CARE HOME ADULTS 18-65
Greenfields Derby Road Barnstaple Devon EX32 7EZ Lead Inspector
Jo Walsh Unannounced Inspection 31st May 2007 09:30 Greenfields DS0000039188.V331172.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 Greenfields DS0000039188.V331172.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. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Greenfields Address Derby Road Barnstaple Devon EX32 7EZ 01271 343709 01271 329121 paul.jellicoe@devon.gov.uk www.devon.gov.uk Devon County Council 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) Paul William Jellicoe Care Home 11 Category(ies) of Learning disability (11), Physical disability (11), registration, with number Sensory impairment (11) of places Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Caters for young people and adults between the ages of 16 and 25 years Current service users over the age of 25 or under the age of 16 will be allowed to continue to use the service To admit one named person aged under 16 as detailed in the notice dated 5th August 2004 and one named person aged over 25 as detailed in the notice dated 10th September 2004 The maximum number of persons accommodated at the home, including the named young persons, will remain at 11. On the termination of the placement of either of the named young persons, the registered person will notify the Commission in writing and the particulars and conditions of this registration will revert to those held on the 26th July 2004 or as appropriate 03/08/06 4. 5. Date of last inspection Brief Description of the Service: Greenfields provides planned respite care and accommodation for up to 11 young adults and some children with severe learning disabilities and physical or sensory impairment, aged 10 to 25 years (male and female), whose families live within North Devon and Torridge District Councils boundaries. Services are sometimes provided to young people and adults from outside these catchments areas. Some service users who reach the age of 25 years continue to use the service for a further 10 years. Usually the maximum number of children, young people and adults staying at the home at any one time is nine. However, in certain circumstances, up to 11 children, young people and adults are accommodated. Emergency admission for unplanned respite is provided, for those service users already using the facility for planned respite care. The home has nine bedrooms. Only children aged less than 16 years share bedrooms. The home also provides day care for young adults, Mondays to Fridays, 9 am to 4 pm with various activities on offer. Greenfields is owned and managed by Devon County Council. Devon County Council did not make the range of fees available. This report is made available at the home by ensuring a copy is left in the main entrance hall. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 5 Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place during a weekday in May and at a time when schools and colleges were on holidays. The home were not made aware of the day and time we were visiting, but were asked to complete some information about how they keep the home safe and maintained, as well as what training the staff have undertaken. This helps us to understand how the home is run and gives some understanding of what it is like for the young people who use this service. During the inspection time was spent talking to the manager, staff on duty and with the young people who are currently staying at Greenfields. Most of the young people who use this service are unable to communicate via words, so additional time was spent observing how staff interacted with them. To help get a full picture of how the home provides care and support a number of key documents were looked at, these included care plans, medication records, staff files, accident and incident reports, records relating to monies kept on behalf of people staying at Greenfields and the fire log book. These also help us to form a view about how well the home is run. Prior to visiting the home, we asked a selection of families to complete questionnaires about the home as well as some health are professions and care managers. Their comments are included throughout this report. What the service does well:
Greenfields provides young people who come for short breaks with a warm, friendly and well maintained environment. There are a number of communal rooms that have been set up for different activities, such as a sensory room, soft play area, small kitchen and arts and crafts rooms. This gives the young people opportunities to spend time in different areas and to take part in a variety of activities. One young person said ‘’ I like coming here, I like to do cooking and I like spending time talking to staff and sometimes in my room.’’ The staff team have a good knowledge of each individuals needs and provided care in a way that suits the individual. Comments from carers were very positive about the personal and health care needs. One said ‘’Staff and management have always been helpful and consistent. We have been able to establish trust and confidence in them over the years we have used the service’’
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 7 The home provides a valuable service for carers to enable them to have a break from caring in an environment that is safe, well maintained and with a staff group that have good training and access to specialist equipment that ensures care and support is provided safely. Two carers commented that they would not be able to cope if they did not have regular breaks, and all who returned surveys said that they were happy with the care provided by staff at Greenfields. One parent said in their survey about the home ’’Creates a very happy atmosphere. Staff are very warm and caring. They go beyond the call of duty to make sure our relative is contented and always happy. As a family I don’t know how we would cope without them.’’ One care manager said ‘’they are quick to ring me on medical/health care matters and will liaise closely with doctors and other health care colleagues’’ One health care professional said ‘’ all the people they support are treated as individuals and their needs are identified and addressed as such.’’ Another commented ‘’staff know the people who use the service very well and are generally very caring. They appear to offer a flexible service to parents/carers and are keen to improve the service they offer’’ Each young person has a plan of care that helps staff to provide support in a way that the individual prefers. Plans are regularly reviewed to ensure that all ongoing and any changing needs can be met and the manager has asked families to be involved in the reviewing and development of these plans. Greenfields makes sure that the young people who use the service are kept safe, by ensuring that all new staff have checks to show they are suitable to work in the home, and provides training to ensure staff are aware of what to do if they suspect abuse. Good records are kept to show the home makes sure medications are given correctly, monies are kept safe and any incidents of accidents are recorded. What has improved since the last inspection?
The home has been able to purchase specialist slings for most of the individuals who receive a service at Greenfields. These slings are used to ensure that individuals are moved safely in specialist hoisting equipment. Staff spoken to said the slings had been of great benefit as it made moving and handling a quicker and safer task. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 8 Following from the last inspection, where it was recommended that they home look at providing further activities, they are now working closely with the Occupational Therapist, to devise programmes of activities that suit individuals wishes and abilities. The home now has the use of a specialist minibus for weekends. This will help staff to ensure that the young people who use the service are able to get out for trips to places of local interest. The manager has made sure that carers are able to have a say about the quality of care in the home, by using surveys. He now plans to extend this to health care processionals and care management team who refer people to use Greenfields. This will help the home to look at whether they need to improve the care and support offered. 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. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 9 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 Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 10 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. Young people and carers planning to use this service can be assured that needs will be fully assessed. EVIDENCE: Since the last inspection the home have only offered respite care to one new young person. Their file was looked at and discussed with staff. The information and care plan available, showed that the individual had been assessed by the care management team involved in funding the respite care and the staff at the home had also been able to assess this persons needs prior to them being offered a service. Due to the fact that services are only offered to individuals who have complex physical and learning needs, the assessment information has to be detailed. This helps the home decides if the are going to be able to meet the person’s needs, what equipment they might need and what Activities they might need to plan for. Staff said that they have good information about an individual and over time they build up their own information and knowledge about how an individual likes to be supported. They then include as part of their care plan more personal detail about preferred routines to make sure they honour these.
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 11 Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. The home ensures that care plans detail individuals’ assessed and changing needs, so that staff can provide consistent care. Young people are assisted to make decisions in their every day lives and independence is promoted within a risk management framework. EVIDENCE: Two care plans were looked at in some detail. The plans have good information about individual needs in personal and health care as well as outlining some social and leisure needs. Key workers complete monthly reports in addition to the six monthly reviews. These include dates of attendance, health issues, activities, food and drink, sleeping patterns and any outside appointments attended. Each plan has an intimate care plan included, which gives clear details and instructions about individuals’ daily routines and what to do for personal care.
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 13 Some plans also include photos for staff to refer to in positioning for sleep/resting. This is really useful and seen as an excellent resource. The plans now also include pen pictures of each individual at the start of the plan. The plans enable staff to provide care and support in a consistent way. The manager has written to all carers to ask them if they wish to be involved in the further development of plans of care, to ensure that they have the opportunity to discuss how care should be delivered. There are a young people who could with support and a user-friendlier format, photos and pictures for example, agree and review their own plans of care. This should be explored further as it would ensure that individuals are able to have a say about how they supported. Comments from carers were very positive about the personal and health care needs. One said ‘’Staff and management have always been helpful and consistent. We have been able to establish trust and confidence in them over the years we have used the service’’ Discussions with staff helped us understand how the home tries to enable young people who use the service to make decisions and choices in their everyday lives. Examples given were assisting individuals to make choices about what they want to wear, giving choices about snacks and drinks. Staff have a good rapport with the young people they support, many of whom they have known for a long time and they have a good understanding of individuals body language and are able to use this knowledge as cues to help them to understand if an individual is happy with a choice. As the home offers respite/short breaks and day care, their role in enabling independence is limited, but where possible individuals are encouraged to be independent as much as possible. Plans of care include risk assessments. Two young people were able to tell us a little about what it is like to stay at Greenfields. One said ‘’ I like coming here, I like to do cooking and I like spending time talking to staff and sometimes in my room.’’ Another when asked said they enjoyed coming to Greenfields. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 14 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. The home is only able to offer a limited programme of activities and access into the local community due to staffing levels and the complex needs of the young people who use the service. Individuals’ rights are respected. The home offers a good range and choice of meals. EVIDENCE: Since the last inspection the staff team have been working with an Occupational therapist to look at how they can extend their range of activities and tailor activities more specifically to meet individuals needs and preferences. One staff member said they are working on how they can use the sensory room more effectively involving individuals in the experience and although this work was only just getting off the ground they had already
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 15 identified ways how better involving individuals such as using more interactive equipment such as switches to change the lighting. This ongoing work should help staff to better plan activities and provide more stimulation for people who have complex needs. Greenfield’s now also have access to a specialist bus on weekends. This gives them better scope to access the local community and local events in the area. There are still limits to accessing the community due to the fact that all individuals who use the service need wheelchairs. This means that staffing has to be at least on a one to one basis, which is not always possible. Staff do plan for special events and days out, but this often involves them offering their time voluntarily. Staff were observed communicating with individuals in their preferred way and giving choice and responsibility where able. Examples of this was giving individuals a choice of activities to choose from, asking what they would prefer for their drinks and spending time chatting to individuals to ensure they were comfortable and relaxed. One individual enjoys listening to particular music and this was put on for them in a communal area. Others were asked if they were enjoying it or did they wish to spend time doing something else, or sitting in the garden. The home offers a choice of meals that appear well balanced and are attractively presented. The home has a special pulsing machine for pureed food. The main meal is offered at lunchtime and it was observed to be relaxed with support given to eat in a respectful and caring manner. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is provided in a way individuals prefer and require to ensure that physical and emotional needs are well met. Individuals are kept safe by a good system for administering and recording any medications given. EVIDENCE: The home have a range of specialist equipment to assist them in meeting individuals personal care needs and this has been enhanced by the use of individual slings which makes transferring individuals much easier. These sings can be left under individuals all the time as they are made of a very lightweight material. This means that individuals do not have to be moved about to position slings under them, which can be a health and safety issue for both the individual and staff. Greenfield purchased these slings on the advice of the physiotherapist who continues to offer support and guidance to staff in respect of moving and handling. They have also completed reassessments of all
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 17 individuals moving and handling plans to ensure they can provide personal care in a safe and consistent way. Carers who completed surveys said that they were very happy with the personal care provided. Comments included ‘’Creates a very happy atmosphere. Staff are very warm and caring. They go beyond the call of duty to make sure our relative is contented and always happy. As a family I don’t know how we would cope without them.’’ One care manager said ‘’they are quick to ring me on medical/health care matters and will liaise closely with doctors and other health care colleagues’’ One health care professional said ‘’ all the people they support are treated as individuals and their needs are identified and addressed as such.’’ Another commented ‘’staff know the people who use the service very well and are generally very caring. They appear to offer a flexible service to parents/carers and are keen to improve the service they offer’’ The homes medication procedure was observed and discussed with the senior carer. The home has appropriate storage facilities for all medications and records are well maintained for administering of medications. Only staff that have completed training in safe handling and administering of medications are able to take on this role. None of the current service users are able to self medicate. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 18 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. Young people who use Greenfield’s and their representative’s views are listened to and acted upon. Training, policies and procedures are in place to protect individuals from abuse, neglect and self-harm. EVIDENCE: The home has a simple complaints procedure that is part of Devon County council’s key policies. Complaints are recorded and followed up with actions taken to resolve issues. Carers who completed surveys said they knew who to make a complaint to. There have been no complaints made directly to the Commission since the last inspection, and Greenfields have not received any complaints since the last inspection. The registered manager said they try hard to ensure that they check with families on a regular basis whether they are happy with the care and support provided as a measure to ensure issues do not become complaints but are dealt with as they arise. Staff have training in the protection of vulnerable adults and are aware of what to do should they suspect abuse. The home has stated policies and procedures in place and staff when asked were aware of these.
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 19 Any incidents of physical or verbal aggression is recorded and copies are sent to CSCI. Policies and guidance is in place for staff to refer to. The home has a robust system in place for ensuring that individuals’ monies is kept safe and records kept of all transactions. Theses were checked and found to be accurate and well maintained. The records are independently audited weekly and staff check amounts daily. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 20 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Young people who use Greenfield’s and their representative’s views are listened to and acted upon. Training, policies and procedures are in place to protect individuals from abuse, neglect and self-harm. EVIDENCE: During this inspection a tour was made of all parts of the home, which was found to be clean and comfortable. One or two areas are in need of redecoration, but it is clear staff have made great efforts to ensure the environment is as homely and comfortable as possible. Young people who use the service are encouraged to bring items in to personalise their rooms The home has a good range of communal spaces upstairs for a number of activities. One room has been converted to a sensory room with specialist
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 21 lights and another is a soft play area. The home also has a craft room a quiet garden room and a playroom. Down stairs there is a large lounge and dinning area as well as the bedrooms. The garden area is accessible to wheel chair users and has been made attractive with shaded areas as well as a water feature. The home completed a pre inspection questionnaire, which evidences that all equipment and facilities are serviced and well maintained to ensure that the home is a safe environment. Policies and procedures are in place to ensure that good infection control procedures are in place and domestic staff are employed to ensure that the home is kept clean. Staff were observed to wear gloves and protective aprons when handling food or providing personal care. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and competent to meet the needs of individuals who use the service. Robust recruitment procedures are in place to protect young people. EVIDENCE: Many of the staff group have worked at the home for a number of years and have built up a good relationship with the young people who use the service. This is key to providing good quality care, as most individuals are unable to communicate their needs verbally, so rely on people understanding their facial expressions and body language. This knowledge and experience is enhanced by a good training programme that covers all aspects of health and safety as well as some specialist training that enables staff to have a better understanding of the needs of those individuals who use Greenfields for short breaks. Staff spoke to and those who completed surveys said that they had good opportunities for training. Two have completed the Learning Disability Award Framework training and several other staff are now completing this. This
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 23 training looks at specific issues relating to working with those individual who have a learning disability and enables staff to check their every day practice is in line with ensuring individuals are treated with respect and dignity. The home have exceeded the 50 ratio of staff achieving NVQ training, which is a nationally recognised training programme in care. This helps staff to better understand their role. Two staff files were looked at to check that all relevant checks and references were in place. This helps to ensure that those who are suitable to work in care are not employed and so young people who use this service are protected. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 24 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. The home is well managed and ensures that the health safety and welfare of the young people who use the service is protected. EVIDENCE: The registered manager is qualified and experienced to run the home. Staff spoken to said that the management approach was open and inclusive and staff felt their opinion was listened to. Staff reported both in the surveys returned and in face-to-face interviews that the staff team worked well and supported each other. The manager stated that the homes quality assurance has been well implemented in terms of external audits looking at specific areas such as the kitchen, finances and the general environment. DCC ensures that someone
Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 25 appointed on behalf of the responsible individual completes monthlyunannounced visits. Reports of these visits are sent to CSCI and include information about the premises as well as views of staff and where possible service users. The manager has now extended the quality assurance programme to include seeking the views of the carers of those young people who use the service. Surveys are now used to regularly check that the quality of care is what the carers expect and their views and comments are used to help make any improvements to the service offered. The manager now plans to also survey health care and care management staff that refer people to use the service. This will help to make sure that the home includes the views of all those involved in the planning of care and support of the young people who access services at Greenfields. The home ensures that staff have key training in all areas of health and safety. This ensures staff are able to do their job safely. The pre inspection questionnaire evidences that the home ensures all safety checks are completed, that equipment is serviced and policies and procedures are in place for all health and safety matters. During the inspection the fire logbook and accident and incident reports were viewed and found to be well maintained and updated. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 26 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X X 3 Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 27 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 YA14 Good Practice Recommendations The registered provider should ensure there are sufficient staff and resources available to provide meaningful activities and stimulation, which includes access into the local community. Greenfields DS0000039188.V331172.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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
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