Inspection on 16/04/07 for Grantham Road, 57

This inspection was carried out on 16th April 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

Grantham Road, 57 12/01/06

Grantham Road, 57 14/09/05

Grantham Road, 57 16/03/05

Grantham Road, 57 08/09/04

Grantham Road, 57 31/03/04

Grantham Road, 57 25/11/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Grantham Road, 57 Brixton London SW9 9ED Lead Inspector Lynne Field Unannounced Inspection 16th, 24th & 25th April 2007 10:00 Grantham Road, 57 DS0000022733.V328415.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 Grantham Road, 57 DS0000022733.V328415.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. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grantham Road, 57 Address Brixton London SW9 9ED 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) 0207 326 0498 020 7326 0498 info@southpartnership.org.uk www.southsidepartnership.org.uk Southside Partnership Mr Edward Clifford Yeboah Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 Brief Description of the Service: 57 Grantham Road is a Victorian terraced property in a quiet residential side street close to shops and public transport networks. The ground floor has the lounge, dining room and kitchen, two single bedrooms and a bathroom with toilet. The mezzanine has a bathroom with toilet, a separate toilet and the laundry room. The second floor has three single bedrooms and the staff office/sleep-in room. There is a small garden at the rear of the property. Parking near the home is restricted to resident permit holders only, although there is limited metered parking a few streets away. Grantham Road provides care and support for three men and two women who have a range of needs including autism, learning difficulties and challenging behaviour. The staff team are a balanced mix of men and women reflecting the resident’s support needs. The registered manager said the current fees payable for the resident is in the range of £359-90 per week. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three days in April. The registered manager and five members of staff were present on the days the inspector visited the home. This inspection included a visit to the organisations’ head office to inspect staff files where the inspector met a number of human resources personnel who were able to give specific and additional information relating to the recruitment of care staff to the home. The building was toured, both the resident and staff were observed interacting in a positive way. Documents and records were inspected. The inspector was impressed with the commitment displayed by the registered manager and staff to ensure they were meeting the needs of the residents and complying with the standards. What the service does well: What has improved since the last inspection? The number of staff who have attained NVQ level 3 has increased to seven. The home has bought new sofas and a carpet for the lounge area. The registered manager has set up best interest meetings for all residents to ensure the residents wishes for their future are known and agreed with their families and relevant professionals should they become ill. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 6 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. Grantham Road, 57 DS0000022733.V328415.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 Grantham Road, 57 DS0000022733.V328415.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ needs and aspirations are assessed, so that a service tailored to their needs could be provided. EVIDENCE: The inspector was shown the statement of purpose and the resident’s guide, which includes the complaints procedure in the resident’s guide. The registered manager told the inspector, that these are regularly checked and updated to reflect the changes in the home and the organisation that runs the service. There have been no recent admissions to the home. Should a vacancy arise, the manager has said the home would follow the homes admissions procedure and the prospective resident would be invited to visit the home with family members or friends to help them decide if the home could meet their needs. A complete assessment would be based on personal history, care management assessment and a full needs assessment would be completed to ensure the home could meet the prospective residents needs before a place in the home was offered. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 9 The inspector saw evidence on present residents files that this was the procedure that was followed at the time they were admitted into the home. This included assessments from the residents’ care manager as well as the homes own assessments. The registered manager said prospective residents and their family would be invited to visit the home to look around and meet the present residents and staff. Grantham Road, 57 DS0000022733.V328415.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): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents are involved in planning their care with their key worker, the registered manager, appropriate professionals and family members. Potential risks are identified and residents are supported to take risks within a risk management framework. EVIDENCE: The inspector looked at three residents files. Care plans give a thorough description of residents’ individual behaviours, reactions and preferences and how the residents like to be treated. Each resident has a person centred plan and are written in an “easy to read” format. The inspector was shown copies of the residents monthly evaluation forums, which review the person centred plan actions and checks what care plan goals have been met. Risk assessments are reviewed and up dated at this time. The inspector noted their key worker evaluated these with the resident. The registered manager told the inspector Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 11 that all residents had six monthly reviews or earlier if the need arises. The annual review is conducted by the residents’ care manager and includes the residents’ family members, key worker and any relevant professional involved in the residents’ development. There were detailed guidelines and risk assessments on file on how the residents who have very challenging behaviour could be managed and supported safely. The inspector viewed individual risk assessments, which had been carried out, monitored and reviewed by the staff with residents every six months or when the need arises. Details of any changes to the risks are recorded in the residents care plans, with details of how to manage the risk. Grantham Road, 57 DS0000022733.V328415.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents engage in appropriate, enjoyable and fulfilling activities and mix with the general community. Residents are actively encouraged to keep in touch with friends and family and develop appropriate friendships. Residents’ rights and responsibilities are respected. EVIDENCE: On the day of the inspection the inspector met three residents who were waiting to go out to the day centre. Another resident was going out to a separate venue of their choice with the support of a member of staff. Each resident has a copy of their program in their room written in easy to read format. Staff told the inspector they would go through it with the resident to Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 13 make sure they understood where they were going. Decisions about what activities residents were going to take part in were made in a variety of settings. Some decisions were made at residents meetings, others were made at reviews and others individually in key worker meetings, which are held every three months with residents. Each resident has a cultural needs assessment and spiritual needs assessment on file. Staff said everyone’s spiritual needs are different and it is trying to find different avenues to address them. The residents and staff showed the inspector photos of outings they had recently been on and said they were planning other outings in the near future. The inspector was told three residents have regular contact with their relatives and they were contacted during the course of the inspection. One resident said they went to visit their mother who is elderly at least three times a year because she is not able to travel and they go there by train with a member of staff for the day. They said they also speak to them every week on the phone. Another resident goes to their family’s home for weekends if there is a special family occasion. One resident travels to Ireland to visit family there once a year. The registered manager and staff all said they thought it was important for residents to keep in touch with family and friends. Relatives said they have regular contact with the home and some were more actively involved with the home than others. The inspector was told this was their choice or because they were elderly and not able to travel. The home always included them when sending out invitations. The registered manager said some relatives act as advocates in decisions relating to social and health care needs of their relatives placed there while others were not able to do this. One resident does not have any known family and the home had tried to find out if there is family through the social worker but has so far had no success. The staff told the inspector that all the residents are encouraged to eat a healthy diet. Staff and the residents meet to decide what goes on the weekly menu and residents choose from that. If, on the day the resident wants something different to what is on the menu, depending on what is in the house, the staff will try to meet the residents choice where possible. The inspector was shown the menu, which had a good range of food with healthy options, such as low fat food and fresh fruit. One resident has a special menu plan that has been agreed with the GP. Grantham Road, 57 DS0000022733.V328415.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): 18,19,20, 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support, in the way they prefer and their physical and emotional needs are met. Residents are protected by the homes policies and procedures for dealing with medicines. Medication administration was found to be properly documented and is handled safely. EVIDENCE: The inspector checked three residents’ files. Care plans contain information about how residents like to be supported in all aspects of their daily lives. As part of the residents daily living development plan, each service user is encouraged to take part in the running of the home and has household chores that they do on a regular basis. For example one resident enjoys doing their laundry and they always do it on a set day. These are discussed and agreed at the residents meeting, with residents stating what they want to do. One Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 15 resident Residents medication is stored securely in a locked medication cabinet in the dinning area of the home. The inspector inspected three residents medication at random with a member of staff. All medication stocks checked where in order. Any allergies the residents may have are highlighted and recorded on their medication charts. Homely remedies are signed as being able to be given by the GP and there is a letter on one residents’ medication chart, saying they can have a specific homely remedy. The inspector was told the registered manager audits the medication weekly and this was recorded on the residents’ medication chart. Staff induction includes medication training and medication administration records. Then there is further training while working in the home. There was a copy of all staff signatures that dispense medication and information about the medications in use. Staff told the inspector medication was discussed at individual residents reviews and about whether it was appropriate or safe for the resident to administer their own medication and this would be recorded in the review report. Appropriate risk assessments would be done if it was thought a service user could administer their own medication. The registered manager and member of staff told the inspector they recently had medication refresher training. The training matrix that was shown to the inspector confirmed this. The inspector was shown the report by the local pharmacist who comes into the home every six months to check the medication and attends a team meeting to give the staff refresher training in medication. This indicated there were no issues that needed to be addressed by the home. The inspector was shown copies of documents for four of the residents who live at the home that states how the resident would like to be treated with regard to ageing, illness and death. The registered manager said the home had contacted all the residents’ family members and their care manager’s about this. Where families had different expectations about what was possible, best interest meetings where held to try to find out what residents themselves would want. Copies of the documentation regarding the outcomes of the meetings were shown to the inspector. Some families were unable to face making a decision about this at this time and this has been recorded. Grantham Road, 57 DS0000022733.V328415.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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are safeguards in place to protect the resident from abuse, neglect and self-harm. EVIDENCE: There is a complaints policy and the inspector saw the complaints book. No complaints have been recorded since the last inspection. The inspector was shown a copy of the home’s Adult Protection and Whistle Blowing policy, which conforms to Local Authority requirements. The organisation now refers staff to POVA as appropriate. None of the staff in the home have been referred for inclusion on the POVA list. The home has a policy regarding the protection of the resident’s finances. As part of the inspection the residents’ money and petty cash accounts were inspected and they were in order. A receipt must be obtained for all purchases and the amount spent recorded in the residents’ accounts book. The member of staff supporting the resident when the money is spent signs this. Personal money and valuables are checked twice daily as part of the handover system. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 17 The inspector was shown copies of best interest meetings that the home have asked to be held, when there have been conflicts of interest between the residents families and the residents wants and needs. These meetings included the resident, their family, staff of the home, care manager and other relevant professionals. There were copies of the issues were discussed and the outcomes on the residents files. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is bright and comfortable. The accommodation for both individual and shared use is furnished appropriately and maintained as well as possible given the nature of the high level of challenging behaviour in the home. Residents’ rooms are comfortable and are decorated to reflect their personalities. The inspector was told one residents’ bedroom had recently been redecorated. The standard of hygiene was very good with no unpleasant odours. EVIDENCE: Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 19 The home’s premises are suitable for the current residents, being accessible, safe and generally well maintained. At this inspection it was found that the manager and staff had continued to make efforts to improve the decor, furniture and fittings at the home. The sofas and the carpet in the lounge had been replaced recently. The home has a lounge, diner and kitchen, which together with a paved back garden form the communal space in the home. The lounge is separated from the dining and kitchen area by a sliding door, which can be opened to make the three areas into one continuous space. This also gives the home the facility for staff to sit in the dining area when residents are in the lounge and provide non-intrusive care. The garden is on two levels and completely paved over but staff have made it attractive by planting lots of tubs of flowers and hanging baskets and by providing a table and chairs so that residents can eat outside and otherwise enjoy the space. The inspector was shown three of the residents’ bedrooms with their permission. All were decorated according to residents’ choice, and were attractive and comfortable with good quality decor, furniture and fittings and personalised according to the individual residents’ preferences, choices and cultural interests. One service user was to have their bedroom deep cleaned by an outside contractor. The home has two bathrooms with toilet, and an additional separate toilet between five residents. These facilities are located within easy reach of residents’ bedrooms and both bathrooms have hand-held shower facilities and both have recently been redecorated. Laundry facilities were adequate and well sited, and the home has thorough policies and procedures in place to control infection. The premises were found to be clean, hygienic and free from offensive odours throughout. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriately trained staff meets the residents’ individual needs. The recruitment procedures followed are safe, thorough and comply with legal requirements. EVIDENCE: On the first day of the inspection the registered manager was on a training course and the inspection was facilitated by a senior carer who is very experienced and has worked for the organisation for a number of years. They told the inspector they enjoyed working in the home and with the residents. The inspector met five staff during the course of the inspection. They said they had regular supervision every month and had recently had their annual appraisal. This was confirmed on the rota the inspector was given. Staff said they and residents were involved in the recruitment of new staff. The inspector looked at the rota and noted there is always three staff on duty at the home in the daytime. Staff training records are kept at the organisations’ head office but the inspector was shown a copy of the homes training matrix that Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 21 confirmed all the staff training that had recently taken place. Staff confirmed they had been on medication refresher training and had gone through LADAF induction training when they started to work for the organisation. The inspector was told seven staff has completed NVQ level 3. Through out the inspection the inspector observed staff interacting with residents and the qualities seen included good listening skills, a calm and confident manner, and a good grasp of the basic areas of need they needed to meet, including communication. The inspector noted that staff had not been on adult protection refresher training for several years and recommends the home organises this for the staff team. The registered manager told the inspector they the organisation had an adult protection policy and they would follow that in conjunction with Lambeth’s adult protection policy, if protection issues arose. The registered manager said to raise awareness of adult protection procedures these would be discussed in staff meetings and in staff supervision. For the third day of the inspection, the inspector visited the organisation’s head office where the staff files were kept. The organisation was holding an induction day for all staff that had recently joined the organisation. There is an induction checklist for support staff that the managers must follow to ensure all staff have the same induction standard. The inspector inspected all staff CRBS checks that were available. The human resources manager told the inspector they followed the CRB guidance and destroyed all CRB’s after six months but before CSCI has seen them. The guidance states that providers should retain the CRB’s for 6 months or until seen by CSCI (if that is longer). The organisation needs to follow the guidance on how long CRB’s need to be kept. The inspector was told the organisation is planning to keep copies of certain documents relating to staff in a locked cabinet in the home they are based at. They have written to all staff asking for written permission do this. Most staff have agreed but this will not be done until all staff have agreed. Staff are only appointed after CRB’s are in place and two references have been received from their previous employer. Even when staff transfer with in the organisation, references are still taken up. New staff are given a job description, a contract and must have medical checks. All staff are given a copy of the staff handbook, which was reviewed in April 2006. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a home that is well run and managed. The registered manager is qualified and experienced and runs the home well. The calibre of the registered manager has ensured that the aims and objectives of the home have been achieved and he is open and supportive in his management approach. EVIDENCE: The registered manager asked the inspector to come to the home when he was there for the second day of the inspection and spoke about the service in a very positive way. The registered manager discussed how important team Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 23 development was and how he hoped to achieve this. He said, “Supervision and staff appraisal was important in personal and professional development”. He told the inspector he had completed the managers’ award NVQ level 4. Residents’ families who spoke to the inspector said they were happy with the service and happy he was the manager. There are written policies and arrangements for maintaining safe working practices in place, including appropriate risk assessments. The company updates these on a regular basis. On the day of the inspection the firm who have the contract to check the electrical systems in the home came to carry out the appropriate checks. This had been recorded in the homes daily diary. The fire system is subject to regular tests and equipment is suitably checked. Residents, records are held appropriately. Regulation 26 visits had been carried out and copies of the reports have been sent to CSCI each month. Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 X 3 X X 3 x Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA34 Good Practice Recommendations The organisation needs to follow the guidance which states “providers should retain the CRB’s for 6 months or until seen by CSCI (if that is longer)” The staff would benefit from having up to date training in adult protection issues and procedures. 2 YA35 Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 Grantham Road, 57 DS0000022733.V328415.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!