Inspection on 08/01/07 for Homebeech

This inspection was carried out on 8th January 2007.

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

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

Other inspections for this house

Homebeech 27/07/09

Homebeech 18/11/08

Homebeech 31/01/06

Homebeech 09/08/05

Homebeech 26/01/05

Homebeech 01/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Homebeech 19/21 Stocker Road Bognor Regis West Sussex P021 2QH Lead Inspector Mr E Mcleod Unannounced Inspection 8th January 2007 09:30 X10029.doc Version 1.40 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 Homebeech DS0000024153.V327429.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 Older People and 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. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homebeech Address 19/21 Stocker Road Bognor Regis West Sussex P021 2QH 01243 823389 01243 841295 homebeech@tinyworld.co.uk www.homebeechltd.co.uk Homebeech Limited 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) Miss Marie-Claire Vallerich Care Home 66 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (16), Physical disability of places over 65 years of age (16) Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users in the PD and PD(E) categories to reside only in the Daffodil Suite. Date of last inspection 31st January 2006 Brief Description of the Service: Homebeech is a care home registered to provide accommodation and nursing care for fifty older people and for sixteen people aged 18 to 65 years of age who have physical disabilities. The home is privately owned by Homebeech Limited for whom the Responsible Individual is Mrs Sandra Ellis. Miss Marie-Claire Vallerich is the registered manager in charge of the day to day running of the home. Homebeech is located in Bognor Regis, close to the seafront, shops and other amenities. It is a large extended property which was originally four houses. The majority of rooms have en-suite facilities and are for single occupancy. There is a separate unit forming part of the home known as the Daffodil Suite which is purpose built for the physically disabled. It has its own communal space, living accommodation and staff complement. Catering and laundry facilities are shared with the main home. Homebeech has two passenger lifts. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to update assessments of key standards from the National Minimum Standards for care homes for older people and care homes for younger adults made at the previous inspection. The key unannounced inspection visit to the home was undertaken by one inspector on the 8th January 2007 from 10 a.m. until 4.20 p.m. The registered person had completed a pre-inspection questionnaire and information from this plus evidence from previous inspections has been used to inform the planning and inspection process. Evidence gained during the inspection visit also informs this report. On the day of the inspection visit, the inspector spoke with seven residents, one visiting relative, four members of staff, the registered manager Ms Vallerich, and the responsible individual, Mrs Ellis. A partial tour of the premises was carried out. The inspector sampled four sets of admission records for residents, and four sets of care plans. Three sets of staff recruitment records and six sets of staff training records were also sampled. The inspector observed a lunch sitting, and interactions between staff and residents. A number of policies, procedures, and health and safety records were also sampled. No new requirements or recommendations were made as a result of the visit. The requirement made at the previous inspection visit is now assessed as met. What the service does well: Residents are well cared for, and staff are helpful and friendly. The service continues to develop and improve, for example through the pilot scheme for a “one stop” time slot for residents at their local GP surgery and through suggestions made by relatives which have been put in place by the management team. The premises are decorated, furnished and maintained to a high standard and living areas are arranged to provide a comfortable and homely environment. The home is well managed, and the staff teams work well together. Complaints are dealt with in a fair and constructive manner. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 6 A good standard of meals is being provided, and residents have a good range of choice at each meal time. Food is freshly cooked and uses fresh ingredients. The home is very clean and hygienic. A range of social activities are being provided. What has improved since the last inspection? What they could do better: No recommendations or requirements were made. Please contact the provider for advice of actions taken in response to this Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 7 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. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP3, OP6, YA2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No resident moves into the home without having had his/her needs assessed and been assured that these will be met. Intermediate care is not provided. EVIDENCE: Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 11 Four sets of admission records were sampled, which indicated that a full assessment of the resident’s needs is being made before admission is agreed. Fees commence at £350 per week for residential care, from £475 per week for high dependency residential care, and nursing care is £500 to £700 per week. The provider has advised that extra charges are made for newspapers, toiletries, hairdresser, aromatherapy, chiropody, charging of electric wheelchairs, completion of forms, registration of death, administration of private nursing fees, and escorted trips. There is provision in the Daffodil suite for some respite care, but intermediate care is not provided. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 13 OP12, 13, 14, 15, YA12, 13, 15, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents find the home meets their social and recreational interests and needs, and the lifestyle matches their expectations. Residents maintain contact with family, friends, representatives, and the local community as they wish. Residents are helped to exercise choice and control over their own lives. Residents receive a wholesome, appealing and balanced diet in pleasing surroundings. EVIDENCE: The provider has advised that diabetic, vegetarian, soft, pureed, low fat and Moslem specialist diets are presently offered. Up to four meals a day are being provided, based on individual needs. Meals are freshly made and fresh ingredients are used. A lunch was observed. Residents were receiving assistance they needed with their meal, and a choice of three main meals was being provided. Residents said they enjoyed the food provided, and that they had the choice of eating in their bedroom or in the dining rooms. Menus seen indicated that a varied, wholesome and nutritious diet is being provided. Activities provided include exercise classes, bingo, flower arranging, videos, musical entertainment and nail polishing. One resident said she enjoyed the piano singalong sessions, the bingo and scrabble sessions, and when carol singers from the local community had visited at Christmas. Staff interviewed said that in good weather residents were taken out for walks, and that recently there was an outing to a pantomime. One staff member said that taking a resident out to the pub had “made his day”. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 14 With reference to the individual social needs of residents, a member of staff gave the example of how one resident who enjoys doing exercise groups and sudoku puzzles was supported to do these. Staff also facilitate and support residents remaining in contact with their family and friends and organisations such as the Multiple Sclerosis society. Residents interviewed felt they had choices in how their care was provided. For example, one resident said she chose not to sit in the sitting room except when musical entertainers came, and preferred to be in her own room listening to radio and watching TV. She added that she chose to have her meals in her bedroom. Residents can choose a female or male carer, and instances where this had happened were cited by staff. Residents interviewed indicated that they go to bed and get up at the times they choose. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP16, 18, YA 22, 23 Quality in this outcome area is good. The judgement has been made using available evidence, including a visit to the service. Complaints are listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: The home’s adult protection policy advises that adult protection training is provided as part of induction and annual training for staff, and that specialist training for management staff is provided. Staff are advised of the operation of the Protection of Vulnerable Adults register, and a copy of the policy on this was seen. Some residents have petty cash held for them by the managers of the service. Records for the management of this money were sampled. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 16 If a resident or relative wish to make a complaint, staff interviewed said they would pass this on to the nurse is charge – and if they are unable to sort it out, it would be passed on to the registered manager. The inspector viewed the record of a recent complaint, which indicated that managers are dealing with complaints in a fair and constructive manner. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP19, 24, 26, YA 24, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well maintained environment which is decorated and furnished to a high standard. Residents live in safe, comfortable bedrooms with their own possessions around them. The home is clean, pleasant and hygienic. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 18 EVIDENCE: A tour of the premises was made with registered manager Ms Vallerich. All areas visited were being well maintained, and maintenance records seen indicated that when upkeep was required this was being undertaken. Communal areas visited were pleasant and comfortably arranged and furnished to a high standard. The service has 43 single and 3 double bedrooms. Bedrooms are redecorated when the room becomes vacant. All bedrooms visited were decorated and furnished to a high standard, and had been personalised by the resident. One resident said it was a “lovely place” to live in. Equipment required for the safe lifting and handling of residents is in place and residents interviewed said they had the equipment they needed. One resident said a bedroom door lock had been provided at her request. Security arrangements include CCTV cameras in places such as the entrance areas. A new computerised call system is in place, and this records and traces the call to ensure calls are being answered in a timely fashion. Call bells were noted to be set at a volume level not too intrusive for residents. Good arrangements are in place for food storage, and the Safer Food system is being followed and recorded by kitchen staff. Records for fridge, freezer and food temperatures were sampled. The treatment room and arrangements for the locked storage of medicines were seen. Toilets, bathrooms and showers visited were of a good standard, clean and hygienic. All areas of the home visited were clean and hygienic. Alcohol gels are provided to help prevent the spread of infection. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 19 Hot water outlets seen had thermostatic valves, and hot water taps tested were providing hot water at temperatures safe for residents. At the suggestion of visitors, signs directing visitors to the administration offices have been made clearer. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP27, 28, 29, 30, YA32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the numbers and skill mix of staff. Residents are in safe hands at all times. Residents are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. EVIDENCE: Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 21 The provider has advised that staff training in the past 12 months has included first aid, basic hygiene, manual handling, nutrition, catheter care, and induction and foundation training. Ms Vallerich advised that 3 carers are due to commence the National Vocational Qualification (NVQ) in care at level 2 in January 2007. 3 staff in the home have achieved NVQ in care at level 3, and 4 have achieved NVQ in care at level 2. Ms Vallerich said that the majority of carers are from outside the U.K., and work on the induction and foundation training programmes and attend college to improve their English before commencing NVQ. There are separate staff rotas which cover the Homebeech and Daffodil Suite services. On the day of the inspection there were sufficient staff on duty to meet the needs of residents – for example, during lunch residents who needed support with eating or cutting their food were receiving the support they needed. One resident said that staff were helpful and “do what they can for you”, and staff were seen to be friendly and approachable with residents. One member of staff said there was “a nice team and nice residents”. Staff receive training in speech therapy, catheter care, lifting, hygiene. Staff said that specialist communication skills were mainly being learned through interaction with residents. Four members of the staff team were interviewed. Staff advised the inspector that staff meetings are held, and that these are helpful in looking at team working issues and the individual needs of residents. Ms Vallerich advised the inspector that a catering company had now taken over preparing and serving meals, and this releases carers from these duties to provide more care support. Five sets of staff supervision and training records were sampled. Examples of completed induction training workbooks and of staff supervision notes were sampled by the inspector and found to be in good order. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 22 Three sets of staff recruitment records sampled were found to be in good order and to be protecting residents. The previous requirement made in respect of this is now assessed as met. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 24 OP31, 33, 35, 28, YA37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, and the registered manager is able to discharge her responsibilities fully. The home is run in the best interests of residents. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The registered manager continues to update her skills and knowledge, and continues to initiate improvements in the service provided. There is a good atmosphere in the home. The provider carried out a survey of the views of residents and their relatives in March 2006, to which 17 written responses were received. These responses have been collated, and the records of this were seen by the inspector. The home has subsequently responded positively to suggestions made in the survey, for example by taking on staff with the specific role of ensuring the main lounges are staffed at all times, and by providing staff with name badges. Mrs Ellis, the responsible individual for the service, said that the outcomes of the survey would be set out in a newsletter for residents and relatives. The provider has advised that the manager/owner do not act as appointee for the finances of any residents. Where requested, the home can assist residents in administering a petty cash type of account, and records for this were sampled. The provider has advised of the most recent health and safety checks, services and inspections which have taken place. The most recent fire officer visit was in August 2006, and Ms Vallerich advised that the home have complied with Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 25 recommendations and requirements made. Residents interviewed said that fire drills were being held every Monday. The provider advised the Commission that a freelance health and safety advisor is employed, and a health and safety audit of the premises has been carried out. Staff are receiving training in health and safety topics such as first aid, fire safety and manual handling. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 4 20 4 21 X 22 X 23 X 24 4 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 27 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Homebeech DS0000024153.V327429.R01.S.doc Version 5.2 Page 29 - 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!