Inspection on 21/06/07 for Laneside

This inspection was carried out on 21st June 2007.

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

Laneside 12/05/05

Laneside 12/05/05

Laneside 20/10/04

Laneside 08/07/04

Similar services:

Home Farm

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

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

CARE HOME ADULTS 18-65 Laneside Sandbrook Road Ainsdale Southport Merseyside PR8 3RG Lead Inspector Ms Lorraine Farrar Unannounced Inspection 21st June 2007 11:55 Laneside DS0000005313.V333630.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 Laneside DS0000005313.V333630.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. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laneside Address Sandbrook Road Ainsdale Southport Merseyside PR8 3RG 01704 570134 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) www.c-i-c.co.uk. Community Integrated Care Mrs Catharine Morgan Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 4 LD The service should at all times employ a suitably qualified and experienced manager who is registered with the CSCI 12th May 2005 Date of last inspection Brief Description of the Service: Laneside provides support and accommodation for four adults who have a learning disability and is adapted to meet the needs of people with a physical disability. The property is a purpose built detached bungalow. Situated up a country lane there are no immediate neighbours and it can appear isolated. However there is a local housing estate, shops and buses within walking distance. Community Integrated Care (CIC) run the home. They are a voluntary organisation who provide services for people with a variety of support needs. Staff are available twenty four hours a day to support the people living at Laneside with their care needs and their socials choices. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. An unannounced visit took place for six and a half hours on the 21st June 2007. This included reading records and looking at the building. Time was spent looking in depth at the support two of the people living at Laneside receive. This included looking at the support they get with their care plans, medication, money, activities and environment. The inspector met all of the people living at Laneside. She had discussions with a visitor and three members of staff, including the manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last inspection of the home is also taken into account in writing this report. This includes information provided by the manager on a pre-inspection questionnaire and comment cards sent to relatives of the people living at Laneside, two of which were returned. It costs £996.32 each week to live at Laneside. Social Services may contribute to this fee. An easy to understand copy of the summary of this report is available. If you would like to see it please ask the manager or staff at Laneside. What the service does well: Staff working at Laneside have a good knowledge of the way in which the people living there communicate and how to understand and respond to this. Relatives said and the actions of the people living there confirmed, that staff meet peoples needs and choices on an individual basis. Comprehensive guidelines are written in care plans for people to follow and these are regularly updated and reviewed to ensure they are accurate. All staff contribute to these and ensure they are followed. This helps to ensure people remain healthy, receive support in the way they prefer and can live a lifestyle of their choice. Although the staff team have a good knowledge of peoples likes and dislikes and their support needs they regularly offer people new experiences and ideas to try out. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 6 Care plans and other information are provided with use of picture, photographs and tactile objects to encourage the people living there to contribute and understand the information. The people living at Laneside are supported to spend time engaged in their hobbies both within and outside of their home. This provides them with individual support and a way to become involved in their local community and make friends. The bungalow is adapted to meet the needs of the people living there. It is safe and nicely decorated creating a modern, homely environment. Aids and adaptations are provided to support people with their mobility and independence and thought has gone into adaptations to meet individuals’ needs. Staff and the organisation carry out regular checks to ensure that the quality of care they offer is good and to plan ways to address any issues quickly and plan future improvements to the service provided. What has improved since the last inspection? What they could do better: The organisation need to ensure that information is available in the home that makes it clear how they manage peoples benefit money. They need to provide an explanation as to the sum of money people pay towards the cost of transport and how this was worked out. Thy also need to make sure that the person or their representative is in agreement with paying this money. This would help to make sure that people’s money is managed fairly and safely and their choices and agreements obtained. All staff should have regular training in how to move and handle people when providing support. This will ensure that they are aware of the correct techniques to use and lessen the risk of injury to themselves and those they support. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are procedures in place to ensure that sufficient information is provided to and obtained about new service users to ensure that the home can meet their needs and choices. EVIDENCE: Nobody new has moved into Laneside for several years. Therefore it is not possible to practically assess the support the service would provided. There are polices and procedures in place to ensure that before anyone moves into the home they meet with staff and visit the home and that their needs and choices are assessed. Information for people about the home is available to them in a picture format to help people understand it more easily. This would all help to ensure that before anyone moves into Laneside they can be confident that the service can meet their chosen lifestyle and support needs and that it is the right place for them to live. Laneside DS0000005313.V333630.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 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff recognise peoples individual needs and choices and are creative in ensuring that they meet these in the way the person prefers. EVIDENCE: Relatives of the people living at Laneside said that it always meets the different needs of the people living there. Their comments included, “(my relative) is so happy at Laneside and so am I. They treat the four residents with respect” and “the care home provides the best alterative to ‘home life with a family’ – I have witnessed. The clients are encouraged to interact with others outside of the home and they are given plenty of one to one attention weekly”. Individual care plans and Essential Lifestyle Plans are in place for all of the people living at Laneside. These are all up to date and regularly reviewed to ensure the information is still accurate. Plans provide clear details about the person and their choices along with detailed information about how to support them with their personal and health care. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 11 Clear and detailed risk assessments are in place and reviewed regularly for everyone. These give information about things that could cause a risk to the person and list the action staff can taken to reduce that risk whilst supporting the person to be as independent as possible and enjoy the things they like doing. Staff are creative in looking at ways to put together plans that will involve the person with them. One essential lifestyle plan uses a photograph album that contains pictures and food labels that the person can look and feel. Staff explained that they are in the early stages of planning to put together a plan for one person on a DVD. They explained this will enable the person to listen and look at her plan and give others clear information about how she communicates. Staff spoken with were all involved in putting together care plans and it was evident that these are used regularly to ensure people get the support they need. During the site visit one lady was spending time listening to a CD described in her plan as a favourite and was supported with her meals as written in her care plan. The people living at Laneside do not use a lot of verbal communication, however their care plans details the ways in which they make their needs, choices and decisions known. Staff spoken with were able to explain the way in which they communicate with people and how they understand their non verbal communication. Throughout the visit staff were seen to offer people choices, respond positively to requests that they made and spend time understanding what the person was communicating. For example one lady was offered a choice of two activities and has a picture board that staff use to help her make choices and decisions. As well as easy to understand plans there are picture versions of the homes brochure and fire procedure available. These provide a way for people to understand the information more easily and the manager has supported people to have independent support via a local advocacy group led by people with a learning disability. This provides them with an independent way to make their views known. Laneside DS0000005313.V333630.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, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living at Laneside are supported to live a lifestyle based on their individual choices. EVIDENCE: The people living at Laneside all have an individual timetable based on the things they enjoy doing. For a number of days during the week people attend nearby resource centres. They spend their days at home going out and about or engaged in their hobbies. During the site visit one lady was spending the afternoon at home. S he spent time watching a favourite DVD and using equipment she liked, later on staff collected her Mum who was staying for a meal with everyone. Later in the afternoon the four ladies were engaged in different activities as they chose, one was spending time with her Mum, another in her room listening to music, one lady was walking around the garden and the fourth spending time on arts and crafts. Staff were seen to offer people choices of Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 13 things they enjoyed doing and responding positively to their non verbal communication. It was evident that staff have a good knowledge of how people like to spend their time but that they also offer new alternatives. For example two members of staff explained that one lady has always enjoyed dance music but lately they have observed she is also listening to different types of music and now provide this for her as well. The people living at Laneside have the opportunity to attend a local church with staff support and the manager was able to explain how they communicate whether they wish to go or not. Some are members of different churches groups including one for adults with learning disabilities that explores subjects with people such as their spirituality and ‘how to say no’ and another group for women that arranges social outings. This provides people with not only a way to meet their spiritual needs but also a way to become part of their local community and make new friendships. Relatives of the people living at Laneside said that they are always welcome to visit and that staff support people to stay in touch and keep them informed about their relatives wellbeing. A visiting relative explained that staff supported her daughter to hold a birthday party for her in the bungalow and that she is regularly invited to stay for meals. Meals are served at a large ‘farmhouse’ dining table with the people living there, visitors and staff all sitting down together, making the meal a social occasion. The support that people need and choose with their meals is written in their care plan, this also makes it clear the things that people can do independently. Throughout the site visit staff were seen to follow these guidelines, offering and responding to requests for drinks. A care plan explained that one lady liked to have snacks left out for her and staff were seen to provide these. Another plan explained that the lady should be eating healthily and exercising to support her with her weight. Records and discussions with staff showed that this is followed, with staff accompanying her on short walks and menus showing that a variety of healthy meals are offered daily. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living at Laneside receive a high level of support to meet their individual personal and healthcare needs and choices. EVIDENCE: Relatives of the people living at Laneside said that that their relative always gets the support that is expected and agreed. Care plans contained up to date, detailed and clear information about the support that people need with their personal and health care. The level of detail provided helps to make sure people receive this support when they need it and in the way they prefer. For example one plan advises staff to give a lady pain relief 15 minutes before she gets up so that she can “feel comfortable” and advises that if she is having difficulty sleeping, “try offering her a drink”. Staff spoken with were able to explain peoples personal and health care needs and how they ensure these are met. During the site visit staff were seen to offer support to people discreetly with their personal care and to provide this support as detailed in their care plan. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 15 Records showed that people receive support to visit health care professionals and to make appointments and that their health is monitored regularly so that any changes are quickly noted and acted upon. One lady has a series of exercises to follow from a physiotherapist. Information about these is recorded in her care plan along with diagrams and photos of her receiving support to follow them. Staff were able to explain and records confirmed, that she is offered regular support with these. Information about the person’s medication and possible effects of this is recorded in their care files and medication was stored and recorded correctly. Regular checks on medication given and remaining are carried out, this helps to lessen the risk of mistakes occurring. People are provided with a number of aids and adaptations to support them with their personal care and health and staff ensure these are checked regularly to ensure they are safe to use. Laneside DS0000005313.V333630.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 & 23 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The people living at Laneside and their representatives are confident any concerns they have will be dealt with and staff have the skills to do so. However service users money is not always managed in a way that ensures it is in the person’s best interests. EVIDENCE: No complaints about Laneside have been received since the last key inspection. Relatives said in their comment cards that they are aware of how to raise any concerns they may have, with one commenting, “I have never needed to raise concern about a serious issue – but the ‘team’ always respond to any normal concerns”. Information on the organisations complaints procedure is available within Laneside and staff have access to the local adult protection policy. Staff receive training on identifying and dealing with possible adult protection issues and were able to discuss the actions they would take if any concerns were raised. The manager has supported people to receive support from a local advocacy group who can speak, independently on their behalf. This helps to ensure that the people living at Laneside are safe and protected. The home holds some money belonging to the people living there. Records showed that this is clearly recorded and accounted for and the recorded tallied Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 17 with the amounts held. Regular checks carried out by staff help to ensure that this money is managed appropriately. Community Integrated Care (CIC) act as appointee for peoples benefit money. No information on the name of the account this money is held in, the amount held or withdrawals is available within the home. Therefore it is not possible to establish whether this is managed in people’s best interests. Everyone living there receives mobility allowance and contributes a large part of this towards the upkeep of the two vehicles in the home. No records of the persons or their representatives’ agreement to this is on file. There is no record of the amount people contribute or how this was worked out on file. Therefore it cannot be established whether the organisation are managing people’s money fairly, correctly and for the intended purpose. Laneside DS0000005313.V333630.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, 26, 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Laneside provides a safe, modern and well-adapted home that meets the needs and choices of the people living there. EVIDENCE: Laneside is a spacious, purposed built detached bungalow. It has no immediate neighbours and therefore has a good outlook over nearby fields. There is a residential housing estate located at the end of the lane with shops and buses nearby. Although purpose built, the property is decorated and designed as much as possible to look and feel like an ordinary domestic home. Everyone has their own bedroom, which is decorated to suit their personal taste and provides sufficient space for them and their hobbies. The bungalow has a lounge, dining kitchen area and enclosed back garden. The garden provides people with a seating and sensory area and is safe for them to use independently. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 19 There are two bathrooms available for use with one providing a bath and the other an accessible shower. A number of aids and adaptations to the house help people with their mobility and independence. These include, overhead tracking, grab rails and toilet chairs. In addition attention to detail has been paid with lowered light switches, mirrors set at a height people can see into and a lower kitchen sink that the people living there can use. A separate laundry room provides suitable washing and drying facilities and there are disposable gloves and aprons for staff to use to help prevent an outbreak of infection. All parts of the Bungalow are clean and nicely decorated, providing plenty of space for the people living there to either spend time alone or with others, as they prefer. Laneside DS0000005313.V333630.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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Laneside are supported by an effective staff team who are able to meet their needs and choices. EVIDENCE: A relative described the staff team as “helpful and wonderful”. Throughout the site visit the people living there were seen to respond positively to interactions with staff and to approach them to make their needs and choices known. Staff responded positively to this, taking time to understand what the person was communicating and also to offer them choices in the things they wanted to do. In discussions with staff they all had an in-depth knowledge of the people they support and how to meet both their care needs and social choices. Regular staff meetings are held in which staff discuss a variety of subjects ranging from recent training and legislation to peoples care and support needs and different ways they can try offering support. Most of the staff hold a care qualification and records and discussions showed that they take part in a variety of training to increase their knowledge and skills in supporting people. Two members of staff had recently attended a Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 21 training course on communicating with people with multiple disabilities. In discussions with staff it was evident that information from this course had been shared and the team were actively looking at ways to introduce some of the ideas into Laneside to benefit the people living there. Records and discussions with a newer member of staff showed that before anyone is employed a series of checks are carried out on them. This includes obtaining references, a Criminal Records Bureau Check (CRB) and checking the protection of vulnerable adults list. These checks help to ensure that staff working at Laneside are suitable to work with the people living there. Records and discussions with staff showed that they undertake and training is planned, in a variety of areas that will help them to support the people living there. It was decided at a recent staff meeting that the team would re-visit an ‘empathy week’ they had held some time ago. This involves staff being supported to do some of the things they support people with, such as having their teeth cleaned, being supported to eat a meal or using a hoist. This training and development for staff ensures they are up to date and have a good understanding of how to support people sensitively. Not all staff had recent moving and handling of people training. This training teaches staff how to support people in a way that is safe and secure for the person and themselves. Both the people living there and staff could be at risk of injury if the correct techniques are not used. Laneside DS0000005313.V333630.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, 38, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Laneside is a well managed service that is clear about its aim to provide a good, individual service for the people living there, EVIDENCE: Mrs Cath Morgan is the registered manager of Laneside. She holds qualifications in care and management and is an experienced manager within a care setting for adults who have a learning disability. Staff spoken with described her as approachable and open to new ideas. In discussion with the manager she displayed a commitment to developing the staff team and ensuring they were as skilled and up to date as possible so that they can provide effective support. She was able to explain future plans for further improving the service and how the team intend to implement these. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 23 This management style helps to support staff to develop their skills and feel confident in discussing different and new ways of supporting the people who live at Laneside. A variety of different systems are in place for the organisation and staff team to check the quality of the service they offer. This includes daily checks on money, medication and care records, weekly health and safety checks and regular 1-1 sessions with staff and their manager. Prior to the managers annual appraisal the organisation write to people involved with the service to seek their views on the quality of the service provided. A senior manager from the organisation visits monthly to meet with the people living there and audit records and the environment, this is followed by a larger six monthly audit. Following these audits an action plan is put together to deal with any issues that arise. These checks help to ensure that the people living at Laneside are receiving a good service and that any areas for improvement are quickly identified and acted upon. Records and certificates showed that regular checks are carried out on the building and equipment to ensure they are safe for everyone to use. Laneside DS0000005313.V333630.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 2 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 4 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 2 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 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 4 3 X X 3 3 Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA23 Regulation 13(5) Requirement All staff should have up to date training in how to move and handle people safely. This will help to prevent injury to the people living at Laneside and their carers. Information about how service users money is managed must be recorded within the home. There should be a rationale of charges for vehicle use - Consent to deduct this money from peoples account - An explanation of where the money is held and how it is audited. This will help to ensure that service users money is managed safely. Timescale for action 30/08/07 2. YA35 13(6) 30/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 26 No. Refer to Standard Good Practice Recommendations Laneside DS0000005313.V333630.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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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