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Inspection on 05/06/07 for Hill View Care Home

Also see our care home review for Hill View Care Home for more information

This inspection was carried out on 5th June 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service offers a one to one service over a twenty-four hour period to the supported person. The planned structure of the home has supported the individual to live their day in a predictable way with staff being on available when required. The supported person has lived in the home for three years and told the inspector that they were very happy, liked the staff, the house as a whole and maintains contact with their family, friends and worked locally. The management of the home is robust in maintaining the structure and ongoing support for the individual.

What has improved since the last inspection?

The staff team have increased since the last inspection and the teamwork well together to meet the aims and objectives of the home to ensure the safety and wellbeing of the supported person. The kitchen has been redecorated and a dishwasher, new washing machine and dryer has been purchased. The bathroom has been redecorated and the requirement met from the previous inspection that the radiator is more securely fixed to the wall. All staff have received induction training, mandatory training and receive formal documented supervision of their work. Staff files indicated recruitment procedures were in place to ensure the safety and protection of the supported person. The home is currently reviewing the homes record keeping assisting the supported person in their understanding of their own records.

What the care home could do better:

The homes medication procedures are robust yet improvements must include a documented risk assessment regarding the supported person self-medicating and safe storage of medicine cabinet key to ensure the safety and wellbeing of all people in the home. It is recommended that the missing person profile contain more information regarding the supported person communication and specific needs in order that they may be supported more fully if they were unable to return safely home.It has been required that the views of all persons connected with the home are obtained and documented in order to provide a planned quality assurance process and development of the home.

CARE HOME ADULTS 18-65 Hill View Care Home 5 Essex Close Frimley Camberley Surrey GU16 9FH Lead Inspector Suzanne Magnier Unannounced Inspection 5th June 2007 10:45 Hill View Care Home DS0000055284.V342306.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 Hill View Care Home DS0000055284.V342306.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. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hill View Care Home Address 5 Essex Close Frimley Camberley Surrey GU16 9FH 01252 838199 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) Hillviewkher@aol.com Mr Kher Khulpateea Mr Kher Khulpateea Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Hill View Care Home is a small family run home. The home has been developed to accommodate one service user, within the category of learning disability LD. The home is a considerable distance from the local shops. However, the home has its own transport. The premises are homely and nicely furnished. There is one single bedroom on the first floor, and facilities in the home include a lounge, kitchen with dining table on the ground floor. A bathroom/toilet with shower, an office also used as a sleep in room on the first floor. The garden is small but nicely laid out on levels rising upwards, the patio area on the lower level has a BBQ. There is ample parking in the main car park for the entire house; the home is accessible by a ramp and steps to the front door. There is a small but nicely laid front garden. The current fees are £2,300-00 Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an announced ‘Key Inspection’ in order that the inspector could meet with the supported person. Ms S Magnier Regulation Inspector carried out the inspection and the manager represented the service. For the purpose of the report the individual using the service is referred to as the supported person. The inspector arrived at the service at 10.45 and was in the home for five and a half hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the homes manager, and any information that CSCI has received about the service since the last inspection. The inspector spent some time talking with the supported person in order to seek their views about the home. Responses to questionnaires that the Commission had sent out and written comments have been included within the report. Some comments included ‘In every way they (the staff) are brilliant. They do everything to give my daughter a good life. They are all very nice people who really care. We have been involved in many care homes around the country in the last 40 years but there is no other like Hill View. The owner and staff are to be applauded. We hope that Mr Kher Khulpateer will be able to open many more homes like Hill View. We also greatly appreciate Surrey Social Services and their team of workers’. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Documents sampled during the inspection included the homes Statement of Purpose and Service User Guide, the terms and conditions of residency in the home, person centred plans, daily records and risk assessments, staff files, a variety of training records, and several of the services policies and procedures. Following the previous inspection in June 2006 the service has met all the requirements made. The home had submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, details of which have been added to the report. From the evidence seen by the inspector and comments received, the inspector considers that the home would be able to provide a service to meet the needs of individuals who have diverse religious, racial or cultural needs. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 6 The inspector would like to thank the supported person, the staff and management staff for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? What they could do better: The homes medication procedures are robust yet improvements must include a documented risk assessment regarding the supported person self-medicating and safe storage of medicine cabinet key to ensure the safety and wellbeing of all people in the home. It is recommended that the missing person profile contain more information regarding the supported person communication and specific needs in order that they may be supported more fully if they were unable to return safely home. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 7 It has been required that the views of all persons connected with the home are obtained and documented in order to provide a planned quality assurance process and development of the home. 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. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4, 5. Quality in this outcome area is good. This judgement has been made using a range of evidence including a visit to this service. Prospective people have sufficient information to make an informed choice if they would like to live in the home and trial periods of stay in the home are available. The arrangements for a needs assessment for people ensure that their needs are assessed and identified before admission to the home. People have a copy of their terms and conditions of stay in the home. EVIDENCE: The inspector sampled the Statement of Purpose and the Service Users Guide, which had both been recently updated. It was observed that the supported person had their own copy, which was in a written format but available also in symbols if they preferred. It has been recommended that the Statement of Purpose be further improved to include a more detailed explanation of the staff members training and experience related to the needs of the supported person currently living in the home. Whilst sampling the files the inspector noted that the supported person had had a variety of professional care needs assessments, with the inclusion of their family, in the decision to live at the home with twenty- four-hour care support. A limited trial period had been offered and the supported person told Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 10 the inspector about the day they moved in, that it was nearly three years ago and how happy they were to live in there. The supported persons files contained a copy of their own terms and conditions of stay in the home, which they and their next of kin had signed. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Quality in this outcome area is excellent. This judgement has been made using a range of evidence including a visit to this service. The home has maintained robust care planning and risk assessments. The documents were current and well recorded to ensure that the supported person’s changing needs, aspirations, safety and wellbeing were being met. The supported person makes decisions regarding their life and participates in the running of their home. EVIDENCE: The home has maintained robust person centred plans for the supported person. The plans represent the persons lifestyle, history, significant people in their life, communication style including choices of specific words, their preferences, likes and dislikes, difficulties they may experience during their day, coping strategies including writing things down and ways to calm down, strengths and abilities, achievements, aspirations and hobbies. There are clear, well documented agreed working practices which all staff are aware of in order to support and ensure the safety of the supported person Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 12 through structure, stability and a predictable daily routine. The inspector observed the staff working in this way throughout the day and the benefits of the one to one support that the person received. The manager explained that the person centred plans and agreed working practices were constantly under review due to the changing needs and diverse lifestyle of the supported person. It is recommended that the plans be dated, as the reader will then be aware that they are the most current document. The daily records written by staff were well written and documented clearly the support, care and the person’s achievements over the twenty-four hour period. The home have developed a specific document which is used to outline the person’s communication and behaviour which may result in the service being tested. The document includes documentation of staff response and how a situation is calmed in order to ensure the safety and well being of the supported person and staff. The inspector observed that the supported person has an active role within the home and that the service is run on a day-to-day basis to meet the needs of the supported person. Examples of inclusion in running the home were evident when the supported person made cups of coffee, set the kitchen table, went out for an accompanied walk, and chatted with the inspector about their daily routines both in and outside of the home. The supported person moved freely around their home and told the inspector that they had friends to visit and also liked the neighbours. The inspector sampled a variety of risk assessments associated with the supported persons daily life for example doing their laundry, getting the bus, going to work and visiting the local town. All assessments were well recorded and detailed clearly the hazards identified, ways to minimise risks and what actions had been taken to reduce the hazards in order to ensure the safety and well being of the supported person as far as possible. The home have developed a missing person profile and it has been recommended that the profile contain more information regarding the supported person’s communication and specific needs in order that they may be supported more fully if they were unable to return safely home. The manager demonstrated sensitivity and respect regarding the supported persons personal files whilst sharing them with the inspector in order to ensure that the supported person did not become distressed and upset during the sharing of the information. It was noted that all files were stored securely and in keeping with the home confidentiality policy and procedures. Hill View Care Home DS0000055284.V342306.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): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using a range of evidence including a visit to this service. The home promotes and maintains the supported person’s involvement in their local community offers opportunities for personal development, appropriate activities and employment and assists in maintaining and supporting friendships. The supported person is encouraged to be involved in the running of the home and maintaining their daily living skills. A choice of a healthy diet is provided. EVIDENCE: It was evident during the inspection that the supported person was comfortable and happy in their surroundings and despite the firm structures in place there was a comfortable and relaxed atmosphere in the home. The supported person and staff have a written timetable and also clear guidelines which breakdown point by point how the supported person lives Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 14 their day. The manager explained that the timetable is fully structured and the structure assists the person to maintain their own independence, for example the supported person can currently undertake three tasks within their local community without the assistance of staff. The manager explained that the staff are aware of the supported persons whereabouts at all times and would be available in the case of an emergency to assist the person to ensure their safety and welfare. The manager explained that the supported person is provided with opportunities to develop new skills at their own request. The requests may fluctuate yet staff offers support over a period of time, which currently suits the supported person. The manager showed the inspector some documentation which demonstrated that the staff work alongside the supported person with a solution based approach to specific needs or concerns that the supported person may have and that this way of working has maintained the person’s skills and sense of well being and esteem. During the inspection the supported person spoke at length with the inspector about the things they enjoyed doing and were currently doing each day. These leisure and work activities included meeting and maintaining contact with friends and family, speaking on the telephone, having holidays, working in a local charity shop, doing housekeeping tasks for example laying the table, helping in the kitchen, supermarket shopping, having support with financial budgeting, learning the computer at college, using some public transport, going to church and walks with staff, writing letters and listening to classical music. It was evident through listening and chatting that the supported person was well known within their local community and was pleased with their achievements in independence and lifestyle. Part of the weekly structure includes menu planning and the manager explained that this is discussed with the supported person and menu plans are put in place. The home have developed a variety of laminated photographs which illustrate food in order that the supported person can use these as prompts to help in the planning of the menu. Choice was evident in this process and the supported person stated ‘I like to have a choice about what I eat’ The homes fridge was well stocked with fresh dairy products and vegetables and the kitchen served as a dining area. The supported person said they would like to have a new dining table and the manager advised that the purchase was being looked into. Hill View Care Home DS0000055284.V342306.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, 20. Quality in this outcome area is good. This judgement has been made using a range of evidence including a visit to this service. The home has consistent recording and documentation to evidence that the supported person attends health care appointments to ensure their wellbeing and welfare. The homes medication procedures are robust yet improvements must include a documented risk assessment regarding the supported person self-medicating and safe storage of medicine cabinet key to ensure the safety and wellbeing of all people in the home. EVIDENCE: The person centred plans developed by the home clearly document the ways in which the supported person undertakes their personal care needs and assistance is provided if requested. The supported person stated that they prefer to have a shower and also is able to choose their clothes, get up when they want to and has freedom to move around in their home. The health care needs of the supported person were clearly documented and Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 16 included Occupational therapists records, GP appointments, specialist health care professional appointments and visits to the dentist. The manager explained that the supported person has chosen to retain the services of their GP who they have known for a long time. It was noted that the records indicated that regular reviews by the local multi agency healthcare professionals were undertaken and several referrals for specfic services such as sensory therapy, anxiety management and relaxation had been made. The medication cupboard is located in a safe place within the home and is locked to ensure security and safety. The home has a monitored dosage system in place and a medication policy and procedure. The inspector noted that there were prompt cards in place, which also included diagrams of the supported persons medication. The inspector sampled the medication administration charts and noted that staff administering medication initialled them. The manager explained that the supported person had over two years successfully managed their lunchtime medication. A booklet with symbols of their prescribed medication has been developed to support the persons understanding of their medication. It has been required that the home complete a risk assessment regarding the supported person self medicating and also a risk assessment regarding the storage of the medication key within the home to ensure the well being and safety of all persons in the home. The manager stated that where the supported person works the people working there will remind the person to take their medication which the homes staff have given to the supported person prior to going out into the community. Hill View Care Home DS0000055284.V342306.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 good. This judgement has been made using a range of evidence including a visit to this service. The supported person who uses the service is able to express their concerns and has access to a complaints procedure. They are protected from abuse and have their rights protected. EVIDENCE: The home have a complaints procedure and no complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Whilst speaking with the supported person it was noted that they were able to self-advocate and told the inspector that if they were unhappy they would be able to talk to the staff, their family and their friends. The supported person has a copy of the homes complaints procedure and also has the CSCI inspectors business card. The manager explained that time is allocated on a daily basis for the supported person to talk to staff about any concerns they have and also to put any anxieties or concerns in writing. The home have not reported any safeguarding adults referrals and the policy and procedures regarding safeguarding adults was seen by the inspector and is in line with the local multi agency safeguarding adults policies and procedures. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 18 Staff files evidenced that staff had received training and awareness of safeguarding policies and procedures in order to protect the supported person in their care from abuse. Hill View Care Home DS0000055284.V342306.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, 30. Quality in this outcome area is good. This judgement has been made using a range of evidence including a visit to this service. The physical layout of the home enables the supported person to live in a safe environment. The home is clean, pleasant and hygienic throughout. EVIDENCE: During the tour of the premises the inspector noted that all areas of the home were well decorated and the home was clean and hygienic throughout. The manager explained that the kitchen had been recently redecorated and kitchen units have been upgraded and new appliances including a dishwasher, washing machine and dryer had been purchased. The kitchen windows and door have been replaced by new UPVC ones. The bathroom has also been renovated. The front and back gardens were well maintained and the supported person had the freedom to use both areas for relaxation and do some light gardening tasks. During the inspection a staff member brought an ornamental tortoise to the house, which was delightfully received by the supported person as they had expressed a choice to have one. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36. Quality in this outcome area is good. This judgement has been made using a range of evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to provide 24hour support to the individual living at the home. The home has a robust system for the induction, training development, recruitment and supervision of staff to ensure the supported persons needs are met appropriately and safely. EVIDENCE: The home currently employs six care staff. On the day of the inspection there were three staff on duty. All staff were observed as skilled in supporting the person in their care and were knowledgeable regarding the specific needs of the individual to ensure their safety, well being and offer reassurance. The home has a recruitment and selection policy, which incorporates equal opportunities. The staff files sampled that all staff have job descriptions in order that they are clear about their roles and responsibilities. There was evidence that prospective carers had received face- to -face interviews. References and CRB clearances had been obtained. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 21 Each staff member has their own annual training and development plan, which is linked to the homes aims and objectives and the needs of the supported person. Records indicated that staff had received induction and mandatory training and several staff had achieved their National Vocational Qualification in Care (NVQ) awards with some staff currently undertaking the NVQ. The home have a well documented support and supervision policy. Staff supervsion records were in place and one staff member told the inspector that they had received a good induction and had ongoing support and supervision from the homes manager. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 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. 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 a range of evidence including a visit to this service. The management and administration of the home is robust and the home is run in the best interests of the supported person. It is recommended that the home develop a quality assurance process to seek the views of people connected with the service. Health and safety in the home is well managed. EVIDENCE: The atmosphere in the home was calm and orderly. The pace of the home was designed to meet the needs of the supported person. It was evident through observation and talking with the supported person and staff that the manager had good knowledge about managing the care home and had the skills and experience to ensure the safety and well being of all persons in the home. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 23 During the inspection it was noted that the service has strong links with the supported persons family, friends, work colleagues and health care professionals. People’s views about the service were sought yet there was no planned quality assurance procedure in place to seek the views of the person receiving the service and any visitors to the home. It has been recommended that the views of all persons connected with the home are obtained and documented in order to provide a planned quality assurance process and development of the home. The robust management of the home incorporates health and safety checks, the regular review of person centred plans and risk assessments to ensure the safety and wellbeing of all persons living in the home. Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 3 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 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 13.(2) Requirement The home must complete a risk assessment regarding the supported person selfmedicating and also the storage of the medication key within the home to ensure peoples well being and safety. Timescale for action 20/06/07 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 Refer to Standard YA9 Good Practice Recommendations It is recommended that the missing person profile contains more information regarding the supported persons communication and specific needs in order that they may be supported more fully in the event of them not being able to return safely home. It is recommended that people’s views about the home be obtained and documented in order to provide a planned quality assurance process and development of the home. 2 YA39 Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Hill View Care Home DS0000055284.V342306.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!