Inspection on 19/01/07 for Hemlington Hall

This inspection was carried out on 19th January 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hemlington Hall 24/11/05

Hemlington Hall 15/06/05

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Hemlington Hall Nuneaton Drive Hemlington Middlesbrough TS8 9DA Lead Inspector Ray Burton Key Unannounced Inspection 19th January 2007 09:30 Hemlington Hall DS0000062747.V327781.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 Hemlington Hall DS0000062747.V327781.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. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hemlington Hall Address Nuneaton Drive Hemlington Middlesbrough TS8 9DA 01642 594751 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) londonroad@tiscali.co.uk Milbury Care Services Limited Mrs Tracy Foster Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Hemlington Hall is a Georgian house set in its own spacious gardens. The house has been adapted to provide accommodation for six persons in single bedrooms, all with an en-suite facility comprising wash hand basin, w.c. bath or shower. Communal facilities available to residents are: lounge, dining room, and kitchen, quiet-room. In addition to the main house two self-contained single person bungalows have been built in the grounds each comprising lounge with kitchenette, bathroom and private patio area. The home has two people carriers to enable residents to visit places of interest, friends and family etc. Hemlington Hall is registered to provide care for 8 adults with a learning disability. Current fees are £1500 per week. Hemlington Hall DS0000062747.V327781.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 inspection covering all of the key standards of the National Minimum Standards for Care Homes for Adults. The inspection commenced on 19th January 2007 and was completed on 7th February 2007. The registered manager was on annual leave when the inspection was conducted, the deputy manager was in charge. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to service users, one relative and members of staff. The Commission for Social Care Inspection is trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where “experts by experience” are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term “expert by experience” used in this report describes people whose knowledge about social care services comes directly from using them. For part of this inspection an “expert by experience” visited Hemlington Hall. Her comments have been used in writing this report. What the service does well: Hemlington Hall provides a very comfortable and pleasant home for the people who live there; it is a pleasant and well maintained building with furniture and equipment that is of good quality and in keeping with the surroundings. This is a well managed home with records and care plans that were properly organised. Staff received good training and were enthusiastic about their work. The staff team was very good at working with service users, relatives and other professionals so that each service user received the support they needed in the way that they wished. Care plans were very detailed and gave a clear picture of the service user and his/her needs and wishes. Service users said they were happy living at Hemlington Hall. One told the inspector: “I still enjoy living here. There are nice people here – nice residents and the staff are lovely.” Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 6 The expert by experience said: “Most of the residents said they liked it at Hemlington Hall and that they could choose whatever they wanted to do during the day, they also have a choice of activities. I thought it fitted everybody’s lifestyles. I liked the home.” 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. Hemlington Hall DS0000062747.V327781.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 Hemlington Hall DS0000062747.V327781.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): 1,2,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes statement of purpose and service users guide provided residents and prospective residents with details of the services provided. The assessment procedure ensured that only those whose needs could be met would be admitted to the home. EVIDENCE: The home had a statement of purpose clearly setting out its aims, objectives and philosophy. The service users guide was presented in colour in a usefriendly format that made the document attractive and more easily understandable to residents. Each file contained a contract/rent agreement signed by the resident and, where the resident was unable to read, a signed statement that the agreement had been read and explained to the individual concerned. There had not been any admissions to the home since the last inspection however examination of care plans revealed that, prior to each admission, there had been a transition period during which in-depth assessments had been carried out to: determine the homes ability to meet the needs of the prospective resident, compatibility with current residents and to give time for the prospective resident to decide if he/she liked Hemlington Hall and wished to live there. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 9 One resident told the inspector that before she came to live at Hemlington Hall she had been invited to visit on several occasions and had chosen her room and moved some of her belongings into it. She said that before making up her mind whether or not she wanted to live at the home she had spent increasing amounts of time there – eventually visiting every day before finally moving in. Hemlington Hall DS0000062747.V327781.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): 6,7,8,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes care planning process ensured all service users needs were identified and met. Service users were placed at the centre of the care planning process and were supported to make choices and to take control of their lives at a level appropriate to their skills and abilities. EVIDENCE: There was a strong commitment to involve service users as much as possible in the development of their own care plan and to support them to exercise choice and make decisions about matters affecting their lives. Examination of three randomly selected care plans showed how service users were put at the centre of the care planning process and had been involved, at an appropriate level, in the making of decisions. Service users were consulted about issues affecting their lives and were assisted to make their needs known. For those service users without speech, alternative means of communication were used e.g. picture board. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 11 Each service user had a “circle of support” comprising: family members, friends, members of staff from the home and other appropriate professionals. Service users were encouraged to play an active part, and one service user sent out personally signed invitations to members of his “circle of support” to attend his care reviews. Where because of the level of disability, a service user was unable to contribute to the plan the “circle of support” contributed towards and approved the care plan. Care plans were well organised, and it was apparent that considerable effort had been made to make the planning process and the format understandable to the individual with much use being made of photographs and other visual aids. Each care plan covered all areas of the service users life: health, communication, personal and social needs etc. Comprehensive assessments, including risk assessments had been conducted and risk management strategies developed. Constant monitoring was undertaken and regular reviews conducted to ensure that changing needs were identified and appropriate action taken. Any limitations that had been imposed in the person’s best interest had been documented and, where possible, agreed to by the person concerned. During the inspection the expert by experience and the inspector were able to observe how service users were involved in the running of the home and speak with members of staff and service users. Weekly activity plans showed each service user spent part of one day a week being involved in some form of household activity e.g. tidying own bedroom or food shopping. The expert by experience said: “One of the residents has a cat, she looks after it and feeds it and takes responsibility for it. All the residents like the cat very much. Some of the residents liked doing food shopping. All residents had their name on the rota for helping to take it in turns to help prepare meals at meal times but no one I spoke to had helped with cooking, but did help with laying tables and clearing up. They also had an easy read menu with pictures and symbols.” There was a set four-week menu that incorporated each service users favourite meal; however alternatives were always available should someone not wish to have the meal of the day. One service user, on a special diet, had a separate menu. The Deputy Manager told the inspector that service users were encouraged to help with food preparation but most elected not to, however on the second day of the inspection a resident had made some cakes for those residents who were at home during the day – his activity plan showed he had a baking session at least once a week. Hemlington Hall DS0000062747.V327781.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): 11,12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were treated with respect and presented with opportunities to lead fulfilling lives. Staff encouraged service users to take part in appropriate leisure activities and supported them when engaging in community based activities. Staff went to great lengths to enable service users to maintnain family and friendship links. EVIDENCE: Care plans showed how service users were encouraged and supported to develop their skills, to lead satisfying lives and to achieve as much independence as possible. Activity plans, confirmed by service users and a visiting relative, showed that opportunity was provided for each service user to take part in a range of appropriate leisure activities both in-house and in the community e.g: TV & videos, swimming, aromatherapy, trips to the theatre & cinema, local walks, personal shopping, visits to local pub, music and sensory stimulation, trips out in the car to the country and coast. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 13 The expert by experience said: “The staff organise lots of different activities for the residents to enjoy, like shopping. A lot of the residents like to use their mobile phones, some of the residents liked to listen to music a lot. Some of the residents have got their own bus passes so they can use the bus when they want, but there are two cars for them to go places in which staff use most of the time to take them out.” “A lot of the residents liked going out with staff during the day to do different things like shopping and going to day centres. Some of the residents liked doing food shopping.” “They get to choose where they go on holiday. Some of the residents like to go to Tenerife, they also like to go on holiday together.” Discussion with staff and examination of care plans showed service users had enjoyed a variety of holidays: Butlins at Skegness, Whitby, and Blackpool. Staff recognised the importance of service users maintaining contact with family and friends and helped them to keep in touch by assisting with telephone calls and sending cards for special occasions such as Christmas and birthdays. On one of the days of the inspection a member of staff had taken a service user to visit a relative in Cleethorpes. A relative who visited during the inspection told the inspector she was very satisfied with everything about the home, she said Hemlington Hall had been really good for her son who had “come on in leaps and bounds since coming here almost two years ago.” She said her son “called it home.” She told the inspector that he was encouraged to be independent and was supported by staff to do things for himself such as: looking after his bedroom, doing his laundry and cooking. She described his social life as being very good and said he participated in many different activities: drama, painting, swimming, Gateway Club, gym, he also attended college one day a week. She said that last year he had two holidays: one in a cottage at Whitby during Regatta Week and the second at a Butlins holiday camp. A service user, living in one of the two bungalows in the grounds of the home, told the inspector she still enjoyed living at Hemlington Hall. She said she was gradually becoming more independent and was now able to visit the local shops unaccompanied, however staff accompanied and supported her when she went to the local pub and when she attended college one day a week. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual service user. There were appropriate policies and procedures in place to deal with the illness and death of a service user. EVIDENCE: Care plans contained information about the person’s general health, dietary requirements and details of any specific ailment or medical condition. Constant monitoring of health was undertaken and healthcare needs addressed by service users own doctor and other community based professionals e.g. dentist, community nurse etc. None of the residents had been assessed as being able to control their own medication. All medicines were stored appropriately in a secure facility and administered according to the homes policy and procedures by staff who had undergone suitable training. Medication records were accurately maintained and were well organised. Photographs of service users were attached to the medicines administration sheets. Information was available about the drugs being administered. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 15 The home had a suitable policy to deal with the ageing, illness and death of a service user. The philosophy was to provide “a home for life” and subject to being able to meet changing needs residents would be able to remain there throughout their old age and during terminal illness. Service user wishes concerning growing older, terminal illness and death were discussed where appropriate with the resident and his/her family as part of person centred planning. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a suitable complaints procedure and policies and procedures to safeguard residents from abuse. Staff had received training in adult protection. EVIDENCE: The home had an appropriate complaints procedure, stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter had been handled. Examination of the complaints record showed that no complaints had been received since the last inspection, however the parents of a service user had written to the home: “In the time that X has been with you he has made excellent progress, seems so much happier and we have nothing but praise at you patience, understanding and continuous efforts to find ways to make this so. Your ingenuity amazes us. Not just us, but the rest of the family are so grateful for your compassion and loving care given to X and all those in your care.” Policies and procedures were in place to ensure the safety and protection of residents and to respond to any suspicion or allegation of abuse. A copy of the “No Secrets” adult protection procedure was available to staff, who had all received appropriate training and who were able to demonstrate an understanding of what constituted abuse and what to do in the event of such an incident occurring. Hemlington Hall DS0000062747.V327781.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): 24,25,26,27,28,29,30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Hemlington Hall provides comfortable, homely and safe accommodation and meets the needs of the people living there. EVIDENCE: The location and design of the home was suitable for purpose. Hemlington Hall had been carefully converted to provide accommodation that was pleasant and suitable for modern living whilst retaining some original features and the character of the house. Décor throughout was pleasant and furniture was domestic in nature, suitable for purpose and in keeping with the character of the property. All areas of the building including the kitchen and laundry were accessible to residents, subject to individual risk assessments. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 18 Bedrooms were comfortably and appropriately furnished and each had an ensuite facility comprising wash hand basin, w.c., bath or shower. The rooms had all been individualised by the inclusion of personal effects such as pictures, photographs. TV., CD player etc. Three service showed the inspector their bedrooms and it was apparent they were very proud of them and derived great pleasure from them. The expert by experience said: “All of the residents have their own room. Some of the residents have televisions in their own rooms and they had their own bathrooms. There was space in the home for people to sit and chat and do puzzles, eat meals, listen to music and do other things.” All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to service users had been fitted with pre-set valves to provide safe water temperatures. First floor windows had been fitted with restrictors. Lighting was domestic in nature and emergency lighting had been provided throughout the house. The laundry was suitably equipped with machines that had a built in sluice facility and were able to operate at temperatures in excess of 65 degrees centigrade. The two single person bungalows provided well-furnished accommodation for the two service users living there. The bungalows were fitted with a communication system to the main house. All areas of the home presented as being well maintained, clean, hygienic and free from offensive odours. Various maintenance issues identified in the last inspection report had been addressed by the provider. The house and its grounds are surrounded by a high wall, with access being gained through high wrought iron gates which are padlocked for most of the day. Visitors wishing to gain entry have to ring a bell that sounds in the main house and alerts staff to walk along the driveway to admit the visitor. The expert by experience said: “The building is big but tricky to get in, there is a big button you have to press for them to let you in.” The locked gates restrict access and egress and create a barrier between the home and the local community. It is recommended the provider consider whether it is necessary for the gates to be locked Hemlington Hall DS0000062747.V327781.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): 32,33,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were protected by a competent staff team and by the homes policies and procedures on recruitment and training. EVIDENCE: On the days of the inspection there were sufficient numbers of staff on duty to meet the needs of residents. Examination of the staffing roster indicated the home was always well staffed. The home followed Milbury Care Services corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of five personnel files revealed the information required by Schedules 2 and 4 of the Care Homes Regulations 2001 was in place and that prior to confirmation of employment the home obtained two suitable references and conducted all necessary checks including Criminal Records Bureau. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 20 Training records and conversation with the Deputy Manager and members of staff indicated the staff team had the skills and experience necessary to meet service user need. There was a good training policy, and staff were encouraged to attend training that would aid their professional development and help them meet service user needs. All new members of staff received a thorough induction (lasting approximately one month) and there was good ongoing training for all members of staff. Training had recently been undertaken in the following areas: Autism Awareness, Fire Awareness, Medication, First Aid, Food Hygiene, Values & Attitudes, Epilepsy etc. Of the twenty members of staff thirteen were qualified to a minimum of NVQ level 2 in care and four were working towards gaining the award. The remaining three staff were to be registered as soon as they had completed their probationary period. The home was one of five Milbury homes that was taking part in a pilot scheme for remote electronic learning, which if successful would be extended throughout all Milbury homes. The Deputy Manager said that each member of staff could access various courses that would all be assessed. Hemlington Hall DS0000062747.V327781.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, 38, 39, 40, 41, 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well managed home with an enthusiastic and competent staff team. The health, safety and welfare of service users is protected by the homes record keeping, and policies and procedures. EVIDENCE: The home had policies and procedures that complied with current legislation and recognised professional standards and covered all aspects of the management of the home. Records were kept to safeguard service users rights and best interests and to ensure the safe and effective running of the home; these were well maintained, up-to-date and stored appropriately. Staff were aware of their responsibilities under Health & Safety legislation. Regular checks of the building and equipment were undertaken and maintenance and servicing undertaken to ensure a safe and comfortable environment. Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 22 The home had various systems both formal and informal to measure success in meeting its aims, objectives and statement of purpose and to ensure residents rights and best interests were safeguarded: Circles of Support and person centred planning meetings, formal service user reviews, monthly service reviews conducted by Milbury’s Operations Manager (with Regulation reports sent to CSCI), staff meetings and regular informal feedback from service users, relatives and visiting professionals. Observation during the inspection indicated there was good interaction between service users and staff; and that the management approach created an atmosphere where everyone was encouraged to participate, at an appropriate level in the running of the home. The registered manager had suitable management experience and appropriate qualifications in care and management. Hemlington Hall DS0000062747.V327781.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 3 2 4 3 3 4 4 5 3 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 3 26 4 27 4 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 X 3 Hemlington Hall DS0000062747.V327781.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. Refer to Standard Good Practice Recommendations Hemlington Hall DS0000062747.V327781.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Hemlington Hall DS0000062747.V327781.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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