Inspection on 19/06/07 for Goddard Avenue (153)

This inspection was carried out on 19th June 2007.

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

Goddard Avenue (153) 19/06/09

Goddard Avenue (153) 06/12/05

Goddard Avenue (153) 15/06/05

Goddard Avenue (153) 09/03/05

Goddard Avenue (153) 21/12/04

Goddard Avenue (153) 19/01/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Goddard Avenue (153) 153 Goddard Avenue Old Town Swindon Wiltshire SN1 4HX Lead Inspector Pauline Lintern Unannounced Inspection 19th June 2007 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 Goddard Avenue (153) DS0000003212.V331409.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. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Goddard Avenue (153) Address 153 Goddard Avenue Old Town Swindon Wiltshire SN1 4HX 01793 644643 01793 497096 mo.latimer@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Vacant Care Home 6 Category(ies) of Learning disability (6), Physical disability (1) registration, with number of places Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 6 persons in the category LD, and 1 of these may be in the category PD 6th December 2005 Date of last inspection Brief Description of the Service: 153 Goddard Avenue is registered to care for six people with a learning disability. The home is one of many run by Mencap. At the time of the inspection there was not a registered manager in post, however a temporary manager has been seconded to the position until the post is filled. New Era Housing Association Ltd owns the property. The home is a large terraced house covering three floors in a residential area of Old Town, Swindon. All the bedrooms are single and there is a comfortable lounge and kitchen diner. The home is domestic in style and has a small garden with a patio area to the rear. The home operates a non-smoking policy and therefore all smoking is done outside. There is a minimum of one member of staff on duty throughout the waking day although this is sometimes increased to two in order to support people to access social activities. At night one member of staff sleeps in and there is an on call system. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection took place over four and a half hours. The temporary manager was not available on the day of the inspection. The inspector was unable to access staff recruitment files, training files and supervision records. Discussion took place with the area manager who confirmed that all records regarding staff recruitment, training and supervision are examined during his monthly audits and all are in order. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of the people using the service. Survey forms were sent out to staff and service users. During the visits the inspector met two service users and two staff members. Various records were examined; these included health and safety records, two care plans, risk assessments, complaints records, staff recruitment records, medication records, staff training and supervision records. The fees charged at 153 Goddard Avenue are £550.45 per week. Any additional hours needed would be negotiated separately. What the service does well: Every effort is being made to ensure that people have the opportunity to lead their lives in the way that they choose. Through person centred plans service users are able to set their own goals and dreams and contribute to the agenda for their care review meetings. There are well constructed ‘action plans’ in place, which explain how the person’s needs can be met in a way that they prefer. Support plans are kept under review to ensure that any changes are addressed. The staff team are actively exploring new ways of promoting independence for the people who use the service, through new technology, which is commendable. Strategies are in place to support service users to take responsible risks and promote their independence. Risk assessments are kept under review. Staff members are supporting service users to administer their own medication where possible, following a risk assessment, which has been found acceptable to the local pharmacist. Medication is well managed and records are properly recorded. Service users are provided with information on how to raise a concern if necessary. Each service user has a ‘red’ file, which outlines the procedure to follow in text and is supported with an audiocassette tape. The staff have a good understanding of the needs of the service users and they were able to demonstrate that they are able to ‘think out of the box’ with regard to offering support and promoting independence for the people who live there. Service users spoke positively about staff and appear to have a good rapport with them. This was also evident in the feedback from the survey forms. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 6 This service continues to be one that is good and sometimes excellent at meeting the needs and aspirations of the people living there. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 1 and 2 Quality in this outcome area is good. Service users’ needs and aspirations are fully assessed to ensure that the home is able to meet their needs. Information about the service is provided in the statement of purpose and the service user guide, however both documents need to be reviewed and updated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two case files were sampled and showed that both service users had a needs assessment prior to being offered a place at the home. The assessment covered accommodation, communication, mobility needs, physical and emotional needs, fees, activities, cultural requirements, social skills and personal care support. Feedback from the five service surveys returned to us stated that four out of five service users were asked if they wished to move into the home. One person added “I think it is a nice care home to live at because the staff are very good, they do help you out when you need it”. Five out of five people confirmed that they were provided with sufficient information about the home prior to making a decision whether to move in or not. One service user commented “I like it here, they are all friendly and the staff are friendly”. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 9 The home has a statement of purpose in place, however it is in need of being reviewed, as some of the contents are now out of date. The same is to be said for the service user guide, which was located in the office. The information contained in it is not current and does not contain the information as set out in Regulation 5. It is recommended that once this document has been updated in a suitable format for each individual, a copy be given to each service user. Goddard Avenue (153) DS0000003212.V331409.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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 6, 7 and 9 Quality in this outcome area is excellent. Each service user has care plan in place, which is kept under review and takes into account any changes that take place. People who use the service are able to make their own informed decisions and have the right to take risks in their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two case files were sampled as part of the inspection process. Both provided the reader with information on how the person’s needs were to be met and reflected the needs identified during their assessment. There is evidence that care plans are kept under review and that service users are fully involved in the planning of their care. The care plans are person centred and focus on the individual’s strengths and desires. There are clear and concise ‘action plans’ for certain needs, which explains how staff should be supporting the person to achieve the outcome they want. Support plans also detail likes and dislikes, communication needs, healthcare needs both physical and emotional and how choices and independence are being promoted. Files show that service users have constructed their own Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 11 ‘dream plans’ and outline things they wish to achieve or work towards. One dream plan states that the person wishes to increase the time they are able to stay alone in the home. Another says they wish to be able to improve their skills in budgeting for the week. There is evidence that one person had written up their own agenda ready for their review meeting, outlining the things they wished to discuss on the day. Each person’s file clearly belongs to them and staff report that they can access the files whenever they wish. Two surveys returned to us show that two service users confirm they make decisions about what they do, one said they usually make decisions and two said that they sometimes make decisions. One staff member explained how they are introducing the use of a camcorder to enable service users to play back the recording, with staff support, and fully discuss the contents following an activity. An example of this was when, with the service users permission, they took the camcorder on a food-shopping trip, to record the process of buying healthy selections of food. The activity continued when they returned to the home and started to prepare the fresh food ready for the service user’s meal. The staff member confirmed that this had proven successful and they are now exploring how this may be beneficial to use for care planning, completing risk assessments and other activities to ensure full service user involvement. There are plans in place to aid one person’s communication needs by purchasing a special mobile phone that has limited numbers, which can be preset and are larger than normal to promote the person’s independence. Staff members explained how an electronic ‘picture book’ is being considered for another person, which they can personalise and to which they could add their own photographs or pictures. As reported earlier it is commendable that the staff team are exploring different types of technology that is available to them and introducing them to the service users. Risks appear to be managed well within the home. Service users are encouraged to take risks as part of an independent lifestyle. There is evidence to show that where appropriate service users follow the home’s ‘home alone ’ Policy and are supported to spend time alone at the home. Records demonstrate that this activity is fully monitored and assessed by both the service user and a staff member to ensure their competency before they stay in the home alone. The time that they spend in the home is gradually increased if they wish to do so. Goddard Avenue (153) DS0000003212.V331409.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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 12, 13, 15, 16 and 17 Quality in this outcome area is excellent People who use this service have the opportunity to access appropriate activities and take part in the local community with or without staff support. Appropriate relationships are encouraged and supported by the staff members. People’s rights and responsibilities are respected and recognised and opportunities are offered to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection four of the service users were out either at work, on holiday or at a day centre. One person was waiting for their taxi to take them to the Pilgrim Centre, which they said they enjoyed. The one remaining person was completing some household tasks and later went out shopping with a staff member. They confirmed that they enjoyed shopping at Sainsbury’s and that they would then have lunch out and a cup of hot chocolate, which is their “favourite”. People have ‘action plans’ for socialising. One person’s plan states that they are encouraged to take their mobile phone when they go out so that they can Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 13 let staff knows where they are. Feedback from this person’s survey states “They let me go out as long as I ring to say I’m safe when I go out with my friend who lives with me. If we got stuck I would ring”. Another person commented “I like to go out to the night club on Fridays and Saturdays and with my key worker. I decide what time to come home and I know what to do if things are unsafe for me”. One staff member confirmed that two service users enjoy going to the nightclub together, without staff support. People are able to attend the local drop in centre ‘Open door’ and the resource centre ‘One step ahead’. One person attends Northstar College where they are completing a computer course and a course on health and survival. Staff members explained that one person was on holiday in Bournemouth for a week. Another person said that they had recently been to the butterfly farm and to the wildlife centre, which they had enjoyed. One service user works for the Royal Mail where they track and sort parcels. They file shows that they enjoy music, speedway, rock concerts, going to the out for a game of pool and attending the Jubilee gardens where they promote horticultural and social skills. People have the opportunity to attend church if they wish, however the two files sampled showed that the person chose not to go. One person’s case file records “I do not have a key for my bedroom but I can lock the door from inside if I want, I like people to knock the door before entering, I have a front door key and can enter the house as I need”. Service users are encouraged to be as independent as possible and to take responsibility for every day living. Household tasks are shared if individuals wish to participate. During the inspection one person was hoovering their bedroom with a staff member and then carried out some washing. Staff members explained that that they encourage service users to keep their room tidy, however it is their room and they can have it as they choose as long as there is no risk to their health and safety. The home has a ‘family charter’, which promotes liaising with relatives. Staff members confirm that families and friends visit frequently and that people can meet in private if they wish. The staff team encourages appropriate relationships and emotional support is offered if required. Consideration is given to people’s diversity. Individual’s dietary needs are provided for. There is evidence to show that advice has been sought from the dietician regarding one person’s nutritional needs. One service user explained that they have their food blended to make it easier for them and staff were observed offering them a protien supplement drink. People are involved in the preparation of meals. One person said they were planning on cooking macaroni cheese in the evening and added “they all like it when I cook”. Staff members explained that there are plans to give each person their own cupboard in the kitchen to enable them to shop independently and manage their own provisions. This will take place when the kitchen has been refitted. It was noted that there was a large dish of fruit available for service users to take when the wish. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 18, 19 and 20 Quality in this outcome area is excellent. People’s personal support needs are delivered in the way they prefer. The home makes provision to ensure people’s physical and emotional health needs are met. People are protected by the home’s policies and procedures regarding medication, where possible. Where appropriate people have the opportunity to manage their own medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Support plans detail how a person prefers to have their personal support needs met. One plan informs that they prefer to take a bath in the evening and a good wash in the mornings. They add, “I am an independent woman who can choose my own clothes, I like bubble bath and shampoo, which I buy myself”. There is evidence to show that service users have access to healthcare professionals and are supported to attend appointments if they wish. One person’s care plan states, “I am able to attend appointments on my own but would prefer it if a male member of staff accompanied me”. There are records of appointments made with doctors, optician, cardiologist, dentist and the podiatrist. It was noted that the home had obtained further information relating to one person’s specific needs, which enabled the staff to gain more knowledge of the condition. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 15 Guidelines are in place for the management of any challenging behaviours. Staff members confirm that the Consultant Psychiatrist, who will review medication and provide guidance, supports them. Medication is well managed and administration records sampled were found to be in good order. Medication is signed in when it is received at the home. People are supported to manage their own medication where possible. Staff explained that two service users are starting to self-administer their medication following a risk assessment being completed. One the day of the inspection one staff member had taken the risk assessments to the pharmacy for them to agree the risk assessments and make any additional entries, if they felt necessary. The staff members confirmed that this is standard Mencap policy. Service users are provided with a locked box to keep their medication in and they sign to give their consent for staff to look at the medication if needed. Once someone starts to self medicate progress is reviewed after one month. Staff members confirmed that in future the two service users who self medicate would collect their own prescriptions from the pharmacist. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who use this service are able to express their views and know that they are listened to. Staff members are aware of the local protocols for reporting any suspected form of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users have the opportunity to raise concerns and share their views at regular service user meetings. Each person has a ‘red file’, which contains a copy of the complaints procedure, a audio cassette version of the procedure and an addressed postcard ready to send to Mencap’s complaints department if required. Feedback from service user surveys indicate that five out of five people know how to make a complaint if necessary and who to speak to if they are unhappy. The home has a complaints record, which is kept at the home. There have been no recorded complaints since the last inspection. The management of service user’s finances are risk assessed and all monies held by staff members are held securely. Staff members explained how they support service users with budgeting and saving for holidays and day trips. One person goes to the cash point weekly to draw out their money. Staff members accompany them, however the person is responsible for putting their card in the machine and putting in their pin number. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 24 and30 Quality in this outcome area is good. People live in a comfortable and safe environment and feel that the home is fresh and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The first part of the inspection involved a tour of the premises, which is on three floors. Each person had a single room, which they had personalised. One person confirmed that they used to have a television in their room but had it removed, as they preferred to watch television with people downstairs. The home was found to be clean, tidy and comfortable. There is a lounge, a large kitchen diner, two bathrooms and a shower room. Outside there is a small rear garden with a patio area. Staff members confirmed that one service user had helped with the planting of the flowers, which they had enjoyed. One staff member explained that they were in the process of redecorating the lounge and that they had also purchased new curtains. The home has a separate laundry room, which houses the washing machine and tumble drier. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 18 One staff member confirmed that there are plans to re-fit the kitchen and they are hoping that this will incorporate the laundry also. There is a garden shed where any toxic materials are kept. One staff member reported that the home now use all Eco friendly cleaning products, which are plant based and therefore so not need to be locked away and are less harmful to the skin. Therefore service users have free access to all areas within the home in safety. At the time of the last inspection the kitchen door was being locked at night due to the needs of one service user. This has since been reviewed and risk assessed and it was found to no longer be necessary to continue locking the door at night. Staff confirmed that they are provided with protective clothing such as aprons and gloves. Supplies were observed in the laundry room. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 32, 34 and 35 Quality in this outcome area is good. People who use this service are supported by competent and qualified staff that are appropriately trained to enable them to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection the temporary manager was not available and therefore the inspector was unable to access staff recruitment records, training files and supervision notes. The area manager confirmed that service users are protected by the home’s recruitment practices. He confirmed that as part of his monthly quality audit he monitors staff supervision, induction and training. Discussion with staff members confirmed that they had been properly recruited, inducted, supervised and trained. One staff member explained the contents of their induction programme. This included manual handling, medication competency, basic food hygiene, health and safety, abuse awareness, first aid and fire awareness. They confirmed that they were new to care work when they commenced their employment with Mencap and reported that they “love the job as it is multi faceted” and explained how they undertake duties such as gardening with service users and decorating when it is needed. They confirmed that they are well supported by Mencap and that the area manager “works with you”, which is helpful. Staff Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 20 members appeared to have a sound underpinning knowledge of the service user’s needs and a good understanding of their role. Five out of five service user surveys forms state that the staff always treats them well. The Annual Quality Assurance audit (AQAA) returned to us states that “service users are involved in both the recruitment process and staff induction training and all their opinions are respected and valued”. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home has been managed by temporary managers who are competent, experienced people. Service users have the opportunity to share their views with members of the staff team. Systems are in place to ensure the health and safety of the people who live at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff report that although they do not have a permanent manager in post at the present time, the temporary managers have been very competent and “got things sorted”. Recording systems in the home are of a high standard and provide clear and concise instruction. The area manager reports that at the last recruitment drive they failed to appoint a manager, however there is a large recruitment campaign starting in July and they are hopeful that this will lead to an appointment. In the meantime they are advertising internally for the deputy position. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 22 People who use the service have the opportunity to attend ‘resident’s meetings’ monthly if they wish. Minutes show that at the last meeting service users discussed the colours for the kitchen and cleaning tasks around the home. Staff members discussed ways they could further obtain the views of service users and the possibility of a questionnaire to be incorporated into the residents’ meetings was suggested. The area manager completes monthly quality audits, which are available for our inspection. The home has safe systems in place for the management of health and safety. Regular checks are carried out on fire equipment, emergency lighting and electrical equipment. Staff members receive regular instruction in fire awareness and carry out fire drills. Staff take the time to go through the fire drill with each person to ensure they understand the evacuation procedure. Hot and cold water temperatures are tested and recorded. The home has a current gas safety certificate dated 1/9/06 and a certificate to show that a portable electric appliance (PAT) test was completed on 7/8/06. Health and safety risk assessments are in place and kept under review. Staff have compiled a file, which is located by the front door with a torch in the event of an emergency. The file contains information on evacuation, location of stopcocks, contact names of relatives, information on each service user with a photograph and a description of them. There is a copy of the procedure if someone goes missing and lists all emergency numbers that may be useful. Overall this is a service where people are safe and listened to. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 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 OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 X 3 X 3 X X 3 x Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 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. 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. 3. Refer to Standard YA1 YA1 YA1 Good Practice Recommendations The statement of purpose should contain relevant and current information. It is recommended that each service user has a copy of the service user guide. The service user guide should be reviewed. Goddard Avenue (153) DS0000003212.V331409.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI - 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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