Inspection on 31/10/06 for Heywood Sumner House

This inspection was carried out on 31st 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

Heywood Sumner House 13/01/09

Heywood Sumner House 12/02/08

Heywood Sumner House 16/01/06

Heywood Sumner House 19/07/05

Heywood Sumner House 26/07/04

Heywood Sumner House 03/03/04

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

CARE HOME ADULTS 18-65 Heywood Sumner House Cuckoo Hill South Gorley Fordingbridge Hampshire SP6 2PP Lead Inspector Laurie Stride Unannounced Inspection 31st October 2006 11:00 Heywood Sumner House DS0000055844.V314911.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 Heywood Sumner House DS0000055844.V314911.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. Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heywood Sumner House Address Cuckoo Hill South Gorley Fordingbridge Hampshire SP6 2PP 01425 652350 01425 655736 heywoodsumner@truecare.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Truecare Group Limited Mrs Julie A Harris Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12) of places Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may only be accommodated in category MD if they are also accommodated by reason of LD. There is a dispensation to accommodate two named service users in the MD category. 16th January 2006 Date of last inspection Brief Description of the Service: Heywood Sumner House is part of the Truecare Group managed by C.H.O.I.C.E. Ltd. The home is located in the rural village of South Gorley between the market towns of Fordingbridge and Ringwood. It provides accommodation for up to 12 residents who have a learning disability. The property is detached with car parking for several vehicles to the front of the building and well-maintained and accessible gardens to the side. Accommodation comprises of single bedrooms located on both the ground and first floor. There are two lounges and a dining area on the ground floor, together with various other facilities including an activities/games room. Mrs J Harris is the registered manager. The current range of fees is £1,483.00 - £2,541.00 per week. Items not covered by fee include hairdressing, chiropody, toiletries, and holidays. Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection visit was carried out on 31/10/06 and lasted six and a half hours. During this time the inspector had the opportunity to meet and observe some of the residents at home and staff members at work, speak with two staff members and the registered manager. A tour of the premises was undertaken and samples of documents held in the home were seen. A pre-inspection questionnaire, completed by the registered manager, provided additional information about the home used in this report. What the service does well: 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. Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 6 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 Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information they need to choose a home which will meet their needs. EVIDENCE: The registered manager explained the admission procedure for the home. The organisations’ Director of Referrals carries out initial assessments of prospective residents to see whether the service can meet the person’s needs and expectations. This assessment includes details such as the funding authority, the person’s care manager, and details of any religious or ethnic requirements the person may have. The registered manager then contacts the care manager to obtain further relevant information including the care management assessment, and arrange to visit the prospective resident to conduct the home’s own assessment. If the person is admitted, the combined information is used as the basis for care planning. There had been no new long-term admissions since the previous inspection, but the home also admits residents for short periods of respite care from time to time. The same procedure is used for respite as for long-term admissions and the home’s records showed that a former short-term resident’s relatives had been involved in the information gathering process. The person had visited the home with their relatives and returned for further visits, staying for lunch or tea. The prospective resident was asked to choose one of the available Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 8 rooms and the one chosen was then prepared and any alterations made to suit the person’s needs. The completed assessment and care management information was on file. A record was kept of the person’s eventual discharge from the home, including an inventory of their belongings, medication and money, signed for by their representative. Residents are issued with written terms and conditions of residence. The home was in the process of re-issuing these in a format that combines the written document with picture symbols to assist residents in understanding the content. Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ needs are mostly met through thorough and detailed risk assessments and care plans, which also clearly record any restrictions on individual choice and freedoms. However, the home must ensure that any physical interventions to safeguard residents and staff are detailed in the individual residents’ care plans, in line with the home’s policy. EVIDENCE: Care plans and related records were seen in relation to four residents. The home has a comprehensive system linking care plans with risk assessment and management plans. The records included current reviews and reports involving healthcare specialists. The home carries out monthly evaluations of care plans, looking at physical, mental, behavioural and social aspects of residents’ wellbeing. Staff observations are recorded and show whether individual residents accept various activities on offer. Medication is listed for each resident and health and weight checks are recorded. Risk assessments include the objectives and method for managing risks and these are updated every six months, or before if necessary, when the care plan is fully reviewed. A functional analysis for each resident contained the home’s approach to the Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 10 management of aggressive behaviour, where applicable, including behaviour triggers and clear guidelines for staff. Relevant training requirements for staff were also recorded here. There were also sections on self-help, showing what residents could do independently or with various levels of support and staff and residents were observed interacting in ways that reflected the care plans. Health action plans have been in place since June 2006. The organisation had reviewed its policy on physical interventions and issued the new policy in August. This states that a first aid qualified member of staff must be present to watch for signs of positional asphyxiation; and people should not be restrained in the prone position for longer than fifteen minutes. The policy also states that prone restraint must only be used by trained staff and only for specific residents, who pose a greater threat, where the need for prone restraint has been assessed and sanctioned by the home’s manager and detailed in the resident’s functional analysis. Although incidents involving physical intervention were well recorded, it was noted that the need for prone restraint had not been included in one particular residents’ functional analysis. A requirement was made in relation to this and the registered manager said the information would be added to the care plan. Each resident has a ‘communication passport’, which uses picture symbols to assist communication. These are used in the home, for example to communicate activities such as going to a restaurant, pub, theme park or cinema. The passports also provide accessible information if a resident goes into hospital or has a doctors’ appointment. Evidence was seen that residents are involved in decision making within the home (see sections on Lifestyle and Conduct and Management of the Home). Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit through the home providing opportunities to take part in suitable activities, access the community and maintain relationships. Residents’ rights and responsibilities are recognised in the daily routines of the home and meal planning promotes choice and healthy eating. EVIDENCE: Residents’ care plans are linked to programmes of activities designed to meet their leisure and personal development needs. People’s interests and hobbies, such as art and craft, were recorded and there was evidence of relevant activities taking place in the home. Individual care plans relating to community access, developing communication and social skills, employment and occupation, and maintaining relationships were seen. A day care centre used by residents at the home had recently closed, but there was evidence of continuing outside activities being arranged. For example, residents took part in sailing, horse riding and trips to Salisbury horse races, local pubs and restaurants. One staff member said they thought activities Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 12 arranged by the home were now more personalised than they had been. Five residents attended a sports and social club on Wednesday evenings, which provided an opportunity to meet other people, with and without a learning disability. One resident did gardening with a college and work experience at a dairy. The home organises barbeques and fun days in summer in the grounds of the home. At the time of the inspection the home was decorated for a Halloween party and staff and residents were observed dressing up and making the preparations. Later in the day residents’ relatives were seen arriving for the party. The daily routines of the home promote service user’s independence and the development of daily living skills. Housework tasks are clearly scheduled and form part of each service users’ agreed timetable of activities, for example cleaning their rooms. Residents were observed in the kitchen with staff preparing the meal. The home provides seasonal food menus that include alternative options and promote healthy eating. Any special eating or mealtime needs are documented, for example one residents care plan recorded how they preferred to eat alone. Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. 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. Residents’ healthcare and personal support needs are met both by members of staff and through referral to healthcare specialists. Residents are protected by the home’s medication handling policies and procedures. EVIDENCE: The home operates a system of key teams of staff providing personal support to residents. The staff team is comprised of both male and female carers. Staff spoken to demonstrated knowledge and understanding of individual resident’s needs and gave examples of promoting choice and communicating with residents. Staff interacted with residents and residents were observed to be comfortable with staff. Through discussion with the registered manager and reading the home’s records, it was evident that professional specialist support teams were involved when needed in residents’ healthcare. One resident was having regular meetings with a community nurse and care plans and risk assessments relating to physical and mental health were being updated. Records also showed that medication reviews and changes were made as assessed and prescribed by the healthcare teams. Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 14 The home had sought specialist support for another residents’ mental health needs and arranged a review of their medication, following changes in their behaviour. A meeting with the person’s relatives had also been arranged. The Commission for Social Care Inspection (CSCI) had been notified of incidents relating to the use of prone restraint, and records were seen in the home regarding the management and outcomes of incidents. The home has a written medication policy and procedure. A sample of the records of medication administered was seen and these were well maintained and up to date. Evidence was seen that staff members who administer medication had received appropriate training. Some residents have ‘as required’ medication and there was a clear procedure for staff to follow in order for this to be authorised by the management or senior on-call person. Although there were no controlled drugs kept in the home, some medications were stored and recorded as such, for example with two staff signing a record of the amount of medication given and remaining. This demonstrated that good practice is promoted in this area. Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. 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 has effective systems for ensuring that people’s views are listened to and responding to their concerns, demonstrating that residents’ and other stakeholders concerns are taken seriously. There is now better protection for residents and staff through the home’s adult protection policies, procedures and ongoing training for staff. EVIDENCE: The home has a clearly written complaints procedure, which includes the stages and times-scales for the process. The Service Users Guide contains a version of this in picture format and the registered manager said there were plans to enhance the full policy using pictures. Previous reports had identified that residents had an understanding of what to do if they had any concerns. Individual forms are used to record complaints and these give details of actions taken and the outcome. The Commission for Social Care Inspection (CSCI) had not received any complaints in respect of the home in the time since the last inspection. The home has an adult protection policy and procedure in place of which staff spoken with had a good understanding. Evidence was seen that staff have received managing challenging behaviour and adult protection training and this is updated (see section on Staffing: training and development). The registered manager reported that there had been three adult protection investigations in the time since the previous inspection and records of these were seen, showing that these had been brought to the attention of the relevant authorities for investigation under their procedures. Two of the allegations had proved to be unfounded and in the remaining case the home was taking measures to ensure Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 16 that each member of staff was aware of their responsibilities for reporting any incident or allegation, through supervision and adult protection training updates. Records with regards to the management of residents’ finances were seen at previous inspections and assessed as being maintained as required. The registered manager said that there was a corporate appointee for six of the residents and residents used community banks and individual accounts for their finances. The manager was engaged in meetings with one residents’ social worker and parents regarding benefit entitlement. Heywood Sumner House DS0000055844.V314911.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable and well-maintained environment. EVIDENCE: A tour of the premises was undertaken and the home was seen to offer a spacious and comfortable environment to residents. There is an ongoing programme of maintenance and renewal and residents are supported to help choose the colours when rooms are redecorated. Since the last inspection a new downstairs bathroom and shower unit has been fitted and there was new flooring in one of the two lounge areas. A spare bedroom had been recarpeted and a new bed was in place ready for use. Furniture and fittings in the communal areas were all of good quality. There is a large games room equipped with table tennis and snooker tables, puzzles and games, which had been decorated for Halloween. There is a payphone for residents use. The fire officer last visited the premises on 19/06/06 and new smoke detectors had been fitted. There is a personal alarm system in place for staff (see section on Conduct and Management of the home: safe working practices). The laundry room is situated away from areas where food is stored, prepared or eaten and is equipped with hand-washing facilities. Gloves, aprons and Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 18 colour coded mops and cleaning cloths are provided to reduce the risks of infection. There are sign language symbols on the washers and driers to assist residents in doing their own laundry. The registered manager said that the laundry floor was to be re-sealed as part of the refurbishment programme. Heywood Sumner House DS0000055844.V314911.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 at least once during a 12 month period. 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 in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: The home currently employs twenty-one care staff and an ancilliary staff member, in addition to the registered manager. There were nine residents at the time of the inspection visit. The staff complement had reduced by three since the previous inspection visit and the home was also employing agency staff to cover some of the shifts. The rota was being managed flexibly to ensure a suitable mix of both regular and agency staff are on duty at all times. The registered manager said that the home uses the same agency workers to provide consistency within the team and regular staff members do some extra shifts, within limits to ensure safe working. Staff personnel and recruitment records were seen in relation to three staff members. The organisation has an agreement with CSCI that the original documents are held centrally and the information is transferred to a form that is held in the home for inspection. The information seen indicated that the organisation carried out required checks on staff before they worked with residents in the home, such as Criminal Records Bureau (CRB) and POVA (Protection of Vulnerable Adults). Also that new staff completed application Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 20 forms with employment histories and two written references were obtained for each staff member. All but two of the staff had achieved NVQ level 2 qualifications and these two had either completed or were undertaking the Learning Disability Award Framework (LDAF) induction programme. Nine members of staff had NVQ level 3 and two more had started level 3. Two staff members had NVQ level 4 and two others were planning to start level 4 in January 2007. In addition to the registered manager, there are two assistant managers who have obtained the NVQ4 Registered Manager Award. There is an ongoing programme of staff training and development. All but two of the staff had first aid certificates and all staff received training in fire safety, safe handling of medication, infection control, food hygiene, health and safety, mental health awareness, schizophrenia and diabetes. The manager had also requested additional specific training for staff about autism. A notice in the office showed dates when each individual staff member was due for update training in adult protection issues. The registered manager said she was going through the adult protection policy and procedure individually with staff in order to assess their understanding. Communication training and related refresher courses were also booked for November. Control and restraint training was taking place on a monthly basis and dates were already booked into next year. A new staff supervision and appraisal policy was in place and a supervision register was seen. Staff members received formal recorded supervision at approximately two-monthly intervals. Comments from two of the staff indicated that the home’s management are always accessible and supportive. The staff members demonstrated clarity with regard to their roles and responsibilities and in relation to physical intervention as a last resort, using de-escalating techniques in the first instance. Heywood Sumner House DS0000055844.V314911.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well run home that seeks their views and promotes the health, safety and welfare of residents and staff. EVIDENCE: The registered manager has been in post for over two years and has the Registered Manager Award. Mrs Julie Harris receives regular support from her line manager within the organisation and keeps her training updated along with the staff team. Good working relationships were observed between the staff group and the residents and staff. Staff members confirmed that they found the management approachable and supportive. The organisation operates a quality assurance system that includes anonymous questionnaire surveys sent out to people who use the services, their next-of-kin, care managers and staff. The results of these are evaluated and given to the manager who had subsequently written a development plan for the home. The home conducts its own additional survey and also obtains Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 22 residents views through meetings, which are recorded. The minutes of a recent residents’ meeting were seen and further demonstrated that they were involved in decision making within the home. Regular staff meetings are held and recorded and residents are also invited to relevant parts of these. Regulation 26 monitoring visits by an appointed person within the organisation were taking place. Safe working practices are maintained in the home for the safety of residents, visitors and staff. An alarm call system is in operation on the premises and staff members carry personal alarms, which can also be used to track staff as they move around the home. The registered manager demonstrated how the system worked and staff were seen to respond rapidly, arriving at the source and location of the alarm in a matter of seconds. The home is also equipped with two-way radios for staff to carry when in the grounds of the house and for residents to take with them when they go to the local shops or post office. A record is kept of weekly tests of portable alarms and equipment. Staff members receive training and updates in mandatory health and safety subjects as part of the rolling programme of training. A fire safety risk assessment and current records of fire drills and equipment checks were in place. A file containing up-to-date certificates relating to tests and services of equipment and appliances, such as gas, electric and fire safety systems was also seen. This included a risk assessment and regular checks for Legionella. The home had the new style of accident report book and this was up to date and being filled in correctly. Heywood Sumner House DS0000055844.V314911.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 X 2 3 3 X 4 X 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 3 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 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 24 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 YA6 Regulation 15 Requirement The registered person must ensure that any physical interventions to safeguard residents and staff are detailed in the individual residents’ care plans. Timescale for action 30/11/06 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 Heywood Sumner House DS0000055844.V314911.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 Heywood Sumner House DS0000055844.V314911.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. 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. 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