Inspection on 24/11/06 for Knowsley Road, 246

This inspection was carried out on 24th November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Knowsley Road, 246 29/11/05

Knowsley Road, 246 27/07/05

Knowsley Road, 246 23/03/05

Knowsley Road, 246 26/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Knowsley Road, 246 246 Knowsley Road Bootle Liverpool Merseyside L20 5DQ Lead Inspector Mrs Janet Marshall Unannounced Inspection 24th November 2006 10:00 Knowsley Road, 246 DS0000005246.V310013.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 Knowsley Road, 246 DS0000005246.V310013.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. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knowsley Road, 246 Address 246 Knowsley Road Bootle Liverpool Merseyside L20 5DQ 0151 922 6607 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) Expect Limited Mrs Ann Theresa Mockler Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 LD. The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection 29th November 2005 Date of last inspection Brief Description of the Service: 246 Knowsley Road is registered as a care home for three people with a learning disability. The property is owned by Pierhead Housing and operated by Expect Limited. Expect Limited provides and manages a number of similar care homes within the Sefton area. The home is located in a residential area of Bootle and is in keeping with other properties in the area. It is indistinguishable as a residential care home and lends itself to the principles of ordinary community living. There is a small backyard at the rear of the building that leads to a communal alleyway. The home has limited parking, as it is located on a busy main road and does not have separate parking facilities. Local facilities include easy access to rail and bus services. There are a number of local shops within walking distance of the home. The homes current fees are £318.00 per week. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The visit was unannounced and took place over one day for a total of 6 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection. The inspection was positive and evidenced that the service is committed to ensuring high standards of care. During the site visit the requirements and recommendations from the last inspection report were discussed and checked with the manager. A tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of residents care plans, daily diaries, medical notes, medication and records, staff rotas and certificates of health and safety checks. A number of residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more students to get an idea of what is like to live at the home and how that person’s needs are being met. A pre-inspection questionnaire, which was completed in good detail and returned to the Commission prior to the inspection. Discussion took place with the manager and a member of staff. All residents were met with. The nature of the disability of the residents is such that it was not possible to obtain direct views about their experiences. Comments made during interviews, results of surveys, observations, the preinspection questionnaire and records examined during the visit and held by the Commission have all been used towards measuring standards for the purpose of this report. What the service does well: Each person had a care plan, which included detailed information about how the service will meet current and changing needs. Care plans, which are reviewed and updated at regular intervals reflect the needs, aspirations and goals of the individual and aim to develop the person’s life. Staff provide residents with appropriate assistance so that they are able to communicate choices and make decisions as part of an independent lifestyle. Resident’s personal and healthcare support is well monitored and recorded to ensure their physical, mental and emotional well being. The home was clean, tidy and furnished to a high standard ensuring the comfort dignity and safety of the residents. Staff undertake regular training to enable them to meet the needs of the residents. Residents and staff benefit from a manager who is open and positive. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 6 Records required by regulation were well maintained, up to date and accurate safeguarding the rights and best interests of the residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality in this outcome area is good. The judgement has been made using available evidence including a site visit. Policies and procedures, which are in place aim to ensure that prospective residents needs are fully assessed so that the home can be sure of meeting their needs. EVIDENCE: There have been no new residents admitted to the home since the last inspection. Two residents care files that were looked at in detail included assessment information. Initial assessments carried out by the home and those carried out other professionals such as social workers were available in both care files. Care plans for 2 residents who were cased tracked included current information, which showed that needs are regularly assessed. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents make choices and decisions and take responsible risks as part of an independent Lifestyle. EVIDENCE: A care plan was available for each resident. They were all kept securely in the home. Two residents were case tracked. This process involved discussion with staff and the manager and examination of resident’s records including care plans, risk assessments and daily records. Case tracking showed that most of the residents needs are being met in accordance to their plans of care. Discussion with the manager and examination of records showed that the mobility needs of one resident are not being fully met at the home. This is because the person’s mobility has deteriorated limiting their ability to access some parts of the home. Records showed that the resident has expressed a clear wish to remain at the home and is fully aware and agreed to the limitations. Examination of records and discussion with the manager showed that the resident’s changing needs have been recorded and dependency needs are Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 10 being monitored appropriately and referrals to Occupational Health, Pierhead Housing and Social Services have been made. Care plans included a good level of information about all aspects of the persons personal and social support and healthcare needs for example activities, likes and dislikes, behaviour, communication and routines with regard to health and personal care. Care plans and other care records viewed showed that they have been recently reviewed and updated with the involvement of the resident and or their representative. Records for one resident showed that an independent advocate was involved in the development and reviewing of the care plan. A monthly review of each person’s health and social care take place. The outcome of this is recorded on a monthly summary record sheet and kept with the residents care plan then used as part of the annual review. A selection of these records was seen. Information about resident’s ability and the help that they need to make decisions was recorded in their care plans. Staff were seen offering residents choices and appropriately supporting them to make decisions about such things as what clothes to wear, what to eat and what to do. Case tracking showed that the support given was as described in the persons care plan. All residents have limited verbal communication skills. Care plans included information about each persons preferred communication methods and how those residents are provided with the appropriate assistance and support that they need. Some information was available in picture format and large clear print. None of the residents have the ability to manage their own finances. This information and the support that each person needs were recorded in their care plan. The records and money for two residents was checked and found to be in good order. Residents have a bank account in their own name. Details of a benefit received by one resident were looked at. It was recommended that the manager make arrangements to review the benefit in the best interests of the resident. Individual daily records are kept for each resident. Records for two residents were examined they were up to date. Risk assessments have been carried out and were available as part of each persons plan of care. Case tracking showed that risk assessments have been developed around the persons care plan and aim to ensure that residents take responsible risks in their every life as part as an independent lifestyle. Risk assessments viewed were detailed and evidenced that they have been reviewed and updated regularly. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 11 Knowsley Road, 246 DS0000005246.V310013.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 The quality outcome in this area is adequate. This judgement has been made using available evidence including a site visit. Residents are encouraged and supported to maintain appropriate and fulfilling lifestyles inside the home, however opportunities for residents to access the community are limited. EVIDENCE: Each persons care plan included a weekly timetable of activities. These show that residents take part in a variety of activities including, watching TV, listening to music, household tasks, visits to local pubs, cafes and shops. Case tracking showed that the programmes are consistent with each persons assessed needs wishes and preferences, however they are not always followed as consistently as they should be. This is because there is not always enough staff on duty to support residents to access the community. Details of staffing arrangements were provided with the pre-inspection questionnaire and also explained by the manager during the visit. This evidenced those opportunities for residents to access community based activities is only available on two days of the week and not consistent with each person’s individual programme of activities. The manager must make arrangements to enable residents to Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 13 take part in local, social and community activities in accordance to their needs and wishes. Residents were seen being encouraged and supported to take part in daily routines at the home such as the preparation of meals and household tasks. Discussion with the manager and examination of records showed that residents are appropriately supported to maintain family links and relationships both at home and in the community. A visitor’s book was available at the home. Resident’s bedrooms were fitted with locks and they had a lockable cabinet. Information about the use of keys was recorded in individual’s plans of care. Residents were seen chatting to staff and to each other. Staff were observed interacting positively with residents throughout the visit. Residents occupied the communal lounge and kitchen/diner, at intervals throughout the visit. Residents have access to all parts of the home other than each other’s bedrooms unless invited. For safety reasons residents need to be accompanied by staff in the kitchen. This information is recorded in the individual’s plans of care. Care plans included a good level of information about each persons likes and dislikes with regards to food, details of any special dietary needs was also available. During the visit residents were seen choosing their lunch with the support of a member of staff. The home has a choice of two dinning areas, one in the kitchen and the other is located at the far end of the lounge. Both areas were bright, cheery and furnished to a good standard. The kitchen was equipped with domestic style crockery and appliances, which are accessible to the residents. Residents sat at the dining table in the kitchen for their meals on the day of the visit. Meal times were relaxed and unrushed. Staff were seen supporting residents in a patient way. Residents were observed making choices about food and drinks. Drinks and snacks were offered to residents outside of usual meal times. The home operates a 2 weekly menu plan, copies of the menus were provided with the pre-inspection questionnaire. They included a good selection of food that is healthy and varied in content. A record of food eaten daily by each person was seen at the home. Food stores that were examined were well stocked with fresh frozen and dried goods. A member of staff confirmed that residents are involved in shopping for food. Knowsley Road, 246 DS0000005246.V310013.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The health and personal care needs of residents are met and safeguarded by procedures carried out at the home. EVIDENCE: Care plans included information about resident’s routines regarding managing and supporting their personal and health care needs. The level of support and guidance that staff need to provide each person regarding personal care was clearly set out in an individual plan of care. Records showed that residents are offered and supported to attend general health care checks. Staff were seen providing personal support for one resident. They were seen treating the resident with respect by ensuring that the care was carried out in private. Case tracking showed that the level of support was in accordance with the resident’s plan of care. Observation and discussion with staff showed that they provide sensitive and flexible personal support, which ensures residents privacy and dignity. The following comments supported this: “I always encourage residents to do as much as they can for themselves” “I always allow them privacy by leaving the bathroom when they are bathing” “I make sure doors and windows are shut” Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 15 A member of staff was observed helping a resident choose what clothes to wear in a patient and sensitive way. None of the residents take their own medication. The pre-inspection questionnaire and discussion with the manager and a member of staff evidenced that staff that administer medication are trained in this area. The blister pack system was being used at the home. Medication and records were stored in a locked cupboard. A selection of medication and records were examined, they were in good order. A policy on the handling storing and recording of medication was viewed at the home. Knowsley Road, 246 DS0000005246.V310013.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home has appropriate procedures in place for responding to concerns and complaints and for ensuring that students are safe from abuse or neglect. EVIDENCE: The pre-inspection questionnaire showed that the home has a complaints procedure. A copy of the procedure was on display in the main entrance at the home. The service user guide also included a summary of the homes complaints procedure. It was not possible to assess residents understanding of the complaints procedure due to their limited understanding. The manager did however state that resident’s advocates and representatives have received a copy of the procedure. Staff interviewed said that they knew about the complaints procedure and would be confident about raising any concerns or complaints if they needed to. The complaints record was examined and showed there were no complaints made in the home since the last inspection. The Commission for Social Care and Inspection has received no complaints regarding the service since the last inspection. During discussion staff showed a good awareness of what to do if they suspected or witnessed abuse. A Protection of Vulnerable Adults procedure was available at the home. The pre-inspection questionnaire evidenced that staff have received Protection of vulnerable adults training. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 17 Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 18 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 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents live in an environment which is homely comfortable and safe. EVIDENCE: As part of the last inspection report a number of recommendations for improving the environment were given. The pre-inspection questionnaire detailed the changes made to the premises since the last inspection. The changes, which were seen during a tour of the premises, include the replacement of carpets and redecoration of the hall, stairs and landing, lounge, bathroom downstairs toilet, kitchen and a bedroom. Resident’s bedrooms and communal parts of the home, which were viewed, were all furnished and decorated to high standard. The home had a warm and friendly atmosphere. All parts were comfortable, bright and cheery. Ornaments and pictures, which were displayed in all parts, gave it a homely feel. The home is not appropriately equipped to fully meet the mobility needs of one resident, however records showed that this is being addressed and appropriate referrals to have been made to Occupational Health, Pierhead Housing and Social Services. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 19 The pre-inspection questionnaire and a selection of records viewed at the home evidenced that up to date safety checks been carried out on the environment. For example Fire systems and equipment, water temperatures and electrical systems and appliances. All parts of the home were clean and tidy. The pre-inspection questionnaire detailed training completed by staff and a number of policies and procedures, which aim to ensure that the home is kept clean, and hygienic they include, infection control, food hygiene and disposal of waste. The document also detailed the most recent routine visit to the home by the Local Authorities environmental health officer, which took place in August 2005. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 The quality outcome in this area is adequate. This judgement has been made using available evidence including a site visit. Residents are supported by competent and qualified staff, however staffing levels are not always sufficient in numbers for meeting all residents needs. EVIDENCE: The manager and one support worker was on duty at the time of the visit. Copies of staffing rotas which were provided with the pre–inspection questionnaire were examined and showed that one staff sleeps in each night. Two staff on duty five days of the week and three staff on duty on two days of the week. This was also confirmed during discussion with the manager and a member of staff. The evidence gathered during the inspection showed that the current daytime staffing arrangements are not sufficient in meeting the social needs of the residents. (This is described in more detail in the Lifestyle section of this report). The manager must ensure that sufficient numbers of staff are on duty to ensure the health and welfare of residents. At intervals throughout the visit a member of staff was seen interacting well with residents. They were flexible and positive in their approach and appeared to have a good relationship and understanding of the needs of the residents. Discussion with the staff member showed that they are interested motivated and committed to their work. Comments made which supported this included: Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 21 “I love my job”. “I enjoy the training courses”. “The residents are my priority”. “It is important to be able to communicate and understand what residents need”. A selection of staff personnel and training files were examined during this visit. They included all the required information to show that the home operates a robust recruitment procedure. During discussion a member of staff described the recruitment process that she went through. It included a completing an application form, an interview and police and reference checks. The member of staff confirmed that she took part in an induction programme during the first part of their employment and that they have completed training including fire awareness, food hygiene and health and safety. Other training completed by staff, which was detailed in the pre- inspection, includes first aid, Protection of vulnerable adults, learning disability award framework, epilepsy and National Vocational Qualifications in care levels 2 and 3. Arrangements have been made for staff to attend refresher courses in areas of core and specialist training. Details of future training were detailed in the pre-inspection questionnaire. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home is well managed to the benefit of the residents and staff. EVIDENCE: Since the last inspection Anne Mockler has been approved by the commission as the registered manager of the home. The manager has commenced National Vocational Qualification Level 4 in Care. Examination of records and discussion with the manager, showed that she is competent, experienced and committed to high standards. Mrs Mockler demonstrated an open and positive management approach this was observed during the visit. During the inspection the following comments were made about the manager: “The manager is very good”” “The home is run well” “The manager is fair and approachable”. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 23 Training records and discussion with Mrs Mockler evidenced that she undertakes regular training and development to update her knowledge, skills and competence while managing the home. The manager explained that questionnaires are made available to residents, relatives and advocates as part of the homes quality monitoring system. The questionnaires give people the opportunity to put forward their views and make comments about aspects of the home for example, the manager and staff, the quality and choice of food, and the environment. The manager explained that the results of the surveys are used to monitor the quality of the service. Also As part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations a representative for the home visits the premises monthly. They interview residents and staff, check records and inspect the environment. This is required to check the standard of care in the home. Following the visit a report detailing the visit is written. Records show that the visits and reports are being carried out each month as required. The health safety and welfare of residents are well protected by policies and procedures, which were detailed in the pre-inspection questionnaire. A selection of records which provided details of health and safety checks were viewed during the visit. They were up to date and well maintained. Training records showed that staff undertake regular health and safety training to ensure their own and the health safety and welfare of residents. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X X X X 3 X Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 25 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. 1. Standard YA13 Regulation 16(2)(m) Requirement Arrangements must be made to enable residents to take part in local, social and community activities in accordance to their needs and wishes. Sufficient numbers of staff must be on duty at all times to ensure the health and welfare of residents. Timescale for action 24/03/07 2. YA33 18(1)(a) 24/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA7 Good Practice Recommendations A benefit received by one resident should be reviewed. Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Knowsley Road, 246 DS0000005246.V310013.R01.S.doc Version 5.2 Page 27 - 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. 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