Inspection on 13/07/05 for Florence Villa and Independent Unit

This inspection was carried out on 13th July 2005.

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

The inspector 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

Florence Villa and Independent... 20/11/08

Florence Villa and Independent... 21/11/06

Florence Villa and Independent... 31/01/06

Florence Villa and Independent... 07/12/04

Florence Villa and Independent... 27/07/04

Florence Villa and Independent... 02/03/04

Florence Villa and Independent... 03/11/03

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

CARE HOME ADULTS 18-65 Florence Villa & Independent Unit 107 Trentham Road Dresden Stoke-on-Trent Staffordshire ST3 4EG Lead Inspector David Morgan Announced 13 July 2005 10:00 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 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 Stationary 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. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Florence Villa & Independent Unit Address 107 Trentham Road Dresden Stoke-on-Trent Staffordshire ST3 4EG 01902 459 800 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Strathmore College Limited Residential College Manager CRH 16 Category(ies) of LD 16 registration, with number of places Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 4 of whom may be LD, minimum age 16 years Date of last inspection 27 July 2004 Brief Description of the Service: Florence Villa is part of a specialist residential college catering for young people with learning disabilities aged 16 to 25 years; significantly, four may be under 18 years old and therefore additional, supplementary National Minimum Standards also apply. At present, about 12 students attend on a day basis. There are two other homes that are also part of the college and a shop, which are owned by Craegmoor Healthcare. It is registered with the DfES as well as the CSCI and has achieved Investors in People status. The mission of the College is to enable individuals to become as independent as possible through assessment, support and providing choices. Individual learning plans are used to enable students to achieve their objectives. Florence Villa is a detached, domestic-style property with an office and annexe in the grounds. It is a short walk from Longton town centre and a bus ride from other city amenities. There are 11 bedrooms, two of which are in the adjacent independence unit. Five of the rooms are doubles and the rest are singles. Staff from Florence VIlla also supervise and support the students at Hamilton Road. Young people stay at the college for a maximum of three years and attend for between 38 and 52 weeks per year, depending on the contract. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. For this announced inspection the inspector spoke to the registered manager, deputy manager, area manager and staff. All the students were seen and some were spoken to in detail. One student provided the inspector with a guided tour. Comment cards were received from two service users and one relative and one relative spoke to the inspector on the phone. The deputy manager had completed the pre-inspection questionnaire. The inspector was on site between 10:00 and 20:45 hrs. The inspector chose to undertake an announced inspection because the proposed new manager has left and it was important to clarify managerial arrangements. This is now the second proposed manager to have left. The inspector understands that another candidate has been appointed. At the present time there are no students under 18 years of age. Three beds were not occupied. What the service does well: Students said they liked living at the college and that they felt cared for. Relationships between students and staff were positive and supportive. Staff applied their knowledge of students and students’ action plans to encourage learning and appropriate behaviour. Liaison with parents is good. Parents reported that they were kept abreast of events and changes and they felt able to contact the college at any time whether by phone or in person. The College routinely reviews and plans its activities. This is reflected in the development plan for the year and particularly addresses any areas of weakness. In particular, the College have been addressing the transition of students from the College to independent living by developing the company’s supported living scheme. The College underwent an Ofsted inspection in October 2004. The report praised the College for its achievements with students, its practical teaching, independent living skills, work placements, individual support to students and effective behaviour management. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 There is an up-to-date Statement of Purpose that identifies the relevant issues and is available in different formats. Every student has a comprehensive plan that is based on their needs and to which they have access. The needs of students are thoroughly assessed to ensure they are suitably placed and this includes visits to the College before they move in. EVIDENCE: STATEMENT OF PURPOSE: The Statement of Purpose has been reviewed this year. Formats (including video and pictorial) are in place to help students understand the Statement; further work is expected on this. This was not inspected in detail on this visit. NEEDS and CHOICE OF HOME: New students are comprehensively assessed for the College many months in advance and there is full consultation with appropriate parties. Management have identified some difficulties with a small number of new admissions being unsuitable for the College. The problem was partly caused by the long gap between the assessment and offer of a place and the actual admission. During this time the needs of some students had changed and they had become unsuitable. The College now makes additional efforts to review candidates again before they are admitted. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 9 The behavioural support worker and psychologist are involved with staff in assessments and transitions of students from home to college. Questionnaires are sent to relevant parties annually as part of the consultation and quality assurance process. The manager reported that 80 of parents were satisfied with the consultation arrangements. Two parents spoken to by the inspector felt that consultation by the College was very good. Meetings are held with parents prior to admission and then subsequently at the College. Students are assessed to stay at the College for different periods during the year, e.g. 32 or 52 weeks, or something in between. This relates to the amount of funding available and also the students needs. However, staff generally agreed that long holidays were unhelpful as students often forgot what they had learnt. VISITS TO THE HOME: Trial visits are in place and the procedure has been amended to meet this Standard. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 Students are made aware of their targets and these are properly addressed. The College is always striving to improve consistency in this area and this is good practice. Students and their families are routinely consulted and improvements have been made to the process so that parents are now contacted to see if they have any concerns. EVIDENCE: INDIVIDUAL PLANS: A sample of care plans was inspected. They are discussed with relevant parties at least twice a year at reviews and offer a structured curriculum that keeps students very active. Students were aware of the reason for them being at the College and had different degrees of understanding about their individual goals. Several goals for one student were cross-referenced with other records. It was confirmed that targets are acted upon and evidenced, e.g. regarding medical, dietary and hygiene issues. Key workers undertake sessions with students and oversee targets. Staff reported that the management difficulties had had a Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 11 negative effect on achieving targets (i.e. a lack of auditing) but that this was now being addressed. Some plans showed reward schemes. Care plans have begun to pay greater attention to transitional arrangements. This covers the practicalities of students moving to semi-independent accommodation such as the domestic skills that are required as well as the interpersonal ones. CONSULTATION: Management have identified that students could be more involved in the running of the house. A representative from the student meetings will be encouraged to raise issues regularly at the staff meetings. During discussions with students, the inspector found that several had difficulties saying how decisions were made (e.g. regarding holidays) while others understood completely. Students meetings are minuted and are sometimes chaired by students. This is good practice. It was recommended that evidence of all the meetings be kept. Budgeting was not inspected in detail. It is more comprehensive in the Annexe where students are more independent. Care plans show how it is addressed in individual cases. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 13, 14, 17 The College routinely provides ample opportunities for personal development and community involvement. There is a wide range of social, sporting and recreational opportunities and the needs of every individual are considered. Healthy menus are compiled and students are fully involved in planning and preparation. These are kept under review. EVIDENCE: PERSONAL DEVELOPMENT: The main purpose of the College is to help students to maximise their personal development. Therefore individual learning plans and care plans are geared towards achievement. Since the last inspection, the College have expanded the range of activities that are available to students. COMMUNITY PRESENCE: Students reported on various activities they undertake in the community. These include social, recreational, and educational opportunities. One example was a group’s involvement with the Millennium Volunteers in which they helped to maintain a local country park Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 13 and there are many other examples. Students also get involved in the Colleges own shop which gives them direct work experience in the community. LEISURE: During the inspection the students were talking about the holiday that had been booked. Individual arrangements vary according to the source of funding but outings are planned for the year. Students also spoke about the Special Olympics some had attended. This was a major social and sporting event that everyone thoroughly enjoyed and in which some students gained medals. Many activities are both social and educational. One example is the allotment that students have used in the past and intend to use again. A member of staff reported that they may start the tuck shop again, too. The social and leisure opportunities at the College are numerous and varied. During the inspection it was also clear that students had opportunities for free time. Management intend to offer greater support to individual hobbies. DIET: Students participate in menu planning during meetings and any special requirements are recorded in individual files: at present there are none. Variations to the menu are recorded and the cook is reviewing the quality of the meals at present. It was also reported that menus were under review to ensure that they were not contributing to behavioural problems; this is good practice. The inspector enjoyed a meal with staff and students and observed another. Students participated in the preparation and were encouraged to eat healthily. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 The health needs of students are carefully assessed with input from appropriate professionals. There is a high rate of success in meeting students assessed needs. The application of the staff smoking policy should be reviewed. Medication is appropriately administered and self-administration is considered where appropriate. EVIDENCE: HEALTH: Health care needs are identified in individual files. Specific conditions such as autism and epilepsy were discussed and are being addressed appropriately. Students were in good health generally. It was recommended that staff do not smoke where they can be seen by students; this is company policy in many organisations. This is important because of the role model that staff play to susceptible individuals as well as the health reasons. MEDICATION: Staff have been trained in medicine administration and the procedure has been reviewed. A monitored dose system is used and the storage and recording were found to be satisfactory. No students can selfmedicate at present. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Complaints are appropriately managed although evidence of checking by the organisation should be improved. Students are appropriately safeguarded against harm. Improvements have been made to the links with statutory agencies. EVIDENCE: COMPLAINTS: One complaint has been received since the last inspection. The inspector found that the complaint forms had not been completed, e.g. the representative from the organisation was not signing the record. This should be completed as part of the routine auditing. PROTECTION: A recent incident highlighted the need to maintain links with the police. These have been re-established, as have links with child protection services (for students under 18 years of age). It is recommended that the manager familiarise herself with Every Child Matters. This document focuses on outcomes for children and is an important step in the national childcare strategy. It should be incorporated into College procedures where appropriate. All staff have been trained in appropriate forms of physical intervention and are regularly updated. No students have absconded or are at risk of absconding. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 28 The house is well presented throughout and is appropriate for its dual roles as both college and home. There is a high proportion of double bedrooms but this is not an issue for students who, in most cases, enjoy the companionship. Use of the training kitchen should be considered carefully as it is located some distance from the dining room. EVIDENCE: THE HOUSE: The house was well presented, clean and tidy in all areas. Students are responsible with staff for cleaning their bedrooms. Certain improvements were planned, especially to the bathrooms and also to carpets (e.g. in the annexe). Improvements had been made to the hall by decorating and by fitting pictures the students had painted; this was a significant improvement. Two new bedrooms are being developed in a separate building on site. These will provide added independence for students but catering will be in the main building. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 17 BEDROOMS: Students have ample personal bedroom space although staff have to remind some individuals in shared rooms to only use their own equipment or to ask. The issue of sharing bedrooms is discussed prior to the contract being signed and the contract denotes the agreement. Bedrooms were well presented. Mattresses have been replaced. It was recommended that window privacy be reviewed in all bedrooms and nets, blinds or something similar be fitted. SHARED SPACES: The kitchen was well presented. Students understand that the number of people allowed at any one time is controlled. There is also a training kitchen. At present this is not being used. Its potential is limited by its location and the dangers of transporting hot meals and drinks through several doors to the dining room. Similarly it is not suitable for use by students in the new bedrooms. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35, 36 Staff have clear roles and know to whom they are accountable. They are a competent team although management support has been an area of weakness recently. The training programme is sufficient to meet the needs of students. EVIDENCE: STAFF ROLES and RESPONSIBILITIES: The manager reported that all staff have been made familiar with the GSCC code of conduct; this is repeated in supervision meetings. The management role in the home has fluctuated between the registered manager, two acting managers and the deputy manager. This has now occurred over an extended period and has not been a helpful experience for staff. A further candidate had been appointed and will be presented to CSCI to become the registered manager. It is hoped by all concerned that this will end a period of some uncertainty. The roles of other staff are clear. The development of a deputy manager post is positive. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 19 COMPETENCE: During the inspection, staff displayed appropriate communication and interpersonal skills with students. They were able to adhere to the programme for the day and meet individual needs as necessary. The development plan shows that at least 50 of care staff have NVQ 2 (at least 80 of trainers have level 3). There are no trainees. Staff are encouraged to undertake training (see below) and these exceed the requirements of the National Minimum Standards. EFFECTIVENESS: This Standard was not inspected in detail. Staff retention was reported to be good with only one member of staff leaving since the last inspection. Appropriate staffing levels are being maintained. RECRUITMENT: This Standard was not inspected in detail. It was reported that the College is aiming to recruit more staff from ethnic minorities. The manager/principal is also aware that there are few student referrals from ethnic minorities. In this respect the College is in the hands of the referring agencies (Connexions and Social Services). Staff files were not inspected this time. The manager reported that an administerial oversight had led to POCA checks not being completed for some staff but that this has been corrected (POVA checks had continued as required). The deputy manager reported that some candidates for staff positions are interviewed and also undertake a working interview to see how they interact with students; this is good practice. TRAINING: There is a comprehensive staff training programme that includes LDAF induction training where necessary, NVQ assessments (including level 3 children and young people), teaching qualifications and other relevant courses. The deputy manager maintains a spreadsheet of courses that staff have attended. The majority of staff have completed CPI training and the remainder will do so during the summer. Child protection training is due soon for the newest staff. Staff also reported that the organisation will support staff undertaking additional training if it is related to the work. SUPERVISION: The College has become aware that there are difficulties recruiting and retaining suitable managers. This is partly because of the specialist nature of the College. The induction and supervision of new/acting candidates is thought to be a contributory factor and is an area the College intends to improve. The deputy manager has taken on appropriate duties to support the team. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 20 The manager reported that the usual programme of supervisions had not been adhered to by the previous, acting, manager, but that this was now being addressed. Specific staff support is also provided by the behavioural support worker. It is intended that staff be made more aware of team objectives so they can better achieve organisational goals. This will occur via supervision and meetings. The manager and staff reported a noticeable increase recently in the level of challenging behaviour amongst students. This has led to a review of admissions, as mentioned elsewhere in this report. Staff are routinely debriefed after an incident to help alleviate the impact on them of such behaviour. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 40, 42 Day to day operations have been affected by the changes of acting manager. However, this has had minimal practical effect on students. It is expected that the new candidate will have sufficient support and be able to do the job on a long term basis. The College has various quality assurance methods and keeps these under review. Improvements have been made since the last inspection and further improvements are planned, e.g. to procedures that specifically affect colleges. Safe working practices are generally maintained but recommendations were made in areas that slippage had occurred. EVIDENCE: OPERATION: The manager has NVQ 4 in care and management. Budgetary information is provided to managers by the organisation. Dissemination of budgets to managers is ongoing. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 22 As mentioned above, difficulties have been encountered because of the change of acting managers. During these periods the registered manager has reverted to her role as principal of the College or undertaken both roles. It does not appear that students have been adversely affected by this situation although staff supervisions, liaison with head office and achieving students targets were reported to have suffered (e.g. progressing maintenance and building work). MONITORING: Service user and parental surveys occur and the results are made available to managers. This will be carried forward by the inspector to see how the results are used and disseminated to students. Plans are in place to assess the views of other professionals. PROCEDURES: Policies are in place but are under review. It has been recognised that several policies for the Craegmoor colleges need to be different to those for other Craegmoor homes. HEALTH AND SAFETY: Fire safety. Comprehensive fire safety measures are in place. Drills occur approximately monthly. It was not clear that waking night staff are undertaking regular drills: this should be reviewed as the required frequency for them is higher. Bell tests also occur. It was recommended these occur in sequence to avoid the risk of missing one. Maintenance. In the pre-inspection questionnaire it was reported that maintenance and associated checks were up-to-date. Laundry. The cellar accommodates the laundry, which students use with support, and also food storage. It was recommended that a) vegetables be stored on pallets or similar rather than directly on the floor; b) fridge/freezer temperatures checks (including those in the annexe) must occur, and c) miscellaneous items stored in the cellar must be removed for fire safety reasons. Accident records were inspected. No major concerns arose, however, it was recommended that the summaries of both staff and students accidents be brought up-to-date so that any trends can be easily identified. Such a record should also be kept brief if it is to be effective. Also, the numbering of the record did not appear to be sequential and this should be addressed. MANAGEMENT: It was reported that business and financial plans are in place; these were not inspected. Florence Villa & Independent Unit E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x x Standard No 11 12 13 14 15 16 17 3 x 3 3 x x x Standard No 31 32 33 34 35 36 Score 3 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Florence Villa & Independent Unit Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 x 3 x E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 25 Regulation 12(4)a Requirement Bedroom window privacy must be reviewed in all bedrooms and nets, blinds or something similar fitted. a) Food items must be stored on pallets or similar rather than directly on the floor; b) fridge/freezer temperature checks (including those in the annexe) must occur, and c) miscellaneous items stored in the cellar must be removed for fire safety reasons. Timescale for action 13.9.05 2. 42 23(1)a 13.8.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 42 Good Practice Recommendations (a) The manager should ensure that waking night staff are undertaking regular drills. (b) It was recommended that bell tests occur in sequence to avoid the risk of missing one. It was recommended that evidence of all students meetings be kept. Compaint records should be completed by all parties. It is recommended that the manager familiarise herself E51-E09 s.8229 Florence Villa v.233464 Stage 4.doc Version 1.40 Page 25 2. 3. 4. 8 22 23 Florence Villa & Independent Unit 5. 6. 19 42 with Every Child Matters (DoH). It was recommended that staff do not smoke where they can be seen by students. It was recommended that (a) the summaries of accidents to both staff and students be brought up-to-date; (b) the log should be kept brief, and (c) the numbering of the record should be sequential. 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