Inspection on 27/11/07 for Kanner Project (Wixenford)

This inspection was carried out on 27th November 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

Kanner Project (Wixenford) 27/08/06

Kanner Project (Wixenford) 16/02/06

Kanner Project (Wixenford) 29/06/05

Kanner Project (Wixenford) 02/11/04

Kanner Project (Wixenford) 29/06/04

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 Kanner Project (Wixenford) Wixenford House Colesdown Hill Plymouth Devon PL9 8AA Lead Inspector Jane Gurnell Unannounced Inspection 27th November 2007 09:45 Kanner Project (Wixenford) DS0000047799.V345995.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 Kanner Project (Wixenford) DS0000047799.V345995.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. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kanner Project (Wixenford) Address Wixenford House Colesdown Hill Plymouth Devon PL9 8AA 01752 550479 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) Small House Homes Ltd Mrs Leanne Marie McDonnell Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of service users who can be accommodated is 5 Date of last inspection 27th August 2006 Brief Description of the Service: Kanner House is owned by Small House Homes Ltd who own a number of care homes in the Plymouth area. The property is a large detached house that is set in its own grounds near the town of Plymstock. Kanner House is registered to provide care and accommodation for up to five young people who have a learning disability and whose behaviour may challenge services. Kanner House is a spacious home that provides each person with their own en suite bedroom and four of the five people living there with their own lounge room. There is a further large lounge room and dining room on the ground floor. The gardens are a reasonable size with two distinct seating areas. There is also a large indoor heated swimming pool in the grounds. The weekly fees for this service are calculated on an individual basis depending upon the each person’s support needs. Information relating to the services provided by Kanner House can be obtained directly from the home. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and undertaken on 27 November 2007 between 09: 45 and 12:45. Mrs McDonnell, the Registered Manager, was present and she and her staff team assisted the inspector throughout. Due to the disturbance to the people living at Kanner House of having a stranger in their home, limited time was spent in the home at this visit. A tour of the building was made and 2 of the 5 people living in the home were spoken to briefly as were some of the staff on duty. Records relating to the support needs of 3 people and the personnel files for 3 staff members were examined. The results of the home’s recent formal consultation with the people living in the home, their families and others involved in their support such as social workers were made available. An Annual Quality Assurance Assessment (AQAA) had been completed which allows the Registered Manager to describe what the home does well, what has improved over the past 12 months and the areas for improvement that have been identified. This assessment was comprehensively completed and provided clear information about the home and the future development plans. Following the inspection, a member of the Learning Disability Team who was working closely with the staff at the home was contacted: she confirmed that the staff were very co-operative and worked well to develop successful support plans for those living in the home. What the service does well: The house is comfortable, warm and clean. There is plenty of good food. The people who live there have enough things to do to be happy. There are enough staff to help. The people who live there get all the help they need to learn how to do new things. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 6 Each person can have their room just as they want it. The staff know how to help people and the staff do their best. If someone has a problem it is easy to get help. The staff are safe to be with. What has improved since the last inspection? What they could do better: The people who live at Kanner House are happy and the staff are good at helping people. We have not asked for anything to be made better. Kanner Project (Wixenford) DS0000047799.V345995.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. Kanner Project (Wixenford) DS0000047799.V345995.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 Kanner Project (Wixenford) DS0000047799.V345995.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, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments were comprehensive and visits to the service ensure that peoples’ needs are well known prior to deciding on the suitability of Kanner House. EVIDENCE: There have been no admissions to the home since the previous inspection. However should a vacancy become available a comprehensive pre-admission process is in place to introduce people to the home and to ensure their needs are well known. Support plans for three of the five people living in the home were examined in detail and these contained comprehensive assessments of their needs as well as their preferences about how they wish to be supported. Copies of the statement of terms and conditions were seen in each file and the Registered Manager confirmed each family had been provided with a copy. Kanner Project (Wixenford) DS0000047799.V345995.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, 8, 9 and 10.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are enabled to participate in, and make decisions about, all aspects of their lives. Confidentiality is respected. EVIDENCE: Two of the five people living in the home were spoken to briefly and they appeared relaxed and content in the company of the staff. Staff on duty were fully aware of the needs of the people living in the home and these were described in detail in each person’s support plan ensuring that the support provided by staff is done so in a consistent manner. These plans included people’s preferences with regard to their culture and religion; one person wishes to attend church each week and this is facilitated by staff. Each person had a schedule detailing their preferred daily routine that provided a clear structure to their day as this had been recognised through discussion and assessment as being important to them. A picture exchange system was used to support each person with their communication. The system encourages people to use pictures as well as Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 11 words to indicate their preferences and choices and staff are able to use these pictures to support each person to plan their day. Any restrictions on choice or freedom had been agreed with the person and other people involved in the person’s care: the restrictions in place were made to protect the person’s health and safety and recognised their responsibility towards others. The attitude and approach of the staff team promoted the development of skills and empowered people to make decisions about lifestyles and daily routines. Each person was offered the support of a named keyworker, a member of the staff team with specific responsibilities towards supporting the person to identify what was important to them, such as relationships and leisure activities, and who also supported them with issues that caused them anxiety or which they found difficult to deal with. Staff were observed knocking on bedroom doors before entering and interacting with people in a respectful manner. The results of the recent surveys sent by the home to relatives indicated satisfaction with the services being provided. Relatives described the home as “excellent” and “ very good”. One relative said how pleased they were with the progress their son was making. As all those living at the home may display behaviour that challenges, each support plan examined provided detailed guidance for the staff in managing this behaviour safely. Should a physical intervention be necessary to reduce the risk of injury to the person this was fully recorded. Risk assessments with regard to daily living activities were well documented and provided staff with a rationale for any particular actions identified. None of the five people living in the home were able to manage their own finances independently. Two people were supported by their families and the other 3 people had bank accounts opened in their own names under the umbrella of the Small House Homes account and had a corporate appointee to support. All five people had money held for safekeeping and individual records of money spent and money received were recorded. Kanner Project (Wixenford) DS0000047799.V345995.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): 11, 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 can learn life skills, attend educational placements, participate in community and leisure activities, choose their preferred daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with staff and observations showed that people are enabled to live as full a life as they wish to with opportunities for personal development. People are encouraged to become involved in the domestic tasks in the home and participate in leisure activities of their choice. Consideration was given to supporting people in a manner that recognises their needs in relation to their autism. Those people who wish to are encouraged to go on holiday; one person had recently enjoyed a holiday to Butlins. All activities are planned on an individual basis and each person was encouraged to plan what they would like to do every day as well as what they would like for their meals; two people were observed making choices about their meals. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 13 Activities included trips to local places of interest, shopping, swimming – the home has its own pool and trained lifeguards, use of the home’s sensory room and attending educational placements within the organisation. Each person had their own car for their exclusive use and a charge was made for certain journeys to cover the cost of fuel and servicing. Contact with relatives was supported and this was confirmed by the recent questionnaires sent to relatives by the home. Staff support was provided for one person to visit his parents at their home on a regular basis. Parents who live some distance away are able to stay at accommodation provided by the company. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Kanner House receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Three people’s support plans were examined and these provided very clear descriptions of personal, emotional and health care needs and the goals and aims of this support. This clarity is important to ensure that the support team are fully aware of each person’s specific needs and can respond in a consistent manner. Evidence was recorded that people had been supported to see their GP, dentist and optician. Incidents of inappropriate behaviour as a result of a person’s anxiety were documented and monitored by the Registered Manager and the Organisation’s Head of Operations, who is a member of the senior management team, to identify if further support and guidance is necessary to overcome these difficulties. These records were clear and gave consideration to the events leading up to the incident and the consequences of the behaviour. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 15 People are supported by other healthcare professionals such as nurses, psychologists and psychiatrists, either employed by Small House Homes or from the Community Learning Disability Team, on a regular basis to enable them to express their concerns, to deal with situations that disturb them and to develop coping strategies and new skills. A member of the Learning Disability Team confirmed that a fortnightly “forum” had been set up to enable staff to consult with Behavioural Advisors to develop their own skills and the quality of the services provided at the home. Staff had received training in safe medication practices and medication was stored safely in the office. Records of medicines received into the home, administered and returned to the pharmacist were accurate and neat. A measured dose system was used by the home, this is a system where the local pharmacist prepared each person’s medication into cassettes for each day and time of day; this reduced the risk of medication errors occurring. The balance of medicines held in the home was checked each month by the Head of Operations and the Registered Manager to identify any discrepancies and was used to contribute to the overall assessment of the quality of the services being provided. Information relating to medication and its possible side-effects was provided for the staff. Any additional medicines, such as medicines given as necessary for anxiety or aggression, can only be given with the approval of a manager. This is to ensure that all other appropriate support actions have been taken before considering the use of medication to control behaviour. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are protected from abuse, neglect and self-harm. People are listened to and complaints or concerns are taken seriously and acted upon immediately. EVIDENCE: Neither the Commission for Social Care Inspection nor the home had received any complaints regarding the service since the last inspection. Relatives said in the home’s recent surveys that they had no concerns over the services provided and they knew who to talk to should they have any complaints. A pictorial complaints procedure was displayed in the main hallway. The Organisation’s Head of Operations had been trained as a Child and Adult Protection trainer by Devon County Council and therefore had been able to provide staff training in the protection of vulnerable adults. Staff were aware that physical interventions were only used as a last resort if distraction techniques failed and was necessary to prevent injury to themselves, others or to the property. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 17 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, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a spacious, safe and reasonably well maintained home, which promotes independent living. EVIDENCE: Kanner House is a large detached house in a quiet area near Plymstock. Each person has their own bedroom, bathroom and four people have a private lounge. There is further large lounge room, a dining room and a kitchen on the ground floor. The dining room provides ample space for various activities, such as painting and craftwork within the home. The garden was enclosed and provided two separate seating areas. Situated in the garden is the newly completed large indoor heated swimming pool: several members of staff are trained as lifeguards and the registered manager confirmed that lifeguards must always be on duty should anybody wish to use the pool. The home was found to be reasonably well maintained, clean and tidy. Due to the nature of the behaviours displayed by the people living in the home, ornaments and pictures were not well tolerated and some damage to the Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 18 environment was observed. A maintenance person is employed to see to dayto-day repairs and redecoration. At the time of the visit to the home repairs are being made to a bedroom. A large room within the home has been converted into a sensory room where people can enjoy listening to music and experiencing different lighting and textures, including a vibrating mattress and a ball pool. Radiators had been covered or were of a guaranteed low temperature surface to prevent people from burns should they come into contact with them when on. The Registered Manager confirmed that all hot water outlets accessible to those living in the home had been controlled to prevent the risk of scalds: those tested were found to be of an acceptable temperature. Advise was given to periodically test these temperature to ensure they are still at about 43ºC. Two offices and two bedrooms are provided for the staff but these do not encroach upon the communal areas of home. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 19 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): 31, 32, 33, 34, 45 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust. Staff are enthusiastic, have a good understanding of peoples’ needs and work positively to improve their quality of life. EVIDENCE: A sample of staff files were examined, including one for a newly appointed staff member and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. Regular staff meetings and individual supervision sessions took place and addressed the principles and values of the Organisation, staff performance and training and development needs, as well as day-to-day support issues. The Registered Manager and staff members confirmed that staff were expected to attend relevant training on topics such as supporting people whose behaviour is challenging, including physical and non-physical intervention and safe practices; child and adult protection; epilepsy; Autism; manual handling; safe medication practices and emergency first aid, ensuring they have the skills and confidence to support people on a day-to-day basis and also at times Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 20 of crisis. Newly employed staff are provided with induction training to introduce them to their role and the people they will be supporting and whilst on their probation period are offered supervision once a fortnight. Regular monthly supervision continues after this period which identifies ongoing training and development needs. At the time of the inspection there were 11 staff on duty in addition to the Deputy Manager and the Registered Manager. The registered manager said that there were usually between 9 and 11 care staff on duty as each person living in the home was allocated their own staff team each day. Three waking staff and 2 sleeping-in staff were available each night. There was an ‘on call’ system whereby members of the staff team were available to cover sickness and other unexpected events. A member of the management team was also “on call” to provide further support out of office hours and at weekends. A housekeeper is employed five days a week to assist with the preparation of meals. Those staff spoken to had a very positive attitude towards the support they gave people to develop new skills, to live as independently as possible and to enjoy a lifestyle that was meaningful and rewarding. Staff were observed throughout the inspection to interact with the people living in the home and each other in an informal, friendly and respectful manner. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 21 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, 38, 39, 40, 41, 42, 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Peoples’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager is well qualified, holding a National Vocational Qualification at level 4 in Care and the Registered Manager’s Award. These qualifications required Mrs McDonnell to demonstrate her knowledge and skills in managing a care service and supporting people with complex support needs. She has had over 8years experience in working in the care profession, over 6 of which have been in management positions. The quality assurance system consists of a variety of consultation processes to gain the views of those living in the home, their family and other health care Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 22 professionals regarding the quality of the services provided at Kanner House. There was evidence that six-monthly questionnaires had been provided for those living in the home and their families: the results of the latest survey in August 07 showed a high level of satisfaction. Staff and management meetings are held regularly to discuss issues relating to the quality of service being provided and the consistency in meeting people’s needs. The Registered Manager also undertook a monthly review of services including updating each person support plan, the quality of the meals provided, as well as any complaints or concerns raised by those living in the home, their families or staff. The Head of Operations for the Organisation also visited the home each month. These visits are used to ensure the home is being managed within the Organisation’s policies and procedures and included reviewing areas such as each person’s support plan; whether there have been any incidents where a person’s behaviour has placed either them or another person at risk; the homes’ financial records as well as those monies being held for safe keeping; issues relating to the management of the home and staff training and supervision. Fire prevention records evidenced that tests are regularly undertaken on appliances and fire drills had taken place recently to ensure equipment is maintained in safe working order and staff are aware of their responsibilities. Risk assessments have been undertaken on safe working topics. All the records that the home is required to keep regarding incidents and accidents were well maintained and available for inspection. Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 23 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 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 N/A 3 3 3 3 3 3 3 Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Kanner Project (Wixenford) DS0000047799.V345995.R01.S.doc Version 5.2 Page 26 - 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!