of training relevant to service users needs. It is evident she is knowledgeable about learning disabilities and the implications for service users themselves and their care. Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 23 Management responsibilities in the home are shared with a deputy manager. The manager and deputy are involved in organising day-to-day activities, health & safety promotion, staff supervision and induction. Staff confirmed the manager is approachable and said that service users are always put first. They say the staff team works closely together to support service users and to make sure that all their needs are met. Service users were seen to get on well with the manager and said they said they ‘liked all the staff’. A full health and safety audit has been completed in the home. Generic risk assessments are in place that includes consideration of community activity such as using the bus, and behaviour management in social settings. Records seen show that regular checks of the fire safety system & equipment, water temperature & storage, fridge, freezers and electrical appliances are completed. Staff complete all mandatory health & safety training topics. Maintenance requests are dealt with promptly. An example of this was evident in the maintenance log where a loose floorboard on the stair landing was repaired soon after it had been reported. The first floor emergency fire exit has been relocated, and extensive training with service users and staff on the new escape route have been conducted to make sure that everyone knows how to evacuate the building should they hear the fire alarm. A window has also been fitted to replace the fire exit door where it had been previously located. This has also improved ventilation to the bedroom. The home’s annual Quality Assurance review has been completed. The manager said that questionnaires have been sent out for completion to parents, day centres and GP’s. The completion of the development plan was discussed with the home manager. This review has already identified one area of development, such as the need for a policy and guidelines on the key worker role. The manager will send a copy of the development plan to CSCI when it has been fully completed. Favor House DS0000018504.V317271.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 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 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 3 X Favor House DS0000018504.V317271.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Favor House DS0000018504.V317271.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Favor House DS0000018504.V317271.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. 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