Inspection on 09/08/06 for Gladstone House

This inspection was carried out on 9th August 2006.

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

Gladstone House 25/07/07

Gladstone House 09/08/05

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Gladstone House 28 West Street Scarborough North Yorkshire YO11 2QP Lead Inspector Gill Sample Key Unannounced Inspection 9th August 2006 09:30 Gladstone House DS0000063770.V305354.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 Gladstone House DS0000063770.V305354.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 Older People and 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. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gladstone House Address 28 West Street Scarborough North Yorkshire YO11 2QP 01723 373638 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) Mrs Madoomatee Emambocus Mr Hessan Emambocus Mrs Elaine Blake Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (11) Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Gladstone House is registered to provide accommodation and personal care for up to 11 people who have or have had mental health problems who may also be over 65 years of age. The registered providers supply information to new and existing service users in a Service User Guide to the home detailing the accommodation, facilities and services provided. The weekly fee is approximately £313.00, quoted by the provider on 1st August 2006. The home is situated on the south cliff of Scarborough in walking distance of local shops and the seafront and close to a bus route to the centre of the town. Free on street parking is available close to the home. Two sitting rooms (one of which is for service users who smoke), the home’s dining room and kitchen are on the ground floor. The laundry is situated in the small yard at the rear of the property. Service users’ bedrooms, bathrooms and toilets are situated on the first and second floors, and the top floor accommodates an office cum staff sleeping in room. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report gives the findings of a key inspection including a visit to the service, which was made on 9th August 2006. The visit focussed on the key standards and those requirements and recommendations made at the last inspection. A total of seven hours were spent at the home. There were eleven residents living at the home. Prior to the visit, the registered manager Mrs. Elaine Blake had provided information about the service and background history of the home was analysed using records held at the Commissions York office. At the visit, all of the premises were seen including bedrooms, bathrooms, living areas the kitchen and laundry. A range of written records was also examined and practice was observed during the visit. Individual discussions with residents, the registered manager and staff on duty at the time formed part of the inspection. Written comment cards were distributed to service users and the views of their relatives were sought by written comment cards. What the service does well: What has improved since the last inspection? After a period of change following a change in the ownership of the home the service appears to have settled. Service users, the manager and care staff are able to see the registered owners in person when they visit. The registered Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 6 manager now has time to manage the day to day operation of the service and supervise care staff. 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. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (Adults 18-65) Standard 3 (Older People) Standard 6 does not apply. Quality in this outcome area is good. Service users can be assured that their needs will be properly assessed and recorded before entering the home and make an informed choice about going to live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Case tracking of four service users confirmed good practice. An assessment had been made of the person and their needs and where a care manager had referred, their care plan was used as a basis for providing care. Where psychiatric professionals had been involved, the care programme was utilised to assess need and to develop care planning. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 9 Records showed that service users had been involved in their own assessment and service users spoken with said they and their families had been able to visit the home prior to deciding if they wished to move in. One said, “As soon as I walked in, I thought, “this is it””. Staff said that they were given information by the manager about each person admitted. They said that she would explain all care required and that information was recorded so that they knew what to do. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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 and 9 (Adults18-65), 7, 14 and 33 (Older People) Quality in this outcome area is good. Service users can be assured that they will be supported to look after their health care needs and that their physical, social and emotional needs will be recognised and met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Case records confirmed good practice. Care plans were in place covering all aspects of need including physical care, the need for support in social, Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 11 emotional and behavioural issues and the likes and preferences of individual service users. Progress and needs were recorded and were clearly noted and signed by individual service users. Notes were clearly used as positive and constructive feedback to service users who had contributed their views about the service and express their own wishes. Service users are as involved in day to day decision making as they wish and are encouraged by staff to decide on what they wish to do. Staff were observed giving alternatives to service users so that service users could make informed choices and giving support where this was identified by residents. Risk assessments were in place covering any potential risk to individual service users. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) 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 and 17 (Younger Adults 18-65) 10, 12, 13 and 15 (Older Quality in this outcome area is good. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 13 Daily life and social activities offer service users opportunities to live their preferred lifestyle, contribute to the running of the household and retain relationships in the wider community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One service user recently admitted to the home said that they wished to attend a day centre as they used to before entering the home. This wish has been referred to the provider of day centre services. Another service user said they had stopped attending the day centre, as they no longer wished to go. Both service users wishes had been recognised by staff. Service users talked about trips outside the home, and had been with staff to Bridlington for the day in the week of the visit to the service. Service users maintain links with their families and the local community. Some service users need the support of staff to go outside the home and this is available, “I need help to go outside. Staff will go with me”. One said, “I sit outside because I like to see people going by”. Lunch was seen being prepared and served. Service users were involved in preparing vegetables, setting tables, making drinks and washing pots. Time was spent with service users during the meal and comments about the food were good “The food is very good here. I like my food plain but you can have whatever you want on it” “the food is very nice”. Menu planning was discussed with staff on duty. They said that meals were planned with service users who were able to choose things for the menu that they liked. The manager said that each service user’s favourite meal was included in the planned menu. Lunch looked and smelt appetising and was attractively served. The dining room was a pleasant place in which to eat a meal, and it was evident that staff were sensitive to the needs of service users who needed time to eat their food. Staff served meals according to service users’ preferences about portion size and choice of food. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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 and 20 (Younger Adults 18-65) 8, 9 and 10 (Older People) Quality in this outcome area is good. Service users can be assured that their health care needs will be recognised and addressed and that any care provided will be sensitive to their own preferences. This judgement had been made using available evidence including a visit to the service. EVIDENCE: Service users were observed following their own daily routines throughout the visit to the service. They confirmed in discussion that they pleased themselves about what they did and who they spoke to. Staff demonstrated an awareness Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 15 of each service users preference and routine. Each service user has a designated key worker whose role is to give individual support with daily living tasks and assist service users to become more independent. There was evidence that the health care needs of service users were being recognised and addressed. The manager had ensured that one service user had received proper medical attention recently when suffering a sudden illness. Records seen showed when concerns about health issues had been identified and monitored and when medical attention had been sought. Medical and health related appointments were detailed on records. There was a recent outbreak of sickness at the home that affected some service users and staff. The registered manager dealt with this outbreak in an effective way, isolating those people affected and had notified and taken advice from the proper authorities until the outbreak had run its course. Records of the receipt and administration of medication were clear and accurate and recording was up to date. A monitored dosage system is used which allowed for the recording of short term medication. Storage of medication was secure and orderly and medication was administered using hygienic and safe handling methods. Staff spoken with had received in house training in handling of medicines and pre inspection information detailed staff that are to undertake training in the safe handling of medicines. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) 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 and 23 (Younger Adults (18-65) and 16, 18 and 35 (Older People) Quality in this outcome area is good. Service users have access to information if they wish to make a complaint or raise any concern about their service. Service users are protected by the awareness of staff of potential abuse. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Service users spoken with were able to say who they would speak to if they had any concern or complaint to make about the service. Written information about the procedure for making a complaint was available to service users. The owners of the home visit on a regular weekly basis and are available to service users if they are not happy with the service. Staff were aware of the potential forms of abuse and were aware that any suspected abuse needed to be reported to the manager. Written information is accessible to the manager and staff so that referral can be made properly to the local authority if abuse is alleged or suspected. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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 and 30 (Adults 18-65) and 19 and 26 (Older People) Quality in this outcome area is good. People living at the home live in a clean and well maintained environment and the providers have plans to improve the services and facilities offered at the home. This judgement has been made using available evidence including a visit to the service. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 18 EVIDENCE: All the general areas of the home were seen, and the bedrooms of service users whose care records were examined. All areas were clean and well decorated, were light and airy and there were no unpleasant odours. The building is similar to those in the surrounding area and is not immediately identifiable as a registered care home. The two living areas, one of which is a designated smoking sitting room, were decorated and furnished to a good standard. The dining room is small but was a pleasant place in which to eat a meal and gives service users access to the kitchen. Bathrooms were pleasant and homely. The home’s laundry is currently situated in a small outbuilding in the rear yard area which is adjacent to a rear access road and when in use is open to the elements. The washing machine and dryer fill this space and there is little room for dealing with clothing or bedding inside the building. The registered manager said that the new owners have obtained planning permission for the demolition of the laundry and staff toilet in this outbuilding and intend to rebuild a new laundry with additional accommodation to improve the overall facilities at the home. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) 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 and 35 (Adults 18-65), 27, 28, 29 and 30 (Older People) Quality in this outcome area is good. People living at the home are supported by a caring staff team and are protected by robust recruitment procedures. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The staff rota showed the staffing levels and the deployment of staff being in sufficient numbers to deal with times of high demand and to give support to individual service users. Staff were seen spending time with service users Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 20 either on or working alongside service users on tasks within the home. Service users spoken with said that staff spend time with them and this was confirmed by observation during the visit to the service. Three staff records seen showed that service users are protected by the home’s recruitment and selection procedure. Proper application, two written references and a clear criminal record disclosure had been obtained in all records checked. Individual records showed certified training that had undertaken and pre inspection information supplied showed that there is an ongoing training programme for staff members. Following a period of staff change, only one member of care staff has achieved NVQ Level 2 in care. However, four care staff are currently undertaking this qualification. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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 and 42 (Adults 18-65) and 31, 33, 35 and 38 (Older People) Quality in this outcome area is good. Service users can be assured that the service is managed by a competent person whose style enables them to have any issues discussed and resolved. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 22 This judgement has been made using available evidence including a visit to the service. EVIDENCE: Some concern was raised at the last inspection about the impact on the service of the new owners of the home. This was discussed with the registered manager who said that despite a number of staff leaving their employment following the introduction of new shift patterns, new staff had been appointed who have settled into their employment at the home. She said that the registered providers do not work on a daily basis at the home, but visit the home on a weekly basis and are available to discuss any issues as they arise. The registered manager said that she now has time to undertake the day to day management of the home with the support of the owners. She described this working relationship as being “improved one hundred per cent”. A range of health and safety related records were checked at the visit to the service which were in good order: • Gas safety certificate dated 28th June 2006 (valid for one year) • Testing of electrical appliances The home’s electrical installation documentation showed that this had been checked on 17th May 2006 but had not been certified. The registered manager checked on this with the contractor who agreed to send this document to the home, and she agreed to send a copy to the Commission. The accident book being used did not protect individual information in compliance with data protection legislation. This was discussed with the registered manager who said she would replace the accident record book with one that did not keep collective records in one book. A quality assurance system is in place based on service users’ views and on feedback from relatives and visitors to the home. The overall quality of the service is assessed annually in August and the registered manager was in the process of surveying relatives at the time of the visit to the service. She said that the report on the findings was not normally supplied to the Commission. Gladstone House DS0000063770.V305354.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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 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 Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gladstone House Score 3 3 3 X DS0000063770.V305354.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. 1 2 Refer to Standard YA42 YA42 Good Practice Recommendations A copy of the electrical wiring safety certificate should be sent to the Commission. Accident records should protect the personal information of individuals and comply with data protection legislation. Gladstone House DS0000063770.V305354.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 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. Gladstone House DS0000063770.V305354.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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