Inspection on 11/12/07 for Highcroft and Valley View

This inspection was carried out on 11th December 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Highcroft and Valley View 18/03/09

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Highcroft and Valley View Whetley Road Broadwindsor Beaminster Dorset DT8 3QT Lead Inspector Marion Hurley Key Unannounced Inspection 11th December 2007 09:30 Highcroft and Valley View DS0000071383.V356191.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 Highcroft and Valley View DS0000071383.V356191.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. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highcroft and Valley View Address Whetley Road Broadwindsor Beaminster Dorset DT8 3QT 01460 77033 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) www.twas.org.uk Wessex Autistic Society Ms Michelle Louise Maglo Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is: 9 Date of last inspection Brief Description of the Service: Highcroft and Valley View provides residential care for up to nine people who may have complex needs including Autistic Spectrum Disorder (ASD). The residential home was established by the Wessex Autistic Society over 13 years ago. This voluntary organisation runs several ASD specific services in the locality. The Wessex Autistic Society is affiliated to the National Autistic Society and has received accreditation by the National Autistic Society. The home is situated in a rural area, with open views of the surrounding countryside, approximately one mile from Broadwindsor village. The home is divided into two units, Valley View, which accommodates up to four people and Highcroft, which accommodates up to five people. Valley View has four single rooms, two shared bathrooms and toilets. There is a communal dining /living room, kitchen and activity room. Highcroft has five single bedrooms, shared two bathrooms and toilets. There is a communal dining room and living room. Highcroft and Valley View share five vehicles, which include three people carriers. Both units have private gardens and also share the extended grounds, which have large apparatus and a cycling track. Fees are individually negotiated according to the service user’s assessed needs and abilities ranging approximately from £1391.00 - £ 1662.00 per week. Copies of inspection reports are available upon request from the Wessex Autistic Society Office in Crewkerne. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. All key standards were assessed according to the Care Home for Adults (18-65) National Minimum Standards. The time spent on the inspection process totalled five hours, three of which were spent at the home. The purpose of the inspection was to make sure the home was being run for the benefit of the people who live there and in accordance with statutory requirements and regulations. The home provides a specialist service to people with autistic spectrum disorder. This service supports people with complex behaviour in a way that promotes independence and maintains the dignity of the individual. During the course of the visit a tour of the premises was undertaken and four service users were observed interacting with staff. Discussions with staff were possible and two were held in private. Time was spent with the manager and the assistant manager. The inspector also visited the Administrative Offices of the Wessex Autistic Society, Crewkerne and met the Director of Services to discuss corporate issues and future developments for the services in the locality. Additional information received by the inspector prior to the inspection was also taken into account. This included the Annual Quality Assurance Assessment (AQAA) completed by the staff, and other information such as Regulation 37 notifications of significant events and Regulation 26 visits in the home. The inspector wishes to thank the residents and the staff on duty for their help and support in the process of this inspection. What the service does well: Highcroft and Valley View offer a specialised and supportive environment to people with autistic spectrum disorder. The staff are welcoming and friendly and have good insight into individual needs. The emphasis on individual service planning is good and the new format for individual service plans is person centred with clear and easily accessible information. Good use of photographs and symbols are included in the new style plans. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 6 The opportunities for external activities are good and are continuing to be developed. The Wessex Autistic Society has developed comprehensive documentation, which supports the work of the service. 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. Highcroft and Valley View DS0000071383.V356191.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 Highcroft and Valley View DS0000071383.V356191.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users’ needs and aspirations are appropriately assessed prior to a place being offered. EVIDENCE: Highcroft and Valley View are registered to accommodate up to 9 people. On the day of the inspection three people were living in Valley View and four in Highcroft. The Wessex Autistic Society has known most of the people living at the home for several years. Most recently a service users has moved to the home from another service provided by the Wessex Autistic Society. The manager described the process however the service user’s file lacked written evidence of a pre-admission assessment and the service user plan currently in use was one written from the service users’ previous service. Information from the service user’s previous home is not sufficient evidence to validate this standard. Whilst the inspector acknowledges that the manager and staff have worked with this service user previously it is a requirement that admission procedures Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 9 must be completed along with other relevant records even though in theory it is only an “internal” move there must be written evidence to support the thinking behind the move. The Wessex Autistic Society has clear and comprehensive procedures for the admission of service users. The documentation is designed to capture the most relevant information about the background and needs of the individual, with additional information obtained from relevant parties such relatives, health care professionals and care managers/social workers. Therefore, it is important that the manager ensures these corporate procedures are implemented. The Statement of Purpose and Service User Guide is currently being re-written to reflect the most recent changes in the delivery of services. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual service plans reflect the changing needs and personal goals of service users and within their communication and understanding the service users who live at Highcroft and Valley View are offered choice and their diverse needs and aspirations are recognised. EVIDENCE: Although the inspector was unable to communicate with the service users who live at Highcroft and Valley View to any significant degree, the inspector spent some time in their company and spoke to the managers and staff on duty in the home. The service users who live at Highcroft and Valley View have a high level of diverse care needs and can exhibit quite complex and at times challenging Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 11 behaviour. However, they were seen to be well supported, well cared for and comfortable in their home. Staff who work at Highcroft and Valley View know and understand the people who live there. The people who live at Highcroft and Valley View are on the whole dependent upon staff, family and significant others to make choices and decisions on their behalf and best interest. Some decisions are limited however, within the limits of the service users communication and understanding choice is offered and preferences are provided for. Some people specifically in the Highcroft unit are more confident in their ability to express their wishes. Staff know the people who live at Highcroft and Valley View well and understand their behaviour and communication. During the inspection staff were able to explain to the inspector the meaning of people’s gestures. Where they did not immediately comprehend what was being gestured staff asked appropriate questions to find out what was wanted. Staff were also heard to ask people who live at Highcroft and Valley View if they wanted drinks, where they wanted to sit, what they wanted to do. Care plans have been prepared for all the people who live at Highcroft and Valley View. The managers are in the process of re-writing these in a format based on person centred planning and each person will have an individual Service Plan, which will contain pictures and symbols. Those documents completed contain much information. Likes, dislikes, and lifestyle preferences are recorded. The extra work involved to change the plans to the new format is acknowledged. Reviews are held and any changes documented. Detailed risk assessments have also been prepared and risk management arrangements ensure that the people who live at Highcroft and Valley View can live as independent a lifestyle as possible for example some people can make drinks and others snacks though this may mean that a ratio of two staff to one service user is required to safely manage the activity. On the day of the inspection one person was being actively supported in the kitchen to prepare some cakes. Plans examined consider challenging behaviour in depth, any events or circumstances that may trigger such behaviour and the various responses that staff can use to de-escalate it are documented. The home operates a key worker system. From discussion with staff and observations made by the inspector, staff are familiar with the needs of the people who use the service. Day to day communication in the home, recorded handovers between staff and house meetings ensure that any changes in need are identified and brought to the attention of other staff. All service users are encouraged and supported to make decisions for themselves where possible. Likes and dislikes are recorded and discussion with Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 12 staff indicated that the preferences of individual service users are well known and understood. Any restrictions of choice are taken in the best interests of the individual concerned and are clearly documented in the service plan. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to take part in a range of activities including participating in the community according to their assessed needs. Personal and family contact is supported. The food provided is healthy and varied and dietary needs are met. EVIDENCE: Discussions with staff and the managers illustrated that the people living at Highcroft and Valley View participate in a range of different activities. Some of these involve accessing community facilities such as swimming, bowling, shopping and going out for snacks. Some people continue to access facilities at Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 14 the day care services run by the organisation and situated a short drive from the home e.g. music and art and craft activities. The staff / key workers explained that they will spend considerable time together with service users identifying activities and potential placements of value the service users individual needs at the forefront of thinking. The home has several means of transport available i.e. people carrier, cars. These are well used. Activity plans are based on a two-week programme and there are records of activities planned and completed plus additional recording in the service plans and daily log of events. Wherever possible contact with family and friends is supported. Visitors are welcomed. If relatives do not have transport staff assist by providing transport to and from the home. A wholesome and nutritious diet is provided. Where possible people are given a choice of meals and preferences catered for. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are appropriately met. The arrangements for medication in the home are robust and protect service users. EVIDENCE: Although the inspector was unable to communicate with the people living at Highcroft and Valley View to any significant degree, time spent observing their interactions with staff and discussions with both staff and the managers provided sufficient evidence to validate the standards. The people who live at Highcroft and Valley View have a high level of diverse needs however; they were seen to be well supported, cared for and comfortable in their home. From observations made by the inspector and from discussions with the management and staff where personal support is required it is provided Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 16 appropriately. Service plans showed that wherever possible people are provided with guidance and encouragement to undertake their own self care tasks, thus promoting independence in and dignified wand respectful manner. Three service plans were read and documented people’s diverse personal and health care needs and the actions required and being taken to meet them. The plans are both a record of the care provided but also inform the delivery of care within the home. The plans have been reviewed and updated and contact with other professionals included to ensure appropriate interventions required by staff are carried out. The service benefits from excellent multi-disciplinary support from the psychology, psychiatric and occupational therapy services and appointments and outcomes are all well documented. Although none of the people who live at Valley View or Highcroft retain, control or administer their own medication, because of their needs and dependence this is considered appropriate. Only staff that have received appropriate training in the safe handling and administration of medication administer medication in the home. All service users have regular health checks and staff monitor their general health care needs carefully. Staff spoken with demonstrated an in depth knowledge of service users which enabled health concerns to be identified and promptly referred. The standard of health care provided by the service is considered to be good. Medicines are correctly stored. There are adequate policies, procedures and systems in place relating to the receipt, recording, storage, handling and administration and disposal of medicines. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Within the context of the service users communication abilities and comprehension their views and wishes are obtained and taken seriously and where appropriate are acted upon. Complaints and adult protection systems in the home serve to safeguard the people who live there. EVIDENCE: The home through the organisation Wessex Autistic Society has detailed complaints and adult protection procedures. These are available for staff use. Reference is made to the procedures in the Statement of Purpose and Service User Guide. Complaints are dealt with appropriately. House meetings serve as an additional forum to discuss any issues. Staff spoken with voiced their commitment to the people they support and their rights. The home has a policy and procedure to follow in the event of an adult protection issue and there is an on going programme of training in the Protection of Vulnerable adults. Training has also been provided to enable staff to respond to challenging behaviour and procedures are in place to safeguard the financial affairs of the people who live at Highcroft and Valley View. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 18 Two commissioning agencies expressed concerns at the management of incidents, which had occurred in the past six months and felt there had been a lack of information sharing between the agencies and the home. This issue was discussed with the manager who has now set up a system whereby all incidents will be sent to agencies who commission services. Service users living at Highcroft and Valley View have complex behaviour, which sometimes result in verbal and occasionally physical aggression towards each other and staff. The manager must ensure that a cultural does not develop whereby incidents are not reported or seen as everyday behaviour. It is recommended that all staff receive refresher training in safeguarding adults as the training records showed some staff had received no training since May 2005. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is comfortable, homely and safe as possible. Throughout the home was clean and hygienic though one specific area had a strong odour. EVIDENCE: Highcroft and Valley View provides residential care for up to 9 adults (18-65) in 9 single bedrooms. 7 people live there at the moment. There is one vacancy in Valley View and one in Highcroft. The occupied bedrooms have been personalised and furnished to meet the needs of the service users. Despite staff working to counteract a personal hygiene problem for one person their bedroom had a very strong and unpleasant odour. The management said further steps were being taken to resolve this problem. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 20 The home is a detached property with large grounds, in a rural setting. Two other registered homes are on the same site. Evidence was obtained from a full tour of the premises, records were checked and discussions with the managers and staff provided further evidence. The home is subjected to a considerably high rate of wear and tear. There are employed maintenance men who undertake regular repairs. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed who are well trained competent and qualified. The home’s recruitment policy and practices are robust and protect service users. EVIDENCE: Care is provided by a committed, well-trained staff team. Since the last inspection of the home staffing and management arrangements are more settled and the management structure has been enhanced with the appointment of a deputy manager. The ratio of staff to service users is considered sufficient by the managers and staff spoken with felt able to meet the needs of service users. The staff know the people who live at Highcroft and Valley View well. Throughout the course of the inspection interactions between staff and service users were observed as respectful and appropriate. On occasions jokes were shared and the atmosphere was relaxed and friendly. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 22 From discussion with staff and checking four staff files it was evident safe recruitment practices are followed. The staff personnel files were organised to the same format and the use of sectioning made accessing information easy. All information required by regulation was in evidence. The use of recruitment checklists and records and evaluation interviews is considered good practice. Appropriate references are obtained and CRB (Criminal Records Bureau) disclosure checks are carried out. Records seen and discussions with staff showed that the home through the organisation Wessex Autistic Society has a comprehensive programme of staff training for which it is to be commended. This ranges from the initial induction to supporting staff to complete National Vocational Qualifications. All basic health and safety training is included in the programme as well as an emphasis on autism specific input. All staff have individual training records which fits into the training and development plan for the service. Due to the needs of people accommodated at Highcroft and Valley View staffing levels are adjusted and increased according to the activities and those at homer. Some people require two staff to work with them at all times. The staff rota reflected these needs. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well run and the views of the service users influence the development of the service. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The home’s manager has an NVQ (national Vocational Qualification) level 4 in care. She has a “registered manager award” qualification. The manager provides leadership to the staff team and staff spoke of good communication and effective teamwork. The manager has worked for Wessex Autistic Society for many years in various roles and is familiar with the philosophy and aims and objectives. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 24 Appropriate systems are in place to ensure the health and safety of the people who live at Highcroft and Valley View and the staff who work there, is protected. For example risk assessments and control measures relating to activities outside the home are appropriately carried out. Information provided by the service prior to the site visit indicated that regular checks are undertaken including water temperatures, fire safety, heating and electrical appliances and wiring. Wessex Autistic Society has policies, procedures and systems relating to quality assurance and regular audit checks are undertaken. An annual services review is conducted and as part of this review the views of various stakeholders are sought. Staff training includes health and safety and individual staff have been identified to take responsibility for ensuring that certain health and safety checks are undertaken. Not all staff were up to date with the mandatory training, some staff had fallen behind with fire safety training and in manual handling. The inspector had the opportunity to discuss staff training with the regional training officer who supplied the most recent training information however it is a shared responsibility between the home’s manager and training department to ensure all staff complete mandatory training within the timescales. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 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 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 2 X Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 26 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. 1 Standard YA1 Regulation 4(1). Sch.1, Sch4(1) Requirement Timescale for action 31/03/08 2 3 4 YA2 YA30 YA42 The home must have an up to date Statement of Purpose and Service User Guide. Please note this is work in progress 14(1)(a)(b)(c) New service users must be admitted only on the basis of a full assessment. 16(2)(k) All parts of the home must be kept clean and free of odours. 23(3)(d)(e) All staff must receive and complete up to date mandatory training. 31/03/08 31/01/08 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA23 YA23 Good Practice Recommendations It is recommended that all staff receive refresher training in safeguarding adults. It is recommended that the manager ensure all agencies are kept thoroughly briefed of all incidents and or accidents. Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 27 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 Highcroft and Valley View DS0000071383.V356191.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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