Inspection on 06/03/07 for Lanfranco Ostler Home `Croftlands`

This inspection was carried out on 6th March 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

Lanfranco Ostler Home... 25/11/08

Lanfranco Ostler Home... 16/11/05

Lanfranco Ostler Home... 08/11/04

Lanfranco Ostler Home... 18/05/04

Lanfranco Ostler Home... 25/02/04

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

CARE HOME ADULTS 18-65 Lanfranco Ostler Home `Croftlands` 28 Garden Road Burley Ringwood Hampshire BH24 4EA Lead Inspector Ms Sue Kinch Unannounced Inspection 6th March 2007 09:30 Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.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 Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.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. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lanfranco Ostler Home `Croftlands` Address 28 Garden Road Burley Ringwood Hampshire BH24 4EA 01425 402145 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) The Fortune Centre of Riding Therapy Miss Jane Pritchard-Williams Care Home 8 Category(ies) of Learning disability (8), Mental disorder, registration, with number excluding learning disability or dementia (8) of places Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category LD and MD may be accommodated from the age of 16 years. 16th November 2005 Date of last inspection Brief Description of the Service: Lanfranco is one of three student residential units managed by The Fortune Centre of Riding Therapy, a Specialist College offering young adults aged 1625, who have a learning difficulty a 3-year further education course through the media of care and management of horses. This is then transferred to personal development towards independent living. The unit is open during term time only, is located in the New Forest village of Burley and accommodates up to eight 2nd and 3rd year students (currently 7 are 18 years old or older) in 6 single and 1 double bedrooms. During the working day, the students are provided with transport to other sites for educational activities. Fees range from £921- £1682 per week. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and all key standards were assessed. The site visit followed a review of the file, and consideration of a pre inspection questionnaire completed and supplied with and additional information, by the manager. The site visit was completed during the afternoon and early evening on the first day and early in the morning on the second. It took one inspector a total of eight hours to visit the home and to visit the main college to view staff records and meet the manager. Conversations were held with all eight second and third year students living at the home and four of the staff who also work there. Some of these conversations were private and others were in group situations including during an art session and at breakfast. Students and staff individually assisted in a tour of some single and shared areas of the home and explained routines. A sample of records, policies and procedures were viewed. At the main college the responsible individual and registered manager provided more information. Other staff responsible for maintenance, educational links with the home, also provided information. Information was also used from four feedback forms completed by students. What the service does well: What has improved since the last inspection? Since the last inspection some attention has been given to the internal environment, which has been repainted and provided with new carpets. Further assessments of the home have been completed and further physical improvements are planned. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 6 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. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.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 Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.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. Needs of students are regularly assessed but these need to take more account of their increasing adult status during their participation in the course and stay at this home. EVIDENCE: There was sufficient written and verbal evidence to demonstrate that students continue to be well informed of the service at Lanfranco Ostler House during the year before they move in. They may move into the home in the second or third year depending on their assessments and needs and this is reported in the statement of purpose. In addition their learning and development needs are assessed in a process, which involves them. Evidence of reviews, which include them, was viewed. Students were given the opportunity to comment about choice before moving into the home in CSCI service user surveys. Out of four responses: one couldn’t remember; two said they were not asked but had enough information about the home to decide if it was right for them and the fourth had been consulted but said that the move was made if the department felt they were ready. All students asked during the inspection were positive about being in the home. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 9 A current statement of purpose was provided to the commission prior to the site visit. This is a set of general statements about the service and it’s residential accommodation and includes a specific section about this home. Since the last inspection the home has had a variation in the conditions of registration, which allows them to accommodate students from the age of sixteen and this is noted in the statement of purpose. The service in the home is stated to be very structured where students are encouraged and /or expected to be involved in a number of activities relating to the curriculum and it is stated that a number of controls and restrictions are in place such as use of the internet and e-mailing facility and use of and storage of mobile phones. This is addressed further in the next section. The statement of purpose does not state how the service enables students to increase their rights and responsibilities as adults. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.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 good. This judgement has been made using available evidence including a visit to this service. The college has a good learning regime, which involves students and addresses identified educational, personal, social and health care needs. However more work could be done to increase student’s individual decision-making and independence through risk assessment. EVIDENCE: Three Individual Learning Plans, (ILP) developed for each student from initial assessments were examined. These contained details of continuing aspirations and goals, together with details of the support needed to meet these. More information is held in files referred to by staff and students. These are known as ‘working area files’ (WLP) and detail targets and some of the more specific support needed for individuals. Records are also kept on a daily basis detailing progress made towards meeting these goals, which are reviewed on a regular basis with key-workers. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 11 Students are involved in planning, decision-making and reviews on a regular basis. Records of reviews for three students were sampled and showed that all three had been reviewed since May 2006. Students also have opportunities to make contributions to the student’s council, which covers the whole college. One student spoke very positively about student achievements. Students also have house meetings held each Friday at the home. A member of staff made one comment that these latter meetings are sometimes brief because the students want to go out. Consideration could be given to holding it another night. Elements of risks have been assessed for students safety. A member of staff referred to risk assessments and hazardous substances. Another example discussed with students was about going out. All students asked were able to say what level of independence, peer or staff support they were assessed as needing when using the local community. However, in the next section on lifestyle some of the areas where restrictions exist are referred to and this indicates that further risk assessment could be undertaken to enhance student’s independent decision-making. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.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): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Students benefit socially and emotionally from a wide variety of structured activities and support within the service and in the local community but more attention could be given to their transition to adulthood and development towards more independent decision-making could be enhanced further. EVIDENCE: Students are provided with a structured week of daytime activities at the Avon Tyrell site where they work with horses. The course they follow is based around education through the care and management of horses. They need to be motivated by horses to be accepted onto the course. The college’s philosophy is that the equine assisted therapy with individual needs identified in an ILP, motivates the student to learn transferable skills. All of the students spoken with were very interested in horses and were motivated to regularly attend the daily structure provided. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 13 The learning is continued in the residential part of the service. Students are encouraged to take part in housework, cooking, laundry, menu planning and follow through more individual goals identified in their records. An activity is offered each evening and students have the option of joining in. Three were involved in an art session on the first evening of the inspection. Some of the other students watched television. One student said that the structure had improved their confidence. Another liked the organisation. Less structure is available at the weekends and this is when students say they have more choice over what they can do. Independence is encouraged and students have been assessed in relation to going out without staff. Students travel independently or in groups and spoke of going shopping, for walks, to the cinema, and visiting relatives. Most of the students are over 18 years old and live in a very structured environment with rules and restrictions not normally applied to adults in care unless on an individual basis following risk assessments. Most but not all, comments from students about the structure were, accepting or positive. The responsible individual said that student commitment is reviewed regularly throughout the course and the restrictions are applied throughout the college. These restrictions were discussed with staff and students separately and include seeking permission before going out, handing mobile phones in during the day time, completing jobs before relaxing, having ‘tuck’ stored by staff and being given it at 8.30pm, and being in bedrooms by 9.30pm in the week. Related risks had not been assessed on an individual basis. One student commented that she would watch more television after 9.30 if she had the choice. She also said that ‘ you get to choose what to do more at weekends’. Another student said that the rules were boring but help. Social and emotional skills are developed. Links with families which students return to at the end of each term are supported and families are welcomed to the college regularly. The Responsible Individual referred to the college working with students with difficulties in socialising and discouraging isolation and this is referred to in the statement of purpose. But there is also a policy of students being discouraged from having special relationships. This is not clearly spelt out in the statement of purpose and could be reviewed in light of the number of adults in the service. Students are increasingly involved in the choice of food at the home at weekends when they are not expected to follow the same menu as other registered homes within the organisation. Students like this opportunity to make more decisions. Choice is not provided in the week but students confirmed that alternatives are available and records of these are held. Students are involved in food shopping at the weekends and take turns to spend a week at a time cooking all evening meals with one-one help from a member of staff. One student said that this was good and another that it helped to develop cooking skills. Meals on both days of the inspection were relaxed occasions. Healthy eating is promoted and variety is provided. Links Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 14 are made with the college so that food intake throughout a student’s day can be monitored. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support with personal, emotional, and health care and medication is provided according to individual need but more support could be given with special relationships. EVIDENCE: Staff support is available for personal, emotional and health care. At the time of the inspection the students were self-caring in personal care only occasionally asking for support. Staff agreed although they do check that personal care takes place. To increase self-reliance consideration could be given to the frequency of checks as one self-caring student reported to be asked daily if they had cleaned their teeth. A member of staff agreed that frequency of checking could vary according to who is on duty. Issues relating to special relationships are referred to in the previous section. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 16 The college’s head of health oversees health care. Written records in the home were out of date but computerised records that are accessed by staff at the home showed that more up to date information was available and students health care is monitored and supported. Records of support needed on a dayto-day basis are also maintained so staff can have up to date knowledge. Students and said that they hold and administer their own medication and they are provided with lockable storage for this The head of health care said that risk assessments were in place. In a conversation with her Advice was given that risk assessments should also take account of managing homely remedies. A member of staff spoke of monitoring that student’s medication and checks were recorded. Through discussion with a member of staff it was identified that gaps were in the monitoring records for one person. The monitoring frequency needed to be reviewed. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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. There is a clear and effective complaints procedure, which includes the stages and times-scales for the process. Comprehensive procedures are in place to ensure students are protected from abuse, neglect and self-harm. EVIDENCE: A complaints procedure is available to students. Students said that they knew what to do if they are not happy about something and most know how to make complaints. Students spoke of the student council and how this could also be used to raise issues and try to make changes. House meetings are held giving students a chance to raise issues. Most comments about the staff were favourable though some students did not always feel listened to and some comments were received that staff treated them well sometimes. However during the site visit respectful and supportive interactions were seen between students and staff with no specific complaints made. The home has a number of policies related to safeguarding students. Examples are child and adult protection policies, anti bullying and, policies for dealing with aggression. The manager reported in the pre inspection questionnaire that adult protection referrals had not needed to be made since the last inspection. There are management links with the local social services for child protection. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 18 Staff spoken with had an adequate awareness of adult protection with varying levels of previous training. The training plan recorded that staff are regularly attending half-day workshops on ‘Vulnerable Adult Awareness’ and training in child protection is planned for 2007. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students have a comfortable, well decorated, clean and regularly maintained environment to live in. EVIDENCE: Students live in a detached house set back from the road with ample garden space. The accommodation is provided on the ground and first floors and includes six single and one double bedroom – some with en suites, a lounge and separate dining room, a kitchen, two bathrooms and an external laundry. All shared areas and four bedrooms were viewed and were clean and decorated to a good standard. Two bathrooms contain baths with bath tap mixer showers. One was in need of a new shower curtain and more thorough cleaning where the tiling meets the bath. A member of staff said that a new curtain was already available for this. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 20 Systems are in place to record day-to-day maintenance problems and when they are dealt with. Since the last inspection the home has had some new carpets and has been repainted internally. The environment has been audited and plans are in place for some improvements to be made including providing toughened glass to the conservatory doors and new window frames. Students confirmed that they are involved in cleaning the home and their individual rooms. A member of staff confirmed that cleaners are also clean the home three mornings a week and during holidays when the students are away. Staff confirmed that infection control training is provided and that disposable protective clothing was available as needed. Further training is included in the training programme for 2007. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. 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. Students benefit from a thorough staff recruitment policy and procedure. Sufficient numbers of appropriately and increasingly trained staff members with good awareness of their roles and responsibilities, support students. EVIDENCE: Staff employed by the centre work in the college and the residential units. The staff team comprises of various disciplines, which includes, care, teachers, equestrian instructors, occupational therapists and medical staff who work across the whole college campus. A rota is developed for each term and staff work regular shifts. Two staff spoken to about this said that they worked three residential shifts each over the course of the week. This meant that approximately 12-14 staff members a week support students at the house. One student said that this could be a bit confusing at times but all said that they get the support that is needed. Staff said that the ILPs and the WAPs are in the same format throughout the residential services. This aided their use of them. Also knowing the students Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 22 from their time at the college helped them to be able to support students with their goals at the home. Observations and discussions indicate that the staffing structure enhances the stated aims and purpose of the college in meeting students’ needs and aspirations. A training officer is in post and in the process of developing a comprehensive computerised database. Staff spoke very positively about the training that they are provided with and confirmed that the college assesses the range of skills that staff member has and provides training in deficit areas. One teacher for example, spoke of the Learning Disability Award Framework (LDAF) training they were receiving and the weekly mentoring provided to support it. Another spoke of having completed adult protection training and a course in food hygiene planned. Training plans are available. Records and discussions indicate that the organisation continues to follow a comprehensive induction-training programme, which includes the LDAF. Future plans include sending staff to a local college for this training. Discussions and available records indicated that a system of staff, one to one, supervision is in place. This had lapsed for one person due to the absence of the supervisor. Alternative arrangements needed to be sorted out. Appropriate records were in place for two recently appointed staff demonstrating that the required checks are carried out before recruitment. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 23 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Effective quality assurance and quality monitoring systems based on seeking views of students and family members are in place. Students live in a unit that is well run with an open management approach that promotes their protection, safety and welfare. EVIDENCE: The registered manager has had several years experience working within the college and has a number of formal qualifications including a BA Honours degree. She is also working on NVQ level 4. She is manager of three residential units and a senior officer has been appointed to assist with overseeing the management of the home. Management were reported to be approachable and supportive. Systems in the home are well organised and fully supported by the organisation. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 24 Internal and external quality auditing systems are in place and regular feedback is invited from students and families. An officer is in post to oversee health and safety throughout the college, including the residential units and staff confirmed that visits to the home were regular. Among other tasks the officer is responsible for monitoring risk assessments and a file of these are held in the office. The role also includes health and safety training for staff. Training records and staff comments supported this. External auditors have audited health and safety in 2006 and most of the recommendations had been followed up or are in progress. Samples of records held in the home indicate that there are systems in place to ensure that servicing of the building and equipment takes place routinely. Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 25 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 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x 3 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 2 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 26 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA3 Good Practice Recommendations To state, in the service user guide and statement of purpose, how the rights and responsibilities of adulthood are promoted as students become adults. Risk assessments should be used more to assist in increasing students independence and self-reliance. To consider some of the rules and restrictions on an individual basis as students become adults to enhance their decision -making and responsibilities. 2 YA9 3 YA16 Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lanfranco Ostler Home `Croftlands` DS0000012350.V326785.R01.S.doc Version 5.2 Page 28 - 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. 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