Inspection on 25/09/05 for Highmead

This inspection was carried out on 25th September 2005.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Highmead 16/12/08

Highmead 19/12/06

Highmead 03/05/05

Highmead 18/11/04

Highmead 15/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Highmead Highfield Road Shanklin Isle Of Wight PO37 6PR Lead Inspector Janet Ktomi Unannounced Inspection 25th September 2005 03:30 Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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 Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highmead Address Highfield Road Shanklin Isle Of Wight PO37 6PR 01983 866575 01983 866575 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) Islecare `97 Limited Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 Brief Description of the Service: Highmead is a registered residential care home providing care and accommodation for up to six younger adults with learning disabilities. The home is owned by Islecare ‘97 who provide a number of homes for a similar service user group on the Isle of Wight. The home is managed by Mrs Linda Sims who is currently completing the registration process to be the home’s registered manager. The manager is responsible for both The Laurels and Highmead and is supported by deputy managers in each home. The home occupies the first floor of a larger building that also provides premises for a similar home, The Laurels on the lower ground floor, Islecare ‘97 management offices, accommodation for overseas staff and training rooms on the ground floor. The home provides all service users with single bedrooms that are equipped with either an en-suite or washbasin and appropriate communal space and bathrooms. The home has access to an area of garden at the front of the home and shares two house cars with The Laurels. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection of this inspection year. Core standards not assessed during the first inspection were assessed along with additional core and non-core standards. The inspection lasted two and a half hours during which a tour of the building was undertaken. Discussions were held with the care staff on duty. All service users living within the home were met during the inspection however due to physical and cognitive disabilities it was not possible to discuss the home with the service users. Care and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? Islecare ‘97 and the manager have confirmed the management arrangements for the home; Mrs Linda Sims has almost completed the registration process to become the registered manager. The home continues to provide a good service to the people living at Highmead. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 6 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. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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 Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards assessed. No new people have been admitted to the home since the previous inspection. EVIDENCE: Standards 2, 3, 4 and 5 were assessed during the previous unannounced inspection. The home has two vacancies at the time of the unannounced inspection. No new service users have been admitted since the previous inspection. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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, 8, 9 and 10. The care planning process identifies service users’ individual care needs and includes risk assessments where necessary and specific details as to how care needs will be met. Information about service users is appropriately handled and their right to confidentiality is respected by care staff. EVIDENCE: The inspector viewed two of the four service users’ care plans. These have been recently revised by manager. The home operates a key worker system and key-workers are fully involved in the formation of the care plans for their key people. Each plan identifies the physical, health, emotional and social needs of the service users and how these needs will be met on a daily basis. The home obtains support from a variety of health care professionals as and when required, including District and Community Learning Disability Nurses who assist with care planning to meet the complex health needs of some of the service users. Care plans are reviewed regularly by key-workers. It was noted on review forms that only the day and month had been recorded within the date section. The manager is required to ensure that full dates, including day, month and year are recorded on all documentation. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 10 During the inspection it was noted that care staff consulted service users, providing them with opportunities to make choices about day-to-day events. Questions were formulated in a manner service users could understand and respond to. Within care plans there was evidence of multi-disciplinary decisionmaking where service users lacked the cognitive ability to make complex decisions. Everyone who lives at the home requires assistance to manage their personal finances. The arrangements in respect of money were checked during the previous unannounced inspection and were appropriate in both procedure and documentation. Care plans contained risk assessments and clear guidelines for staff around daily activities. External professionals such as psychologists and community nurses had been involved with care staff in the production of risk assessments which, were designed to promote not restrict service users’ lives and choices. The home has a number of aids and items of equipment aimed to reduce risks for service users and environmentally the home has been made as safe as possible. The home has a policy for unexplained absences and photographs of service users although this is not a concern with the current service users. Islecare ‘97 has a policy and procedure in respect of confidentiality that is included in staff induction training. Care staff were clear about confidentiality and the situations in which information may need to be shared with managers or other professionals. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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): 11, 12, 13, 14 and 16. Service users enjoy a varied lifestyle with lots of opportunities for community and leisure activities. EVIDENCE: At the time of the unannounced inspection the home has only four service users. Care staff stated that this has increased their opportunities for outings and activities as the two staff on duty and the four service users can all go out in one of the house cars. This summer service users have been out for many ad hoc outings. Care staff confirmed that they often organise ad hoc activities as weather and service users’ health permits. Service users go out for meals or to pubs for drinks. Each service user has an individual weekly programme of activities that includes a range of day services and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. Care plans contained records of individual weekly routines and ad hoc social outings and activities organised by care staff. Service users are encouraged to participate in domestic activities as their cognitive and physical abilities allow. The home shares two cars, one capable of transporting service users who are wheelchair users, with the other home situated within the same building. Some social events are organised jointly by Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 12 the homes with service users and staff from each home going out together. During the unannounced inspection one service user from Highmead went out with service users and staff from The Laurels. Care staff confirmed that one service user attends church and is supported to do so by care staff members who have the same religion. Due to physical, medical and cognitive limitations it is not appropriate for the people living at Highmead to have paid employment, service users do attend day centres part of the week. Staffing levels within the home are sufficient to enable service users to enjoy community activities. Care staff were observed interacting appropriately with service users during the inspection. During a tour of the home the lounge and service users’ bedrooms were seen to contain a number of appropriate home entertainment options including televisions, music centres and sensory equipment. The inspector was able to visit service users whilst they were enjoying their evening meal. Service users had had a roast Sunday lunch therefore they were having a lighter evening meal. The meal was relaxed and unhurried with service users being encouraged to be as independent as possible with appropriate special equipment to facilitate this available. Choice in respect of puddings was provided and discussions with staff indicated that they had a good understanding of individual service users’ likes and dislikes. One service user is fed via a PEG system with staff having received training to undertake this procedure. A record of food and drink is kept for one service user who is reluctant to eat. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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 and 20. Service users’ healthcare needs are fully assessed and met with the assistance of external health professions where appropriate. Staff provide personal support to all service users and ensure that dignity and privacy are maintained at all times. Medication is appropriately stored and administered. EVIDENCE: Risk assessments in respect of safe moving and handling have been completed for all service users and were seen in care plans during the inspection. The home employs both male and female care staff. The home operates a key worker system and service users are supported to make decisions and choices in respect of clothing and personal appearance. The inspector saw a variety of aids and adaptations around the home including bath hoists, passenger lift, handrails, and mobile hoists. The inspector noted within care plans that specialist advice was sought when required from Physiotherapists, Community Learning Disability Nurses, District Nurses and Speech Therapists. Care staff were positive about the input from external professionals and confirmed that as key workers they were fully involved in assessments and care planning. All bedrooms within the home are single, with either en-suite facilities or washbasin, providing a high level of privacy for service users during personal care tasks. Health Action Plans have been completed by key-workers for all service users and HILDA assessments have been updated. Discussions with Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 14 care staff indicated that they had a good understanding of the health needs of the service users and had undertaken specialist training to meet some individual needs such as PEG feeding. At the time of the unannounced inspection all medication was found to be stored appropriately. The medication administration records were viewed and had been fully completed. The home uses a pre-dispensed system. None of the service users living at the home are able to self medicate, therefore all medication is administered by care staff who have received additional training and been deemed competent. All care staff that administer medication have completed the City and Guilds medication administration course. Guidelines as to the administration of as required medication (such as Paracetamol) were noted within care plans. No controlled medications are held within the home. The staff member responsible for medication administration on each shift is indicated on the duty rotas. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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 and 23. The home has a complaints policy in symbol format with service users’ opinions sought and respected by staff. Staff within the home are aware of adult protection issues and follow the locally agreed procedure in the event of adult protection concerns. EVIDENCE: Islecare ‘97 has a complaints policy which is made available to service users or their representatives in the service users’ guide. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book. Staff spoken with were aware of what procedure they should follow should a service user or their representative make a complaint. Service users at the home have limited cognitive ability and would be unable to make a formal complaint, care staff appeared aware how non-verbal communication would indicate that a service user was unhappy with a situation or activity. The homes have a copy of the Isle of Wight Adult Protection Policy together with the Islecare ‘97 adult protection and whistle blowing policies. Staff spoken with during the inspection were all aware of the adult protection policy and procedures and clear about their responsibilities to report issues of concern without delay. All service user bedrooms contain a secure lockable facility where valuables or money may be stored. The employment procedures followed by Islecare ‘97 should ensure that unsuitable people are not employed at the home and include POVA and CRB checks. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 16 Highmead DS0000012498.V249146.R01.S.doc Version 5.0 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, 25, 28, 29 and 30. The premises is suitable for the existing service users providing all single bedrooms and appropriate bathing, WC, and communal space. Staff and service users’ privacy and security has been compromised by overseas staff that live within the same building. EVIDENCE: The home is located on the first floor of a large older building. Other parts of the building are used for a variety of purposes including another registered care home, Islecare ‘97 management offices, training rooms and accommodation for overseas staff. The entrance to Highmead is at the front of the building with car parking available to the front or side of the building. Highmead has access to an area of garden adjacent to its front door. This garden is now also the only access for overseas staff to reach their part of the building. The gate latch is broken and parts missing. This could result in service users wandering out of the garden if care staff were distracted by other service users’ needs. The overseas staff living on site have worn a path across the lawn which will result in an irregular surface providing a risk to service users with limited mobility. Apart from the physical risks now presented by the garden, service users no longer have a private external space. Whilst touring Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 18 the building it was obvious that the security of the building has been also compromised. The inspector noted two external doors left open on the ground floor. Care staff stated that on occasions at night these doors have also been left open. This would provide access to the whole building. Once inside the building there are no locks on doors or the lift to Highmead. The manager and Islecare company must review the security arrangements for the home and ensure that staff and service users are safe. The manager and company must also consider how the service users may be provided with a safe private garden. Care staff informed the inspector that when the overseas staff first arrived a member of the management/supervisor team had lived in the flat above Highmead. To gain access he had to pass through Highmead. Again this compromises privacy and security for service users. All service users are provided with a single bedroom, most of which have ensuite facilities, although these are not always used by service users due to their physical disabilities. Bedrooms are all pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions, music centres and sensory lights were seen in the bedrooms currently in use. Specialist equipment such as high/low beds have been provided for people who require this. Highmead has two bathrooms, both having chair hoists suitable for the service users within the home. Five of the six bedrooms within Highmead have ensuite facilities, the other having a washbasin. The communal space provided is domestic in nature and appropriate in size and furniture to meet service users’ needs. There is a kitchen/dining room and lounge. The home does not have separate areas for visitors to be received in private, however if this were required, the sitting/entrance room to Highmead could be used. The worktop above the dishwasher requires repairing/replacing as it has delaminated along the front lower edge and can no longer be adequately cleaned. The sealant around the back of the sink is also in need of replacement as it is peeled and stained. As previously described, service users no longer have a private garden. All service users have an additional physical disability. Highmead is located on the first floor and is accessed via a passenger lift. During a tour of the home manual handling equipment, bathing hoists, grab rails and a small internal lift were seen. Service users have been individually assessed by Occupational Therapists for aids and adaptations and these have been provided. Care staff informed the inspector that individual service users have had moving and handling assessments with guidelines produced for each service user. These were seen within care plans. Care staff confirmed that they have received training in respect of hoists and other equipment that is regularly serviced. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 19 On the day of the unannounced inspection the home was noted to be clean, tidy and free from offensive odours throughout. Care staff undertake all domestic and laundry activities. The home has policies, procedures and equipment in place for the control of infection. Care staff stated that staff receive initial and update training in respect of food handling, health and safety, infection control and hygiene issues. Supplies of liquid soap, disposable gloves and paper towels were seen during the inspection. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 20 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): 31, 32, 33 and 36. The home employs appropriate numbers of suitably trained and experienced care staff to meet the needs of service users. EVIDENCE: At the time of the unannounced inspection staff present within the home corresponded to those stated on duty rotas. Three staff are provided during the morning and two during the afternoon with one awake staff member at night. Staffing levels are appropriate to meet the service users’ needs and allow activities/outings to occur, and for staff to transport service users to/from day services. Care staff are also responsible for cooking, cleaning and laundry within the homes. Both male and female staff of mixed ages are employed. Regular staff meetings occur for which minutes were seen. All staff have now completed the Learning Disabilities Award Framework accredited training and most medication training. Care staff stated that there is a low level of staff turnover and sickness, with the home’s own staff covering extra shifts so that agency staff are not used. Care staff confirmed that they have all received job descriptions provided by the company Islecare ‘97 and were aware of their roles as key workers and care staff. Many of the staff have been employed at the home for a number of years and have a good understanding of the service users’ needs. Staff spoken with understood when and how to seek advice and support via the Islecare on call system. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 21 During the inspection care staff were observed interacting appropriately with the service users. Care plans detailed how specialist support and advice is obtained from Community Learning Disability Nurses, Psychologists and care managers. Care staff stated that they receive ongoing core and additional training. Care staff confirmed that they receive regular supervision and annual appraisals. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 22 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, 40, 41, 42 and 43. The management arrangements are appropriate for the size and nature of the home. The home provides a safe environment for staff, service users and visitors with the exception of the security arrangements. Records are generally well maintained and appropriately stored. EVIDENCE: The company has now confirmed the permanent appointment of the temporary manager, Mrs Linda Sims, who has commenced the registration process with the Commission. The manager also manages The Laurels, a similar home located on the same site. The manager is supported by two deputies, one within each home. The company provides an on-call system to provide advice and support to care staff during the evening and weekend. The list for the oncall managers was seen. Care staff were clear about issues that they should call the on-call managers about. There was no record available of the hours the manager works within the home. A record of the manager’s hours must be recorded and available for inspections. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 23 Due to the level of cognitive disability the people living at Highmead would not be able to participate in service user meetings and it would be difficult to ascertain their views about the service other than interpreting responses to activities, staff or situations. The majority of the policies and procedures within the home are Islecare ‘97 company policies to which individual service users have no input. The Commission receives monthly Regulation 26 visits reports. During the unannounced inspection a variety of records held within the home were viewed. These involved records in respect of menus, care plans and risk assessments, Medication Administration Records, bath temperatures and duty rotas. The fire detection equipment checks are undertaken by a member of Highmead care staff for the whole building and held within Highmead. These were viewed and found to contain a blank line between two recordings. It is understood that another record book is held within the management offices and some recordings are made in that book. It is required that all recordings of the fire detection equipment are available for inspection and blank lines must not be left in records. As previously stated some records within care plans were not fully dated. Records are appropriately and securely stored with access to information limited to those who should have access to records. At the time of the unannounced inspection the home provided a safe environment for staff and service users with the exception of the garden and security arrangements. These have already been described within the environment section of this report and the manager and company are required to resolve these concerns. Staff receive training in manual handling, first aid, health and safety, fire awareness and food hygiene with a list of update training dates seen in the duty rota file. Safety notices were seen appropriately positioned around the home and infection control equipment was available for care staff. Covers are fitted to all radiators with water temperature controls fitted to the bath to prevent the risk of scalding. Bath water temperatures are recorded by care staff prior to each service user having a bath. The relevant insurance policies were seen on the hall wall. The home’s budgets are held by the manager and records of allocated budgets were seen. Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 X 3 2 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highmead Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 2 2 3 DS0000012498.V249146.R01.S.doc Version 5.0 Page 25 Yes 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. 2. 3. 4. Standard YA6 YA41 YA24YA42 YA24YA42 YA24YA42 Regulation 17(3) 23(2)(o) 23(2)(a) 23(2)(a) Requirement All records must be correctly dated to include day, month and year. The home’s garden must be safe. The gate latch must be repaired. The home must be made secure. The home must provide privacy for service users and must not be used for access to other areas of the building. Records of fire detection equipment must be available for inspection and fully completed. This was required at the previous inspection in may 2005 A record must be kept of the hours worked by the manager. Timescale for action 26/09/05 01/12/05 01/11/05 01/11/05 5. YA41 23 (4)(c(v)) 01/10/05 6. YA37YA41 17 (2) 25/09/05 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 Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Highmead DS0000012498.V249146.R01.S.doc Version 5.0 Page 27 - 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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