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Inspection on 30/05/07 for Harry Priestley House Residential Home

Also see our care home review for Harry Priestley House Residential Home for more information

This inspection was carried out on 30th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People living at the home receive a good standard of care from a settled, caring, committed and well-trained staff team who have a good understanding of their needs and who act in their best interests. One health care professional said that the home provides a "first class service" and another said, "I think this is one of the best homes I have ever visited in all my years in the care sector". People who live at the home are encouraged to make their own choices and this enables them to have control over their lives. Care plans are very informative so that staff are clear about each person`s needs and the actions they need to take to make sure that these needs are met. People living in the home enjoy a range of activities that enable them to pursue their leisure interests and be involved in the local community.Staff receive a good range of training and this provides them with the skills and knowledge to maintain and improve on good standards of care for people living at the home. The home is very well managed so people can feel confident that any concerns will be addressed properly and good standards of care will be maintained. The home uses different ways of seeking views from others about the care and services they are providing in order to keep on improving the performance of the home in meeting peoples` needs.

What has improved since the last inspection?

Parts of the home have been refurbished to a high standard and this has made the environment more pleasant for people living at the home. There is an ongoing staff training programme and most staff have now completed the National Vocational Qualification (NVQ) programme so that people in the home are receiving care from a more knowledgeable and skilled workforce.

What the care home could do better:

The staff team is continually looking at ways of maintaining and improving its existing high standards of care so that people living in the home can feel confident that their needs will be met.

CARE HOME ADULTS 18-65 Harry Priestley House Residential Home 30 Fieldside Thorne Doncaster DN8 4BD Lead Inspector David White Key Unannounced Inspection 30th May 2007 09:00 DS0000008011.V330862.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 DS0000008011.V330862.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. DS0000008011.V330862.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harry Priestley House Residential Home Address 30 Fieldside Thorne Doncaster DN8 4BD 01405 814777 01405 814454 aellis@rmbi.org.uk 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) Masonic Care Limited Mrs Elizabeth Ann Ellis Care Home 12 Category(ies) of Learning disability (12) registration, with number of places DS0000008011.V330862.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Harry Priestley House is a converted property in Thorne near Doncaster. Accommodation is provided on two floors. The house is in a residential street close to shops and community facilities. The home is registered for 12 people who have a learning disability. Harry Priestley House is owned by Masonic Care Limited. The current weekly fees for the home at the time of the site visit on 30th May 2007 are £588.56 per week and do not include costs for hairdressing, chiropody, toiletries and trips out that that are further than 3 miles. A statement of purpose is on display providing information about the home and each person who is using the service is provided with an information pack giving details of the care and services on offer. The most recent inspection report is available for people to look at and copies of this can be made available on request to the manager of the home. DS0000008011.V330862.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the manager on a pre-inspection questionnaire. Comment cards returned by five people who are living at the home, five members of staff and five health professionals who have contact with the home. This report follows an unannounced site visit undertaken on the 30th May 2007. This visit was carried out by one Regulation Inspector and took 6.5 hours with 4 hours preparation time. Time was spent talking to three people who live at the home; two care staff, the deputy manager and the manager of the home. Records relating to the people at the home, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity in the home. This helped in gaining an insight into what life is like for people living in the home. The manager was available for some of the inspection and the findings were discussed with her and the deputy manager at the end of the site visit. What the service does well: People living at the home receive a good standard of care from a settled, caring, committed and well-trained staff team who have a good understanding of their needs and who act in their best interests. One health care professional said that the home provides a “first class service” and another said, “I think this is one of the best homes I have ever visited in all my years in the care sector”. People who live at the home are encouraged to make their own choices and this enables them to have control over their lives. Care plans are very informative so that staff are clear about each person’s needs and the actions they need to take to make sure that these needs are met. People living in the home enjoy a range of activities that enable them to pursue their leisure interests and be involved in the local community. DS0000008011.V330862.R01.S.doc Version 5.2 Page 6 Staff receive a good range of training and this provides them with the skills and knowledge to maintain and improve on good standards of care for people living at the home. The home is very well managed so people can feel confident that any concerns will be addressed properly and good standards of care will be maintained. The home uses different ways of seeking views from others about the care and services they are providing in order to keep on improving the performance of the home in meeting peoples’ needs. 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. DS0000008011.V330862.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 DS0000008011.V330862.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): 1 and 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper pre-admission procedures are in place so that people who are thinking about moving into the home can feel confident that their needs will be met. EVIDENCE: Although nobody has been admitted into the home since the previous inspection visit it was noted within the care records of three people living at the home that proper pre-admission procedures were in place. Information is obtained from other sources such as placing authorities before any decision had been made about whether the home would be able to meet the person’s needs. The home also carries out their own assessment of the individual’s needs in order to help them make a decision about whether the person would be suitable for the home. People who are considering moving into the home and their relatives are invited to spend time at the home before making any decisions about living there. Each person is giving an information pack detailing the care and services on offer at the home. The information pack is very informative and includes such things as how to make a complaint. There is information about what people living in the home have to pay for themselves and what is not provided. The DS0000008011.V330862.R01.S.doc Version 5.2 Page 9 home provides free transport to take people out locally and to escort people to appointments. However, there is a small charge for trips out that are further than 3 miles. Whilst charges for these are clearly accounted for in the records of monies spent by the people living in the home, the charges should be included in information about the home so that people are aware that there will be additional costs for this service. DS0000008011.V330862.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 and 9. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home are encouraged to make their own choices about their own lives as much as possible taking into account any risks that need to be considered. EVIDENCE: Each person has a very detailed and informative person centred plan which places emphasis on how they prefer to be supported in meeting their aims and objectives. This takes into account personal choices about each person’s preferred daily routines. The information includes a “life story” booklet that explains the life history of each person and provides details about what is important to him or her in their lives and their personal goals. The care plans are well organised, easy to follow and focus on developing the person’s independence and their strengths. People using the service said that they regularly meet up with their key worker to discuss their care and the key worker system enabled staff to spend time with people on an individual basis. DS0000008011.V330862.R01.S.doc Version 5.2 Page 11 Care plans are reviewed regularly and this process includes the involvement of relatives and professionals so that they can have their say in how peoples’ needs are being met. People living at the home said that they are “encouraged to be independent and do things for themselves” and this could be seen at the time of the site visit. A range of good risk assessments is in place for each individual to promote their independence and safety. The assessments include information about why decisions have been made where people could be restricted in what they are able to do and these are reviewed on a regular basis to reflect and address any changing needs. Some people display challenging behaviour at times and the care records explain information about the behaviour and actions that are to be taken to reduce any risks from this. Daily records are well maintained and reflect the care that is being given and the records show how choices have been made. There are handover periods between shifts so that information about each person can be passed on so that staff are aware of what they need to do to meet their needs. Each person at the home has support from advocacy services when requested to help them with their decision-making and to protect their rights. DS0000008011.V330862.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 and 17. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home enjoy a very fulfilling lifestyle and have involvement in the local community. EVIDENCE: Each person has an individual activity programme for throughout the week. Some people attend local day services, which they describe as “enjoyable”. One person said that they are attending a local college where they are doing computer and drama classes and this person has a computer in their bedroom to practice their skills. Another person said they did voluntary work at a local youth club. People who live at the home enjoy regular visits to the local shops and pubs and the home has their own transport so that staff can support people where appropriate to access local services. People at the home said that they “live their lives as they choose” and feel that they have good social opportunities. There are planned holidays for the summer and people said how DS0000008011.V330862.R01.S.doc Version 5.2 Page 13 much they are looking forward to these. Because of the number of people living at the home it is not possible to take everyone who wants to go out at a particularly time, however records are kept of who has attended trips out to make sure that every person has the same opportunities. Staffing rotas are flexible and planned around the needs of people living in the home. A comment card received from a health professional said, “the staff team at the home encourages each person to reach his or her potential”. People living at the home said that they are encouraged to maintain contact with their relatives and friends and are able to see people privately when they visit the home. People can keep in contact with family and friends by telephone if they wish and are supported if they choose to be involved in personal relationships with others. People living at the home said that they enjoy the meals on offer and that there are alternative options available if they do not want to have what is on the menu. The menus show that people prefer to eat foods such as burgers and chips on a regular basis and staff said that a number of people living at the home had put weight on. The manager said that this issue has been looked at in the past; however, it is recommended that the menu options be reviewed again to promote better choice and more healthy options for people living at the home. DS0000008011.V330862.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 and 20. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The personal and healthcare needs of people living in the home are very well met. EVIDENCE: People living at the home said that the home is “a very good place to live” and describe the staff team as “helpful and supportive”. Some people need assistance with personal tasks such as bathing and said that the support they receive is provided sensitively and in a way that didn’t embarrass them. Each person has a key for their bedroom and to the entrance door of the home and this encourages their independence and offers them privacy if they need it. Each person has a General Practitioner (GP), a dentist and access to other healthcare services. People with mental health problems are supported by the local mental health services and appropriate referrals are made to other specialist services as needed. The care records contain very good information about the reasons people have attended appointments and the outcomes from these so that staff know what actions if any they are to take to make sure that DS0000008011.V330862.R01.S.doc Version 5.2 Page 15 each person’s health needs are being met. Staff support people in attending their appointments where appropriate so that information can be passed on between the home and health care services and staffing rotas are planned to accommodate this. Annual medication and health monitoring reviews take place and a health professional made comments that the staff team are good at acting on any health advice that is given. The home has appropriate aids and equipment to support people with their independence and mobility. For those people who wish to administer their own medication, a risk assessment is carried out in order to make sure that the person is able to do this safely. The medication systems are satisfactory with proper procedures in place for the administration, receipt, disposal and recording of medications. All staff that administer medication have received accredited medication training from a local college to make sure they have the necessary skills and this is updated as needed. A designated member of staff is responsible for carrying out monthly audits of the medication systems and procedures. There is an ongoing issue regarding staff at the home being able to administer insulin and carry out blood monitoring checks for one of the people living at the home. The manager has concerns that because staff are no longer doing this on the instruction of a health care specialist, this is placing restrictions on the person living at the home. A care review meeting has been arranged with all the people involved in the person’s care to try to resolve the situation. DS0000008011.V330862.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Clear complaints and adult protection policies and procedures are in place and understood by the staff to safeguard people living at the home from possible harm. EVIDENCE: The home has a complaints procedure detailing what people need to do if they wish to make a complaint and what actions will be taken following this. People using the service know who they would need to speak to if they wish to raise concerns and staff said they would be able to be aware of any concerns through observations of peoples’ behaviour for those people who have difficulty in communicating. Staff are well aware of peoples’ rights and how to protect these and the care records show that people living in the home had the opportunity to vote at the recent local elections. The home has a policy and procedure in place for the protection of vulnerable adults and staff have all attended abuse awareness training and receive regular updates. Staff spoken to had a good understanding of what abuse is and how to respond to it if it was happening. Proper recruitment procedures are followed to protect people living in the home from potential harm. DS0000008011.V330862.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The environment is homely, comfortable and safe for people living in the home. EVIDENCE: The home has a warm, welcoming and friendly atmosphere. There are three floors to the home with bedroom accommodation on the ground and first floor. There is ramped access to the rear of the home to enable people with mobility problems to have access to and from the home. There are gardens to the front and back of the home with a patio area at the rear of the building where people can sit out. The home is only a short walk from the local amenities. People at the home said that they like the accommodation and are happy with their bedrooms that are personalised to suit their tastes. One person has attained a number of certificates and trophies through their hobbies and interests and their achievements are on display in their bedroom. All the DS0000008011.V330862.R01.S.doc Version 5.2 Page 18 bedrooms have sinks but there is no en-suite accommodation at the home. There are a number of toilets and bathrooms that are all easily accessible to people living in the home. Communal areas of the home are bright and spacious and some parts have been recently been refurbished to a very good standard with modern fixtures and fittings and this has improved the standard of accommodation for people living at the home. The home is clean, bright and well maintained. There are separate laundry facilities where peoples’ personal clothing and bed linen are looked after. The kitchen is well maintained and regular checks are carried out to promote safe food hygiene practices. People living in the home said that the home is “always kept clean”. Each person has a “goal planning” day and part of this involves him or her attending to tasks such as cleaning their bedroom and seeing to their laundry so that their independence is encouraged. The home has a fire risk assessment in place that is about to be updated. Systems are in place for the monitoring of hot water temperatures and any problems are referred to external agencies to deal with. The home has an ongoing programme of re-decoration and refurbishment. During a look around the environment it was observed that there is a lack of space in the laundry area due to the storage of a number of items in there and in another area some equipment needed to be stored more appropriately. It is recommended that the current storage arrangements in these areas be reviewed to reduce any possible risks to the health and safety of people living at the home. The manager said that she would be addressing this issue. DS0000008011.V330862.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents receive good standards of care from a staff team who are well trained and supported. EVIDENCE: The staff team are committed to providing a good quality service for people who live at the home. The home has a very settled staff team and there is a low turnover of staff and this helps people who live at the home to receive a consistent standard of care from a staff team who know them well. Staffing levels enable peoples’ needs to be well met and people living at the home said, “there is always enough staff about”. The home does not use agency staff but use bank staff to cover any vacant shifts. Staff demonstrated a good understanding of each person’s needs and this enables them to provide the right kind of support for people. The staff file of the most recently employed member of staff shows that proper recruitment procedures are followed and the necessary checks are undertaken to protect people living in the home. The interview process promotes equal DS0000008011.V330862.R01.S.doc Version 5.2 Page 20 opportunities for prospective employees with all interviews carried out by two people and scoring systems are used to determine the most suitable person for the job. Staff receive a wide range of training that is appropriate for the needs of the people living at the home. The staff training records are very well organised and each member of staff has a “training passport” that details what training they have undertaken or need. A member of staff is designated to maintain the training records so that they know when training is due for individuals. The majority of staff have either completed or are undertaking the National Vocational Qualification (NVQ) programme and the home has the “Investors in People” award for its commitment in developing the skills and knowledge of the staff team. Comments from staff surveys indicate that there is a need for some Information Technology (IT) training to support them in their work and the manager said that this is being arranged. DS0000008011.V330862.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is very well managed in the best interests of people living in the home and with proper attention given to their health and safety. EVIDENCE: The registered manager of the home has a lot of experience in running the home and has completed management qualifications to help develop her skills in her role. It is clear that the manager has developed a very open and transparent culture that encourages people to share their views and opinions. The home has a deputy manager who provides good support to the manager in the leadership of the home. DS0000008011.V330862.R01.S.doc Version 5.2 Page 22 People living at the home said that they have confidence in how the home is managed and feel “safe”. Staff made comments about the good relationships between management and staff and said that they feel “well supported” in carrying out their jobs. Health professionals spoke favourably about the home. One said, “the home provides a first class service” and another, “I think the home is one of the best homes I have ever visited in all my years in the care sector”. There are a number of systems in place to make sure that the home seeks the views of others about the care and services on offer at the home. People living at the home and their relatives have recently completed surveys asking for their opinions about the home and suggestions for improvement. A person from the local advocacy services was asked to offer assistance to those people who needed it to enable them to provide information in the surveys. The surveys gave an option as to whether people provided their name or not and this practice respects the confidentiality of the person completing the survey. Regular staff meetings and house meetings involving people living at the home are held to give people the opportunity to express their views and these are recorded. Staff receive supervision to support them in their jobs and to address any staffing issues. There are a number of audit systems in place inhouse to look at various care practices in the home and a senior person within the company carries out visits to monitor the performance of the home so that any areas for improvement can be addressed. The home has proper arrangements in place to make sure that health and safety practices promote a safe environment for people living there, relatives and visitors to the home. A random selection of the required health and safety certificates are up to date and satisfactory. All staff receive a range of health and safety training and regular fire safety testing and checks are carried out to promote a safe environment for people living at the home. DS0000008011.V330862.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 4 X X 3 X DS0000008011.V330862.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA1 Good Practice Recommendations Details of any additional costs for transport for recreational activities should be included in information provided about the home so that people are fully aware of what they will need to pay for when living there. More healthy eating options should be introduced into the menu to promote the health of people living at the home and to offer them more choice. The home should look at ways of improving their storage arrangements for furniture and equipment to promote the health and safety of people living there. 2. 3. YA17 YA24 DS0000008011.V330862.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 DS0000008011.V330862.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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