CARE HOME ADULTS 18-65
Helene Lodge 115 Talbot Road Bournemouth Dorset BH9 2JE Lead Inspector
Marion Hurley Key Announced Inspection 24th April 2007 10:00 DS0000004015.V335614.R02.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 DS0000004015.V335614.R02.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. DS0000004015.V335614.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Helene Lodge Address 115 Talbot Road Bournemouth Dorset BH9 2JE 01202 389901 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) stevenson80@ntlworld.com Mrs Joan Pauline Stevenson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places DS0000004015.V335614.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Helene Lodge is registered to provide residential care for up to four younger people with learning disabilities. Helene Lodge is a large family home. It is situated within walking distance from the local shops at Winton and has access to the main bus routes for other parts of the town. All residents have their own bedrooms, which are individually decorated and styled. Two are on the ground floor both having en suite facilities and the other two on the first floor. The communal space is very generous with two lounges one of which is very large and a separate slightly smaller one and a large family style kitchen diner with sufficient seating for everyone. There is a garden and patio area to the rear and at the front a large gravelled area providing ample private parking. The home is furnished to a high standard whilst maintaining a comfortable family feel. The Proprietors, Mr and Mrs Stevenson and two of their family members live at Helena Lodge and share the communal spaces with the other residents. Mr and Mrs Stevenson provide virtually all the care on a twenty four hour basis though have recently linked with a local agency who now provide staff for one day a week which ensures Mr & Mrs Stevenson have a break though they remain on call throughout the day. The home provides an individualised residential service to each person living at Helene Lodge ensuring maximum care and independence is maintained according to specific abilities and needs. DS0000004015.V335614.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The time spent on the inspection visit was five hours and during this time the inspector met all the service users and the Proprietors Mr & Mrs Stevenson. This inspection focused on all the key standards and information for the report was gathered using evidence from the home visit, pre inspection information completed by the Proprietors, and the service history of the home. During the home visit various records were checked for example two care plans, risk assessments, training records plus all health and safety records. A tour of the home was completed with each person showing the inspector his or her own bedroom. Service user records were read to determine the quality of service from the perspective of the residents and one person helpfully spent time with the inspector going though their records, this was very productive as they were able to tell the inspector how accurately the notes reflected their own needs and abilities and especially their aspirations. A total of eleven comment cards were returned and all included very positive statements about Mr & Mrs Stevenson and the quality of care and lifestyle provided to each person living at Helene Lodge. Statements were further endorsed by comments from residents which included “ I am happy here, food is excellent, I am happy, I like holidays”. Feedback was given to the Proprietors and residents on the day. What the service does well:
Helene Lodge is owned and managed by Mr & Mrs Stevenson. They have a clear commitment to the home and all the people living there and remain enthusiastic to ensure Helena Lodge continues to offer a quality service providing a good standard of care and lifestyle to the people living there. The service remains totally focused on the people who live in the home. The positive use of individual care planning is prominent and this ensures each person is supported to determine his or her own service and lifestyle. The range of information available concerning the individual people demonstrate how their needs have been identified and the plans in place to meet their specific needs. Residents pursue a variety of different daytime occupations from attendance at a Day Service Centre, a local Horticultural College, voluntary conservation work, swimming, work placements and access “Stepping Stones” which is a local resource which networks local work and leisure opportunities. Risk assessments have been completed which show how service users are appropriately and safely supported in the home and local community.
DS0000004015.V335614.R02.S.doc Version 5.2 Page 6 The views of the resident’s relatives and friends are encouraged and they are welcome to act as advocates if required. Visitors are always welcome and to help keep all the families and friends informed of events Mr & Mrs Stevenson produced regular newsletters. The home actively seeks support from other professionals and works cooperatively with staff from Health & Social Care Services. Comment cards received from a Health & Social Care staff confirmed the excellent and professional working relationship Mr & Mrs Stevenson maintain. There is an effective quality assurance system in place, which ensures Mr & Mrs Stevenson formally, and objectively review the services provided. Helene Lodge offers clean pleasant and homely accommodation with good quality furniture, fixtures and fittings. The pre-admission procedure, including the statement of purpose and service user guide, ensures prospective service users and their families have the information necessary to make an informed choice about the home. Service users have their needs assessed before admission to the home to ensure care and support can be individually tailored to their needs Service users are offered a healthy and interesting menu and each person contributes by choosing and taking their turn to cook the evening meal for the household. The health needs are appropriately looked after in an individualised way and all the people are protected by the Home’s procedures for dealing with medicines. Service users benefit from a well run home and their health and safety is considered paramount. All the people living at Helena Lodge confirmed in their different ways how much they enjoyed living at the home and it was very obvious from the chatter and good natured banter that everyone lived as one extended family. What has improved since the last inspection?
Care plan files have been modified and continue to provide a valuable resource of information for the individual and those providing care and support. The redecoration of the lounge and two bedrooms has been completed since the last visit. The recruitment of “Agency Staff” have benefited the Proprietors and service users who have enjoyed meeting new people. The Proprietors have linked with one specific agency and only use the same staff once a week. Mr & Mrs Stevenson have purchased a boat since the last inspection and everyone was able to tell the inspector how much they have joined going out
DS0000004015.V335614.R02.S.doc Version 5.2 Page 7 on the boat sometimes just for a trip and then a picnic or on other occasions to specifically go fishing. Before venturing out with any of the service users Mr & Mrs Stevenson successfully completed their proficiency awards in marine safety. 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. DS0000004015.V335614.R02.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 DS0000004015.V335614.R02.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 excellent. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide ensures service users and their representatives are aware of the service offered by the home before they make a decision about moving in. Service users have their needs assessed before moving to Helene Lodge to ensure that an individually tailored care plan can be achieved. The transition to the home is well managed. EVIDENCE: Three service users have lived at the home for several years and last summer a fourth person joined the group. Mr & Mrs Stevenson described the process from receiving the initial enquiry through to the time the young person with the support of his family and social worker made the final decision to settle at Helene Lodge. All the information was verified from the detailed written accounts of the meetings with the young person and significant others. A full assessment of the young person’s needs had been completed prior to their admission and some of these details were identified in the terms and conditions in their specific contract DS0000004015.V335614.R02.S.doc Version 5.2 Page 10 Helene Lodge has a comprehensive and easy to read Statement of Purpose and Service User Guide which are readily available to any prospective person or agency who may be considering a placement / move. The inspector spent sometime with the young person and whilst they were not able to elaborate on the details of their move they clearly indicated their appreciation of the home through a variety of gestures and short verbal statements including “I like it here”. It is particularly relevant to note that not only was the transition for the young person moving to Helene Lodge very carefully managed but of equal importance to the Proprietors were the opinions and feelings of the existing group and how the additional person might affect them all. The Proprietors successfully managed to ensure everyone felt their interests were being considered and that no decision would be made unless everyone in the household was comfortable with it. Two of the other people were able to tell me how they had discussed the prospective resident at “one of their meetings and they were all agreed for them to move in”. A professional comment card read “service user was placed at Helene Lodge, a good transition from children’s to adult services “. DS0000004015.V335614.R02.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 good. This judgement has been made using available evidence including a visit to this service. Service users needs and personal goals are reflected in well-written care plans. The risk assessment process supports each person to take responsible and reasonable risks within safe boundaries and enables each person to make choices and decisions to increase their independence. The care plans assist the carers to deliver a good standard of care to all the residents. Service users are consulted on, and participate in, all aspects of life at Helene Lodge. Each service user is assured that information about them remains confidential and is stored securely. DS0000004015.V335614.R02.S.doc Version 5.2 Page 12 EVIDENCE: Each person has a range of written Support Plans, reflecting their individual needs and these include topics such as behavioural needs, social and formal activities, personal hygiene and where required specialist health-emotional needs. Mr & Mrs Stevenson provided examples of how service users make choices and the individual service users also shared their own experiences for example one described catching the local bus to go shopping, another talked of their application for a place at the local and privately run day service provision known as Stepping Stones. All described how they chose their own meals and the various activities and holidays enjoyed. Two care plans were read and these provided information on the areas of support each person required. One person very helpfully went through their records explaining all the details to the inspector and it was very evident the written records accurately reflected the person’s interests, abilities and needs. The person’s contribution provided practical examples and insight as to how the plans link into their everyday lifestyles at Helene Lodge. During the visit the proprietors were seen to be encouraging services users to make their own choices and to be as independent as possible. Services users said, “ Max and Joan will always help me.” Risk assessments are in place that identify any specific hazards to service users, these cover both the home environment and when people are out and about using community facilities. All service users have a formal annual review, which includes staff from their funding agencies. It is recommended that all service users should have a further review during the year to monitor progress in achieving their personal goals. There was evidence in the records that if any change occurs in the level of support the individual may need or their daily routine changes these are recorded and the care plans altered at the time. There are regular house meetings, the records of the last meeting illustrated that a wide range of topics are discussed including everyday activities, holidays, menu planning, contact with families. The views and involvement of everyone are taken seriously and acted upon where possible. All records relating to service users are stored securely in the office. Mr & Mrs Stevenson explain and promote confidentiality to help each person fully understand the significance. DS0000004015.V335614.R02.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. Everyone is encouraged to take part in appropriate leisure activities and educational training opportunities. Residents are supported by Mr & Mrs Stevenson to use community facilities, enjoy holidays and visit families and friends. The positive use of the support plans enables service users to participate in a wide range of activities and supports each person to develop their own service and take control of their lifestyles. Daily routines reflect the service users different interests and individual choices and promoted independence. The home offers a wide choice of a well-balanced and interesting menu. DS0000004015.V335614.R02.S.doc Version 5.2 Page 14 EVIDENCE: Each of the four service users have their own timetable of weekday activities for example, two go to Victoria Horticultural College, another goes full time to a day service centre and one continues in full time education. In addition activities include regular access to local community facilities such as shops, cinema, pubs, working on the home’s allotment or relaxing on their boat. Mr & Mrs Stevenson have clearly worked hard to encourage and support each person to create and access a varied and interesting week of activities which are both stimulating and interesting to the individual person. Each person described their day to the inspector and it was very positive and enjoyable to listen to their enthusiasm and the confident way in which they spoke of their participation in different things. One person, who works at the Horticultural College had recently completed a special task for the group and described how they had been asked to undertake some “research” to help the college price their hanging baskets competitively against the commercial opposition. The detail and excitement at achieving a complex task was very evident. One person spoke of completing a recent job application and have been short listed for an interview. Each person living at Helene Lodge is respected as an individual and Mr & Mrs Stevenson explained how they work hard to ensure everyone is offered opportunities to do the things that are special and really enjoyable to them as a person. One person described how they “catch a bus to go shopping” and another is hoping to manage the public transport system to travel to their parents who live a considerable distance from Helene Lodge. The residents gave examples of how they contribute to the daily running of their home with each person making an effort to clean and tidy their own bedroom. Everyone takes a turn to choose a meal and cook it for the others. The meals are of a very high standard and are social occasions with all members of the household sharing and participating in the occasion. The kitchen is always available for people to make a drink or snack if they want to. All four service users were seen returning from their daily activities. This is always a special time in the household with everyone catching up with the days events over a cup of tea round the kitchen table. The inspector enjoyed sharing this time and listening to everyone’s chatter. The home has a people carrier that is used to take services users on outings to local places of interests and everyone has a bus pass.
DS0000004015.V335614.R02.S.doc Version 5.2 Page 15 Risk assessments are in place to ensure the safety of service users when taking part in activities both in the home and in the community. Service user records contained details of contact with family members. Daily records of food consumed are kept and all required recording of the temperature of appliances are maintained. To further endorse these standards comments received from relatives and other professionals stated how good the care was at Helene Lodge for example “wonderful care and support” “sensitive and structured, very good care” DS0000004015.V335614.R02.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. The care plans clearly explain the support each service user requires to manage their personal and health care. A monitored dosage system of medication is in operation and this is well managed. Mr & Mrs Stevenson and the Agency Care staff employed have received training in the correct handling and administration for medication. EVIDENCE: The care documentation in place illustrated how each person is supported according to their specific needs and abilities in managing their own personal care. Everyone is registered with a local GP and dentist with other specialist services accessed when an identified need arises. Contact with each professional is recorded and forms part of the persons plan.
DS0000004015.V335614.R02.S.doc Version 5.2 Page 17 Mr & Mrs Stevenson are very experienced and have an excellent knowledge of all the people living at Helene Lodge and are very sensitive to any changes that cause concern and these are acted upon quickly with appropriate help being sought. Medication was securely stored and the Medication Administration Records (MAR) sheets found to be correctly signed and up to date. There are clear guidelines for the use of homely remedies and the GP has confirmed in writing the safe use of these. One person manages their own medication and keeps their medication safely and securely in their own bedroom. DS0000004015.V335614.R02.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 excellent. This judgement has been made using available evidence including a visit to this service. A complaints procedure and safeguarding adult’s procedure are in place. The knowledge of the proprietors and the documentation contribute to the support and protection service users receive. EVIDENCE: The Proprietors explained there have been no complaints since the last visit and at the regular “house meetings “ everyone is given a reminded about the complaints procedures and are encouraged to talk over any issues they may have. The minutes of the last meeting were read out loud in front of the inspector and everyone agreed the minutes were a true account of the meeting. When asked if anyone had any complaints or grumbles in fact just the opposite was very clearly stated and everyone in their different ways said how much they enjoyed living at Helene Lodge and it was “their home which we share”. The home has a robust and practical policy for the Protection of Vulnerable Adults, which gives clear, concise information. The residents were all asked independently if they felt able to confide in Mr & Mrs Stevenson and each strongly indicated they would tell them everything and that “no one had any secrets”. The home maintains records of accidents and incidents – none have occurred since the last inspection.
DS0000004015.V335614.R02.S.doc Version 5.2 Page 19 It was noted that the inspector has received several letters/comment cards from families, which are extremely complimentary regarding the service their relative receives from Mr & Mrs Stevenson. “ All absolutely lovely, we are very lucky.” DS0000004015.V335614.R02.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): 24 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment, which was clean and hygienic on the day of the visit. Each person has decorated and furnished their bedrooms to reflect their personal interests. EVIDENCE: Each resident gave the inspector a personal tour of their bedroom and each had been very personalised and decorated according to their tastes and interests. The accommodation is spacious, homely and attractively furnished and decorated. There is a large rear garden and front driveway providing ample parking. The rear garden has a greenhouse, which is used for growing on
DS0000004015.V335614.R02.S.doc Version 5.2 Page 21 vegetables and salad crops, a large patio area with a range of garden furniture and barbecue equipment .The garden is surrounded by herbaceous borders. The inspector viewed all the communal areas, which were all, clean and tidy. Mr & Mrs Stevenson ensure the structure and fabric of the home are well maintained and any work is undertaken immediately. DS0000004015.V335614.R02.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): 32, 34 & 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Mr & Mrs Stevenson are very experienced, caring professional Proprietors, who ensure the varied needs of the residents, are appropriately and professionally met. EVIDENCE: Since the last inspection Mr & Mrs Stevenson have accessed agency staff to provide relief care for one day a week. The agency is registered and specialises recruiting and training care staff to work in settings for people with learning disabilities. Whilst Mr & Mrs Stevenson are not actively involved in the recruitment or selection of the employment staff the records demonstrated that they had cross referenced all checks and training qualifications before permitting the staff to work at Helene Lodge. The service users were asked their opinions of different people coming into their home and all said they liked them and enjoyed their company. Mr & Mrs Stevenson have been very careful to ensure continuity and only access a limited number of agency staff.
DS0000004015.V335614.R02.S.doc Version 5.2 Page 23 Mr & Mrs Stevenson are both actively involved in the Bournemouth Forum for People with Learning Disabilities and are very positive advocates for good service development. They maintain their professional knowledge through accessing a variety of training provided by the private and statutory agencies. DS0000004015.V335614.R02.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 excellent. This judgement has been made using available evidence including a visit to this service. The home is very well run and has effective procedures in place to provide service users with the support they require to lead fulfilling lives. The Proprietors, Mr & Mrs Stevenson are qualified and extremely competent to manage the service that is run and organised for the benefit of the people living at Helene Lodge. The views of the service users are actively sought and regular questionnaires are sent to parents and carers to ascertain their views. The health, safety and welfare of the service users is promoted and protected. DS0000004015.V335614.R02.S.doc Version 5.2 Page 25 EVIDENCE: The management approach of Mr & Mrs Stevenson is open and positive, with a clear sense of direction and leadership. The ethos of the service is person centred with the views and best interests of the service users paramount. The home has its own Quality assurance guide, which is based on the results of questionnaires, which are regularly circulated. The last survey received a 100 response to all the questions which were wide ranging including questions relating to the quality of the accommodation, meeting individual needs and issues regarding complaints procedures. Despite receiving a thorough endorsement from all the returned questionnaires Mr & Mrs Stevenson continue to look to the future and “identify areas for improvement to maintain our (Mr & Mrs Stevenson) commitment to providing the best possible person centred environment for our residents”. DS0000004015.V335614.R02.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 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 X 4 X X 4 x DS0000004015.V335614.R02.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. Refer to Standard Good Practice Recommendations DS0000004015.V335614.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000004015.V335614.R02.S.doc Version 5.2 Page 29 - 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!
