Inspection on 11/10/07 for Langdon Foundation Clore House, 11 Norwood

This inspection was carried out on 11th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Langdon Foundation Clore House,... 23/10/08

Langdon Foundation Clore House,... 04/12/06

Langdon Foundation Clore House,... 25/01/06

Langdon Foundation Clore House,... 07/09/05

Langdon Foundation Clore House,... 03/02/05

Langdon Foundation Clore House,... 06/09/04

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Whitewalls

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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 Langdon Foundation Clore House, 11 Norwood Langdon Community Clore House 11 Norwood Prestwich Manchester M25 9WA Lead Inspector Julie Bodell Unannounced Inspection 11th October 2007 09:30 Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.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 Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.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. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langdon Foundation Clore House, 11 Norwood Address 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) Langdon Community Clore House 11 Norwood Prestwich Manchester M25 9WA 0161 773 3015 Langdon Foundation Mrs Andrea Page Care Home 5 Category(ies) of Learning disability (6) registration, with number of places Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 5 service users to include: Up to 5 service users in the category of LD (Learning Disabilities under 65 years of age). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4th December 2006 Date of last inspection Brief Description of the Service: Clore House is part of The Langdon Foundation, a charitable organisation that was established to promote opportunities for young Jewish adults with learning disabilities. The home provides twenty four hour support for up to 5 young Jewish female service users, most of whom will eventually move on to a more independent setting. Clore House is a large detached home, similar to other properties in the area and it is not distinguishable as a care home. All the bedrooms are single. One resident is accommodated in a self-contained flatlet within the building. Facilities in the home are domestic in style and provide a homely living environment. Residents have use of a lounge, dining room, and kitchen. Outside there are gardens at the front and side of the house. The house is situated in a quiet residential area of Prestwich, approximately three quarters of a mile from the village centre. It is within walking distance of bus routes, shops, and other local amenities. As the Prestwich area houses a large Jewish community, there is easy access to synagogues and kosher food shops. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection which the home did not know was going to take place lasted for 8 hours. The inspector talked with the responsible individual (chief executive), the registered manager and the five people who live at the home. As well as watching what went on, looking around some parts of the house at some key records held at the home and at the office. Information requested before the visit was received and four surveys were returned, two from people who live at the home and two from relatives. A random inspection took place in March 2007. It was noted at this visit that the manager had made significant progress in addressing outstanding requirements made at the previous inspection. What the service does well: What has improved since the last inspection? A thorough assessment is now carried out before a decision to move into the home is agreed to ensure that people’s need’s can be met. The service has listened to the views of people who said they would like to live closer to their family and they have been enabled to move nearer to them. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 6 Improvements have been made to care plans and risk assessments to ensure that they give clear direction and guidance to support workers in how they are to support people living at the home. In order to protect the health and safety of people using the service, improvements have been made to the medication system. Many improvements have been made to the house recently including a new kitchen and ramp access. Further improvements are planned including a new bathroom and decking outside the house that will improve access and health and safety for people with limited mobility. A skills audit of the staff team needs has been undertaken to ensure that the staff team has completed all mandatory training, LDAF and NVQ training and training in the specific needs of people living at the home. The service has a new registered manager who has identified shortfalls in the service provided and has addressed them. A person on behalf of the organisation is visiting on a monthly basis to ensure that the needs and wishes of people living at the home are being met. 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. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.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 Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.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): 1 2 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made to the assessment and transitional arrangements for people moving from Langdon College to Clore House to ensure that their needs can be fully met and that the move is what they want and is in their best interests. EVIDENCE: People who live at Clore House are former students from Langdon College, who come to live at the home, once their studies are completed. Both services fall with in the organisation known as Langdon Foundation. There have been recent changes to the way the home operates and the legal document, known as the statement of purpose is being reviewed and revised. The inspector requested that a copy of the statement of purpose be sent to her when the amendments had been made. A letter is also needed to confirm the change of address for the head office to ensure that information from CSCI is sent to the right place. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 9 There have been a number of changes in people living at the home since the last inspection. With two people being supported to move back to live closer to their families at their request. The registered manager spent two days with the people moving and their new support workers to ensure a smooth transition. Two people have recently moved into the home from Langdon College. They were able to visit the home before they moved in and knew the other people already living there. Their parents also visited the home. The registered manager worked with Langdon College to undertake a thorough assessment before the move was agreed, to ensure that the home was able to meet their needs. Though everyone was still getting used to the new arrangements, the inspector had no concerns that people’s needs could not be met. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.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 good. This judgement has been made using available evidence including a visit to this service. Improvements have been made to care plans and risk assessments to ensure that staff are clear as to how to support people safely and as they wish. EVIDENCE: Improvements have been made to care plans and risk assessments to ensure that support workers have up-to-date and relevant information and guidelines about how they are to support people. Discussion with the registered manager show that she has good knowledge and understanding of people’s likes, dislikes, wishes, and goals. Everyone has a key worker. The inspector talked with the five people living at the home throughout the day. It was clear that they felt that it was their home and they had a lot of say about what happened in the home and in their day-to-day lives. They enjoyed the fact that they had their independence and freedom. Observation showed that the support workers were attentive whilst supporting them discreetly. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 11 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): 11 12 13 14 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 encouraged and supported to take part in meaningful activities, be involved in the local community and lead fulfilling lifestyles. Practices in the home value people’s rights to privacy, independence and choice and ensure that cultural and religious needs are respected. EVIDENCE: Clore House is a very busy household. It was clear from discussions, observations, and records that people are encouraged to participate in fulfilling activities. All the people living at the home are involved in work placements including work in the gardens at a nearby older persons complex, a nursery, local supermarkets and at the offices of a national bank in Manchester city centre as well as working at the Langdon Community office. Langdon Community has an employment officer who supports people to look for suitable Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 12 work opportunities. Support is available within the organisation to help people access education and one person is taking an NVQ Level 2 at college at an evening class. In the house people are working towards increasing their independence. One person commented, “I am moving into a flat in 2008” and “we do clean the house some days but always on a Sunday.” People have their own leisure interests and particularly liked watching TV, Sky and DVD’s and enjoyed listening to music. One person said that they were hoping to persuade the organisation to invest in Sky plus so that they did not miss their favourite programmes, whilst they were out. One person enjoys going to flower arranging classes. People living at the home have regular contact with family and friends. They can make contact on a daily basis by phone or email through the homes computer and a web cam. People also make frequent trips home to London, with support where necessary and some also go on regular holidays to Spain and South Africa, with family. There is a choice available for people to go on holiday with Clore House next year. There is a wide range of options available, including visits in the UK to either the Lakes or Wales. City breaks in Amsterdam or Barcelona or holidays in Poland and Portugal. People have lots of friends locally through their connections with Langdon College. Many of the group have long-standing friendships or personal relationships. Cultural and religious needs are respected. For example kosher meals were prepared, and Shabbos, and Jewish festivals were observed and celebrated. People have different levels of observance. Shabbos is respected as a time for rest and contemplation. A relative commented about the home, “It is very specific to our faith.” People said that they liked the manager and the permanent support workers. One person commented in a returned survey, “The support workers are nice and friendly. A good rapport was observed between the people living at the home and the staff team and a happy and relaxed and friendly atmosphere prevailed throughout the inspection. People were satisfied that their privacy was respected, for example staff knocked on their bedroom doors. Locks were fitted to bedroom doors. Mail was given to them unopened. Meals are planned to meet the cultural and individual needs and preferences of the group. People were seen to access the kitchen freely to make small snacks or were provided with food on request. Since the last inspection a new kashrut kitchen has been fitted. The support workers complete Safer Food Better Business documentation. The manager is working to improve consistency around the arrangements for the provision of meals. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 13 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. To promote independence people are encouraged to attend to their own personal needs. Health needs are dealt with in liaison with the appropriate specialist health services to ensure that people get the right treatment. Improvements have been made to the medication system to ensure the health and safety of people using the service. EVIDENCE: People living at the home are fully able to express their wishes about the way they were supported and in away that ensures that they remain as independent as possible. Support workers prompt and encourage people to maintain their personal needs as necessary. Discussions with people living at the home and the registered manager, as well as the examination of records indicated that people use community healthcare services such as dentists and GPs. People said that a staff member usually accompanied them to appointments. However at one inspection a person had Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 14 been to see the GP independently and competently reported the outcome of the appointment to the registered manager. A number of people have specific healthcare needs. Records showed that the home has requested assistance from specialist health workers where needed. Arrangements for training around one person’s needs had been undertaken and a specialist healthcare worker had also been to the home to talk to the staff team as to how best support them. The registered manager has good knowledge and understanding of peoples needs and is conscious of the balance that needs to be maintained between their duty of care, keeping people safe as well as taking their wishes into account. The inspector examined the medication procedures. All outstanding requirements and recommendations have been addressed. Two people are self-medicating with support from staff were appropriate and risk assessments are in place. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 15 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): 23 and 24 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home were confident that if they had any problems or concerns they could approach the manager who would listen to them and take action. Greater scrutiny of recruitment files is needed to ensure that support workers who are only fit to do so are employed therefore protecting people from possible abuse. EVIDENCE: The home has a written complaints procedure. A record of complaints is maintained. There have been no complaints since the last inspection. Two complaints are recorded and have been dealt with. People living at the home said that they would speak with the manager if they had any concerns. They were confident that the manager would listen and sort out any problems they had. Meetings are held that also give people an opportunity to raise any issues that they have. There have been no complaints about the service to CSCI. There are written procedures covering adult protection. There have been no reported allegations of abuse. The inspector advised the registered manager to contact the local authority safeguarding co-ordinator to obtain the new procedures to protect people from abuse. The inspector is very concerned that there has been a repeat on the part of the service in scrutinising recruitment documentation. (See Standard 34). This is the first basic safeguard in the protecting the vulnerable people who use the service to ensure that those working in their home and supporting them are fit to do so. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 16 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. Clore House provides a clean, homely, well-maintained environment for the people living there. Many improvements have been made to the house recently with more to be carried out in the near future for the benefit of those living there. EVIDENCE: The house is a large detached home, similar to other properties in the area. It is not identifiable as a care home. All bedrooms are single. One person, lives in a self contained flatlet within the building. The home is situated in a residential area of Prestwich, about three quarters of a mile from the village centre. It is close to bus routes, kosher shops, synagogues, and other local amenities. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 17 Since the registered manager took up post there have been many improvements made to the house including new carpets and redecorating, a new central heating system and new beds and bedding to some rooms. A new kitchen has been fitted and a new bathroom is to be installed during the next holiday. For the health and safety of the people living at the home, decking is to be put in place to some areas of the garden in the spring. A ramp has been put in place to the front door to improve access to the house for people with limited mobility. A new front door and vestibule door have been put in and new carpet was to be fitted through the hallway on the day of the inspection. The communal areas of the home and two bedrooms were looked at. These areas were age appropriate, comfortable, homely, and well maintained. The home was furnished with domestic style furnishings and equipment. Bedrooms were individually decorated and furnished, and highly personalised with peoples’ own possessions. Two bedrooms have en-suite toilets, washbasins and walk in showers. The home was clean and tidy throughout at the time of the inspection. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 18 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 33 34 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Training is provided to ensure support workers have the knowledge and skills that they need to meet the needs of people who use the service, safely. The lack of scrutiny of recruitment documentation of current employees has again failed to protect the people who use the service. EVIDENCE: People were happy with the support they received from the staff team. It was observed that they had no hesitation in approaching the registered manager if they needed to. People said that they felt that the staff team were approachable, and that they listened to them. Those who had lived at the home for sometime confirm that the staffing arrangements were much better because they had a consistent staff team and there were no longer strangers coming into the house. They also said that they felt more secure because of this and they also had confidence in the registered manager and said she knew what she was doing. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 19 None of the four support workers currently working at the house holds an NVQ qualification. To ensure that the standard is met 50 of the staff team need to hold a relevant NVQ qualification. The inspector was informed that two support workers have now enrolled on NVQ Level 2. The registered manager has undertaken a skills audit for the home. Gaps in training have been identified in mandatory training and refresher training is needed for in some areas for one support worker. The inspector discussed with the registered manager the possibility of contacting Bury Adult Care Partnership to check out whether it is a suitable option for the staff team to attend Skills for Care training through the partnership arrangements. This would also be a means of keeping the registered manager updated in new training initiatives and an opportunity to network with other organisations. Staff recruitment records were looked at and they contained all the information required by law. As at the last inspection, on closer examination, information received by the organisation did not stand up to scrutiny around the authenticity of references. The organisation was previously asked to look at all the files for Clore House and Langdon Community (an unregistered service within the same organisation), which at times supplies staff to the home to ensure that the information on recruitment files was accurate. The inspector examined two recruitment files for current employees at random. One file was satisfactory, but on the second file there were doubts about the authenticity of the application form and the references. The inspector discussed her findings with the responsible individual and the registered manager. They took immediate action and spoke directly with the employee concerned and checked out the authenticity of the addresses provided for references, which subsequently proved to be false. Another file from Langdon Community was also looked at and this file too needed further verification. The responsible individual informed the inspector that all the files would be checked again. The repeat of this problem is a cause of concern and is a serious failure in protection of vulnerable people. Recruitment has been viewed as an administrative task but is ultimately the responsibility of the responsible individual and the registered manager. The registered manager meets with members of the staff team regularly for formal supervision sessions and staff meetings are also held. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from the open management approach and were confident in expressing their wishes and opinions about the service. The health and safety of residents and staff is well promoted. EVIDENCE: Clore House has a new registered manager. She has worked for the organisation for sometime as an activities organiser and at Clore House for just over a year. The registered manager has many years experience working in residential care settings and holds the Registered Managers Award. The home has clearly benefited from having a capable and competent manager, and there is clearer direction and expectations for the home to ensure that people living at the home receive the continuity and consistency that they need. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 21 People who have lived at the home felt that the manager knew what she was doing and felt that she listened to them and took action to resolve any issues. It was agreed that the registered managers hours would be evidenced on the rota to maintain an accurate record. We spent time talking about the process for Inspecting for Better Lives, including KLORA, quality ratings, annual reviews and AQAA. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. As discussed at previous inspections a quality review of the service needs to be undertaken and a written report produced. This has been started and the findings of the evaluation of the surveys, which have been returned is due to be completed soon. A copy of the report needs to be made available to people who use the service, and others, so that they know that their views have been noted and, where applicable, acted upon. A copy also needs to be sent to the CSCI. Another manager for the service undertakes visits as specified in Regulation 26 and a copy of the written report produced in relation to this visit and are forwarded to CSCI. The importance of both these reports as selfassessment tools as part of inspecting for better lives process was discussed with the registered manager. Health and safety records were checked. These included the gas safety report, servicing of the fire alarm and extinguishers. The registered manager has produced a house file, which will help support workers to locate meters etc and contact numbers for maintenance contractors. There is a fire risk assessment and also an environmental risk assessment in place. There is a valid insurance document, a copy of which needs to be kept at the home rather than head office. Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 22 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 2 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 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 2 33 3 34 1 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 YA1 Regulation 39 Requirement To reflect recent changes to the structure of the organisation the Statement of Purpose needs to be reviewed and revised. A letter is also needed to confirm the change of address for the head office to ensure that information from CSCI is sent to the right place. To ensure the protection of vulnerable people who use the service recruitment documentation must be rigorously scrutinized before employment is agreed. (Outstanding 28/02/07) To ensure that people using the service are in safe and competent hands the service needs to ensure that support workers are appropriately qualified. (Outstanding 28/02/070 To ensure that people using the service are in safe and competent hands the service needs to ensure that support workers have received all the mandatory training and were needed refresher training. DS0000008478.V337679.R01.S.doc Timescale for action 30/11/07 2. YA23 YA34 19 11/10/07 3. YA32 18 31/03/08 4. YA35 18 31/12/07 Langdon Foundation Clore House, 11 Norwood Version 5.2 Page 24 (Outstanding 28/02/07) 5. YA39 24 To ensure that the service is run in the best interests of the people using the service A copy of the findings of the recent quality review must be forwarded to us. (Outstanding 31/08/07) 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. YA1 Refer to Standard Good Practice Recommendations To reflect recent changes to the structure of the organisation the Statement of Purpose needs to be reviewed and revised. A letter is also needed to confirm the change of address for the head office to ensure that information from CSCI is sent to the right place. That the registered manager contacts the local authority safeguarding co-ordinator to obtain copies of the new safeguarding procedures. 2. YA23 Langdon Foundation Clore House, 11 Norwood DS0000008478.V337679.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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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