Inspection on 17/10/06 for Heightlea

This inspection was carried out on 17th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Heightlea 16/02/06

Heightlea 25/08/05

Heightlea 10/03/05

Heightlea 13/04/04

Heightlea 09/10/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Heightlea Old Falmouth Road Truro Cornwall TR1 2HN Lead Inspector Lowenna Harty Unannounced Inspection 17th October 2006 09:30 Heightlea DS0000009113.V315889.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 Heightlea DS0000009113.V315889.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. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heightlea Address Old Falmouth Road Truro Cornwall TR1 2HN 01872 263344 01326 371099 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) Spectrum Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: Heightlea is a care home providing accommodation and personal care for up to three adults with a learning disability. The registered provider is Spectrum, an organisation that provides specialist services for adults with autistic spectrum disorders. The home is a large, detached building, situated on the outskirts of the city of Truro, in a quiet location. It is set apart from main roads, so that it offers ready access to all the local amenities and provides service users with privacy. It has Four large single bedrooms. Two are on the ground floor and two on the first. There are two lounges, a conservatory, and a kitchen/diner on the ground floor and an additional lounge on the first floor. There is a shared bathroom on each floor. The home also offers a respite care and day care service. One service user currently has regular respite stays when one of the other residents spends time with their family. Access is via a steep hill and there is a step into the kitchen, which could be unsuitable for some people with physical disabilities, but it is adequate for the service users currently resident there. Fees range from £822.00- £1112.00 Per week. These are “all inclusive”. The only additional charges are for service users’ personal shopping items. Copies of the home’s statement of purpose and previous inspection reports are available on request. The manager provided this information at the time of the inspection. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which took place on 17 October 2006 and lasted for approximately five hours. The purpose of the inspection was to ensure that service users’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that service users’ placements in the home result in good outcomes for them. Information received from and about the home since the previous inspection has also been taken into consideration in making judgements about the quality of outcomes for the service users living there. The inspection included interviews with the three service users who are permanently resident in the home. Two of them chose to have a member of staff present and one wished to be interviewed in private. All three gave their views clearly on the quality of the care and services provided to them. A member of staff was interviewed and there were opportunities to directly observe aspects of service users’ daily lives in the home and staff interaction with them. Other activities included an inspection of the premises, examination of care, safety and employment records and discussion with the manager of the home. Case-tracking of four service users involved a more in-depth review of how the home meets their needs, with particular reference to their individual and diverse needs relating to their age, culture and ethnicity, religion, gender, sexual orientation and disabilities. What the service does well: Admission to the home is on the basis of an assessment of service users’ needs so that they can be sure it will be suitable for them. They appeared to be well matched with regard to their ages, gender and abilities. The group living there now is quite stable and there have not been any recent changes. They have written information about the home and good experience of what it is like to live there. All of the service users said that they know about their care plans, understand and agree with them and that they attend regular reviews. They are encouraged to make decisions for themselves, by working with staff to choose their activities for the week ahead, for example. They are supported to take sensible risks so that they develop increased skills and confidence to take on new challenges towards gaining independence. Service users enjoy a good quality of life in the home and take part in a wide range of activities. They regularly go out to local social clubs and pubs, access the shops, which are conveniently located within walking distance and attend part-time college courses, for example. Their achievements are celebrated, Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 6 with displays of their artwork on the walls of the home. They confirmed that they are supported to maintain contact with their families and friends with regular visits and telephone calls. They have clear information on what is expected of them and what they can expect from the home. All of them said that they like the food provided and were observed enjoying wholesome, home prepared meals at lunchtime, which they ate with staff. Service users appeared smartly dressed and well cared for. They have good access to local healthcare services when they need them so that they stay well. They are encouraged to make suggestions for improvements individually and as a household in regular meetings with staff and managers. They all said what they would do if they had a complaint and were confident that they would be listened to and taken seriously. The home is very comfortable, spacious, well furnished and attractively decorated so that service users benefit from living in an ordinary home in a community setting. It provides them with a good situation in which to develop their skills and independence. It was clean and tidy throughout at the time of the unannounced inspection. Service users said that they like the staff and appeared to relate well to them. The staff all either have or are working towards gaining formal qualifications in care and have good access to ongoing training so that service users can have confidence in their skills. They are employed on the basis that they are suitable to work in a care setting so that service users can feel comfortable and safe with them. The home is very well managed so that staff are able to work effectively with service users, even when the manager is off duty. The day-to-day running, planning and development of the service is based on service users’ views and best interests. Service users and staff agreed that it is a safe place in which to live and work. What has improved since the last inspection? Service users care plans now set out more detailed goals for them so that they have clear targets to work towards and can see how they progress towards greater independence over time. At this inspection it was very apparent that service users are fully involved in the care planning process and aware of its purpose. Systems for managing service users’ medicines have improved so that they are better protected from the risk of staff making mistakes. Arrangements have been made for further, extensive improvement of the home’s environment to make it even more comfortable for service users. Work Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 7 is due to start shortly and arrangements have been made for service users to be accommodated elsewhere for a short time while it is completed. Service users have chosen new colour schemes for their own bedrooms. There was better evidence at this inspection that there are sufficient numbers of staff to meet service users’ needs so that their care plans are put into practice. There was also improved evidence that staff have the support and supervision they need so that they can work effectively with service users. 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. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 8 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 Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 9 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. Admission to the home is based on a formal assessment, which includes consideration of service users personal, health and social care needs and due consideration of their age, cultural background and religion, gender, sexual orientation and disabilities, so that they can be assured the home will be suitable for them. Service users are provided with individual contracts so that they are aware of most of their rights and obligations as residents of the home, but some improvements are needed so that they are fully informed of their financial obligations. EVIDENCE: The manager said that there had not been any changes to the service user group since the previous inspection and none are currently planned. They have lived together in the home for several years and are very familiar with the services it provides to them. All three said that they get on well with each other. There was detailed background information about one of them on their personal files, so that they and staff working with them are able to monitor their progress in the home over time. This was missing from the files of the Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 10 other two, but the manager said she is in the process of updating them and will retrieve the information from Spectrum’s head office shortly. Service users have service users’ guides, which also set out the terms and conditions of their placements in the home. They are given to them in suitable formats, written in plain English. Information on the amount of their fees, including a detailed breakdown of how their personal contributions are calculated is not currently provided to them however. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 11 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. Service users’ care plans provide them with clear goals to work towards so that they can work towards maximising their independence. They are supported and encouraged to make decisions about their lives and to take managed risks so that they develop their skills and confidence. EVIDENCE: All of the service users said that they are aware of their care plans, understand them, agree with them and attend regular reviews. Care plan formats consider service users’ individual and diverse needs, with due consideration their age, cultural and religious backgrounds, disabilities, gender and sexual orientation. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 12 Goals are clear and specific so that service users have clear and achievable targets to work towards and there is documentary evidence of regular reviews. Staff were observed inter-acting with service users during the inspection to help them to make appropriate decisions. Their written care plans actively encourage them to develop skills in this respect. There are written minutes of regular house meetings, during which service users can discuss their concerns and views of the home and service users meet weekly with staff so that they can choose their activities and food for the week ahead. There are detailed written risk assessments for each service user, which are regularly reviewed and address specific activities that service users engage in, on their personal files. Daily care records, which service users’ help to prepare, reflect their care plans and risk assessments and show how they are helped to take managed risks to develop their skills and independence. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users access a wide range of age, peer and culturally appropriate activities in and out of the home and maintain contact with their families and friends so that they enjoy a good quality of life. They are informed of their rights and responsibilities so that they know what to expect and what is expected of them. They are provided with a healthy diet so that they stay well and enjoy their meals. EVIDENCE: All the service users said that they enjoy the activities provided for them and were able to give examples of things they particularly enjoy. During the inspection they were observed engaging in a variety of different activities in and out of the home, either independently or with staff assistance, depending Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 14 on their preferences and individual plans. One service user was out at their college placement for part of the inspection, another went out with staff and another preferred to remain at home for the day. Staff said that they work with service users to plan their weekly activities in advance. Daily care records indicate that service users’ care plans are carried out. Service users frequently access the local community and they were able to give examples of this. They attend local colleges, and go out to local shops, pubs, cafes and parks, for example, on a regular basis. Their daily care records confirm this and they were observed coming and going from the home during the inspection. Spectrum provides vehicles and staff take them out for drives. The home is well situated, on the outskirts of Truro, to enable service users to access a full range of local community resources. Service users said that they maintain contact with their families and friends on a regular basis and the manager said that they are able to receive visitors if they wish. They are able to make telephone calls in private. The manager said that they attend a local social club on a regular basis and go to parties at other Spectrum homes, where they can meet people outside of the home. Service users’ needs in relation to personal and sexual relationships are considered as part of the ongoing care planning process and regularly reviewed. Service users are informed of their rights and responsibilities in their service users’ guides, which also function as placement contracts, so that they know what is expected of them and what they can expect from the home. They are given advice on their rights to independent advocacy. All of the service users said that they like the food provided to them at the home. They were observed being offered choices of meals at lunchtime and taking their meals with staff. They are able to access the kitchen independently to prepare drinks and snacks for themselves if they wish. The manager said that they are encouraged to eat healthily and menu plans showed that they are provided with a variety of home prepared meals. Their nutritional needs and food preferences are considered as part of the care planning process and regularly reviewed. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 15 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. Service users are appropriately supported with their personal care and to access general and specialist healthcare services when they need them so that they can live comfortably and safely in a community setting. There are systems in place to manage their medication and further improvements are planned so that they are protected from medication errors. EVIDENCE: Service users said that staff treat them with respect and this was observed throughout the inspection. The home has suitable, lockable bathrooms so that service users can attend to their personal care needs in private and the mixed gender staff team means that they can choose to receive intimate personal care from a person of the same gender, if they prefer. Their care plans consider their personal care needs and are regularly reviewed. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 16 Service users’ care plans consider their physical and emotional healthcare needs and their individual healthcare records show that they regularly access a range of local NHS healthcare providers in relation to specific needs and for regular checks to ensure that they maintain good health. The home has clear written procedures to guide staff on how to assist service users with their medication. The manager said that a new medicines cabinet is on order from the local pharmacist. Some staff have completed training in the safe handling of medicines and the rest are booked to attend it. In the meantime, the manager has made arrangements for staff to check each other to reduce the risk of errors. Service users’ medication records appeared to be up-to-date and accurate and there were no excess stocks of medicines in the home. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 17 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 systems in place to enable service users to express their views and concerns so that improvements can be made where necessary. Service users are well protected from abuse, neglect and self-harm so that they can feel safe and comfortable in the home. EVIDENCE: The manager said that there have been no formal complaints since the previous inspection. At the time of the inspection a service user expressed dissatisfaction over a specific incident that had occurred to them during the day. The manager immediately took steps to resolve their concerns so that it was not necessary for them to invoke the formal complaints procedure. Service users said that they are generally satisfied with the care and services provided to them. They are provided with copies of the home’s complaints procedure in their service users’ guides. There is a key worker system in place so that service users have a named worker they can talk to if they have concerns and there are regular house meetings so that they can talk about any ideas they have for improving their lives in the home as a group. Typed minutes of these are available. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 18 All of the service users said that they feel safe and well cared for in the home. Most importantly, they are not isolated and have regular contact with people outside of it, including relatives and external healthcare professionals. There is appropriate written guidance for staff to inform them of what they should do if they suspect a service user is being abused and they have signed to indicate that they have read it. A staff member who was interviewed indicated that they had a good understanding of what they should do if they suspect abuse of a service user. The manager would benefit from attending multi-agency training on the protection of vulnerable adults from abuse to increase her familiarity with how different local agencies work together in this respect. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 19 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 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well maintained and comfortable for service users and there are plans for further, major improvements to it so that they can enjoy a comfortable home life, in a community setting. There are systems in place to maintain good hygiene so that service users are protected from harm due to cross-infection. EVIDENCE: All of the service users said that they are satisfied with the accommodation provided to them. The home is ideally situated, in a quiet part of Truro and set in its own, extensive grounds so that service users simultaneously benefit from the close proximity of community facilities and privacy. It provides them with a spacious environment, with a choice of communal rooms in addition to their private rooms, which are also very spacious. The home appeared well Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 20 decorated and comfortably furnished throughout and the manager said that it is shortly to undergo further extensive improvements. Arrangements have been made for the service users to stay in alternative accommodation for a short period, while the work is carried out. Service users have helped to choose the new décor for their individual rooms. The home appeared clean and tidy throughout at the time of the inspection. There are suitable laundry facilities to meet service users’ needs and equipment is in place to prevent the risks of infection, including suitable containers for transporting soiled laundry and hand washing facilities so that staff and service users are able to maintain good hygiene. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 21 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, 33, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent and either qualified or working towards gaining formal qualifications so that service users can have confidence in the people working with them. There are enough staff to work safely and effectively with service users. Staff are recruited fairly and on the basis that they are suitable to work with vulnerable adults in a care setting. They have good access to ongoing training and are well supported and supervised so that service users can be assured that their skills are maintained and monitored for their benefit. EVIDENCE: The manager said that all the staff either have or are working towards gaining formal qualifications in care and staff who were interviewed confirmed this. The manager was not present until the final moments of the inspection, but a staff member who was on duty was able to assist. She had an excellent knowledge of the service users and the operation of the home, despite having only been Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 22 in post for five weeks and was able to provide positive evidence to demonstrate that most of the key standards were either met or exceeded. Service users indicated that the staff meet their needs well and staff confirmed that there are enough of them on duty at any one time to be able to work safely and effectively with them. The manager said that staffing numbers and deployment are considered against service users’ risk assessments, which are regularly reviewed. Staff who were interviewed said that they were recruited fairly and recruitment records provide evidence that recruitment is fair, safe and effective, based on equal opportunities legislation and sound recruitment procedures. Staff who were interviewed said that they have good access to ongoing training and there is documentary evidence of this on the home’s computerised records. They do not commence work in the home until they have completed a five-day induction at Spectrum’s headquarters to ensure they have the necessary skills to work safely and effectively. This is followed up by in-house induction, once they commence work in the home, with full records maintained. Staff confirmed that they are provided with regular 1:1 supervision with the manager and there are records of regular team meetings. They have good access to management support external to the home with on-call managers available to provide them with guidance and back up when they need it. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 23 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 excellent This judgement has been made using available evidence including a visit to this service. The home is very well managed for the benefit of the service users. They are encouraged to contribute their views with regard to the ongoing planning and development of the service so that it operates in their best interests. There are sound systems in place to protect service users’ health, safety and welfare. EVIDENCE: The manager is very experienced having worked at several other Spectrum homes and been a registered manager in two of them. She has formal care and management qualifications and has submitted an application to be registered in respect of this service. She said that she has worked hard to set up the unit so that it can operate effectively in her absence, with a wellHeightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 24 motivated staff team. This was apparent in that staff on duty were able to positively evidence most of the key standards in her absence. Service users said that they are listened to and taken seriously and there are formal and informal systems in place for them to make their views known. They attend reviews of their individual care plans and are invited to contribute to them. They are encouraged to contribute to their own daily care records by maintaining personal diaries, which record their day-to-day experiences in the home. There are regular opportunities for them to meet individually with their key workers and house meetings with minutes kept, when they are invited to contribute their views on how the home operates. Spectrum’s senior managers regularly visit the home and provide external inspection of it, which includes interviews with the service users. There are written reports of these visits, copies of which are regularly submitted to the Commission. All the service users said that the home feels safe to them and staff who were interviewed said that it is a safe place to work in. There are records of regular fire safety checks and tests. The home’s environmental risk assessment is complete and subject to regular review. New staff undertake core training on working safely with service users as part of their induction and are able to access regular training updates. There are records to evidence this on the home’s computer. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 25 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 X 3 3 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 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 4 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation 5(1)(bb) Requirement The registered provider shall produce a written guide to the home (in these regulations referred to as “the service users’ guide”), which shall include… (bb) details of the total fee payable … and the arrangements for payment of such a fee. (Service users must be told about the charges the home makes so that they can make informed choices about their placements there). Timescale for action 01/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA23 Good Practice Recommendations The manager should attend multi-agency training on the protection of vulnerable adults from abuse. Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Heightlea DS0000009113.V315889.R01.S.doc Version 5.2 Page 28 - 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!