Inspection on 10/10/06 for Ivymead

This inspection was carried out on 10th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Ivymead 16/03/06

Ivymead 27/07/05

Ivymead 25/01/05

Ivymead 24/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Ivymead Littleworth Lane Lundwood Barnsley S Yorks S71 5RG Lead Inspector Mrs Jayne Barnett-Middleton. Key Unannounced Inspection 10th October 2006 10.30a Ivymead DS0000050058.V312311.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 Ivymead DS0000050058.V312311.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. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ivymead Address Littleworth Lane Lundwood Barnsley S Yorks S71 5RG 01226 288 277 01226 321 658 none 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) Ivy Cottage (Ackton) Limited Ms Amelia Hallas Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Minimum staffing levels must be maintained at least the levels required by the publication `Residential Forum = Care Staffing in Care Homes for Younger Adults`, published April 2002. 16th March 2006 Date of last inspection Brief Description of the Service: Ivy mead is a care home for younger adults with learning disabilities; it provides personal care and accommodation for 19 service users. Ivy Cottage (Ackton) limited provides the care and accommodation. Ivy Mead consists of two houses situated close together in shared grounds; the houses are named house one and house two. House one accommodates ten service users and has disabled facilities on the ground floor; and house two accommodates nine service users. Access to the upper level of both houses is by stairs only. Ivy Mead is set in its own grounds with gardens and parking space. The home is situated within easy reach of Barnsley town centre, a bus route provides access to the town and the home has its own transport. Medical and community centres, and shops are situated within walking distance from the home. The fees for the care offered at the home at 10/10/06 vary from £1.900 to £2.500 per week. The homes statement of purpose, service user guide and complaints procedure is available in appropriate formats. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection conducted by Jayne Barnett-Middleton. Prior to the visit contacts made to The Commission For Social Care Inspection, the homes service history; Regulation 26 visits and a pre-inspection questionnaire were examined. Letter surveys were sent to ten residents and ten staff. A fieldwork visit took place from 10.30am until 16.30pm. Opportunity was taken to spend time in both houses, inspect a sample of records including care plans, training records and staff recruitment files. The inspector spoke informally to most staff and in detail to four of the staff on duty about their knowledge, skills and experiences of working at the home and informally to five of the residents about their views on aspects of living at the home. The inspector wishes to thank the manager, staff and residents for their assistance and time throughout the inspection process. What the service does well: Residents appeared relaxed in their environment. Both residents and staff were very welcoming and helpful throughout the visit. Residents are supported and encouraged by the staff team to make decisions about their lives and supported to maintain and develop independent living skills. The staff spoke in detail of two residents, who due to the care and support that they had received, had moved out of the home to live relatively independently. The staff were proud of this achievement and described how it gave them good job satisfaction knowing that they had made a positive difference to the residents quality of life. Excellent opportunities are available for residents to access appropriate activities enabling them to lead fulfilling lives outside as well as within the home. Residents spoke in detail of the many activities that they took part in which included horse riding, swimming, attending local day centres and visiting the local amenities. The home maintains good links with the community. Residents regularly accessed a local ‘drop in’ centre and attended coffee mornings at a local church on a regular basis. The home had recently held a coffee morning in aid of Macmillan relief and had raised over £150. The houses are very well maintained, clean, well decorated and homely, promoting a comfortable and safe environment for residents. A structured training programme is available which provides staff with the appropriate training enabling staff to meet the resident’s general and specific needs. A good induction is offered to new staff working at the home enabling them to safely care for residents, during their initial weeks of employment. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 6 The quality assurance systems in place are excellent ensuring that the residents and staff are able to give their views of the service. Themed surveys are regularly conducted which measure the quality of service and identify any areas of improvement. 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. Ivymead DS0000050058.V312311.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 Ivymead DS0000050058.V312311.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 from evidence gathered both during and before the visit to the service. Residents’ needs and aspirations were assessed and their individual needs reflected in their plan of care. Prospective residents were welcome to visit the home, to help them decide if it was the right place for them to live and to enable the staff to confirm that they were able to meet the residents care needs. EVIDENCE: Three care plans were checked and these demonstrated that the residents care needs were assessed prior to their admission. This confirmed that the service was appropriate for the resident and provided staff with the information to formulate an individual plan of care. Residents care needs were evaluated on a weekly and monthly basis with the involvement of the resident. This provides a good opportunity to discuss the residents’ progress and to identify any further support that they require. Prospective residents were invited to visit the home, prior to their admission. The staff said that planned introductory visits were offered for prospective residents. Initially a short visit was arranged for the resident to meet other residents and staff, progressing to day visits and overnight stays. Ivymead DS0000050058.V312311.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 and 9. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. All residents have individual care plans, which contained detailed information about their care and support needs. Residents are supported and encouraged by the staff team to make decisions about their lives promoting independence. Risk assessments have been developed, supporting residents to take risks as part of an independent lifestyle. EVIDENCE: Three resident care plans were checked; which described the residents individual care needs. The format was detailed and included the residents’ preferred daily routine, healthcare needs and emotional control enabling staff to provide the appropriate level of support. The care plans checked had been reviewed on a regular basis and where possible residents were involved in planning their care, enabling them to agree that it was a true reflection of their Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 10 individual needs. Discussions with one resident evidenced that their care plan was a true reflection of their care needs. The manager said that all staff was scheduled to undertake training which would enable them to introduce person centred principles for the reviewing and planning of care. Through discussions with the residents and staff, observation and from reading three care plans it was evident that residents were encouraged to make decisions about their lives. During the visit the staff were observed to be supporting residents to make decisions about how they were to spend their day. One resident spoken to commented, “ The staff are really supportive they support and advise me to do the right thing”. The staff spoke in detail of two residents, who due to the care and support that they had received, had moved out of the home to live relatively independently. The staff were proud of this achievement and described how it gave them good job satisfaction knowing that they had made a positive difference to the residents quality of life. Risk assessments had been developed for all residents, which identified the individual risks that were presented to residents on a daily basis for example behaviour management and the support that the residents required when outside the home. The risk assessments seen were detailed giving realistic and practical measures to reduce any presented risks enabling residents to live as independently as possible. Ivymead DS0000050058.V312311.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, 14, 15, 16 and 17. Quality in this outcome area is Excellent. This judgement has been made from evidence gathered both during and before the visit to the service. Residents had regular opportunities to access age, peer and culturally appropriate activities enabling them to lead fulfilling lives outside as well as within the home. All residents, irrelevant of their support needs, had good access to the community and amenities promoting equality and choice. The daily routines within the home were flexible and promoted independence, individual choice and freedom of movement. Residents were supported and encouraged to take responsibility for some household tasks promoting their independent living skills. Mealtimes were flexible to the needs of the residents. Menus were planned which were varied, and nutritious promoting the residents health and wellbeing. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 12 EVIDENCE: All residents were encouraged to take part in meaningful activities. On the morning of the visit residents were either attending day centres, horse riding or visiting the local amenities with the support of the staff. Residents who had chosen to stay at home were baking with the staff or socialising in the lounge areas. Activities coordinators were employed and regular activities were available at the home. During the visit residents were preparing decorations for a planned Halloween Party or taking part in a quiz. The staff spoke in detail of how they encouraged residents to structure their day based on their abilities and preferences. A good example given was in relation to one resident who preferred to spend the majority of their time at the home. The staff said that the resident did enjoy gardening and that during the summer they had been supported to complete light gardening tasks and growing tomatoes in the greenhouse. Residents were able to access work placements and college placements. Two residents were attending college courses in Drama and Computer skills. Two residents had work placements at a local hospice and one resident assisted in the kitchen at a monthly coffee morning. Residents spoke in detail of the weekly activities that they enjoyed including football, swimming and visits to a local coffee shop and pub. One resident commented “ The staff keep us busy, there is always plenty of activities to do”. Discussions with staff, residents and observations demonstrated that the routines within the home were flexible and that the residents were supported to maintain and develop independent living skills. Residents did take responsibility for cleaning their bedroom, laundering their clothing and completing some household tasks. Residents were offered and encouraged to eat a healthy diet. Staff supported residents, where capable to prepare their breakfast and lunch. A cook was employed to prepare the evening meal. Menus varied dependent on the residents likes, dislikes and dietary requirements. Menus were displayed within the kitchen areas of the houses. The residents said they enjoyed the meals provided commenting “ its good” and “really nice”. Ivymead DS0000050058.V312311.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 from evidence gathered both during and before the visit to the service. Residents received personal support, which promoted their privacy, dignity and independence. Residents’ physical and emotional needs were met. The care plans contained detailed information about how the resident’s personal support could be met by staff in order to meet their individual needs A policy and procedure to ensure that staff adhered to the safe administration of medication was in place to protect residents from risk. Residents were encouraged to administer their medication, within a risk management framework. Where residents were unable to self-administer their medication this had been agreed with the residents and was clearly recorded in their plan of care. EVIDENCE: Resident’s personal support needs and emotional needs were recorded in the individual plans checked and were very comprehensive. Records of healthcare appointments, the treatment offered and follow up action were maintained and Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 14 demonstrated that residents have good access to a range of healthcare professionals. Residents said that their healthcare needs were met and said that the staff assisted them in making and attending healthcare appointments for example their optician and general practitioner. One resident spoke in detail of the support that they required from the staff commenting, “ the staff help me and make sure that I never miss an appointment”. A key worker system was in place, which provided the resident with a named worker to support them on a one to one basis. The staff spoken to had a good knowledge of their key worker role and spoke in detail of how they supported residents by helping them to make healthcare appointments, shop with the resident for clothing and toiletries and supporting them to maintain contact with their family and friends. Positive and appropriate relationships were observed between the staff and residents. Throughout the visit the staff team were observed to treat residents with respect and in a manner that respected their privacy and dignity. The residents said that the routines within the home were flexible commenting, “ I can do as I wish” and “its very relaxing”. There was a medication policy and procedure to ensure that staff adhered to safe practices. Medication systems were well organised and records seen were very well maintained. There were detailed guidelines for residents as to when P.R.N medication (medication to be administered when required) should be administered. Staff responsible for administering medication received training and one to one supervision prior to administering medication independently. Ivymead DS0000050058.V312311.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 from evidence gathered both during and before the visit to the service. The complaints procedure in place was clear and informative, ensuring that residents were aware of how to make a complaint should they be unhappy about any aspect of their care. The homes adult protection procedures promoted the protection of residents from harm or abuse. EVIDENCE: The complaints procedure was available in each residents care file and ensured that residents and their relatives were aware of how to make a complaint and who would deal with them. Resident meetings were held on a regular basis, which provided them with the opportunity to air any concerns that they may have in relation to the service. The manager maintained a record of any complaints made by the residents, which detailed the concern and action taken to resolve the complaint. No complaints have been made to The Commission For Social Care Inspection or the home since the last visit. Adult protection policies and procedures were in place and all staff had received adult protection training. Three staff spoken to had a good knowledge of the types of abuse that can occur and were clear of the action that they would take to protect the residents. Ivymead DS0000050058.V312311.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 good. This judgement has been made from evidence gathered both during and before the visit to the service. The houses were very well maintained, odour free, well decorated and homely, promoting a comfortable and safe environment for residents. The houses were very clean and the laundry areas were appropriately equipped to meet the needs of the residents. EVIDENCE: Ivy Mead consists of two houses situated close together in shared grounds; the houses are named house one and house two. The grounds were safe, tidy and very well maintained. Close circuit television was provided outside for security and safety. Both houses were comfortable and very well maintained. The lounge, dining, kitchen and bedroom areas were decorated to a very good standard and furnishings were of a good quality. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 17 The staff and one resident assisted the inspector with a tour both houses. The communal areas seen were bright, well decorated and presented a pleasant and homely environment. The residents bedrooms were all individually decorated reflecting personal choice. Residents appeared relaxed and comfortable in their environment. One resident commented “ I like it here its very nice”. A domestic was employed part time to routinely clean both houses and the staff and residents were also responsible for the general cleaning of the home. This arrangement appeared to work well as all areas seen were very clean, tidy and odour free presenting a hygienic and well-kept environment. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 18 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, 34 and 35. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. A good ratio of staff is provided ensuring that the general and specific needs of the residents are met. A structured training programme is available which provides staff with the appropriate training enabling staff to meet the resident’s general and specific needs. A good induction is offered to new staff working at the home enabling them to safely care for residents, during their initial weeks of employment. 51 of staff held a National Vocational Qualification Level 2 or 3 in care, enabling them to develop their knowledge and promote good care practices. The residents are protected by the homes recruitment policy and practices. EVIDENCE: The staff had a very good knowledge of resident’s individual needs and positive and appropriate relationships were observed. Residents spoke positively about the service and the support that they received commenting “ The staff are very caring”, “they are great” and “ friendly”. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 19 Four weeks staff rotas were checked and these evidenced that sufficient staff were employed to ensure that the individual needs of the residents could be met. A good training and induction programme was in place. The company employs a trainer whose role is to ensure that all the staff receives the required training. Discussions with staff and records demonstrated that staff had received all mandatory training including Fire, moving and handling and first aid. In addition to the required training, training specific to the needs of the resident for example Makaton and epilepsy was also provided. The training records seen were detailed and demonstrated the training that the staff had received and when refresher training was due. Two members of staff who were relatively new at the home confirmed that they had received a good level of support and induction during their initial weeks of employment. This had included reading resident care plans and working with an experienced member of staff until they were confident to work independently. Three staff files were checked, all of which were for staff that had recently commenced employment at the home. The files seen contained a range of information including two references, declaration of health and identification. Staff employed had undertaken a Criminal Records Bureau and POVA check prior to them commencing employment, promoting the protection of the residents. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 20 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, 39 and 42. Quality in this outcome area is Excellent. This judgement has been made from evidence gathered both during and before the visit to the service. The residents and staff were benefiting from the organisation and leadership of the management team. Residents and staff were given the opportunity to contribute to the development of the service. Quality assurance systems were in place ensuring that the residents and staff are able to give their views of the service. Themed surveys are regularly conducted which measure the quality of service and identify any areas of improvement. The homes policies and procedures promoted the health, safety and welfare of residents and staff. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager has many years of experience within the caring profession and holds a National Vocational Qualification level 4 in Management and Care. The manager is also working towards a BA Honours In Managing In Social Care. The staff and residents said that they were well supported by the management team and felt that they all worked well as a team. Individual supervision was taking place regularly, giving staff the opportunity to discuss their role and development needs. The homes area manager visits the home on a regular basis to support the staff and to carry out monitoring of the service to ensure that the home is working within the law and the companies’ policies and procedures. The format in place is thorough and very detailed covering all the National Minimum Standards in Care Homes For Adults. In addition to the monthly visits themed surveys are also conducted. Recent surveys that have taken place include training, independence and professional relationships. Staff and resident meetings were held on a regular basis giving them the opportunity to discuss the service and to suggest ideas for improvement. All records seen during the visit were up to date and very well maintained. Information provided prior to the visit demonstrated that all major systems and equipment had been routinely serviced to promote a safe environment. During the visit both houses were clean, safe and very well maintained. All staff had received the required mandatory training and records demonstrated that fire checks were being carried out on a weekly basis. The staff and residents regularly attended fire practice and drills to ensure that they were conversant with the action and procedures to follow in the event of a fire. Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 22 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 2 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 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 x Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 23 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 YA6 Good Practice Recommendations Person centred planning principles in line with the government white paper Valuing People and associated guidance should be implemented. Care plans should be developed using the person centred approach. (This was a previous recommendation, see standard 6 for information on progress) Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. Extracts may not be used or reproduced without the express permission of CSCI Ivymead DS0000050058.V312311.R01.S.doc Version 5.2 Page 25 - 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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