CARE HOME ADULTS 18-65
Forton House 3 St Johns Road Exmouth Devon EX8 4BY Lead Inspector
Belinda Heginworth Unannounced Inspection 20th June 2006 09:00 Forton House DS0000021938.V293703.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 Forton House DS0000021938.V293703.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. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Forton House Address 3 St Johns Road Exmouth Devon EX8 4BY 01395 222621 01395 222621 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) Devon Partnership NHS Trust Mr Huw Francis Lewis Akiba-Jones Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Age range 18 to 40 years Date of last inspection 8th February 2006 Brief Description of the Service: Forton House is registered to provide residential care for up to 3 younger adults who have a learning disability. The property is a detached family style house situated in a residential suburb of Exmouth. There is ample parking on site, and good-sized gardens. There are 3 bedrooms on the first floor, one of which is used as an office. There is also a bathroom and separate toilet. On the ground floor there is a lounge, separate dining room, a bedroom, and a kitchen. Fees are £76,000 per year per service user. Additional costs, not included in the fees are transport costs, toiletries, magazines and personal items. Inspection reports are available to service users, families and staff upon request and are displayed in the home’s office. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4.5 hours with the manager being present throughout. The majority of service users living at Forton House have a limited ability to communicate verbally and were therefore were unable to contribute fully to the inspection process. Time was spent with service users and observations of their care were made throughout the inspection. Staff were consulted on the day and their views on the service discussed. All staff were sent surveys prior to the inspection, four were returned. Comment cards were sent to outside professionals, including a GP, care managers and other professionals involved in the home. Two cards were returned. Service user surveys were completed with the support of staff and relatives. Telephone contact was made with one relative for further views on the home. Surveys were also sent to all relatives but no responses were received. Telephone contact was tried to two other relatives but this was unsuccessful. The manager completed a questionnaire prior to the inspection, this provided the Commission with required information about staffing, service users, staff training and policies and procedures. The inspector looked at number of records during the course of the inspection and a tour of the property took place. What the service does well:
The ethos and atmosphere of the home is relaxed, friendly and service user focused. Some of the staff have worked at the home for a long time, giving service users a familiar group of carers who know them well. Service users’ relatives have a good relationship with the staff. Service users’ needs are carefully identified and the home works in close liaison with relatives and community professionals. Staff work hard to support and maintain service users’ independence, provide choices for them and enable them to lead an active and meaningful life. Service users’ safety, welfare, health and care needs are well met and fully protected with a caring, respectful and committed staff team. A relative said she “couldn’t wish for a better group of staff looking after her son”, and added, “they are so caring and good to my son”. The manager ensures staff are provided with excellent information about each service user prior to admission and while living at the home. This ensures service users’ needs are met safely and consistently. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 6 Service users are offered a varied and health diet that takes into account their preferences and choices. They are supported to make their own food and drinks whenever possible and enjoy being involved in food shopping. Activities in and out of the house are planned around service users’ choice, preferences and abilities. They lead a busy life and use public transport and local facilities. Relatives and service users are listened to and any concerns raised or unhappiness observed is always acted upon. The home has a complaint’s procedure in formats suitable to service users communication needs, which relatives have recently received a copy of. Service users are fully protected from abuse with good recruitment practices, safe financial procedures, well-trained staff, excellent recording systems and good policies and procedures that staff understand. The environment is clean, safe, relaxed, bright and homely; and meets the needs of service users. The home is well run with a committed and caring manager who provides staff with a clear sense of direction. He has an excellent philosophy in relation to person centred care and service users’ rights. What has improved since the last inspection?
The manager has updated the home’s Statement of Purpose, which provides, service users, relatives and other professionals with information about services provided within the home. Copies of this and the complaint’s procedure have been received by relatives and the commission. A manager has been registered with the Commission. This ensures the home is well run. Staff have received training in the safe administration of medicines and mandatory health and safety training. This ensures services users are better protected with well-trained staff. Staff have received fire evacuation drills and have a planned training session with a fire officer on Monday 26th June 2006, ensure service users’ welfare and safety is better protected. The manager has reviewed the home’s risk assessments to ensure they remain relevant and reduce risks to staff and service users. The laundry room has been re-painted to ensure the walls are easily cleaned to protect services users and staff from cross infection. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 7 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. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The manager ensures the home is able to meet service users’ needs prior to admission and provides service users and families with information about the home. EVIDENCE: The home has a Statement of Purpose that provides relatives and professionals with information about the home. A service users guide, with similar information is provided on audiotape for service users with limited communication skills. The service users living at the home have done so for a number of years. A relative said they were involved in the process and had received good information about the home. The carers spoken with have been working at the home after service users were admitted but said the information provided about each service user ensures they are able to understand their individual needs. Trust Residential Services, who operate the home, have good admission procedures. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are provided with excellent information to meet service users’ needs and goals safely. Small improvements are needed in relation to decision-making. EVIDENCE: The manager completes excellent plans of care for each service user. The care plans set out individual needs, goals, guidelines, routines, preferences and any associated risks. This enables staff to have the information they require to help meet service users’ needs safely. Staff said care plans are discussed with them during house meetings, where ideas and suggestions are put forward and usually acted on. This was also confirmed through reading minutes of house meetings. Staff demonstrated an excellent understanding of service users’ preferences, needs and goals. Service users were unable to confirm their involvement in care plans due to their limited communication skills but a relative said they were involved. It was clear through observations that staff understood service users’ needs and worked hard to meet them. Daily records confirmed that care plan goals were being met consistently.
Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 11 Due to the complex needs of each service user consistency is very important, to avoid upset or even aggression or illness. Clear guidelines are provided for staff to follow to ensure this happens. The manager has also produced a care plan summary for each service user. This provides new and agency staff with a summary of important information that ensure service users’ needs, preferences and routines are understood. The home uses a listening device for one service user at night. Staff said this was because of their complex needs and the need to ensure they remained well and safe. The listening device was introduced when staff slept in at night. The home now provides a waking-staff at night; therefore the use of the listening device should be reviewed. This is particularly important to ensure privacy is respected as much as possible. Any decision that may infringe upon someone’s privacy should be discussed and agreed within a multi-disciplinary setting, for example a Good Practice Committee. The manager agreed to complete this. The manager and staff team have worked hard to enable service users to have free access to all areas of the home with their support. However, the front gate to the house is kept locked with a coded padlock. This was introduced after a serious incident had occurred and was discussed with the Commission at the time. However, the use of the padlock should be regularly reviewed, discussed and agreed within a multi-disciplinary setting, for example a Good Practice Committee. This would ensure it is in the best interests of service users to have this restriction and the decision is made with other professionals. The manager agreed to complete this. Any hazards within the home or with individuals are assessed and any action needed to minimise risks to service users is recorded. This ensures staff have the information they require to keep service users safe. Staff demonstrated an excellent awareness of individual risks. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. 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 benefit from respectful staff, accessing the local community, engaging in appropriate activities; and are supported in maintaining good relationships with relatives. Service users benefit from a varied and healthy diet. EVIDENCE: Each service user has a weekly plan of activities. Boards outside their bedrooms provide information about the planned activities. One service user had been attending the Doyle day care centre on a regular basis. Changes at the day centre have caused this facility to stop. Forton House staff have worked hard to overcome the difficulties this has caused by providing more staff, which enables one to one staffing to take this service user out daily. Activities provided by the home include walks in the local area, shopping trips, darts, pool, pub outings, trips to the zoo, lunch out and many more. During the
Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 13 inspection some service users were listening to music in their bedrooms and completing puzzles and games. Although transport is provided and each service user contributes towards the cost, two service users enjoy using public transport when they go out. On the day of the inspection one service user was going to Budleigh town on the bus and was clearly very happy with this. Daily records confirmed that trips such as this happen for all service users every day. On the day of the inspection one service user was receiving a massage from a massage therapist. Care plans described service users’ preferences in terms of going out and leisure pursuits. Guidelines and assessments of risk provided staff with excellent information to ensure service users remain safe whilst out or completing any activities in the home. The home encourages good contact with families and friends. Residents are regularly taken to visit their families, and staff keep in contact by telephone. This was confirmed by a service user’s relative who said that staff were very supportive in helping them to maintain contact. The food provided in the home is varied and healthy. Bowls of fruit were available in the kitchen for service users to help themselves to. Menus confirmed a healthy diet; including fresh fruit and vegetable are always on offer. Breakfast and lunch is down to individual choices. Staff were observed supporting service users in their choices and helping them to prepare food and drinks. One service user particularly enjoys going out and helping with food shopping. Forton House DS0000021938.V293703.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ dignity and privacy is respected. Service users’ health needs are well met. Improvements are needed in relation to medication practices to ensure the safety of service users. EVIDENCE: The ethos and atmosphere of the home is very much about giving service users choice, respecting their rights and providing a relaxed and respectful atmosphere. Staff had a gentle, caring and respectful manner when talking about service users and when communicating with them. This was observed throughout the inspection. Service users responded well to staff and appeared relaxed and happy. A relative spoke highly of the staff team and said they were always helpful, caring and patient. Care plans described how service users preferred to be spoken to, supported and called. Care plans clearly described individuals’ health care needs and showed their needs were monitored and specialist health professionals have been regularly consulted. On the day of the inspection a staff member reported a health related problem. A Doctor’s appointment was arranged immediately.
Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 15 All staff including agency staff, have received training on epilepsy, the administration of emergency medication and since the last inspection, the safe administration of medicines. This training included staff being observed whilst administering medicines and assessed for competencies. A self-directed study book is the final part of this training. Medication is kept in a suitable locked cupboard in the kitchen. A controlled medication cupboard is also provided upstairs. Medication is supplied through a monitored dosage system. Staff check medication when it first arrives from the pharmacy but there was no record of the quantities of each medication received, or a signature to say who had checked them. When service users go out for the day or home for visits, medication is redispensed into “medi-wallets”. The wallets have strips for each day, which are divided into sections for morning, lunchtime, evening and nighttime. However, the wallets did not provide staff, relatives or anyone using the wallets with information about what each medication was and the dosage. This could be unsafe in an emergency situation where someone unfamiliar with the service user was unaware of what the person was prescribed. The manager agreed to resolve both of the issues immediately. Forton House DS0000021938.V293703.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 at least once during a 12 month period. 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. Relatives and service users are assured they are listened to and complaints are dealt with appropriately. Service users are fully protected from abuse. EVIDENCE: The complaints procedure is displayed in the hallway and in the rear lobby. This has been drawn up using both words and symbols and has also been explained to the service users. Families who responded to the last inspection indicated that they were unaware of the home’s complaints procedures and therefore it was recommended that the home gave all families and representatives an updated statement of purpose/service user guide containing the complaints procedure. Relatives confirmed they have now received this information. One relative said she felt confident in the staff team and would “soon speak up for her son if she wasn’t”. The Commission has also received a copy of the updated complaint’s procedure. Staff demonstrated an excellent knowledge and understanding of Adult Protection issues. They clearly described forms of abuse, including infringing on people’s rights and choices; and knew what to do should they suspect any abuse. The home also has policies and procedures and local guidance on abuse awareness and what to if it is suspected. Relatives said they felt their son was safe and fully protected. Service users have individual building society accounts that are operated by the manager and deputy. Benefits are paid into these accounts and fee
Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 17 contribution is paid from these accounts. Personal monies spent are well managed, recorded with receipts kept. Each service user contributes towards the home’s lease vehicle. This is paid for from disability benefits. One service user has a higher rate of this benefit than the other two service users. The only way the home can afford to lease the transport is by having the service user with the higher rate contributing more money than the others. However, this service user needs and uses this form of transport more than the others. This has been discussed with relatives and care manager who are happy with this. The cost of the fuel is paid for by service users according to how much they use it. The manager intends to bring this issue to a Good Practice Committee to ensure it has been discussed and agreed with other professionals. Forton House DS0000021938.V293703.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, safe & homely environment. EVIDENCE: Forton House is a detached house situated in a residential area of Exmouth. There are good-sized gardens and car parking on site. The property has been regularly maintained and decorated throughout. Each service user has their own bedroom that are decorated and furnished according to individual interests, needs and preferences. Each of the bedrooms are bright, attractive and comfortable. Decorations, pictures and possessions displayed in the rooms reflected the interests and tastes of each service user. The lounge and dining rooms appeared comfortable, stylish and homely. There is a bathroom and separate toilet on the first floor and a toilet on the ground floor. These rooms were in good decorative order. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 19 There is a laundry room that is reached from outside the house. The machines were in good working order. It was highlighted during the last inspection that the paint on the walls were flaking and it was recommended that the walls were repainted in order to provide a surface that can easily be kept clean. This work has been completed. All areas of the home were clean and free from any odours. The hot tap in the bathroom is thermostatically controlled. Forton House DS0000021938.V293703.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 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 robust recruitment procedures. Service users are supported by a trained, experienced and caring team of staff. Some improvements are needed in relation to staff qualifications. EVIDENCE: On the day of the inspection three staff were consulted and observed. It was clear they were experienced and skilled in their knowledge of each service users’ needs, preferences and goals. The home provides almost one to one staffing during the main parts of the day. For example, on the day of the inspection two staff were on duty in the morning and afternoon and one staff was working 10.30am until 6.30pm. This level of staffing ensures service users’ complex needs can be met safely and they are able to lead a busy, meaningful and active life. One relative contacted said “you couldn’t wish for a better group of staff, they are so kind and good to my son”, the relative added that her son was very happy at the home and the staff “gave him a good life”. Three relatively new staffs’ files were inspected and found to have the required recruitment documentation to ensure service users are fully protected.
Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 21 All staff have received a good range of training that helps them to understand and meet service users’ needs, the training includes, mandatory health & safety training, protection of vulnerable adults, medication administration, epilepsy, autism, safe holding techniques, conflict resolution, gentle teaching and total communication. Some staff have completed or are in the process of completing the Learning Disability Award Framework (LDAF) induction. These are standards expected to be achieved by staff that working with people with a learning disability. The work completed with LDAF also goes towards achieving NVQ qualifications. Only two staff in the home are working towards achieving an NVQ qualification. The manager hopes more will begin working towards achieving NVQ qualifications within the next year. Forton House DS0000021938.V293703.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interests of service users. Systems to review, develop and improve the home need further development. Service users safety and welfare are well protected. EVIDENCE: The manager has been working in learning disability services for many years and as manager for over a year. He has recently become registered with the Commission as the manager of Forton House. Staff, a relative and a care manager spoke highly of the manager saying he was supportive, caring and provided good guidance, advice and leadership. The manager has obtained NVQ level 4 in care and has completed the work for the Registered Manager’s Award but is waiting for conformation on achieving the qualification. Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 23 The manager and staff team have worked hard to improve service users’ lives. They have ensured there are systems in place, which constantly reviews the care and services provided. For example, care plan reviews, team meetings, relatives’ involvement and opportunities to provide their views on the home, staff training and supervision. Trust Residential Services also complete regular visits to the home to ensure it is running well. However, the manager does not have a formalised quality assurance plan that includes, time scales for work to be completed, who is responsible for completing these checks and action plans to improve the services. This would ensure that all work relating to checking the quality of services would be highlighted, recorded, include time scales and people responsible. A quality assurance plan would ensure the work is completed in the manager’s absence and provide a formalised monitoring system. The fire logbook was found to be up to date and accurate. Fire risk assessments and most staff training were completed, therefore protecting service users safety and welfare. The CSCI obtains information prior to inspections. The information includes conformation that all necessary policies and procedures are in place and are up to date. These are not inspected on the day but the information is used to help form a judgement as to whether the home has the correct policies to keep service users and staff safe. In this instance policies and procedures were in place. These along with risk assessments have been recently reviewed and up dated where necessary, to ensure they are appropriate and reduce risks to staff and service users. Forton House DS0000021938.V293703.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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 2 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 2 X 3 X 2 X X 3 X Forton House DS0000021938.V293703.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. 1. Refer to Standard YA7 Good Practice Recommendations Any practices that may infringe upon service users privacy and freedom of movement should be discussed and agreed within a multi-disciplinary setting, such as a Good Practice Committee. (This refers to the use of a listening device, the locking of the front gate and the transport costs) Quantities of medication received into the home should be recorded and signed for. Medication, which is redispensing, should be clearly labelled in the medi-wallet. A minimum of 50 of care should obtain an NVQ qualification level 2 or above. The manager should develop and formalise the home’s quality assurance system further to ensure the home is being run in the best interests of service users. 2. 3. 4. YA20 YA35 YA39 Forton House DS0000021938.V293703.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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