Inspection on 06/02/06 for Goodman Crescent, 9

This inspection was carried out on 6th February 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Goodman Crescent, 9 21/05/07

Goodman Crescent, 9 22/09/05

Goodman Crescent, 9 18/02/05

Goodman Crescent, 9 31/08/04

Goodman Crescent, 9 26/03/04

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

CARE HOME ADULTS 18-65 Goodman Crescent, 9 9 Goodman Crescent Streatham London SW2 4NR Lead Inspector Ms Rehema Russell Unannounced Inspection 6th February 2006 14:00 Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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 Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Goodman Crescent, 9 Address 9 Goodman Crescent Streatham London SW2 4NR 020 8671 2768 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 Jehunita Freeman Mrs Jehunita Freeman Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 Brief Description of the Service: 9 Goodman Crescent provides residential care for 3 service users in an ordinary family house. It is situated in a small private development just off a main road. The home is in easy walking distance of a large shopping centre, which provides full community facilities and public transport (buses and trains) into central London and to other large shopping and community areas. The home provides individual personal care that is fully supportive of service user’s needs, preferences and behaviours and which encourages and supports their independence within the home and within the wider community. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the afternoon of 6th February 2006. Neither the manager nor any of the service users were in the home but the inspection was facilitated well by the support worker who was at the home. The inspector toured the building, discussed care issues with the support worker and looked at documentation and records. There had been no changes in the service user or staff group at the home since the previous inspection. All three service users have been at the home since it was registered, as had the manager, and care staff had also been at the home for several years. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 6 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 Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 7 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 and 5 Prospective service users have the information they need to make an informed choice about where to live and their individual needs and aspirations are thoroughly assessed. Each service user has an individual contract and a statement of terms and conditions. EVIDENCE: The Statement of Purpose and Service User Guide was seen and both were found to be fully comprehensive and well written. As required, the Service User Guide contains full information on the complaints procedure, and the Certificate of Registration is displayed openly in the dining/seating area of the home. Prospective service users therefore have all the information they need to make an informed decision about the home. The admission procedure was assessed at the previous inspection and has not changed since then. A thorough admission procedure is carried out. The application form is very detailed, including all relevant information required. There is a checklist of all documentation given to the applicant, which includes the complaints procedure and signed contract. There is a daily living needs assessment form, which includes the medical history, religious observance, dietary preferences and daily living and social activities. The home also ensures that it obtains a full assessment from the placing authority, including relevant mental health assessments as appropriate. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 8 Each service user is given a contract, signed by the proprietor and the resident, and a statement of Terms and Conditions of Residency which is also signed by the service user. Both documents are clear and easy to understand and present on each service users’ file. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Service users’ assessed and changing needs and personal goals are reflected in their individual care plans. Service users are encouraged and supported to make decisions about their lives and to take risks as part of an independent lifestyle. They are consulted on, and participate in, all aspects of life at the home. EVIDENCE: Care plans continue to be maintained to the same standard as found at the previous inspection. They are comprehensive, detailed and well ordered, covering every aspect of daily living, including dressing, grooming, bathing, personal hygiene, eating and drinking, mobility, communication, sleep, general health, medical, mental health, behaviour management, personal relationships, sexual health and respect for others. Each section is scored, with details of how each need was to be met by staff, and each is signed by both the manager and the service user. Internal six–monthly reviews are carried out and documented by the home and all previous reviews are kept on file for reference, which is good practice. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 10 No service users were present in the home during the afternoon when this inspection took place but the member of staff spoken with confirmed that there had been no changes to the encouragement and support service users are given to make as many decisions as possible in regard to the daily activities of their lives and also their goals and aspirations. All three service users have either their social worker and/or a family member as an advocate, and all service users continue to manage their own finances. Staff accompany service users to the post office to collect their monies and their Disability Living Allowances are paid straight into their bank accounts with no involvement by the home. Several examples were given of how service users are consulted on and make decisions on every aspect of life at the home. For example, there is a meeting of all service users each Monday at which they choose and set the menu for the week, service users have chosen which rehabilitation activities/household chores they wish to do and on which day of the week and service users choose whether to celebrate religious/cultural festivals and how they wish to do this and who they wish to invite. Recently, the manager and staff discussed changing the position of certain furniture with service users and are currently discussing re-arrangement of the kitchen, in order to elicit service users’ views and choices and to act on these. Staff are very clear that as this is the service users’ home, they should be consulted on anything that effects it and that their choices and decisions should be respected. At the previous inspection, observation and verbal evidence demonstrated that staff discuss all aspects of daily life with residents, in a way that gives them the opportunity to assess situations and risks for themselves. There is a general risk assessment for each resident on their care plans and also a number of specific risk assessments. The latter are comprehensive and clear and tailored to residents’ individual needs and capabilities. There are no current restrictions on residents’ rights and an indication of the increasing independence and responsibility achieved by residents is that they now all have their own front door key, whereas in previous years this had necessarily been restricted for two residents. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17 Service users have opportunities for personal development, are able to take part in age, peer and culturally appropriate activities and are part of the local community. They are supported to have appropriate personal and family relationships, and their rights and responsibilities are recognised in their daily lives. Service users are offered a healthy, nutritious and varied diet of their choice. EVIDENCE: Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 12 Service users have opportunities to maintain and develop social, emotional and communication skills during their various daytime activities, when they mix with the general public and journey independently around London. They are encouraged to speak with staff every evening about their experiences, with the manager and staff supporting them to develop their confidence and communication skills as necessary. Staff continue to encourage service users to attend clubhouses and colleges and to take up job opportunities offered to them if this is their choice. One service user has a part-time job and another has held down a part-time job in the past but is not currently interested in doing so. Staff obtain information about local college classes and activities, as well as appropriate cultural and religious centres, so that service users can choose to attend these if they wish. One service user continues to attend religious temple that he has visited for several years, where he joins in activities and meals and has made friends. Another resident continues to visit several drop-ins each day that are run by the religion he is affiliated to. A third service user does not attend colleges or centres but visits friends and also a close relative who lives in the area. Service users take part in a range of local community activities, alone, in pairs or as a group, with or without staff and at their own individual choice. They use local pubs, shops, cafes, cinema and the library. Despite staff encouragement, none are interested in taking part in sports. Staff make sure that residents know about local events that are taking place and have made a London-wide brochure of places of interest and activities available at the home. All three residents have regular contact with family and friends, who they visit, some regularly and some from time to time. One service user has occasionally stayed overnight with relatives who live outside London and spent Christmas with them. Family members have also visited residents at the home. Residents have made friends privately and at the various day centres, drop-ins and other activities which they attend. Residents have also become friends with each other. At the previous inspection the inspector was told that one resident who used to spend all day out of the home and keep his outside activities and friendships very private had recently wanted all of the staff and the other service users to come with him on a day trip that was organised by one of the drop-ins he frequents. He also now spends more time in the home, including most of the day at weekends. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 13 Service users are enabled to exercise their rights and responsibilities in as many areas of their lives as possible. They all have their own front door keys, open their own mail, decide on what they wish to do every day, choose when to be alone or in company, and choose which activities and events they wish to participate in. Staff do not enter their bedrooms unless with the specific permission of the service user and accompanied by him. They are discouraged from smoking in their bedrooms: one service user has never smoked, another chose to give up smoking four months ago, and the third respects this by going out into the garden or front of the house to smoke. As mentioned earlier in the report, service users sit down with staff every Monday to devise the week’s menu. Each service user writes down their individual choices. They then shop for all of the ingredients needed and choose each night which of the dishes they want. All three service users are from different cultural backgrounds and menus evidenced ethnic choices. Once a week service users get a take-away of their choice – they may do this as a group or individually, according to their choices and circumstances that evening. The inspector was told that there is always food available for snacks and that residents could help themselves to food and drink whenever they wished to. At the previous inspection all service users had confirmed that they were happy with the food arrangements at the home. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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 and 20 Service users receive personal support in the way they prefer and require and their physical and emotional health needs are met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 15 Service users do not need help with personal physical care but personal support is given in the form of prompting. Several examples of the type of emotional and social support given were cited and these evidenced that staff approach service users sensitively and respectfully, and that service users have confidence in staff’s advice and support but feel able to ignore advice and make alternative choices if they wish.. As previously noted, staff speak with service users each evening about how their day has gone, any problems that have arisen or any issues they want to discuss, and also ask them about their plans for the following day. Service users manage their own monies and buy their own clothes, with staff support if requested. At the previous inspection all service users were observed to be age and lifestyle appropriately dressed, and to have friendly and trustful relationships with the manager and staff. Verbal evidence from staff and documentary evidence in files demonstrated that the healthcare needs of service users are assessed and monitored and that service users are supported to access all healthcare services as appropriate, including mental health and other specialists. Evidence of regular reviews with psychiatrists and mental health teams are also present. Two residents have regular Community Psychiatric Nurse input and one service user recently visited a physiotherapist about a physical problem. Staff also make, or support residents to make, appointments with the full range of NHS healthcare professionals such as the dentist, optician and chiropodist. However, residents’ rights to choose whether to attend appointments is respected and they sometimes choose not to attend appointments made. Medication storage, administration and recording was seen and no problems were found. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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 and 23 Service users views are listened to and acted upon. Service users are protected from abuse, neglect and self-harm. EVIDENCE: The home has a clear and well written complaints procedure that covers all of the areas required by regulation. The complaints book was seen but there have been no formal complaints received by the home. In case service users or visitors wish to make informal complaints or comments, the home keeps an easily accessible comments book. There was one comment in it, dated July 2005, which was from a service user’s relative who had visited him at the home. The relative said that she was very pleased with the service user’s room and the way that staff were caring for him. This relative is invited to and attends review meetings at the home, as does another service user’s mother. The home has a clear abuse policy, which staff are familiar with. At the previous inspection it was found that staff were able to cite many different forms of abuse that can take place, including mental abuse and institutional abuse, and were fully conversant with the procedure to be followed if abuse was suspected or reported. None of the current service users have been verbally or physically aggressive but verbal evidence indicated that mental health issues are dealt with appropriately, with sensitivity and understanding Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30 Residents live in a homely, comfortable and safe environment. Service users’ bedroom suit their needs and lifestyles and toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms and the home is clean and hygienic throughout. EVIDENCE: Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 18 The home is accessible, safe and well maintained with a small but pleasant rear garden. It is situated in a small private development just off a main road. It is five minutes walk from a large shopping centre that provides full community facilities and public transport (buses and trains) into central London and to other large shopping and community areas. The home is not suitable for people with severe mobility problems/wheelchair needs as it is an ordinary terraced house which is not designed for this. Bedrooms were seen and were suitable for the lifestyles and interests of the service users. All were personalised according to the interests and choices of the individual occupants, who were all keeping their rooms tidy and clean. It was evident that significant progress had been made with the behaviours of one service user whose room used to be crammed with clothes and items that he collects. The room has very much fewer of such items now and was tidy and well kept. The inspector was told that new bed linen for the home had recently been bought. There is a toilet with washbasin on the ground floor, next to the lounge, and a large bathroom with toilet, bath, shower and bidet on the first floor, alongside the bedrooms. These facilities fully meet the needs of service users and ensure their dignity, privacy and choice. The communal areas of the home are well furnished, fitted and decorated and contain comfortable seating and culturally appropriate ornamentation. The kitchen was repainted earlier in the year, in consultation with service users, and the furniture re-arranged in the dining area, making the whole area more spacious and brighter. The dining area also had an area where a computer is kept, for the use of service users and staff. The fridge had also been moved recently, again in consultation with service users, to make the kitchen area more open. An area of carpet leading to the top floor bedroom, which had been getting worn at the previous inspection, had been replaced with new carpet. On the day of the inspection the premises were found to be clean and hygienic throughout. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Service users are supported by a competent, qualified and effective staff team. Swerve users are supported and protected by the home’s recruitment policy and practice and their needs are met by appropriately trained and supervised staff. EVIDENCE: At the previous and this inspection, the manager and staff demonstrated the qualities and competencies required to meet the needs of the service user group. They are approachable, friendly, good listeners and communicators and have the experience and understanding that is suitable to the client group. There are three support workers, one of whom has NVQ Level 2 and two of whom have NVQ Level 3. The home has therefore exceeded the recommended NVQ 2005 care staff training target. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 20 The weekly rota was displayed on the notice board, evidencing that there is always one member of staff on duty. As no residents require assistance with physical care and all can travel independently the home can meet their care needs by having only one member of staff on duty at any time. In addition, the manager and other staff are available on call outside office hours and at weekends. As this is a very small home, the whole staff team exchanges information on a daily basis and the home continues to hold four monthly, minuted staff meetings. Additional staff meetings are also held if particular circumstances require it, such as when planning summer activities or for Christmas. Staff files were seen and evidenced that the Registered Provider operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. All of the necessary documentation was in place, including evidence of regular supervision and appraisals. Regular staff meetings are also held and minutes were seen. The proprietor/manager does not employ support workers unless they have the NVQ Level 2 qualification, which ensures that they have all of the basic training required to work at the home. They are then kept abreast of current issues and changes of legislation by in-house training. In addition, the proprietor obtains specialist video training for staff. The manager carries out six-monthly appraisals of individual staff and bases the training and development plans for the following six months on any indications of training need that arise from the appraisals. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 and 43 Service users benefit from a well run home and their views underpin selfmonitoring, review and development at the home. The health, safety and welfare of service users are promoted and protected and service users benefit from competent and accountable management of the service. EVIDENCE: Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 22 The proprietor of the home is also the registered manager. She has several years experience of managing residential care for this particular client group and formerly managed a much larger residential home for people with mental health needs. She also has academic qualifications to degree and higher levels. She does not have the NVQ Level 4 qualification in management and care as recommended under this Standard but the inspector was told at this inspection that she has just registered for the qualification. Service users views are sought in many ways. The manager and staff consult with them on a daily basis and minuted Residents Meetings are held regularly. Minutes were seen and evidenced that service users are consulted about all aspects of life at the home, including any proposed changes to policies and procedures, are kept informed of any external changes that may affect them or the home, and that their views and suggestions are followed up and implemented as appropriate and agreed by everyone. Service users are fully involved in staff recruitment, meeting with potential staff and influencing whether they are recruited. A range of health and safety documentation was seen and generally found to be in good order. The fire alarm and gas safety certificates were due to expire during the month but the renewal visits had already been booked. The fire book showed that regular fire practices are held, including testing the fire detectors and alarms, which is good practice. It is recommended that the actual time of day that the fire drills are held is also recorded. Accident and incidents records were seen and found to be in good order, as was the storage of storage of substances hazardous to health. Evidence of the electricity certificate could not be located and so a requirement has been made for a copy of this to be sent to the Commission (and retained at the home). The overall management of the home in regard to competency and accountability was checked at the previous inspection. It was found that there was no evidence of a business and financial plan at the home. After discussion with the proprietor/manager and it was agreed that the financial and business report submitted annually to placing authorities to prove viability would be suitable for the purposes of this Standard and at this inspection the business plan, stored on the computer, was seen. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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 3 2 X 3 3 4 X 5 3 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 4 25 X 26 3 27 4 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 2 X 4 X X 2 3 Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42 Regulation 13(4) Requirement The Registered Provider must submit a copy of the electricity certificate to the Commission and retain a copy in the home. Timescale for action 30/04/06 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 YA42 Good Practice Recommendations The Registered Person should ensure that the time that fire drills are carried out is recorded. Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Goodman Crescent, 9 DS0000022795.V275800.R01.S.doc Version 5.1 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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