Inspection on 18/12/06 for Grandsmere Place

This inspection was carried out on 18th December 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grandsmere Place 17/09/07

Grandsmere Place 20/03/06

Grandsmere Place 16/02/06

Grandsmere Place 14/03/05

Grandsmere Place 15/07/04

Grandsmere Place 06/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Grandsmere Place 1/1a Grandsmere Place Manor Heath Halifax West Yorkshire HX3 0DP Lead Inspector Cheryl Stovin Key Unannounced Inspection 18th December 2006 15:30p Grandsmere Place DS0000001009.V310778.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 Grandsmere Place DS0000001009.V310778.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. Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grandsmere Place Address 1/1a Grandsmere Place Manor Heath Halifax West Yorkshire HX3 0DP 01422 381775 None 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) Bridgewood Trust Limited Mrs Elaine Tansey Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th March 2006 Brief Description of the Service: Grandsmere Place is owned and managed by the Bridgewood Trust, which is an organisation which specialises in providing care for adults with a learning disability, in both the Calderdale and Kirklees areas. The establishment is registered to provide accommodation and care for up to seven service users. At the time of the inspection there were six young men in residence. The property, a large Victorian end of terrace, is well maintained both internally and externally and provides accommodation in well furnished single bedrooms with spacious and comfortable communal areas. The accommodation is arranged over three floors, with a self contained flat being situated on the ground floor. The establishment is situated in a residential area with easy access to the town centre of Halifax. The weekly charge is subject to individual assessment and currently ranges from £339 to £721.83. Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a Key Inspection. This included an unannounced visit to Grandsmere Place on 18th December2006 by one inspector over a period of 5 hours. During this visit discussions were held with service users and staff, records were examined and some areas of the home were seen. In addition to this visit, comment cards were sent out to the service users to give people an opportunity to share their views of the service with CSCI. All six service users completed and returned their comment cards. The last inspection took place on 20th March 2006 and no additional visits have been made. A pre-inspection questionnaire was returned promptly. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk What the service does well: The visit took place during the afternoon and early evening and the atmosphere was relaxed and homely. The service users were assisting the staff in preparing the evening meal and were working together as a team. The service users live active and varied lives and participate in a wide range of community social and recreational activities. During the visit one service user was out with friends for a Christmas meal, and another was preparing to go to the gym. Service users are encouraged to contribute to the decision making process and their views influence the way the home is run. Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 6 Service users all contribute to drawing up their detailed care plans which ensures that their needs are met in accordance with their wishes. The staff team are motivated and relationships between staff and service users are relaxed and friendly. There are sufficient staff on duty at any time to enable impromptu activities and outings to take place. The home is well maintained throughout and is furnished and decorated to a good standard. All bedrooms are single and the majority are highly personalised reflecting their occupant’s interests and hobbies. All of the service user’s comment cards expressed satisfaction with the lifestyle experienced at Grandsmere Place. 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. Grandsmere Place DS0000001009.V310778.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) Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are fully assessed. Service users have written information about the terms and conditions in the home. EVIDENCE: Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 9 New care planning documentation has been put in place, which ensures that service users needs are fully assessed. The service users fully contribute to this assessment. There have been no new admissions to the home since 2003. Therefore, it was not possible to assess the admissions procedure. The staff team were able to demonstrate that they have the skills and experience to deliver the care to the service users in a caring and professional manner, and to communicate effectively. Each service user has a licence agreement held on file, which details the rights and responsibilities of each party. Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Service users needs are thoroughly assessed and the home has a good approach to promoting the service users health care. EVIDENCE: All of the service users care records were seen. All contained a personal support plan detailing their daily support needs and who is responsible for meeting the needs. A daily record is kept of the support given. The plans are Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 11 regularly reviewed with service users confirming that they fully participate in the process. Service users are encouraged and enabled to make decisions regarding their choice of life style. All of the service users said in their comment cards that they always make decisions about what they do each day. Service users are encouraged to take responsible risks with detailed risk assessments in place. Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 13 11,12,13,14,15,16,17 Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to exercise choice and care is provided in a flexible manner to enable residents to follow their preferred lifestyle. EVIDENCE: Service users live active and varied lives, and are encouraged to make use of a wide range of community social and recreational activities. Service users are encouraged and enabled to develop and maintain independent living skills and to undertake meaningful activities. During the week the service users engage in a range of structured activities, some residents attend college and others attend workshops run by the Bridgewood Trust organisation. Service users are encouraged to participate in valued and fulfilling activities. One service user works voluntarily in a charity shop, whilst another enjoys bell ringing at weddings. Service users are encouraged to make use of a wide range of appropriate leisure and social activities, either individually or collectively. Service users live active and varied lives and some activity usually takes place each evening and at weekends. All service users have access to televisions and DVD’s and videos. Holidays are arranged, the duration and destination dependant upon individuals preferences. This year’s destinations have included Blackpool, an activity centre and Gloucester. Service users receive varied and healthy meals, the main meal of the day being taken in the evening. The staff and service users work together in the preparation of meals and the meal being made during the visit was: pork chop with apple, garlic and rosemary roast potatoes served with mixed vegetables, followed by mince pies, yoghurt or ice cream. Each service user is allocated a key worker who actively encourages contact with family and friends, and enables the service user to mark special occasions within their family circle, and to visit members of their family. The staff were observed to be treating the service users with respect at all times and relationships were seen to be relaxed and friendly with appropriate use of informality and humour. Relationships between fellow residents were also noted to be jovial and relaxed. Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ personal and health care support needs are met and support is given in accordance with their wishes. Service users are protected by the medication policies and practices within the home. EVIDENCE: Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 15 Service users’ personal, physical and emotional health care support needs are assessed and form part of their plan of care. All personal care is given in private and in accordance with the service users’ preferences. Service users’ physical and psychological health care needs are assessed and detailed in their personal care plan. An ‘OK’ health check, which is a recognised tool for assessing and planning the health care needs of adults with a learning disability, is completed for each service user. The home uses a monitored dose system for the administration of medication. The medication is securely and appropriately stored. Each service user has an individual medication profile which details the medication prescribed and what medical condition it is used to treat. Medication administration records were seen to be accurately completed, and stocks of medication reconciled with records kept. Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users views are acted upon. Service users are protected from abuse and neglect. EVIDENCE: The home holds a complaints procedure. Each of the service users are given a pictorial and written copy of the procedure to follow. All of the completed comment cards indicated that the service users knew who to talk to if they were unhappy about anything in the home. All staff have received training in the protection of vulnerable adults and the staff on duty at the time of the visit were aware of the procedure to follow if they suspected abuse was taking place. Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained with high standards of cleanliness throughout, providing a pleasant and safe environment for service users. EVIDENCE: Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 18 The home is well maintained both internally and externally and is furnished and fitted to a good standard, with a routine programme of maintenance and refurbishment. The property, a large Victorian end of terrace, is situated in a residential area close to the facilities of the town centre of Halifax. The establishment is indistinguishable from neighbouring properties. All of the bedrooms are furnished and fitted to a good standard with the service users choosing the décor. The bedrooms are spacious and service users are encouraged to personalise their rooms to reflect their tastes and hobbies. The service users are obviously very proud of their own rooms, which they are encouraged to keep clean and tidy. Communal areas are spacious and comfortable and are well furnished and decorated. The home was seen to be clean and hygienic throughout and service users confirmed that this was always the case. Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The establishment is staffed in sufficient numbers, by a trained and motivated workforce. Service users are protected by the home’s robust recruitment practices. EVIDENCE: Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 20 There are always two members of staff on duty when the service users are at home. The staff spoken to during the visit were able to demonstrate that they have the skills and knowledge to meet the needs of the service users. It is mandatory for staff to undertake training to LDAF (Learning Disability Award Framework) specification. One recently appointed member of staff said that he had received sufficient training and was looking forward to starting the NVQ II award shortly. Only one member of staff currently holds the NVQ II award. There is a requirement that 50 of the staff team are qualified to NVQ II or equivalent. The service users are protected by the establishment’s robust recruitment procedure. Evidence was seen that all staff are subject to the necessary CRB and POVA checks. An application form is completed and two written references are taken up prior to an offer of employment being made. All staff receive job descriptions and statements of terms and conditions. Relationships between staff and service users were seen to be relaxed and friendly with appropriate use of informality and humour. All of the comment cards received stated that the service users felt that the staff always treat them well, and listen and act on what they say. Grandsmere Place DS0000001009.V310778.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. JUDGEMENT – we looked at outcomes for the following standard(s): Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 22 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and managed with the Registered Manager demonstrating a clear sense of leadership. Service users are protected by health and safety procedures and practices. EVIDENCE: The Registered Manager of the home is experienced and competent, and has undertaken the NVQ IV Registered Managers Award. The staff felt that an open and positive atmosphere is always prevalent in the home and that the manager is approachable and their views are listened to. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. Grandsmere Place DS0000001009.V310778.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 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 3 25 3 26 3 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 x CONDUCT AND MANAGEMENT Standard No Score 37 3 38 x 39 3 40 x 41 x 42 3 43 x 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grandsmere Place Score 3 3 3 x DS0000001009.V310778.R01.S.doc Version 5.2 Page 24 Yes 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 YA35 Regulation 18 Requirement 50 care staff to be qualified to NVQ II. Timescale for action 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Grandsmere Place DS0000001009.V310778.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. Grandsmere Place DS0000001009.V310778.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. 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