Inspection on 14/09/07 for Iona

This inspection was carried out on 14th September 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

Iona 26/02/10

Iona 11/08/09

Iona 07/06/06

Iona 25/01/06

Iona 25/07/05

Iona 02/03/05

Iona 03/08/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Iona 104 Well Street Biddulph Stoke On Trent Staffordshire ST8 6EZ Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 14th September 2007 11:30 Iona DS0000004962.V348025.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 Iona DS0000004962.V348025.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. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Iona Address 104 Well Street Biddulph Stoke On Trent Staffordshire ST8 6EZ 01782 523396 F/P 01260 289107 Iona@imladris.me.uk 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) Ms Jill Stockdale Ms Jill Stockdale Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: Iona is a care home for younger adults providing personal care and accommodation for six people with a learning disability. One place can be used to provide a service for someone with both a learning disability and mental health needs (Mental disorder). The home is situated close to local amenities very close to Biddulph town centre. There are good public transport links to the home. The building is an older type semi-detached house with adequate secluded garden area with lawn and patio. There is one single ground floor bedroom with shower cubicle, further 3 bedrooms on the first floor - 2 shared and one single room, [which has en-suite facility]. There is a bathroom on the first floor. The communal rooms provide adequate lounge and dining space. The main lounge is of good size and comfortably furnished, the dining area is little used as such, since the kitchen was refitted, as this is now the preferred dining area for residents. The little used former dining area is now being used for activities or the entertainment of visitors. The home is run on ordinary life principles, where people who use the service are supported as needed, but encouraged to maximise their potential, with assistance from a professional and caring staff team. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection had been planned as an unannounced one, but following an abortive visit to the home during the summer when everybody was away from home, agreement had been reached with the Regulation Manager to arrange it for a time when the people who use this service would be able to participate. All but one of the people who use the service were thus enabled to be part of the inspection, which was carried out with the assistance of the Provider/Registered Care Manager and her deputy, and other members of staff. Nobody had any visitors during this inspection, either private or professional, and no outside comments had been received to inform this report. In addition to recording observations made whilst undertaking an extensive tour of the environment, information for the report came from talking to people who use the service, discussions with management and staff, (including a formal staff interview) reviewing care plans, and examination of other documents necessary for the good running of the home. An annual quality assurance assessment and provider dataset had been returned prior to the inspection, and these were used in conjunction with the last inspection report and anything recorded on CSCI files as evidence used in the ensuing report. The home was clean and warm and tidy throughout, with good-quality furniture and fittings, and the people who use this service (using a range of communication methods) indicated that they were satisfied with, and positive about, the experience of living there. Current levels of fees were given as between £332 and £535 per week, and the only items not covered by the fees being those personal choices of the people who use the service, which were paid for out of their personal allowances. What the service does well: This service continues to offer accommodation in a homely environment for six people with enduring Learning Disability, in the midst of a residential community in a small town on the periphery of the Staffordshire Moorlands, but with good links to all the amenities of Stoke-on-Trent and Leek, with their hospitals, retail outlets, and educational establishments, and social amenities. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: No requirements or recommendations are being made as a result of this inspection. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 7 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. Iona DS0000004962.V348025.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 Iona DS0000004962.V348025.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, 3, and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service can expect to receive all the information they require to ensure that their personal choices and assessed needs can be met, and to be able to participate in a planned programme of visits to meet and interact with others already in the home. EVIDENCE: A sample of care plans was reviewed. These demonstrated that all pre admission assessments had been undertaken by a Registered Mental Health Nurse with extensive experience of the home, and included a planned introduction between all relevant parties. This provider confirmed that there have been no recent admissions, and in the dataset returned to CSCI, refers to regular reviews of both the Service Users Guide, and Statement of Purpose. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have their needs and choices reflected in an individual care plan, are encouraged to take decisions about their lives, and to take suitably modified risks as part of their independent lifestyle. EVIDENCE: There were individual care plans for each person in the home, and a sample of these was reviewed during this inspection. They were based upon full, multi agency, community care assessments, and had been reviewed to reflect peoples changing and emergent needs. Encouragingly, there were several instances where medication reviews were taking place to reduce the amount and/or, number of drugs being taken. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 11 The daily records confirmed what was seen in practice at the time of this inspection, in as much as people benefited from staff input to enable them to undertake the activities of their choice, including being transported/escorted to these, if public transport was either unavailable, or inappropriate. The providers dataset refers to residents meetings, and to the fact that a befriender of one person has now been invited to take the chair to improve the impartiality of these gatherings, and the minutes of a recent meeting were reviewed, and references in the care plan being examined were seen to changes initiated as a result of an opinion expressed at a previous meeting. (An addition to the menu) One person told the inspector how he had been assisted to undertake the task of his own liking by the input of training designed to reduce the perceived risk involved, and this was confirmed in discussion with the manager and staff. Iona DS0000004962.V348025.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, 14, 15, 16, and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are able to develop as individuals, by taking part in appropriate activities both within the home and in the local wider community, including leisure activities of their choice. They can maintain and make relationships, eat a healthy and nutritious diet, and be respected in the home with appropriate safeguards to their dignity and privacy. EVIDENCE: People who use this service while not engaged in full-time employment, but undertake a variety of activities and college courses, and one person assists in the local Red Cross shop, which she says she enjoys very much. (Being able to operate the till gives her a particular satisfaction). Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 13 According to the provider dataset she is one of two people who undertake voluntary work. In the client satisfaction survey several people indicated how much they enjoyed helping with the garden, two that they liked helping in the kitchen, and one particularly enjoyed tidying his room. Members of the community of this home go to the local library, shops, cinema, and pubs, and one attends church regularly, whilst others like to go bowling. Part of their community presence includes the use of public transport. (Journeys are also undertaken in cars were suitable public transport is not available). The group of people living this home are fortunate as all but one of them regularly see members of their family and friends, and the one person who doesnt have an accessible next of kin now has a be-friender of their own. One person is exploring the possibility of making visits to her brother in a nearby town using the public bus service, and another recorded in his client satisfaction survey how much he enjoyed phoning his brother. The gentleman who showed the inspector around the home when he first arrived, was able to demonstrate that he, and the person he shared a room with, both had keys to the door, though it is understood from the provider dataset that two people have stated they do not want the responsibility of this freedom. Both he and his companion later spoke to the inspector, praised the staff, and said: They are very good to us the staff, they do a very good job of looking after us all . During this inspection the input of people who use the service in conversations held by staff was evident, as was the depth of individual understanding via the staff of the ways, which they needed to use to communicate. The inspector joined people who use the service in a very pleasant lunch of corned beef and beetroot sandwiches served with a full salad, and as he was leaving preparations were in hand for Gammon with cauliflower cheese for tea. The Registered Care Manager confirmed the availability of toast or biscuits with a milky drink at around eight oclock, and a review of the menu for the week showed a wide variety of healthy option meals, with a predominance of sandwich and salad style lunches. (With the exception of the weekends, with a full roast lunch on Sundays.) A visit was made to the kitchens, and the environment in which food was prepared was seen to be of high importance, with food temperatures been recorded twice-daily, prominent notices for the correct use of colour coded cutting boards, a healthy eating menu, notices reminding people to wash their hands, and the Rota for kitchen duties including cleaning the fridges weekly, defrosting the freezer every four months, sweeping the kitchen floor every morning and then sweeping it again and mopping it after tea, ensuring that the bins were emptied every day and that the cupboards were checked, (and cleaned once a week) and checking the dates on all food that had been open. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 14 All these measures were felt to be a good omen for ensuring people who use the service were protected from risk of infection or contamination in the things they were eating. Iona DS0000004962.V348025.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, and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service receive personal support and guidance that suits them whilst having their health-care needs met, and are protected by revised policies and procedures and training on medication, and will benefit from discussions taking place to ensure that their wishes and met with sensitivity at the end of their life. EVIDENCE: The client satisfaction questionnaire specifically gives the opportunity the people who use this service to be able to remind staff of the time that they wish to go to bed, in addition to other aspects of the way that they are supported in the home. Care plans contained details of regular visits to tertiary health care practitioners such as dentists, chiropodist, opticians, the annual Well Woman (and a man) and clinics that were designed to be proactive in promoting good health, rather than responding to incidents of ill-health. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 16 The care plan showed how residents had been assisted to keep appointments with GPs, other health clinics, nurses, and any hospital consultants that they may be seeing for the various conditions. It was clear that the least restrictive practices have been undertaken in respect of such appointments, but that where people needed an advocate or supporter, staff had been made available to support them. It has been mentioned elsewhere that in response to the requirements in the last report all staff have undertaken a seven-month training course at Stokeon-Trent College in the administration and correct storage of medications. In addition, all policies have been reviewed, and procedures overhauled, to ensure compliance with current recommended best practice. Negotiations for the acquisition of a more suitable medicine cabinet are in hand with the local pharmacist. In one of the care plans being examined it was revealed that a commitment has been made to producing End of Life plans and the provider dataset revelation that this was currently being discussed with relatives, was confirmed by the Registered Care Manager, who added that the home was in the fortunate position of never yet having experienced a death. Iona DS0000004962.V348025.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have a complaints procedure that has recently been enhanced, and are protected from abuse both by the policies and procedures of the home, and by the ethos of the staff employed there. EVIDENCE: A formal interview was undertaken with a member of care staff, and discussion took place with her about the complaints procedure, and about the protection of vulnerable adults living at Iona. From her answers it was possible to determine that she was aware of a wide variety of actions or omissions that could constitute abuse, and that she also knew the proper procedure to undertake if she ever suspected that anyone in her charge was being abused. She was also fully aware that the perpetrators of abuse do not fall into any particular category, and that people who use this service were vulnerable to anybody, however good their credentials may seem to be. The complaints procedure was seen on the wall, and in the files of those residents whose care plans were examined, and this member of staff was able to talk knowledgeably about the individuals within the home, to the extent of have being able to consider how much, and what type of help they might need in order to articulate any concerns they may have had. The Commission for Social Care Inspection have not been approached with any complaints and concerns during the last inspection period. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 18 The confusion over finalising the outcome of a complaint that led to the requirement in the previous report has now been satisfactorily resolved, and no further complaints have been received by or about this service. Iona DS0000004962.V348025.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, 26, 27, 28, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service live in a clean, warm, and odour free home, that has recently received much decorative input with the addition of new and good quality furnishings and furniture, and they have adequate toilet and bathing facilities, and comfortable rooms which they are able to lock if they want, and where they can express their own personality, choices, and interests. EVIDENCE: Several adverse comments were made in the body of the previous inspection report, which this inspector found difficult to equate with the environment he observed at the current inspection. Obviously much effort and capital has been dedicated to improving the comfort of the home for people who use the service, reflecting in deep upholstered furniture and plush curtains, with sumptuous carpets and fresh decoration and paintwork, adding up to a very comfortable environment for those who lived at Iona. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 20 The accommodation is contained (semi-detached) in half of a large Victorian styled villa, approached via a private driveway that also leads to a group of sheltered dwellings. There is no outward stigmatising mark that this is a care home, and the lawn and garden area are screened by conifers, with the former yard and service area being sheltered by a brick wall. Those private rooms visited were comfortably furnished and stated by their occupants to suit their personal choice and requirements, and to be their home . There is one single room on the ground floor that has its own ensuite shower, and this would be particularly beneficial to anybody with a mobility problem. The majority of the rooms are furnished with locks to which their occupants have keys, though two people have opted not to avail themselves of this freedom. There were adequate bathing and toilet facilities to meet the needs of those people currently using this service, and as indicated above, the communal areas were extremely comfortable, having benefited from an injection of new décor, fixtures, furniture, and fittings, since the last inspection. Private rooms had been personalised in line with the choices of those people who lived in them, and there was no evidence of malodours anywhere in this clean, warm, and tidy, home. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are cared for by a team of staff who have been appropriately recruited, appropriately trained, appropriately supervised and supported, and who have an ethos of care that ensures they carry out their duties with sensitivity, respecting the dignity of those in the home. EVIDENCE: A formal interview was undertaken with a member of the care staff who had recently undertaken further training in food and hygiene, first aid, medication, and dementia awareness, as well as in challenging behaviour, and skills for care, and had enrolled on National vocational qualification level 2. She confirmed that like everybody else employed here, she had undertaken fire safety training and this was updated at regular intervals She also confirmed what was observed in the staff records, namely that she had been required to fill in an application form and provide two references, that she had been able to produce a clear of CRB and PoVA list check, had not been subject of any disciplinary action, had received a full induction, enjoyed real supervision at which she could influence the agenda, and was required to maintain accreditation in all mandatory training, arranged by the provider. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 22 She believed that during the process of her recruitment, the procedures used would have met all the requirements of equal opportunity and discrimination legislation, and would have protected those people for whom she was to become a carer. The rota made available at this inspection showed that there was flexibility to respond to peoples needs for greater care at certain times, or to undertake their social activities, but that as a general rule, at night there is one person sleeping in on the premises, and that up until 9 a.m. in the morning there is one person awake, at which time it is strengthened to two people and continues at this level until 5 p.m., when it returns to there being one person on duty until 10 p.m. These hours exclude those being worked on by the Registered Cared Manager. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use this service benefited from the administration of a manager who was suitably qualified, trained, and experienced, and from measures taken to obtain regular independent comment on the quality of service being given. Nothing seen or heard on this inspection or in the documents gathered by CSCI indicated that their health, safety, or welfare, was being challenged in any way. EVIDENCE: The requirement made in the last report concerning the appointment of a manager who has been registered with CSCI has now been fulfilled and by the provider, though in conversation at this inspection, she disclosed that her long-term plans were for the promotion of one of her current deputies who is seeking the NVQ level 4 training in management and care. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 24 The current manager is a first level nurse (RNMH) holding a first line and management training from the Institute of Health Service Managers, with whom she is currently still registered. Reference has been made on several occasions during the course of this report to the client satisfaction surveys that are undertaken in this home, and to the level of satisfaction seen in the copies of the most recent addition that was examined during this inspection. Additionally there is a House Meeting run by an independent person, to which the staff was not invited. Any appropriate issues raised at this meeting of forwarded to the staff meetings of the home to inform all planning and review of this service. Since the last inspection a full independent health and safety audit has been carried out, and nothing seen during the tour of the environment, or in scrutinising such records as those relating to fire prevention and safety, the administration of medication, servicing of gas, electrical, and other appliances used in the home, recording of food temperatures and the arrangements for providing sufficient staff to meet the needs and choices of the people who use this service, suggested in any way that their health and safety and welfare was being put at risk. Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 3 25 X 26 3 27 3 28 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 26 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 Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House, 45-56 Stephenson Street, Birmingham, 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 Iona DS0000004962.V348025.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!