Inspection on 30/06/07 for FCH Romsey Winchester

This inspection was carried out on 30th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

FCH Romsey Winchester 29/06/09

FCH Romsey Winchester 02/12/05

FCH Romsey Winchester 17/05/05

FCH Romsey Winchester 11/11/04

FCH Romsey Winchester 17/06/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOME ADULTS 18-65 FCH Romsey Winchester 46 Romsey Avenue Weddington Nuneaton Warwickshire CV10 0DR Lead Inspector Yvette Delaney Unannounced Inspection 30th June 2007 09:30 FCH Romsey Winchester DS0000004487.V344098.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 FCH Romsey Winchester DS0000004487.V344098.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. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service FCH Romsey Winchester Address 46 Romsey Avenue Weddington Nuneaton Warwickshire CV10 0DR 02476 327543 02476 354175 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) FCH - Housing and Care Lilian Jakovlevs Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. People admitted to the home will be in the category of mental disorder, excluding learning disability and dementia, in the age range of 18 to 64 years 2nd December 2005 Date of last inspection Brief Description of the Service: The Romsey/ Winchester Care Home is a registered establishment for 13 service users with a mental disorder. FCH Housing & Care provide 24 hours support to the people living in the home. The care home consists of 2 four bedded houses, a 2 bedded bungalow and 3 single bedded flats. All are selfcontained with accessible bathrooms, fitted kitchens, lounge and dining facilities. There is a walk-in shower and a bathroom in the four-bedded houses. Each property, other than the first-floor flats, has its own garden; there is also a communal garden with a seating area and greenhouse. The office, sleeping room facility for staff, communal lounge and kitchen are situated in 46 Romsey Avenue. Service users each have a tenancy agreement for the self-contained property they live in. The property is situated in a quiet suburb of the town of Nuneaton in Warwickshire and close to all local services and amenities. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and took place on a weekend day, Sunday 30 June 2007 between the hours of 10.00 am and 3.00 pm. One of the team leaders for the home was present at the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. Before the inspection, questionnaires were sent to the home to be given to residents, relatives and GP’s to seek their independent views about the home. Responses were received from all parties. Comments received from relatives and residents express praise for the service that they receive and include: “The staff always have the tenants best wishes at heart and the days therefore run smoothly.” The registered manager of the home completed and returned a pre-inspection questionnaire containing further information about the home as part of the inspection process. Some of the information contained within this document has been used in assessing actions taken by the home to meet the care standards. Records relating to resident care, staff training, recruitment, health, and safety were examined. Relatives were not seen and spoken with during this inspection visit. Four staff, which includes the team leader, were spoken with. Three people living at the home were identified for close examination by reading their, care plans, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’ and where evidence of the care provided is matched to outcomes for residents. Records examined during this inspection, in addition to care records, included, staff recruitment records, training records, social activity records, staff duty rotas, health and safety records and medication records. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 6 The inspector had the opportunity to meet a number of the residents by visiting them in their rooms and spending time in communal lounges and dining areas and talked to several of them about their experience of the home. The home had not recorded any complaints since the last key inspection in December 2005. The Commission has not received any complaints about the home. What the service does well: 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. FCH Romsey Winchester DS0000004487.V344098.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 FCH Romsey Winchester DS0000004487.V344098.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): 2 Quality in this outcome area is good. People wishing to move into the home have their individual needs assessed ensuring that the home has the resources to meet their needs before admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files for three residents were examined, one of which was for the most recent admission to the home. Social work assessments were seen on people’s files demonstrating that the home seeks appropriate information about people’s needs as part of the admission process. Information obtained included details on personal lifestyle, diet and nutrition, mobility, personal care and health care needs and hobbies and interests. Risk areas were also identified. Comments by people confirmed that they had been invited to visit the home before moving in. The homes own assessment documentation, personal profile documentation and rehabilitation plan have been completed for residents. Assessments completed by the home were also supported by assessments completed by social workers, consultant psychiatrists and Community Mental Health Nurses. FCH Romsey Winchester DS0000004487.V344098.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, 8 and 9 Quality in this outcome group is good. Individuals are involved in decisions being made about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents care files were examined at this inspection. These were detailed and informative. Individual residents needs were assessed and the level of support required discussed with each person living in the home. Plans of care were written related to daily living such as personal care and support needs, daily living skills, leisure, interests and hobbies. Care plan documentation was dated and signed by care staff and the resident where appropriate. Residents spoken with said that they are involved in planning how their care needs will be met. Emphasis in the home is on providing person-centred care. Care staff support people living in the home to make decisions about their day-to-day lives. Risk assessments are completed these help resident’s to live their lives safely and independently. Risk assessments and the management of risks are discussed FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 10 and reviewed with residents. Individual risk assessments were seen and examined in resident’s care plans these were specific to individual requirements. Risk assessments examined include access to the community, visiting family, involvement in domestic duties for example kitchen cleaning and shopping for the home. The care files examined identified the level of support individual people needed from care staff. A key worker reviews care plans monthly to ensure that they reflect residents’ current needs. Care plan documentation shows that residents, their families and other professionals if appropriate are involved with the reviews and other representatives are invited as appropriate. The importance of carrying out reviews more often if people’s needs should change sooner was discussed with the team leader. Updating care plans in this way would ensure that the current needs of people in the home would be up to date. Responses to questionnaires sent out to residents, relatives and professionals using the service supports the above and comments made by them include: “The home gives everyone in its care kindness, understanding, encouragement, to enjoy life and a purposeful living….” “The care home does well in tailoring the care to meet individual needs taking into account the spiritual, physical, mental and social needs.” FCH Romsey Winchester DS0000004487.V344098.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, 14, 15, 16 and 17 Quality in this outcome group is excellent. Opportunities are available in the home to ensure that residents’ day-to-day living experience offers a positive and varied lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with were confident and satisfied with the support being offered to them to enable them to access the community and maintain their independence. On the day of the inspection, a care worker supported a resident to access the community to do some shopping. The care plan for this resident identified how this support was to be offered. Residents spoken with were accessing the community either with support or without, appropriate to their needs and wishes. This included accessing banking facilities, keeping health-care appointments, shopping. Residents of varying religious faiths live in the home and support was given to attend church/prayer meetings, and meeting their religious needs on different days of the week. A number of residents attend colleges, which supports life long learning activities. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 12 The home currently provides a service for thirteen people in five houses. A service is provided for both men and women of varying age groups. Single sex groups have been placed in each of the houses. The plan of care for each resident is for staff to encourage and support individuals to maintain their independence. Minutes of a resident’s meeting and discussion with staff and residents demonstrate the extent to which they are involved in planning their daily life in the home. Activities and entertainment are discussed with individual residents and event take place based on residents likes and dislikes. Parties take place to celebrate birthdays and public holidays such as Christmas in the communal lounge in the main home. Annual holidays are planned and based on individual resident’s choice and capabilities resulting in different types of holidays being arranged, one resident spoke about going on holiday in England later this year. The opportunity to take a holiday in England is available to residents. People spoken to during the inspection were able to confirm how staff respect their privacy, the team leader he escorted the inspector on the tour knocked on bedroom doors before entering. Residents decide what they are going to eat and daily discussions take place about meals Resident’s accompany staff to do the food shopping and assist with food preparation if they choose to and if safe to do so. Residents were able to give support in the kitchen at a level to meet their assessed needs. Some residents were able to wash up others made cups of tea or made small snacks. Residents said that they enjoyed their meals. A record of daily meal choices in the individual houses showed that residents are given individual choices. These choices could easily be changed if residents decide they want something different. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome group is good. The health and personal care that people receive is based on their individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were sufficiently detailed in providing staff with information on residents’ likes and dislikes and their preferences related to personal care. The care plans for three residents were examined and cross-referenced with all available files. Care planning documentation was informative and designed to reflect a person-centered approach to planning care. This ensures that planning a residents care focuses on positive outcomes for the individuals. Care plans identified the individual needs and wishes of residents and state how these should be met by care staff including, their personal care wishes and choices. People living in the home commented that they received “good quality care” and that staff they liked the staff “staff are very good to me.” Specialist healthcare advice regarding the management of residents has been sought through GP’s and community psychiatric and district nurses. Support services are accessed for the specific needs of individual residents as necessary. Where possible and with the support of social services and other FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 14 professionals individual residents are assessed and helped to move back into the wider community. Information documented in a care file examined through the case tracking process demonstrates that people living in the home are helped to access appointments in the community this includes visits to the dentist and hospital. Policies and procedures are in place to support staff to administer medicines to residents safely. There is currently one resident considered able to retain and control his or her own medication. Appropriate risk assessments have been completed to ensure they are able to do this safely. The medication administration record for one of the people case tracked at this inspection showed no omissions. The member of care staff observed to be checking and supporting the resident to take their medication using safe procedures. Medication received in the home and those returned to the chemist were recorded. Medicines were being stored securely. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome group is good. Residents and their families are confident that their concerns will be listened to and acted upon in an objective and timely manner. Procedures and training available to staff supports the protection of residents from abuse, neglect and self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: FCH Housing and Care have established policies and procedures in place to ensure that service users are protected from harm. There are policies and procedures in place to ensure that complaints are dealt with effectively. Two residents said that if they had a complaint they would go to their key worker, team leader or the manager. One person commented: “I can ask about any thing that bothers me. Speaking with care staff, they were able to demonstrate that they would know if a resident was concerned or unhappy about their life in the home. Replies demonstrated that they had a good understanding of the residents in their care. Neither the Commission nor the home have received any complaints since the last inspection. Comments received from people living in the A policy and procedure detailing the action to be taken by staff to ensure the protection of vulnerable adults was examined. Speaking with residents they expressed that they felt safe in the home and residents were seen to be relaxed with each other and the staff. Training records examined show that staff have attended training related to the protection of vulnerable adults. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 16 Discussions with staff show that they are aware of their role and responsibility in reporting any suspicion of, or actual harm to residents. This included risk assessments around service user anxiety, being in the community alone and when staff work alone supporting service users. Service users spoken with said they felt safe living in the home and were aware of health and safety procedures in place to protect them from harm, this included fire safety and use of equipment. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The environment in which residents live provides a homely, private, comfortable and safe home, which meets their needs, individual lifestyle and level of independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owner of the home provides accommodation and support services for up to thirteen adults with varying types and stages of mental health problems. Facilities are provided in six homes. The homes are domestic dwellings situated in a residential area of Nuneaton near to shops and other local facilities. The homes have pleasant gardens areas, which are well maintained a suitable for residents to sit comfortably. Four homes were viewed, this includes the main home, which is used as the communal home. The homes present a homely environment, which meets the needs of the resident’s. One of the residents followed through the case tracking process showed the inspector around their home. Residents have their own bedroom and these were viewed with the permission of the occupant all were additionally furnished with personal items. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 18 Comments received from professionals involved in using the service state: “The home provides a very caring, safe and professional environment for the clients that is always warm and welcoming.” Relatives felt that: “The home provides a real home for a group of very unwell people.” The main lounge area is in the main home, which also accommodates staff offices. The décor is light and airy with the minimum of furniture suitable to meet the needs of residents. Laundry facilities in each house are domestic in style and is part of the kitchen area, as would be seen in most domestic dwellings. Service users are generally responsible for laundering their own clothing. Staff offer support to residents where it is considered necessary. There are policies and procedures in place for the control of infection, which includes the washing of soiled linen and clothing. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 19 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 and 35 Quality in this outcome group is good. Recruitment practices, employment of permanent trained and experienced staff promotes safety, consistency and continuity for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions and interactions observed between residents and staff showed that they were clear about who the individual staff are in the home and were able to say which member of staff was their key worker. There was sufficient staff on duty to provide appropriate care for the residents living in the home. One of the members of staff on night duty is a sleeping-in shift, which is suitable for the residents living in the home. Staff spoken with were happy in their individual roles. One member of staff spoken with was knowledgeable about the resident for whom they are the key worker. The care worker talked about the care the resident received specifically in relation to dietary concerns. Comments received from family members about staff in the home include: FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 20 “…I have found the staff to be helpful and approachable and the care of my father to be of a high standard.” Staff files examined and conversations with two members of staff one of whom was a new recruit to the home confirmed that staff received an induction period. The recently appointed member of staff was able to explain the induction process. The induction process is linked to the skills for care common induction programme. This programme provides an identified assessment criteria, which links to the National Vocation Qualification (NVQ) level 2 in care. Staff have also attended mandatory training session, which include fire and health and safety. Ongoing training is available to ensure that staff are confident and competent in providing care to people living in the home. The files of four staff were examined and these show that safe recruitment procedures are followed to ensure that residents are protected. Criminal Records Bureau checks are carried out and appropriate references obtained for all potential new staff before staff are employed in the home. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome group is good. Management and operation of the home ensures the safety of residents at all times, which supports and increases their self-worth and quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observations, conversations with residents and staff showed that the home is well managed in a homely but structured way. There are clear lines of management and residents are aware of the responsibilities of each member of staff. Two residents talked about their key worker and the things they did for them. Through the course of the inspection and during discussion, the team leader and owner of the home was able to demonstrate that they have good knowledge of the residents and service offered. The team leader and staff involved residents through meetings, general conversations in discussing and FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 22 suggesting what improvements could be made in the home to provide better outcomes for residents. All records seen as part of this inspection visit relating to health and safety and safe practices include fire equipment checks these were up to date and fire alarms had been checked. PAT testing on electrical equipment used in the home was up to date. Staff have received up to date training in Fire Safety, Basic Food Hygiene, Moving and Handling and Infection Control. The management team have developed systems for monitoring the quality of the service. This process has started and there is a development plan for the home, which service users, and staff have been involved in identifying. Areas developed in the service include person centred planning for all service users, induction for new staff, seeking the views of outside agencies involved in the care provision and updating. People living in the home and staff are all involved in action plans to meet identified targets. There is documented evidence of the regular servicing of boilers and central heating systems, regulation of water temperatures, which includes control of risk to Legionella, effective risk assessment management and security of the premises. A record of any accident or injury to service users is recorded and reported to the Commission for Social Care Inspection. Fire safety is managed well and records maintained are up-to-date and in good order. Fire blankets and smoke alarms are sited in each service users kitchen. A recent review of fire equipment in the home by outside contractors, recommended fire extinguishers should also be sited in the kitchen areas. This action has been carried out and extinguishers have been placed appropriately in each kitchen. FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 23 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X 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 3 X X 3 X FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 FCH Romsey Winchester DS0000004487.V344098.R01.S.doc Version 5.2 Page 26 - 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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