Inspection on 14/06/06 for Ivy Lodge

This inspection was carried out on 14th June 2006.

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

Ivy Lodge 11/01/06

Ivy Lodge 12/05/05

Ivy Lodge 05/01/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ivy Lodge 212A Howeth Road Ensbury Park Bournemouth Dorset BH10 5NZ Lead Inspector Sophie Barton Key Unannounced Inspection 14th June 2006 09:00 DS0000062109.V299071.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 DS0000062109.V299071.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. DS0000062109.V299071.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ivy Lodge Address 212A Howeth Road Ensbury Park Bournemouth Dorset BH10 5NZ 01202 593593 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) Acorn Lodge (Bournemouth) Ltd Mr Matthew Druce Care Home 7 Category(ies) of Learning disability (7) registration, with number of places DS0000062109.V299071.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The first floor bedroom must only be occupied by an ambulant service user who is able to understand and react to emergency situations including evacuation. The home may accommodate up to six (6) service users where the care home address is their permanent place of residence. A seventh (7th) place is available for a service user who has a permanent place of residence which is not that of the care home and for whom short-term respite care is required. 11th January 2006 2. 3. Date of last inspection Brief Description of the Service: Ivy Lodge is owned by Acorn Lodge (Bournemouth) Ltd and Mrs Angela Druce is the Responsible Individual. The Registered Providers Acorn Lodge (BOURENMOUTH) Ltd also own Acorn Lodge a Registered Home for people with learning disabilities. Mr Matthew Druce is the Registered Manager with day-today responsibility for the running and management of Ivy Lodge, which is registered to provide personal care and accommodation for a maximum of seven people. Ivy Lodge is a large detached chalet style bungalow set in pleasant grounds with ample off road parking and turning spaces. The premises comprises two floors however, all the accommodation and communal living areas are on the ground floor except for one bedroom, which is on the first floor. All bedrooms are for single occupancy and all have en suite facilities. There is a separate bathroom on the ground floor. There is a large lounge/dining area and a fully fitted kitchen. The laundry room is sited in the grounds in a separate building. The property has been extensively refurbished and decorated. Access to the property and rear garden involves a small flight of steps however these do not present any difficulties for the current group of residents living at Ivy Lodge. Ivy Lodge is on a main bus route to all parts of Bournemouth and a short walk for the main bus service to Poole. Staffing is provided in the home twenty-four hours a day. Service users are encouraged to maintain their independence, and routines in the home are kept to a minimum. DS0000062109.V299071.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not given any prior warning of this inspection. The inspection was carried out by one inspector during the hours of 9am and 5pm. The inspector interviewed the manager, deputy and responsible individual and spoke with three members of staff privately. Two service users were also spoken with privately and a further two observed in the communal areas. A service user and his relative were also spoken with. The inspector looked at a number of records including service user care files, staff personnel records, health and safety reports, and policies and procedures. The inspector was made very welcome by staff and service users and provided with all the necessary information. What the service does well: What has improved since the last inspection? The previous requirements and the majority of recommendations have all been addressed thoroughly within a short timescale. The manager is keen to provide a service that exceeds the minimum standards. The complaints procedure now adequately covers the required information on timescales and information for complainants about contacting the Commission. The manager addresses complaints in a thorough way. Recruitment records have been tightened up, with files now containing all relevant information to ensure that practices are safe and robust. DS0000062109.V299071.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000062109.V299071.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 DS0000062109.V299071.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good referral and pre-admission procedures and practice and ensures prospective service users needs are assessed well. EVIDENCE: There has recently been a new service user move into Ivy Lodge. This was an emergency placement, however the home managed it well. The Care Management Care Plan and Assessment was obtained prior to the service user moving in. The service user’s needs and goals were well documented and the manager was able to confirm that the needs could be met in the home. The move into the home was done as sensitively as possible with the family being involved. The deputy manager visited the service user the day before he moved into the home with another member of staff and a service user. The service user and their relative also confirmed that the management of the home had sought their views and that the move had gone well. They were happy with the service being provided and stated that the home was very suitable. Daily case notes evidenced that the service users views on the placement have been sought regularly. The home has up to date assessments on all the service users, and has developed new plans which allow for service users comments and records of discussions about their needs and goals (see Standard 6). DS0000062109.V299071.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care Plans are much improved and are well written ensuring service users and staff are fully aware of how needs and risks are to be managed. The home is proactive at advocating on behalf of service users respecting their right to make their own decisions. EVIDENCE: The manager and deputy are currently re-developing the care plans. The ones seen incorporated very good practice as they covered many areas of need and risk and included service users and representatives views. Each service user also has a lifestyle plan which is user-friendly (using pictures/symbols) and covers the main areas of relevance to the service users aspirations. Service users had completed these plans where they were able to, again showing good consultation and participation. One service user files seen included the home’s care plan alongside the Care Management Care Plan, Assessment and review documentation. The home’s care plans are reviewed every six months and kept up to date and changed DS0000062109.V299071.R01.S.doc Version 5.2 Page 10 where necessary. Risks are detailed throughout the individuals plan where appropriate, and detail how the risks are to be minimised. Any restrictions placed on service users are also detailed within the plan and correlate to known risks and clear decision making. Representatives and social workers are asked to view the home’s care plan and agree. Of good practice is that the manager recently arranged for the local advocacy worker to come and meet with all service users. The advocacy worker went through information on making complaints, bullying and harassment. The manager and deputy also informed the inspector of how they support service users in making their own decisions. Two service users have recently made staff aware that they wish to reduce their days at the local day centre. The staff have respected this and advocated on their behalf. The inspector further observed a member of staff allowing a service user to make his own decision about going out, and allowing him to get ready at his own pace. DS0000062109.V299071.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff are supportive in assisting service users to take part in valued activities, with staff proactively encouraging service users to be a part of the local community. The staff make friends and family very welcome in the home, having open communication with representatives where appropriate. Daily routines respect service users rights and encourage appropriate responsibilities. The opportunities for service users to shop and prepare their own food is limited as is the real choice they are given over the quality of food purchased. EVIDENCE: All but one of the service users attend local day centres arranged by the placing authorities. The service users have chosen how often to attend the day centres. The home does not provide structured day care but if service users do stay at home they go shopping with the staff, out for walks, or complete some household jobs. Two service users have recently had to change the day centres that they used to go to due to the local authority not paying transport DS0000062109.V299071.R01.S.doc Version 5.2 Page 12 costs. The manager stated that the home is not able to commit to providing the transport each day. At the day centres the service users are involved in activities they choose, such as gardening, leisure activities and music. The manager is currently facilitating for one service user to attend a further music class and felt making class. The daily diaries evidenced that when the service users are at home during the day they get the opportunity to go to the shops, have haircuts, go to a café etc. At weekends the staff take service users to the larger towns of Bournemouth and Poole, have a meal out and go to fetes and shows. The inspector noted that the opportunities to go out in the evening is restricted due to the night workers starting the shift at 8pm. The manager however stated that planned outings can happen in the evenings as the manager and deputy can work past 8pm. Staff spoken with stated that evening outings are not regular. One service user stated that they had no concerns about this. A service user informed the inspector that they had expressed a wish to go to a craft store and that the staff agreed to take her this week. The home also arranges trips and holidays each year. One service user went to Austria, others to Isle of Wight and Jersey. The staff engage regularly with another home owned by the same company. They enjoy social events together, and the service users have the opportunity of making friendships with people in the other home. Service users also attend a social club once a week. Family and friends are welcome to visit at any time, and daily notes evidence that families are kept informed of important matters. The relative spoken with confirmed that he is always made welcome in the home, and that communication is open. Service users are encouraged to be independent at doing their own cleaning, laundry and personal care. Care plans evidenced that staff support service users in learning these skills, and only give the amount of support necessary. Service users were observed choosing to spend time alone or in the company of others, and staff were interacting well with the service users. Service users have unrestricted access to all of the home and grounds. However, service users are not able to lock their bedroom doors from the inside with the locks only working from the outside. The staff do the majority of the shopping and cooking of meals. The manager stated that service users are encouraged to prepare their own snacks. The inspector observed staff preparing snacks and drinks for service users. The inspector examined past menus, and these detail the food provided for service users each day. Menus were varied, including fish, lasagne, chicken pie and casserole. However the inspector noted that the food in the fridge, freezer and cupboard was supermarket branded ‘super value’ food, with very few other brands provided. DS0000062109.V299071.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users physical and emotional health needs are well met by the home, with service users receiving sensitive and flexible support. Medication administration is well organised and effective with the staff following safe procedures. EVIDENCE: Care files and daily notes evidenced that service users health needs are well recorded, monitored and addressed by the home. On the day of the inspection a member of staff was accompanying a relative and service user to a specialist health appointment. A referral has also been made on behalf of one service user for an occupational therapy assessment. A further file examined showed that a service user has been very well supported with a continence need. Close liaison with health professionals and monitoring has provided a good outcome for this service user in relation to reducing this area of need. In discussion with the manager and deputy they confirmed how medication is monitored and reviewed regularly to ensure it is necessary. The manager was clearly able to articulate the health needs of all service users and identify the services and resources to meet the health needs. Feedback from placing authorities confirmed that the home is proactive in meeting the needs of DS0000062109.V299071.R01.S.doc Version 5.2 Page 14 service users and accompanying them to appointments. The care files seen showed that service users had received annual medicals and were up to date with their routine health checks (dental, opticians). The medication administration records were examined, and were clear and accurate. the home has a medication policy detailing safe procedures to follow for staff. Staff personnel records evidenced that staff had undertaken training in safe administration of medicines. The home has a list of all medicines taken by service users with information about the side effects. The GP has signed a list of homely remedies that can be taken by service users. Medicines received into the home and taken out are clearly recorded and an audit can be easily undertaken. The new care plans being developed detail the medication service users are on and the care files contain a list of current and previous medication for reference. The care plans for service users identify their personal care needs, and detail how staff are to support them. Their preferred routines are noted. The daily notes show that service users choose when to get up and go to bed, and that service users buy their own toiletries and clothes. DS0000062109.V299071.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good complaints and adult protection procedures which are put into practice well. The staff actively listen and act upon service users views and are knowledgeable about protecting service users from harm. EVIDENCE: Three staff were interviewed and were able to articulate fully appropriate procedures to be followed when a service user makes a complaint or they suspect abuse. Staff have received external and internal training on the protection of vulnerable adult procedures. The manager is also very clear about his role in ensuring adult protection concerns are dealt with satisfactorily. The home’s complaints and adult protection procedures are thorough and clear, and staff have signed to say they have read and understood them. Staff stated that the management address any concerns they may have. The placing authority representative also confirmed that any complaints are addressed immediately, and that professionals and service users are listened to. Two service users spoken with stated they had no concerns and that they would talk to the manager or staff if they did. One service user confirmed that the staff would act positively on what she said. There has been one minor complaint made to the home since the last inspection and the manager immediately and effectively addressed this. DS0000062109.V299071.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises and environment meet the service users needs, providing a homely environment. EVIDENCE: The home is furnished and decorated in a domestic and homely way. The lounge and dining area is open plan. It is rather small but does allow for service users to comfortably sit and watch TV and eat their meals. Each bedroom has an en suite shower, toilet and hand basin, and there is a communal bathroom. Private space for visitors and meetings is limited to the small office at the rear of the house. The manager stated that service users have been offered keys to their bedrooms but choose not to lock them. The bedroom locks are ‘star locks’ and can be locked from the outside and not the inside of the bedroom. The house is maintained well, with décor and furnishings being of a good standard. The house is clean and tidy both internally and externally. There is a separate laundry area at the rear of the house. DS0000062109.V299071.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are skilled and competent at meeting the needs of service users, with service users benefiting from an efficient staff team who are approachable and committed. However, shift times may limit the opportunity for service users flexibility in accessing the community. The home’s recruitment procedures are robust and well organised with service users being protected by safe practice. EVIDENCE: Three members of staff were spoken with privately and lengthy discussions were had with the manager, deputy and responsible individual. Two members of staff have been appointed since the last inspection. They stated that they were interviewed formally and appointed after sufficient checks. The records evidenced that a ‘PovaFirst’ check had been completed before the member of staff started working in the home. Two written references and copies of identification were also obtained. While awaiting a Criminal Record Bureau certificate the member of staff stated that they were never left alone with service users and did no personal care. The rota evidenced that the newly appointed member of staff was shadowing a senior staff member throughout the shifts. Here staff spoken with had or were completing the induction and foundation training. The managers are funding staff to complete NVQ 2 and 3 DS0000062109.V299071.R01.S.doc Version 5.2 Page 18 in care, as well as Learning Disability Award Framework accreditation. Other training evidenced in staff training files included adult protection and customer care. The manager and deputy have also undertaken additional training in Makaton and Person Centred Care. The service users were observed approaching and interacting with staff in a jovial and relaxed way. One service user spoken with privately stated that the staff treat her well and that “I like them all”. The staff spoken with also showed commitment and interest in the service users. Staff stated that they have one-to-one supervision sessions regularly with the manager, that last approximately 20 to 30 minutes. A written record is made of the supervision sessions and the pro-forma used for this covers a range of areas including the individual’s work with service users and professional development. The staff rota showed that there are a minimum two members of staff, and often three staff (including the manager or deputy) on each shift. This is adequate staffing and meets the individual and collective needs of service users. No service users require one-to-one time, but all need supervision outside of the home. The evening shift starts at 8pm. The inspector continues to consider that this restricts the flexibility of service users to go out in the evenings. The manager stated that if service users want to go out then this is possible by the manager or deputy covering evening shifts. However, in discussion with staff it was confirmed that service users rarely go out in the evenings, unless a planned trip to a show or disco. DS0000062109.V299071.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ivy Lodge is a well run home, with service users benefiting from a qualified and competent manager. Quality assurance systems are adequate, including seeking the views of service users and leading to reflection and development of the home. The home prioritises health and safety ensuring service users are protected by safe working practices. EVIDENCE: The registered manager has completed NVQ 4 in care and management (awaiting certificate). The deputy has also completed the Registered Managers award, and both have done level 4 Learning Disability Award Framework training. Feedback from placing authorities also confirmed that the manager is professional and competent. DS0000062109.V299071.R01.S.doc Version 5.2 Page 20 The inspector spoke to the manager at length and he evidenced clear knowledge of the Care Standards Act and accompanying regulations. The manager has a clear view of the home’s intended purpose and how to meet the residents’ needs. Staff spoken with commended the open management of the home and approachability of the manager. Health and Safety is given considerable focus within the home. The Health and Safety file was checked showed that water temperature checks are made monthly and the manager carries out fire safety checks weekly. There are adequate health and safety policies which staff have signed to say they have read and understood them. Hazard analysis sheets are kept and staff check fridge and freezer temperatures daily. The manager has completed a risk assessment on the premises and on safe working practices. There is a also a fire risk assessment dated February 2006. Fire drills are carried out every six months and a specialist checks the fire system quarterly. It is recommended that a fire drill is carried out in the evening with the night staff. A recent fire, gas, electrical and food hygiene certificate was shown to the inspector. Staff have received training in manual handling, first aid, food hygiene and fire safety. Certificates for these courses were seen on files. The majority of training is in house, but externally verified. The manager and responsible individual confirmed that there are many areas that the quality of the service is reviewed and monitored. Monthly regulation 26 visits are now being undertaken. Resident meetings are also held regularly, with service users being encouraged to raise issues. The home also have a contract meeting twice a year with Bournemouth Borough Council who block book the beds at Ivy Lodge. These meetings are a forum for monitoring the care and showing how the service is developing. The manager confirmed that the outcome of all these meetings will be collated into a business action plan for the home. DS0000062109.V299071.R01.S.doc Version 5.2 Page 21 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 X 2 3 3 X 4 X 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 x DS0000062109.V299071.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1. Refer to Standard YA16 Good Practice Recommendations Service users should be able to lock their bedroom doors (from the inside and out). The locks should be fitted with an override facility. More opportunity should be provided for service users to shop, prepare and cook their own meals. This recommendation is repeated. Service users should be given more choice over the range of food purchased, in particular offered a range of more quality branded food. The opportunity for service users to go out in the evening should be increased. There should be an annual development plan for the home made available to the Commission and to other interested parties. This recommendation is repeated. A record should be kept of the discussions and outcomes following service user statutory reviews. Fire drills should take place at variable times during the day, including evening evacuations. 2. YA17 3. YA33 4. YA39 5. YA42 DS0000062109.V299071.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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