Inspection on 28/06/07 for L`Arche Community (Preston)

This inspection was carried out on 28th June 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

L`Arche Community (Preston) 03/02/06

L`Arche Community (Preston) 08/02/05

L`Arche Community (Preston) 26/10/04

L`Arche Community (Preston) 09/03/04

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 L`Arche Community (Preston) 3 Moor Park Avenue Preston Lancashire PR1 6AS Lead Inspector Phil McConnell Unannounced Inspection 28th June 2007 3.00 L`Arche Community (Preston) DS0000010035.V332223.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 L`Arche Community (Preston) DS0000010035.V332223.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. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service L`Arche Community (Preston) Address 3 Moor Park Avenue Preston Lancashire PR1 6AS 01772 251113 01772 251116 preston@larche.org.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) L`Arche (Registered Office) Mr John Francis Sargent Care Home 6 Category(ies) of Learning disability (6) registration, with number of places L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2006 Brief Description of the Service: L’Arche communities originated in France in 1964. Many other similar communities have developed since that time. LArche is a faith community in the Christian tradition that welcomes people of all faiths or none. LArche supports people to pursue their own faith both within and outside the home, if that is what they choose. The L’Arche home in Preston is situated on the outskirts of the city centre adjacent to a large park area and is in easy reach of community facilities and amenities. The home is also close to all main transport links. The house is a large detached property that is furnished and decorated in a domestic style. The aims of L’Arche as an organisation are to provide a community lifestyle where people who have a learning disability and staff can share their lives and work together. L’Arche has a clear admissions criteria and a comprehensive assessment process. The home does not provide a Monday to Friday daytime service so applications for admission can only be considered when arrangements for day or work placements are in place. The present rate of charging is between £490.00 and £745.00. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The gathering of information was used to assess the key standards that are identified in the National Minimum Standards for Adults 18-65, including: the pre inspection questionnaire (completed by the registered manager), 5 service users’ questionnaires and 3 relatives questionnaires which were returned to the commission for social care inspection (CSCI), staff rota’s, meal menus and an unannounced inspection visit to the home. There are six people currently living at the L’arche community in Preston, who have a learning disability. Peoples’ files were examined and they all contained up to date, relevant and appropriate information. Four staff files were also examined and their files contained all of the required information to meet the national minimum standards. The registered manager (John Sargent) was available throughout the visit and there was also the opportunity to meet the prospective new manager (Maggy Cooper). The present manager will be leaving his post in July when the new manager takes over. The people who live at the home are fully aware of this and the new manager is well known to everyone at the home. There was also the opportunity to have conversations with the people living at the home and other staff members, including the office administrator. What the service does well: L’Arche Preston provides an excellent standard of care and support to vulnerable people. The majority of staff live in the home with the people who use the service. This has the advantage of people getting to know each other very well and helps create trust, confidence and assurance with each person. This inclusive community has an atmosphere of peace, calmness and contentment. It is apparent that L’Arche are committed to the positive aspects of community participation and community presence. It is also apparent that there is no obvious difference between staff and people who use the service. There is a genuine and real commitment for people to be included in all aspects of their care and a proactive approach to integration. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 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 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. L`Arche Community (Preston) DS0000010035.V332223.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 L`Arche Community (Preston) DS0000010035.V332223.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good pre admission assessment process is in place, helping to ensure that a persons’ assessed needs will be appropriately met. EVIDENCE: The six service users’ files were examined and they all contained a front cover sheet, which gave detailed information with names, addresses and phone numbers of relatives, GP, social worker and relevant information regarding medication and any allergies. The files’ also contained individual and relevant assessment documentation including: admission assessments, care plans and easy to read occupancy agreements. Each person has a diary and anyone who works with the individual will write significant items in the diary. One other person had gone to live in the L’Arche community since the last inspection and it was evident that the process for admission to the home is robust and thorough. This helps give people confidence and assurance that their assessed needs will be adequately and appropriately met. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 9 People wrote in the questionnaires, “My Mum and Dad told me about L’Arche Preston and I came to see the house. They asked me if I would like to live here?” and another person wrote, “I came to L’Arche on visits and had some meals here. One weekend I came to stay here and I wanted to come and live here when I left college”. During the inspection visit, other documentation was observed that evidently showed that thorough assessments had taken place, in order to identify a persons needs and that L’Arche could meet their needs. L`Arche Community (Preston) DS0000010035.V332223.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 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Peoples’ care plans are detailed with sufficient information, helping to ensure that the best possible care is given to vulnerable people and people are empowered in various appropriate ways to make and take decisions in their daily lives. EVIDENCE: Peoples files contained concise, detailed informative essential lifestyle plans (ELP’S), with combined care plans, which are reviewed regularly with the involvement of the individual, the relatives and significant people who are involved in the persons life. These plans clearly identify peoples’ aspirations, dreams and needs in order to enable people to reach their full potential. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 11 The emphasis for ‘Essential Lifestyle Plans’ is to gather as much information as possible from anyone who has any contact with the person, in order to clearly identify their needs, dreams, likes, dislikes and aspirations. A key worker (people have a named worker) system is in place; helping to promote trust and confidence between the person and the staff member, thereby, helping to ensure a persons’ changing needs are identified and acted upon as quickly as possible. Some comments from relatives were, “we are always kept up to date on any developments or changes and any input we wish to make is always welcomed” “There is an annual review where goals are set out and people appointed to the activities. Detailed records are kept and the goals are always met. This has included trips to Disneyland Paris and annual holidays to Greenbelt” “our daughter is given the opportunity to live an interesting, varied and happy lifestyle in an atmosphere of dedication to her needs and love” “recently had her review and we were invited to contribute before the meeting and also at the meeting” and “the common aim is the welfare of the residents at L’Arche Preston”. Future trips and holidays are planned, “we are going to London on holiday” and it was stated that there is an annual ‘house swap’ (2 weeks) scheme, incorporating various houses within the L’Arche communities. It was evident that people are enabled and empowered to make choices and take decisions in their lives and some of the comments were, “I am very good at saying what I think, what I want, what I want to do and where I want to go” and. “The carers always listen to me and help me to do what pleases me”. There were individual risk assessments available for inspection, with specific information and guidance, in order to promote and encourage independence. Members of staff were observed communicating with service users in a respectful, relaxed, and dignified way and the service users were responding in a positive way, helping to demonstrate that service users and their families have the assurance and confidence that they are treated with respect and dignity. L`Arche Community (Preston) DS0000010035.V332223.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): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are positively supported in participating in meaningful and appropriate activities, in order to provide stimulation, motivation and promote community presence and inclusion. EVIDENCE: L’Arche do not provide day support during the week, therefore it is a requirement of L’Arche that people have access to daily placements. People are involved in daily activities, whether it is in supported employment, attending college, attending a day centre or being supported in the community. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 13 Some of the comments from people regarding employment and social activities included, “I go to work each weekday, I love going to work” “I go to work and I want to go to work” “I like to go to the pub, to visit people and have a meal and go to cafes” “I go shopping, out for lunch, go to the cinema and go to mum and dads” “I go to church” and “I am happy because people help me, love me, talk to me, look after me and make me laugh”. One relative wrote, “The great thing about L’Arche is the inclusiveness. There is no ‘them’ and ‘us’ between the staff and the residents, they are all part of the community and one always has a strong sense of this”. It is evident that people are encouraged, enabled, motivated and supported to be involved in the local community in many varied ways. L’Arche have developed good links with the different providers of the organisations who support individuals throughout the day. This was clearly demonstrated during the inspection visit, when a carer from a day support agency visited a person in the evening to see if he was all right? The person had a fall during the day and needed to attend the A&E department of the local hospital. Fortunately the person’s injuries were only minor. As previously mentioned people have detailed and concise essential lifestyle/care plans, which give clear guidance and information about the various activities that individuals are involved in. It was evident that the home has an open house policy with regards to relatives and friends. One person said, “My mum and dad visit me because this is my home. My friends come here for a meal sometimes and I can go to their homes” and a relative wrote, “We visit at reasonable times and our son and one of his carers visits our home quite regularly. He also comes to stay with us for weekends and on request”. It was apparent that community participation and community presence is positively and actively promoted. There was the opportunity to share a meal with the people at the home and the meal was good and very well presented. People are involved as much as possible in the planning, preparation and cooking of meals and it was apparent that much thought and planning goes into the development of food menus. One person said, “The foods very nice, everybody likes the meals”. During the meal one person was observed being supported in a calm, unrushed, sensitive, dignified and relaxed manner. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ health care needs are satisfactorily provided, with people being enabled and empowered to communicate their choices and wishes. EVIDENCE: Individual information was available with regard to peoples’ specific health needs, for example one person who has no verbal communication has their own unique, specific sheet of ‘sign symbols’. Each person had a thorough and comprehensive ‘health action plan’ and there is “also a succinct health action plan for daily use”. There was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. This all helps to demonstrate that people’s health care needs are monitored and treated correctly when necessary. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 15 The questionnaires returned to the commission for social care inspection (CSCI) from relatives were positive about the level of care being provided by L’Arche. Some of the comments were, “The wellbeing of people at L’Arche is of paramount importance and we are kept fully up to date on all medical matters” and “we were very impressed with L’Arche when our daughter was in hospital, L’Arche organised a 24 hr rota so that there was always someone with her”. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Records were examined to ensure that all medicines received and administered were maintained. Medicines were kept in a secure locked cupboard and provision was made for the correct storage of any controlled drugs that may be required. (None at the present time). All members of staff are appropriately trained in the administration of medication. The medication policy and procedures had been reviewed in June 2007. The medicine administration records (MAR) were observed and found to be accurate with medication being correctly administered. People are enabled to take their own medication if possible, however at the present time nobody is fully self-administering. “People are supported as much as possible to take their own medication. This helps give people independence”. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach to people and people were responding positively and it was evident that good and trusting relationships had developed between the service users and the carers. L`Arche Community (Preston) DS0000010035.V332223.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. Satisfactory policies and procedures are in place, helping to protect people from abuse and harm. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There had been one complaint made to the home since the last inspection and this had been dealt with satisfactorily. Questionnaires received from people indicated that people are aware of the complaints procedure and how to complain if needed. Some of the comments were, “if I had a complaint I would tell the house leader and then I would tell the community leader and I would ask one of the female assistants to come with me and help me explain what was wrong” and one relative wrote, “we have never had to raise any concerns but have simply shared with L’Arche our thoughts about aspects of our son’s care, which they have fully taken on board”. It is clear that people know whom they could speak to in the home if they had a complaint. People were also aware that the inspector for CSCI could be contacted if they chose to do so. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 17 There was evidence that Criminal Record Bureau (CRB) checks had been carried out and people are only employed on the satisfactory completion of these checks. Checks are also carried out in the person’s country of origin, if they are from outside the UK. This helps to ensure that vulnerable people are protected and safeguarded by having a robust recruitment selection process. L’Arche have a thorough training programme, which includes training in the protection of vulnerable adults. L`Arche Community (Preston) DS0000010035.V332223.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe, clean and hygienic, providing a very pleasant environment for people who live and work there. EVIDENCE: A tour of the home was carried out and it was found to be clean, well decorated, comfortable and homely. The home consists of 2 lounges, which are more than adequate to meet the needs of the people who live there. An activities room, which contained appropriate books and games for peoples use. This room also had 2 computers for the use of staff and service users. One of the service users was observed using one of the computers in the evening and it was apparent that he was used to using the machine. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 19 There is a large dining room, where staff and service users have their meals together. There is a large fully equipped kitchen, which was seen to be clean and hygienic. The home consists of 14 bedrooms, with 13 being used at the present time, 6 service users and 7 for assistants/carers. The homes laundry facilities are adequate with the assistants having shared responsibility for the washing and drying of laundry. There is a quiet/prayer room, where people can go and spend time alone if they wish to. During the inspection visit a communion service (Eucharist) took place in this room, which was attended by everyone in the home and a number of visitors who have connections with the L’Arche community also attended. Some of the comments received were, “The home is kept clean and tidy” “Sometimes the home is untidy, because we don’t put things away in the right place” “The assistants clean the house each day and I help with my room at the weekend” and “I love living here with my friends”. Overall the home is well decorated, comfortable, spacious, warm, and homely. It has a peaceful and relaxing atmosphere, where people are obviously content and happy with their surroundings. L`Arche Community (Preston) DS0000010035.V332223.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported and cared for by, well-trained, skilled and dedicated staff, helping to give service users and relatives the confidence and assurance that people are safeguarded and protected. EVIDENCE: Most of the staff team (assistants) live in the home with the service users. Four of the staff files were examined and they contained all of the required documentation to meet the required standard. These included, application forms, references, induction training, supervision notes and evidence of appropriate and relevant training that had been received. The ‘Induction for new assistants’ programme is comprehensive, covering a twelve-week period, where all of the mandatory training courses are covered. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 21 Also a number of other relevant and appropriate training courses are provided in this induction period including, Person centred planning/essential lifestyle planning, capacity to consent and an epilepsy awareness course. People are also enrolled on the learning disability award framework (LDAF). A training plan was observed for 2006/2007, which fully detailed previous training courses and dates for future planned courses. A thorough recruitment policy was in place with satisfactory procedures, which took into account the need to protect vulnerable people. As previously mentioned Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks. This helps to ensure that service users are protected and safeguarded by having a robust recruitment selection process. People were very complimentary about the carers and some of the comments were, “our son is very well cared for and we are happy with him living at L’Arche” and “the staff are really good and they are dedicated in the way they care for the residents”. The staff on duty during the inspection visit demonstrated that they were well trained and more than adequately skilled to meet peoples’ needs. The support and care that was provided was calm and unhurried, helping again to show that the staff were committed to the people that they supported and cared for. L`Arche Community (Preston) DS0000010035.V332223.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run and organised with clear structures in place, which help to ensure that vulnerable people are protected and safeguarded as much as possible. EVIDENCE: The present registered manager is very well qualified with extensive experience of working with people who have learning disabilities. However, he is due to move on within the L’Arche organisation and his successor will be someone who is equally well qualified and experienced. This will take place in mid July. An application has already been received by CSCI for this person to become the registered manager. L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 23 There was the opportunity to meet the prospective manager during the inspection visit and have a brief discussion. She has had contact with L’Arche for over 20 years and with L’Arche Preston for the past 5 years and is a member of the management committee. She has over 20 years experience of working with people who have learning disabilities and has recently been a trainer with Lancashire County Council (learning disability training). With regard to qualifications she has achieved the following, a postgraduate in Learning Disability studies, H.N.C. in social care, NVQ assessor and verifier and has also obtained the registered managers award. Some of her comments were, “first thing that struck me with L’Arche was that there was no demarcation between staff and service users” and “in all of my experience, I think it’s the best service for people with learning disabilities I have ever seen”. There is a clear management structure in place within the L’Arche communities with clear quality assurance monitoring systems in place. Health and safety files were examined and all were in order and up to date, including: water inspection checks, portable electric appliance testing, fire extinguishers, emergency lights and fire alarms, gas and electrical installation inspections. Helping to demonstrate that the organisation is committed to the health and safety of the people in there care. L`Arche Community (Preston) DS0000010035.V332223.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 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 X X 3 X L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 25 NONE 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 L`Arche Community (Preston) DS0000010035.V332223.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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