Inspection on 08/06/07 for ICS 1 Dexter Way

This inspection was carried out on 8th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

ICS 1 Dexter Way 22/05/09

ICS 1 Dexter Way 07/11/05

ICS 1 Dexter Way 13/06/05

ICS 1 Dexter Way 22/01/05

ICS 1 Dexter Way 05/08/04

Similar services:

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

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

CARE HOME ADULTS 18-65 ICS 1 Dexter Way Off Birchmoor Road Polesworth Warwickshire B78 1AZ Lead Inspector Justine Poulton Key Unannounced Inspection 8th June 2007 11:10 ICS 1 Dexter Way DS0000004248.V338558.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 ICS 1 Dexter Way DS0000004248.V338558.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. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service ICS 1 Dexter Way Address Off Birchmoor Road Polesworth Warwickshire B78 1AZ 01827 331713 01527 546888 mgr.polesworth@individual-care.com 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) Individual Care Services Mrs Susan Partlow Care Home 5 Category(ies) of Learning disability (5) registration, with number of places ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2005 Brief Description of the Service: 1 Dexter Way is a large domestic-style house situated on the corner of a modern housing estate close to the village of Polesworth. The service is for five adults with a learning disability. Each person has their own bedroom. Two of the bedrooms are situated on the ground floor and have en suite facilities. There is a lounge with a dining area, a kitchen and a small utility room. There are three bedrooms on the first floor, a bathroom and separate toilet. One room upstairs is designated as an office/ sleep in room for staff. Externally at the rear of the house, there is a patio and garden landscaped to meet the needs of the service users. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first key inspection in relation to Inspecting for Better Lives. Identified key standards were looked at. The pre fieldwork documentation was completed, as well as a site visit to the home, during which time people who live in the home, staff, and the manager were spoken with. Two residents were identified for close examination by reading their care plans, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’ where evidence is matched to outcomes for service users. Records, policies and procedures were examined and the environment was looked at. All of the service users were at home for all or part of the inspection. The inspector would like to thank the service users, manager and staff for their hospitality and co-operation during the inspection. The fee for this home was not disclosed during this inspection. What the service does well: The home consistently meets the key national minimum standards ensuring positive outcomes for the people who live there. The home presented with a very relaxed atmosphere. Staffs appeared confident and competent in their roles, and were careful to ensure that peoples needs and wants were met. Peoples care plans reflect their assessed needs. They were detailed and informative, ensuring that staff are able to support them appropriately. Comprehensive risk assessments enable people to take meaningful risks in a safe manner. People are actively supported to make decisions about their lives both on a daily and more long term basis by staff who work hard at ensuring that they are able to recognise and interpret peoples limited verbal and non verbal communication skills. People are supported with their interests, hobbies, leisure pursuits and with planning holidays. Support to attend formal day services during the week is provided, as is the option of accessing activities from home. The involvement of families and friends is important to the people living in the home and is encouraged. A clean, tidy, well-stocked kitchen enables people to choose from a range of meal options. People are also supported with any special diets and assistance with eating as required. The people who live in this home have their personal care needs provided sensitively and discreetly by staff in line with their assessed needs. Their health and wellbeing is also promoted via attendance at routine and more specialised healthcare appointments as necessary. Medication is managed safely on their behalf. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 6 The home has both a complaints policy and an adult protection policy in place. Staff were aware of how people with limited verbal communication make their needs known. At the time of this inspection no complaints had been received by the Commission for Social Care Inspection. Staff were aware of their responsibilities regarding adult abuse. No allegations or suspicions of abuse have been made or received by the Commission for Social Care Inspection. The home was found to be comfortable and clean with no offensive odours apparent. The facilities available met peoples individual needs appropriately. It was decorated nicely with good quality furniture and soft furnishings. Staff numbers were satisfactory for the number of people resident in the home, and their levels of assessed need. Training undertaken by the staff team ensures that a competent and sufficiently knowledgeable team supports them. The vetting procedure for the recruitment of staff ensures that the people living in the home are safeguarded. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 Quality in this outcome area is excellent. Suitable and appropriate information to help prospective service users (and their representatives) to decide if the home is the kind of place they would like to live in is available. Pre admission assessments ensure that all parties can be satisfied that the home can meet the needs of prospective service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a detailed and informative Statement of Purpose available, which provides prospective service users and their families with information about the services that can be provided. Within this document is a section on referrals which clearly sets out the routes that these can be made, the need for a full professional assessment prior to any place being offered and the opportunity to visit the home for a minimum of half a day to look round and meet everyone that lives there. One person has moved into the home since the previous inspection. A specialist social work assessment accompanied by a social work care plan were available in the persons care planning file, along with a residency agreement between the home and the individual concerned, and a contract between the relevant county council and the provider. Also documented within the persons ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 9 care planning file was detailed information regarding the three visits made to the home before actually moving in. These demonstrate that the transition period between home and moving into the service was a very positive experience for all concerned. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent. Peoples needs are well documented and reviewed so that staff are able to provide them with the support they require, in the manner they prefer it. Detailed risk assessments that support people to live full lives in a safe manner are also in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person living in the home has their own individual file that contains all of their care planning, healthcare and social information. Two peoples care plan files were looked at as part of this inspection. The information within them was detailed and informative. Aspects of care and support required by each person were recorded under the headings, area/need, assessment and current need and covered such things as rights and freedom, health, physical abilities/mobility, communication and advocacy, ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 11 self care, culture and faith, social needs and leisure. Dates to confirm that care plans are reviewed on a 6 monthly basis were recorded. Risk assessments were also available within the files looked at. These contained information that would enable each person to take risks within a safe framework. Areas covered included such things as out in the community, swimming, kitchen/dining safety, epilepsy and personal care. It was noted during the inspection that one person had bed rails attached to their bed, but no risk assessment was in place for this. This was discussed with the manager during the inspection who addressed it immediately. Again there were records available to confirm that the risk assessments were being reviewed on a 6 monthly basis in line with the care plans. Throughout the inspection it was pleasing to see that the staff were continually supporting each person with making decisions, either by talking with them, or gauging their non verbal means of communication and offering choices to determine what they wanted. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. People are offered a variety of age, peer and culturally appropriate activities that make best use of in house and community facilities. Relationships with families and friends are promoted. A healthy, nutritious diet is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Of the five people that live in the home, two attend formal day service provisions for the full week, one person attends for two days per week, and the remaining two have all of their day service provisions provided in house. One of the two people chosen for case tracking purposes attends a day centre for five days per week, which is where she was during the inspection. A timetable of day care activities was available within her care plan that included things such as aromatherapy, women’s group and swimming. During the ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 13 evenings and at the weekend it was recorded that this person enjoys watching soaps on television, going to a local youth centre, painting, swimming, cooking, completing jigsaws and spending time with her family and friends. The second person chosen for case tracking purposes had their day service activities provided in house by the staff team. Staff spoken with during the inspection said that this person enjoyed going to a local youth club on a weekly basis, music therapy sessions, listening to music, going out to various places of local interest and swimming. During the inspection it was noted that staff were able to interpret this persons non verbal method of communication to determine what they wanted to do, which included spending time in the lounge with their keyworker, and spending time in their bedroom listening to rock music. The manager said that all of the people living in the home were going on holiday in a couple of weeks. Those people spoken with either said or indicated that they were looking forward to this, and were busy planning for it by going shopping for new clothes and toiletries, or by visiting a local hairdresser to have their hair restyled. During the inspection staff supported people to go out for walks, and discussed future activities that could be undertaken. It was clear from reading peoples care planning files and talking to staff that family involvement and relationships are considered to be of paramount importance to people. Thus any support that may be needed to maintain these relationships is provided. Visits to or from relatives were recorded within the care planning documentation looked at. The home has a domestic kitchen that was clean and tidy on the day of the inspection. Staff said that shopping day was generally on a Friday evening or a Saturday, however it was still well stocked with plenty of fresh produce available. Menu’s are planned on a weekly basis, which cater for individual preferences as well as following healthy eating guidelines and any special diets. During the inspection two people were being encouraged by staff to help with preparing their lunch and laying the dining table. Health and safety records pertinent to food and kitchen hygiene, including a hazard analysis and fridge and freezer temperatures were in place and complete. All foods opened were also labelled and covered appropriately. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 14 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. People who live in the home receive personal support in line with their assessed needs. Their healthcare needs are monitored and addressed. Medication is managed safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each persons needs in relation to their personal care and support were clearly identified in the care plans looked at. Information regarding peoples preferred routines was clearly written and broken down into steps so as to enable staff to support each person exactly as they wished. The staff on duty were seen to be sensitive to peoples needs, providing any support necessary discreetly behind closed doors. Details of people being supported to meet their health care needs were available within the two files looked at. These included both the routine health matters such as visits to the dentist, optician and GP, and more specialised healthcare input such as from a dietician, specialist healthcare equipment ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 15 providers, and specialist healthcare screening. Details of the outcomes of appointments and any actions necessary were also recorded. The home manages peoples medication on their behalf. It is supplied in blister packs that are accompanied by medication administration record charts (MARS). A member of staff talked though the procedure for the administration and recording of medication that utilised the five ‘r’s’ procedure; Right person Right medication Right dose Right time Right route This is then signed by two members of staff, one to say that the medication has been administered, and one to say that they have witnessed the medication administration. The storage of medication was appropriate. Staff spoken with also said that they had received training in medication administration. There were no areas of concern noted with regards to medication during the inspection. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 16 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. The homes policies on complaints and protection from abuse ensure that people’s views are listened to and acted upon, and that they are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the people living in the home have been provided with an accessible copy of the organisations complaints procedure. Copies of these were seen in the two files looked at. Three relatives surveys were returned prior to the inspection all of which indicate that they are aware of the complaints procedure and would be comfortable with using it. Three service users surveys were also received prior to the inspection. Although they indicate that the people concerned do not understand the concept of complaints, two detail who the individual would talk to if they weren’t happy about anything. Staff were clearly able to interpret peoples non verbal clues and means of communication, throughout the inspection, and said that they would respond appropriately if it became clear that someone was not happy about something. This was demonstrated during the inspection when one person was becoming agitated. A member of staff responded to this by going for a walk with her, which they know she enjoys. Another person who was not able to communicate in a formal verbal way clearly expressed when they were happy with something by smiling, and shaking their head to indicate ‘no’. when unhappy with something. No complaints have been received by the Commission for Social Care Inspection at the point of writing this report. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 17 The home has a policy on the protection of adults from abuse. Staff spoken with said that they had received training in the protection of vulnerable adults and were aware of their responsibilities should abuse be disclosed or suspected. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 18 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 excellent. The appearance of this home creates a pleasant, comfortable and homely environment that is well maintained. The home presents as clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a large domestic-style house situated on the corner of a modern housing estate close to the village of Polesworth. The service is for five adults with a learning disability. Each person has their own bedroom. Two of the bedrooms are situated on the ground floor and have en suite facilities. There is a lounge with a dining area, a kitchen and a small utility room. There are three bedrooms on the first floor, a bathroom and separate toilet. One room upstairs is designated as an office/ sleep in room for staff. Externally at the rear of the house, there is a patio and garden landscaped to meet the needs of the people who live at the home. ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 19 The home is nicely decorated throughout, with very good quality furniture fixings and soft furnishings. Each persons bedroom is decorated to individual taste, and personalised with ornaments and pictures. It was recorded within one file looked at of how one person requested the colour she would like her bedroom decorating prior to moving in and left personal items each time she came for a visit. In another file looked at it was recorded about how the choice of bedroom colour was facilitated through showing the person colour charts and letting them indicate which ones they liked. During the inspection one person chose to spend some time in their bedroom listening to music. They were smiling, and appeared quite happy, comfortable and content, clearly indicating that they liked their room. The home presented as clean and tidy throughout with no unpleasant odours apparent. The laundry area is away from the kitchen in a small utility room. An infection control policy is in place, and personal protective clothing is available for staff to use. ICS 1 Dexter Way DS0000004248.V338558.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 Quality in this outcome area is good. People who live in this home benefit from sufficient numbers of competent, knowledgeable staff. Recruitment practices ensure that they are safeguarded from potential harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs nine staff including the registered manager to provide care and support to the five residents who live there. During the inspection there were three members of staff on duty in the morning, with two taking over for the afternoon shift. As two people were out at their day service provision this provided one to one staffing levels throughout the morning, which enabled people to go out. The organisation has a training manager in post. Each member of staff had an individual training record in place along with copies of the related certificates. Information provided in the pre inspection questionnaire indicated that staff had received training in medication, emergency first aid as well as undertaking NVQ’s and being registered on the Learning Disability Awards Framework in ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 21 the previous 12 months. Staff records looked at also confirmed that staff have received training in challenging behaviour, fire prevention and safety, dementia awareness, food hygiene, the administration of buccal Midazolan amongst others. Three staff have commenced employment in the home since the last inspection. The records of these were checked during the inspection. These confirmed that that appropriate vetting checks are carried out prior to people commencing work, that include Criminal Record Bureau checks and a minimum of two references. ICS 1 Dexter Way DS0000004248.V338558.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 excellent. A suitably qualified manager is in place at the home ensuring that the people who live there benefit from a wellrun service. The quality audit system in place ensures that the people who live in this home are at the forefront of service provision and development. Health and safety is managed appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by an experienced manager, who has successfully completed the appropriate qualifications. Staff spoke very highly of the manager, making comment that she was approachable and available. Positive relationships were seen between the manager and people living in the home, and also between the manager and staff team, who appeared to have a lot of ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 23 respect for her. A lighthearted, relaxed atmosphere with jovial bantering was apparent throughout the inspection. The home operates the same quality monitoring system as others within the organisation. Evidence of this was seen on this occasion, and included questionnaires that get sent to the people living in the home, staff, other key stakeholders and professionals that visit the home. The information provided by the questionnaires gets collated by staff at the organisations head office and analysed. A report is then generated from this and an action plan drawn up. The manager said that a representative from the organisation undertakes visits under regulation 26 and provides reports following these visits. These were available to look at. Regular staff meetings also take place. Health and safety is maintained within the home. Dates of when the most recent maintenance checks were undertaken were provided on the pre inspection questionnaire. A sample selection of health and safety records in the home which included fire safety records, fridge and freezer temperatures, the latest electrical installation check, portable appliance testing and the control of substances hazardous to health were in place and up to date. ICS 1 Dexter Way DS0000004248.V338558.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 4 3 x 4 4 5 x 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 4 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 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 4 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 4 x x 3 x ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 ICS 1 Dexter Way DS0000004248.V338558.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham West Midlands B2 4UZ 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 ICS 1 Dexter Way DS0000004248.V338558.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. 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