Inspection on 24/07/07 for Kazdin

This inspection was carried out on 24th July 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

Kazdin 26/07/06

Kazdin 18/01/06

Kazdin 12/07/05

Kazdin 01/12/04

Kazdin 06/07/04

Similar services:

Credence House

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

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

CARE HOME ADULTS 18-65 Kazdin Selway Lodge Tamerton Foliot Road Plymouth Devon PL6 5ES Lead Inspector Jane Gurnell Unannounced Inspection 24th July 2007 09:15 Kazdin DS0000003459.V340987.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 Kazdin DS0000003459.V340987.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. Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kazdin Address Selway Lodge Tamerton Foliot Road Plymouth Devon PL6 5ES 01752 702105 01752 702105 kazdinhouse@smallhousehomes.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Small House Homes Ltd Miss Rachel Mary Harris Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Age range 16-35yrs Learning disabled adults some of whom may have a physical disability One service user, named elsewhere, over the age of 35 years may reside at the home. 26th July 2006 Date of last inspection Brief Description of the Service: Kazdin is situated in a residential area of Plymouth. It is on a main bus route with easy access into the city as well as to local shops. It is a detached bungalow, with an additional attached annexe, set in its own large grounds with a swimming pool and extensive gardens that back on to woodland. The main house has a large lounge/dining room with doors that open onto the patio and garden. There is a good-sized kitchen, a bathroom, laundry room and two bedrooms. Two further bedrooms and a shower room are provided for the sole use of staff who provide both waking and sleep-in cover at night. The office space does not encroach upon the communal space. The annex is selfcontained and provides a bedroom, lounge room, kitchen and bathroom. The home is registered to provide personal care and accommodation to three people under the categories of learning disability who may or may not have a physical disability, and within the age range of 16-35 years; one person is over the age of 35 years and this has been agreed with the Commission. The home has the use of two vehicles and is close to shops and local amenities. Kazdin is one of a number of registered homes belonging to Small House Homes Limited. 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 Kazdin can be obtained directly from the home. Kazdin DS0000003459.V340987.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 Tuesday 24th July from 09:15 to 1:45 pm. Miss Harris, the Registered Manager, was present and she and her staff team assisted the inspector throughout. The organisation’s Head of Operations who is a member of the senior management team, was also present and she participated in the inspection. Two of the 3 people living in the home were spoken to as were the staff on duty. A tour of the building was made and records relating to the support needs of both people spoken to were examined, as were the personnel files for 2 staff members and the results of the home’s formal consultation with the people living in the home, their families and others involved in their support such as social workers. Prior to the inspection an Annual Quality Assurance Assessment 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. Also prior to the inspection, the Commission had sent surveys to all 3 people living in the home and their relatives to allow them to comment, anonymously if wished, about their views of the quality of the support provided at Kazdin. All 3 people living at the home returned their surveys and said they felt well supported; 2 relatives returned surveys and again the results were very positive. 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. They can go to college and are helped to find a job. There are always enough staff to help. Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 6 The people who live there get all the help they need to learn how to do new things. 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. If you want to live there the staff will tell you about what it is like. The staff are good at helping people to move in and be happy. What has improved since the last inspection? People can use the swimming pool as staff have been trained in lifesaving. A new sofa and dining room tables and chairs have been bought. All rooms have been decorated. More staff have been employed. The information that tells people about living in the home has been improved. People are asked what they like and don’t like about living at Kazdin. Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kazdin DS0000003459.V340987.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 Kazdin DS0000003459.V340987.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 are comprehensive and visits to the service ensure that peoples’ needs are well known prior to deciding on the suitability of Kazdin. EVIDENCE: One person had been admitted to Kazdin since the previous inspection. His pre-admission assessment was examined in detail: it provided a very comprehensive description of the person’s needs. The previous home manager and the organisation’s Operational Manager conducted the assessment and consulted with the person themselves, their family as well as others who know the person well such as social workers. The person was invited to visit the home over a period of time to become familiar with the surroundings, the staff and the other people living in the home. He was also able to write a list of “expectations” and questions that the Registered Manager was able to answer before he moved in. A Service Users’ Guide was provided to each person considering Kazdin House and it detailed the services provided. Two support plans for the people living in the home were examined and contained contracts confirming the person’s and the organisations’ responsibilities. Kazdin DS0000003459.V340987.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: Discussions with two of the three people living in the home and the staff confirmed that people are actively consulted and enabled to make choices and decisions about their lives. Both people spoke to said that living in the home was “good” and “ok”. The third person, who was not spoken to on the day of the visit said in the written survey that he felt well supported. People are supported to take risks that have been carefully assessed: the risk assessments were particularly thorough and clear and the home is commended for this. For example, one person had a work placement in the community and attended with staff support. The staff had worked in partnership with the company and had agreed a time during the day when he worked alone with supervision at a distance, the same as any other employee. Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 11 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. 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. Staff endeavoured to meet these schedules without any deviation. Full explanations were given should there be a need to change someone’s schedule and alternatives were offered. 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 independence 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, work and leisure activities, and who also supported the person to discuss issues that caused them anxiety or which they found difficult to deal with. Both of the people spoken to were supported to be as independent as possible with their finances and were offered advice regarding budgeting. Both kept the majority of their money in the home’s office for safekeeping and the records relating to this money were very clear. Both people were expected to participate in the day-to-day running of the home, including housework and laundry, menu planning and shopping, and meal preparation and this was evident on the day of the inspection. Kazdin DS0000003459.V340987.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 work and educational placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with two of the people living in the home as well as staff showed that people are enabled to live as full a life as they wish to with opportunities for personal development. People are encouraged to carry out all the domestic tasks in the home and participate in leisure activities of their choice including holidays. All activities are planned on an individual basis and through weekly house meetings and keyworker meetings, each person was encouraged to plan what they would like to do every day for the forthcoming week as well as planning their meals. Activities include trips to local paces of interest including the city centre; playing snooker, table tennis and cricket; gardening – each person has their own separate garden area; swimming – the home has Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 13 its own pool and has 2 trained lifeguards, and attending work and educational placements. People were encouraged and enabled to continue with their education at local colleges and to find paid employment. This was detailed in the support plans for both people spoken to and one person explained that he had recently successfully completed a numeracy and literacy course at a local college. All activities were risk assessed and documented as to how staff will support the person to manage the activity safely. One person had his own car for his exclusive use and the home had another car for the other 2 people to use: a charge of 25pence a mile was made for certain journeys to cover the cost of fuel and servicing. Each person is invited at attend a House Meeting each week to discuss the past and forthcoming weeks’ events and to resolve any issues of disagreement: notes of these meetings were kept and used to review the overall quality of the support and services being provided. The people living in the home choose the menu with guidance on healthy eating choices, assist with the shopping and preparing the meals, drinks and snacks; on the day of the inspection, both people prepared their own lunches. Each person had a key to their bedroom with staff only having access with the person’s permission or for reasons of health and safety and to protect their well being. Contact with relatives and friends was supported and visits to the home were made in agreement with each person living in the home. Those relatives who returned a survey said that their sons were supported to remain in contact, visits home were supported and they were able to use the house phone to keep in touch. Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Kazdin 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: Both people spoken to confirmed they were consulted about the level of personal support they need and they were being supported to live more independently. Their 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 Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 15 to the events leading up to the incident and the consequences of the behaviour. People are supported by other healthcare professionals such as nurses, psychologists and psychiatrists, either employed by Small House Homes or from the Community Mental Health Teams, to enable them to express their concerns, to deal with situations that make them angry and to develop more appropriate coping strategies. 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. Where people needed to take medication out of the home with them, for example to manage their epilepsy, there was a clear record of the medicine taken and returned. 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. The Registered Manager confirmed the home was unable provide support for people with terminal illnesses. Kazdin DS0000003459.V340987.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: The Commission for Social Care Inspection had not received any complaints regarding the service since the last inspection. The home had received one complaint from one of the people living in the home which related to staffing levels on a particular day: this matter was discussed with the person and more staff have been employed since then. All 3 people said in the surveys that they knew who to talk to should they have any complaints. People are invited to attend weekly house meetings to discuss the day-to-day running of the home and any issues of concern: it was clear from the records that not everyone wished to attend each week but that they were asked if there were any issues that needed to be resolved. A “moans and groans” record indicated that people could raise issues at any time, for example running out of white bread or chocolate biscuits: the actions taken to resolve these matters were identified. 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 of their responsibilities should they suspect a someone is at risk. Kazdin DS0000003459.V340987.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 well maintained home, which encourages their independence. EVIDENCE: The home was found to be well maintained, clean and tidy. Furniture had been replaced in the lounge/dining room, the carpets replaced in the hallways and the both bathrooms had been renewed. All rooms had been redecorated since the previous inspection. One person was happy to allow the inspector in to his room; this was spacious and decorated and furnished to his tastes. The person who had been admitted since the previous inspection confirmed that prior to moving in he had been able to choose how his room was decorated and had asked for extra shelving which had been provided. Bedroom doors are fitted with locks providing privacy and security for belongings. The Registered Manager confirmed that the person living in the annex had chosen new lounge furniture as well as curtain and blinds Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 18 The gardens were very pleasant and extensive, backing on to woodland. The swimming pool was clean and looked well maintained: the home had 2 lifeguards with a further in training to ensure that this could be used safely and as frequently as wished by those living in the home. The garden was large enough for each person to have their own area in which to plant shrubs and flowers, as well as areas to play cricket and basketball. On the day of the inspection, table tennis had been set up on the patio and one person was enjoying a game with a member of staff. The laundry room was large enough to have 2 washing machine and 2 driers, that enabled people to do their laundry without too much of a delay. The organisation is commended for providing such as spacious home for the 3 people living there, one so spacious that other people could easily be accommodated but which the organisation chooses not to do in order to provide a high quality environment and service. Kazdin DS0000003459.V340987.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, 35 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 the 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 Kazdin DS0000003459.V340987.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 5 staff on duty in addition to the Registered Manager. Discussions with the staff and the examination of the duty rotas confirmed that this was usual during the day to allow people to participate in individual activities in and out of the home; the exception was Sundays when 4 people were available all day as there are fewer planned activities and no work or educational placements. Four staff are available in the later afternoons and evenings and 3 at night. There is an ‘on call’ system whereby members of the management team are available both in and out of office hours. 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. Kazdin DS0000003459.V340987.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 and 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, in addition to a General National Vocational Qualification in Advanced Health and Social Care. These qualifications required Miss Harris to demonstrate her knowledge and skills in managing a care home and supporting people with complex support needs. She has had over 6 years experience in working for the organisation, over 3 of which have been in management positions. Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 22 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 professionals regarding the quality of the services provided at Kazdin. There was evidence that six-monthly questionnaires had been provided for those living in the home and sent to their families: the results of the latest survey showed a high level of satisfaction. This was supported by the positive comments received by the Commission from 2 families prior to this inspection. Weekly meetings between those living in the home and the staff as well as the issues recorded in the “moans and groans” book also provide evidence that issues relating to the management of the home and the support provided is discussed and reviewed. The Head of Operations for the Organisation had 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. A report of these visits had been sent regularly to the Commission. 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. Kazdin DS0000003459.V340987.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 4 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 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Kazdin DS0000003459.V340987.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 Kazdin DS0000003459.V340987.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area 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 Kazdin DS0000003459.V340987.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!