Inspection on 17/02/06 for Kingsley

This inspection was carried out on 17th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kingsley 05/08/08

Kingsley 23/08/06

Kingsley 24/11/05

Kingsley 07/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Kingsley 28 Downs Park Herne Bay Kent CT6 6BZ Lead Inspector Mark Hemmings Unannounced Inspection 17th February 2006 10:00 Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 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 Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 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. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kingsley Address 28 Downs Park Herne Bay Kent CT6 6BZ 01227 363395 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) Dyzack Limited Rhonda Diana Grant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Kingsley Homes (the Home) is registered to provide accommodation and personal care for nine younger adults (service users) who have a learning disability. The premises are an older detached property which has two storeys. The ground and the first floor are used to provide accommodation for the service users. The second floor houses various offices and related functions. Each of the service users has their own bedroom. All of the bedrooms have a private bathroom. The Home is located on a quiet residential street and it is within walking normal walking distance from Herne Bay’s shopping centre. The Registered Provider is a private limited company. Mr Z Hasmat Ali is one of the Directors of the Company. He is the Responsible Individual. This means that he is responsible for overseeing the work of the Registered Manager. In turn, the Registered Manager administers the Home on a day to day basis. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and it took about one and one half hours to complete. During this time, the Inspector spoke with each of the four support workers on duty. Also, he spent time with five of the eight service users in residence. The Inspector examined a small selection of records and he looked at various parts of the accommodation. The Registered Manager was not available on this occasion. As a result of this, the Inspector elected to not examine all of the documents which routinely are to hand during the course of an inspection visit. The Home continues to provide the service users in residence with the support and assistance they need. Service users say or indicate that they remain satisfied with the provision made for them in Kingsley Homes. There are no required developments at the end of this Report. The Inspector did not examine all of the Standards on this occasion. Consequently, the reader is asked to read this Inspection Report in conjunction with the previous Inspection Report. This should assist the reader to obtain a more comprehensive account of the Inspector’s current evaluation of the adequacy of the facilities and services available in Kingsley Homes. What the service does well: The assistance each service user receives is provided in consultation with them and takes place within a prudent assessment of potential risks to the person’s health and safety. A suitable balance has been achieved between respecting service users’ rights for independence and recognising their needs for structure and guidance. The support workers have a number of competencies which are relevant to the effective provision of assistance for the service users in residence. The premises provide a comfortable and relaxed setting in which service users can make their home. The areas of the accommodation reviewed by the Inspector, are free from any obvious hazards which might compromise someone’s health and safety. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 6 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 Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 7 contacting your local CSCI office. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 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 Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4. Prospective service users are given the information they need to make an informed decision about living in the Home. Service users’ needs and aspirations are assessed before they move into the Home. Service users are confident that the Home will enable their needs for assistance and support to be met. As appropriate, prospective service users have the opportunity to visit the Home before deciding about moving in. EVIDENCE: The Inspector has examined all of the Standards listed in this section of the Report, on a previous occasion. This was done when the Responsible Individual and the Registered Manager were present. The Inspector has established that there is a Service Users’ Guide. This is a brochure which prospective service users and their representatives are given and which outlines both in pictures and in text the facilities and services provided in Kingsley Homes. In addition to this, the Inspector previously has established that the Responsible Individual and the Registered Manager and speak with prospective service users and with members of their families in order to answer any remaining questions they may have. The Responsible Individual has said that he and the Registered Manager continue to meet with each prospective service user in order to assess their Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 10 needs for assistance. This is done to ensure that these needs can be met reliably in the Home, should the admission proceed. Service users did not comment directly to the Inspector about their experience of having moved into the Home. However, several people indicated by their relaxed manner that the process had been handled in a manner which assisted them to settle subsequently in their new home. The Inspector has been informed that service users are encouraged to visit the Home at least once before moving in, if this is considered to be helpful for them. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 11 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, 8 and 9. Service users are confident that their present and future needs for personal care will be met in a reliable and consistent manner. They are suitably consulted about the assistance they receive and about the day to day running of the Home. Service users are supported in taking prudent risks EVIDENCE: There is a service user plan for each service user. Previously, the Inspector has noted these documents to describe the assistance the service user in question has agreed to receive. Service users are consulted actively about the contents of the plans and they are invited to contribute to any reviews which are convened. Service users say or indicate that they consider themselves to receive all the assistance they need. Support workers have a good knowledge of each of the service user’s needs for assistance. They support the service users in a manner consistent with the agreement described in the individual service user plans. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 12 Service users are assisted to take those reasonable risks which are part of everyday living. The Registered Manager has said that she is aware of the need to keep this matter under continuous review. This is so that service users are assisted to avoid situations in which their own welfare or that of others may become jeopardised. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 13 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): 11, 12, 13, 14, 15, 16 and 17. Service users have access to a suitably varied range of social and vocational activities. Some of these involve engagement with the local community. Service users are assisted to maintain contacts with members of their family and with friends. Service users are enabled both to exercise their citizenship rights and to respect those of other people. Service users are provided with a normally healthy diet and they enjoy their meals. EVIDENCE: Service users undertake a range of social and vocational activities. Some of these involve leaving the Home to access various resources which are based in the community. Service users say or indicate that they consider themselves to be consulted adequately about what they want to do. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 14 The pace of daily life in the Home is relaxed and unhurried. There are no unnecessary rules or routines to disrupt service users’ experience of a normal domestic setting. Having said this, support workers do bring a definite measure of order to the pattern of each day. The Inspector considers this to be an essential example of good practice. This is because it responds appropriately to the service users’ needs for guidance and direction. In so doing, it enables them to get around to doing many more things than would be the case otherwise. Previously, the Inspector has established that the service users are assisted to maintain helpful contacts with members of their families and with friends who do not live in the Home. When the Inspector previously has discussed this matter with family members, they have confirmed this account. Also, they have voiced satisfaction with the way in which the Registered Provider involves them in decisions made about the care provided. Previously, service users have said or indicated that they are provided with good quality meals and that they always have enough to eat. On this occasion, the Inspector did not have the opportunity to dine with any of the service users. However when he last did so, he noted the meal served to be of a good standard and to be adequate in quantity. During the present inspection visit, the support workers said that there continues to be an adequate and reliable supply of catering provisions maintained in the Home. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Service users receive assistance and support in a respectful and appropriate manner. Service users’ physical and emotional health care needs are met. There are suitable arrangements in place to enable staff to retain and dispense medication on behalf of service users. EVIDENCE: Service users say or indicate that support workers are attentive to their needs without being intrusive. The Inspector witnessed a number of occasions on which support workers assisted service users. He noted these events to be characterised by a friendly and confident informality which is consistent with good care practice. Previously, the Inspector has established that those service users who have problems with aspects of their physical health are assisted to seek and to follow the advice of their doctor. Since the last inspection visit, the Commission has not received any expressions of concern in relation to the operation of the Home, from members of the local primary health care team. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 16 None of the service users currently in residence, have elected to handle any of their own medication. The Inspector examined selected aspects of the arrangements used by staff to administer service users’ medication on their behalf. He found that suitable practices were in place to store medicines and to ensure that service users take them in the manner intended by their doctor. Several of the service users can take particular medicines on a discretionary basis. This means that they can be used as and when they are needed. The Inspector spoke about this matter with one of the support workers. He was noted to have a good understanding of the circumstances under which to consider the possible administration of the medicine identified by the Inspector. Previously, the Inspector has established that the Registered Manager is aware of the need to ensure that suitable written guidelines are available to support staff in administering discretionary medication on a consistent and appropriate basis. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Service users consider that their views are listened to and that as necessary they are acted upon. Service users are protected from abuse, neglect and self harm. EVIDENCE: Previously the Inspector has established that there is a complaints procedure which explains how service users and other stakeholders can make a complaint about any aspect of the facilities and services provided in the Home. The service users have indicated that they are confident that any matter they raise will receive serious attention and if possible will be addressed. Since the last inspection visit, the Registered Provider has received a complaint from one of the service users. It was alleged that aspects of his wellbeing had been compromised by the inappropriate conduct of two members of staff. The complaint was investigated under the provisions of the inter-agency adult protection function. The complaint was resolved without the need for any action to be taken against the members of staff concerned. The Inspector notes that the Registered Provider responded appropriately to the receipt of the complaint. Also, that it assisted fully the completion of the adult protection investigation. The Inspector had the opportunity to speak with the service user concerned. He said that he has been and that he remains satisfied with the service he receives in the Home. Previously, the Inspector has noted that the support workers have a sound understanding of what constitutes good care practice. As part of this, they are Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 18 aware of the need to be alert to instances which might jeopardise the wellbeing of a service user. Also, they are aware of how to bring such a matter to the attention of the Registered Provider and/or to external regulatory bodies such as the Commission. Service users say or indicate that they continue to feel safe living in Kingsley Homes. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. The Home provides comfortable accommodation. Service users’ bedrooms are adequately presented and equipped. There is a sufficient number of toilets and bathrooms. There are sufficient shared spaces. Service users are supported to maximise their independence. The Home is presented to a normal domestic standard of cleanliness. EVIDENCE: Service users say or indicate that their accommodation is homely and that it is comfortable. Before the Home recently opened, the Registered Provider completed an extensive programme of refurbishment which resulted in a high level of general finish being achieved. The Inspector is very pleased to note that this overall standard has been maintained in-spite of the wear and tear which necessarily the accommodation experiences. The service users say or indicate that they like their bedrooms and that they have all they need in order to use them as bed sitting areas. Previously, the Inspector has visited several of the bedrooms. He has noted them to be comfortable and to reflect the preferences of the persons in residence. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 20 There is an adequate number of toilets and bathrooms, given the needs of the service users presently in residence. Also, there is a sufficient provision of lounge and dining space to enable the service users to relax in comfort when not occupying their bedrooms. Suitable arrangements are in place to assist one of the service users who experiences a measure of reduced mobility. The Registered Manager has said previously that she is aware of the need to keep this matter under review. This is so that appropriate provision can be made should these needs change in the future. The accommodation is cleaned to a normal domestic standard. The Inspector examined the kitchen. He noted it to be presented to a suitable standard of hygiene. He understands that it continues to be operated in a suitable manner. Also, he understands that the local Department of Environmental Health has not recommended the completion of any improvements which remain outstanding. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. Support workers have a good understanding on their duties and they work together well as a team. Support workers have the competencies they need. There is an adequate number of staff on duty. A number of steps are taken to ensure that only suitable people work in the Home. The duties completed by the support workers are supervised adequately. EVIDENCE: Support workers demonstrate a good understanding of the duties they are expected to undertake. The staff team is relatively stable. This means that people have got used to working together and that service users know who is going to be around and what they are going to be doing. There are handover meetings at the beginning and end of each shift. The support workers keep diary records of how things are going for each service user. The Inspector understands that this system has been strengthened since the last inspection. This has been done to ensure that a more comprehensive account is kept of out-of-the-ordinary occurrences. There are regular staff meetings. Support workers say that they are consulted actively by the Registered Manager about how relevant aspects of the Home are administered. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 22 The Registered Manager said that all new support workers receive a period of introductory training before they work with service users without direct supervision. The support workers confirmed this account. They said that they consider that the introductory training they received, gave them the competencies they need in order to respond effectively to the service users’ individual needs. In addition to the introductory training, the support workers undertake ongoing training in a variety of subjects directly related to their work in the Home. The support workers observed that these training inputs provide a useful platform from which to review and to develop further their care practice. The Inspector understands that the Registered Provider has completed an exercise which is designed to validate the adequacy of the competencies possessed by each of the support workers. From the evidence reviewed during the course of the present inspection visit and from his previous visit to the Home, the Inspector considers that the support workers have the competencies they need in order to provide a reliable and effective response to the present service users’ needs for assistance. There are four support workers on duty with the service users during the day. At night time, there are is one support worker on waking duty and there is another who sleeps in and who can be called upon for assistance should the need arise. The Inspector considers there be sufficient staff on duty to enable the current service users’ needs for assistance to be met in a prompt and a sustainable manner. Previously, the Inspector has established that the Registered Provider undertakes a number of security checks in relation to each employee. These are completed in order to ensure that only suitable people have unsupervised access to service users who may be vulnerable. The Registered Manager continues to routinely work alongside the support workers when they are providing assistance to the service users. This enables her to monitor and to give advice to support workers about aspects of their care practice. Previously, the support workers have said that they consider both the Responsible Individual and the Registered Manager to be knowledgeable about residential care and to be supportive in their manner. This informal dialogue is complemented by more organised meetings. These meetings entail each support worker meeting on a one to one basis with the Registered Manager in order to review their work and to resolve any problems should there be any. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 23 Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. The Registered Provider runs the Home so as to provide reliably service users with the assistance they need. The Registered Provider operates a quality assurance system. The health and safety of service users and staff is adequately protected. EVIDENCE: The Registered Manager has the competencies necessary to enable her to operate the Home in the best interests of the service users. The Standards specify that registered managers should acquire two qualifications. These are designed to extend and to validate their ability to oversee the delivery of high quality residential care services. The Registered Manager has acquired one of these qualifications and she has begun working towards achieving the second. The Registered Manager has a detailed understanding of the day to operation of the Home and of the particular needs of each of the service users. The Inspector is satisfied that she and the Responsible Individual operate a suitable system to monitor and to run the Home on a day-to-day basis. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 25 The Registered Provider operates a quality assurance system. This is designed to enable stakeholders in general and service users in particular, to comment on the adequacy of the facilities and services available in the Home. The Inspector understands that generally high levels of satisfaction have been expressed about the adequacy of the facilities and services provided in the Home. Previously, the Inspector has not been able to validate properly this account. This was some of the records were not readily to hand. The Registered Manager has said that this omission will be addressed in time for the next round of consultation to be undertaken in 2006. The Inspector will review this matter when he next calls to the Home. The Inspector understands that the Kent Fire Service has not recommended any improvements which remain outstanding. The Registered Manager has continued to complete the periodic checks which have to be made to ensure the continued adequacy of the Home’s fire safety regime. The Registered Provider operates a system which is designed to ensure that all members of staff are aware of how best to avoid the occurrence of a fire safety emergency and how best to respond effectively should one occur. Previously, the Inspector has identified the need for the Registered Provider to strengthen an aspect of how this exercise is recorded. This development has been specified to ensure that there is an accurate record of which members of staff have been included within the programme. This can then be reconciled against the list of the members of staff who are based in the Home. Once in place, this will enable the Registered Manager and the Inspector to double check that no one has been omitted accidentally. In the absence of the Registered Manager, it was difficult for the Inspector to validate her earlier report that the matter has been completed. The Inspector will review the completion of the development in question, when he next calls to the Home. The Registered Provider completes a regular review of the premises to ensure that there are no significant hazards which might compromise the health and safety of any of the service users. Previously, the Registered Manager has said that this exercise has not identified any significant hazards which remain to be addressed. The Inspector did not notice any such hazards when he examined selected aspects of the premises. The Registered Manager has said that the Registered Provider operates a system which ensure that all of the appliances in use in the Home are serviced and maintained in accordance with the manufacturers’ instructions. Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 26 Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 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 X 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 X 3 3 3 X X 3 X Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 28 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 29 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Kingsley DS0000047949.V272785.R01.S.doc Version 5.1 Page 30 - 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!