Inspection on 20/07/07 for Lifestyles Care Home

This inspection was carried out on 20th July 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lifestyles Care Home 10/07/08

Lifestyles Care Home 23/01/07

Lifestyles Care Home 06/06/06

Lifestyles Care Home 14/12/05

Lifestyles Care Home 25/08/05

Lifestyles Care Home 15/02/05

Lifestyles Care Home 09/08/04

Lifestyles Care Home 30/09/03

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

CARE HOME ADULTS 18-65 Lifestyles Care Centre For Adults With Disabilities Weeland Road Eggborough Goole North Humberside DN14 0RX Lead Inspector Denise Rouse Unannounced Inspection 20th July 2007 09:30 Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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 Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lifestyles Care Centre For Adults With Disabilities Weeland Road Eggborough Goole North Humberside DN14 0RX 01977 661492 F/P 01977 661492 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) Lifestyles Care (Yorkshire) Limited Miss Jean Cronin Care Home 20 Category(ies) of Physical disability (20) registration, with number of places Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23/01/07 Brief Description of the Service: Lifestyles Care Centre was originally a hotel, which has been converted into a care home with a nursing provision. It offers permanent and respite nursing care for adults with disabilities. The home is situated in Eggborough, a village 7 miles from Selby. Within quarter of a mile are a pub and some small local shops. The building consists of a ground and first floor but service users are currently accommodated on the ground floor only. Fees received on 31/07/07 range from £505.00 per week, subject to individual assessment. The highest for one to one care being received was £2426.00. There is a charge for hairdressing, therapy sessions (physiotherapy and relaxation), and outdoor activities. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • A review of the information held on the homes file since its last inspection. Information submitted by the registered manager in the pre inspection Questionnaire. An unannounced visit to the home, which lasted four and a half hours followed by a visit to head office in Leeds lasting two hours on two separate days. And a full inspection of the premises. Speaking with people who use the service, a social worker, management, proprietors and staff, and observing people using the service during the day and at mealtime. Inspection of care records, medication records, staff files, policies and procedures, personal allowance accounts and sales ledgers held at head office. • • What the service does well: People were fully assessed prior to being admitted to the home to ensure their needs could be met. Trial visits were available to allow time to reflect and ensure this was the correct placement. People received good care from knowledgeable staff who were well trained. Activities provided were varied and met service users assessed needs. A “sensory room” was available for people to enjoy. Comments received included: “I get out and about and am looking forward to the summer fayre”. And “the food is excellent”. The manager’s commitment to the home enabled ongoing improvements to be made to the service, which benefited everyone within the home. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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 Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standard 1, 2. People who use this service experience adequate outcomes in this area. People were assessed prior to moving into the home, to ensure their needs could be met, however there was still a shortfall relating to the information being provided to ensure people had all the relevant information to make an informed choice about the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Prospective service users are still provided with a statement of purpose and home brochure, there is a service user guide, which is titled “Information for Residents”. However the terms and conditions in respect of accommodation to be provided and the amount and method of payment of fees was not evident in this document, but were evident in another document which appeared to be the statement of Purpose. Management should review these documents to ensure people have all the required information, to make an informed choice about the home. Contracts were sent out by Lifestyles but none were returned, it remains unclear if all parties are fully aware of the range of services to be provided for Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 9 the fee payable. Management should consider how they could evidence that contracts have been sent out, and terms and conditions accepted and agreed. The pre admission assessments were not inspected, as there had been no new admissions to the home. Previously inspected documentation confirmed that people who were considering lifestyles were fully assessed prior to the home accepting them for admission. This ensured that the home understood each persons needs and that their needs could be met. People were invited to look around the home and were invited to try a trial period of care before becoming a permanent resident, to ensure that the service was suitable for them. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standards 6, 7, 9. People who use this service experience good outcomes in this area. People who use the service, were supported by staff to make decisions about their lives and had risks discussed with them so that they could make an informed decision where possible. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Care plans and risk assessments were reviewed monthly. These were signed by the individual using the service or their chosen representative. Information contained in each care profile covered the person’s social and health care needs, as well as their desires. This ensured staff knew the persons needs in detail and that their needs could be met. Staff were seen to treat people with dignity and respect, they were skilled at understanding each persons unique way of communication. People who used the service continue to make decisions about their lives and take risks where Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 11 appropriate, supported by the staff. People made choices about how they wished to spend their day where possible, or the person’s representative guided staff upon the individuals social needs, this ensured that people’s needs were met. People handled their own finances where they were able; otherwise family members undertook this duty. Personal allowance accounts were held at the home for eight people, some of these received funds from the company’s head office and others had monies paid into their accounts by relatives or their representatives. The balances of the personal allowance accounts were checked and were found to be correct. Support was gained from other professionals as required to ensure that people’s needs were fully understood and that their needs could continue to be met. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standards 12, 13, 15, 16, 17. People who use this service experience good outcomes in this area. People’s social and nutritional needs were met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People’s preferred social activities were recorded and staff knew what these needs were. A good programme of activities took place, which included internal activities, provision of a sensory room and local trips. A summer fayre was being organised and was to be held at the local pub. The activities coordinator was having time off and care staff were providing activities in the afternoons. To ensure peoples social needs continued to be met. A clothes party had just occurred and the local Reverend had been into the home and held a service for people to attend. Alternative therapy was also available at a small charge. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 13 Visiting times were open; on the day of the site visit one social worker visited was the home and was made welcome. People could go out in the local community and had risk assessments in place. If issues occurred these were handles promptly and correctly by the staff and manager of the home, to ensure that the individuals continued to be advised appropriately and protected. One person stated, “ I get out and about and am looking forward to the summer fayre, but I am going to stay off the bouncy castle”. Also “I would like to have some input into the garden and plant some raised beds”. This was known by the manager who was to ensure that this person could undertake this with staff to help and assist as necessary. At present there was no one able to work. The manager and staff would support each person in their desire to gain employment if they wished to achieve this. Staff were seen to knock on doors and either wait to be invited into the persons bedroom or give a polite pause before entering the room. This helped to ensure privacy and dignity was maintained. The kitchen was inspected and was clean and tidy, issues that had required attention following the last inspection had on the whole been undertaken. The serving hatch in the counter prior to the main kitchen was closed to ensure that ambulant people could not gain access to the water boiler in the kitchenette area or enter the main kitchen. A choice of food was available, one person said “the food is excellent, it’s Finny Haddock today, with new potatoes and vegetables, and a bit of bread and butter, its marvellous the food is great, I get as much as I want to eat”. People could eat in their bedrooms or in the dining room, which was well presented. Staff assisted people to eat their meals as required with dignity and respect. Mealtimes were unhurried. The choice of menu was displayed. People requiring special diets and special methods of feeding had their needs met. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standards 18, 19, 20. People who use this service experience good outcomes in this area. People were assisted by staff with care that they needed and assisted to mobilize where possible. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff knew each persons needs in detail, even when the individual could not speak. Staff were patient, kind and attentive and spent quality time with people, this ensured that their needs were met in a way that each person preferred. Equipment was available to meet each person’s special needs. Staff were available to sit with people once they were up washed and dressed and this ensured that their physical and emotional needs were being met. People were reassessed by health care professionals as required or this was discussed with the person who could choose to consent or decline this review. People who wished to and were able could choose to wash themselves or clean Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 15 their own bedrooms, with a little help and support from staff where necessary, this promoted peoples self esteem and their independence. People could stay in bed or get up and enjoy their own company or go to the lounge or dining room to gain the company of others. They were supported in making these decisions where necessary by the staff and their relatives or representatives. Medication systems were inspected, a controlled medication balance checked. These systems were found to be correct. There was no one self-medicating on the day of the site visit. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standards 22, 23. People who use this service experience adequate outcomes in this area. People who use the service are protected, however actions indicated by the proprietors must be undertaken relating to bank accounts and one persons mobility allowance payments. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The complaint policy was up to date and displayed. The manager dealt with complaints and issues raised, these were investigated and evidence of was available for inspection. People could be assured that concerns would be listened to and action would be taken. Staff received training in relation to safeguarding people. An issue had been raised and investigated, and correct action had been taken by the home. This ensured vulnerable people were being protected. Service users personal allowance accounts were inspected at the home and at head office. Monies were recorded and receipted. However bank accounts were to be set up for two peoples personal allowance accounts, which were to be administrated by their relatives. Two others had their personal allowance monies paid into a bank account weekly, and these people living at the home were able to gain access to this. The proprietor acted as an appointee for two people; the accounts held at head office for these people were inspected and appeared to be in order. The proprietor stated he was more than happy to Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 17 relinquish the appointee role if someone could be found to undertake this. As this role had to be adopted when the business was bought, for the people he represented. Personal allowance monies were sent via Lifestyle’s head office, to the home upon request. The balances were inspected and found to be correct. Mobility allowance was received at head office for three people. One had signed an agreement that these funds be used as part of the fee towards travelling in the Lifestyles mini bus. A second person’s family had also agreed to this verbally. Clarification should be gained in relation to the third person. A blank contract inspected was not clear in relation to mobility allowance and this should be clarified. The proprietors were able to talk the inspector through the accounts for people using the service and questions raised were answered fully and simply to enable the issues were understood. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standards 24, 30. People who use this service experience adequate outcomes in this area. People live in a home that has been improved and is clean. However some shortfalls still exist. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: A full inspection of the ground and first floor of the home was undertaken. The garden areas were well presented. External paintwork on some windows was in varying states of disrepair, upon closer inspection this was due to UPVC windows having been painted and this was flaking off, or wood windows requiring repair, these issues must be addressed. Reception was spacious warm and inviting. The dining room on the ground floor was well decorated. The lounge had just had a new carpet fitted. The laundry was inspected, it was clean and tidy, full repairs had occurred following the water damage sustained from a burst pipe on the first floor. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 19 Tiling behind the dryer had been undertaken; this allowed thorough cleaning to take place. Hand wash facilities were available, this ensured infection control measures were in place. Occupied bedrooms were personalized with people’s possessions. Vacant downstairs bedrooms were warm and presentable; the new cleaner had worked hard to ensure the standards of cleanliness had been raised in a very short period of time. Also she was removing and painting all the radiator covers, which enhanced the environment and was commendable. There were two internal patio areas, one had garden furniture. The smaller of these areas had a small wall built each side of a ramp and a concrete edging on top of one of the walls was misplaced; this should be repaired to prevent any possible injury occurring to a service user or member of staff. This had been due to be repaired and was to be addressed. The outer door to this area was not secured by means of a lock or bolt. This was discussed with the manager who stated it had been like this for a long time, because it was an internal patio, and persons would have to scale over the roof to this area, it was felt that this was secure enough. The fire and rescue services had given advice that this door should remain unlocked to aid possible evacuation if required. The second patio area outer door and surrounding had not been painted, but this was due to be undertaken. Two shower rooms downstairs had been completed. One bathroom door had two holes in the inner skin; this door was due to be replaced. The smokers lounge still had an area of carpet removed which revealed a metal hatch, this was confirmed as a drainage hatch, and access was required at times. The lift was immobilized by placing a security door closure above head height, to the door and the lift surround. This was to ensure that service users could not use the lift. This was an improvement, the home had consulted with the health and safety executive, a quote had been gained to fit a lock to the lift so that it could be disabled, this must be fitted. The kitchen flooring in the vegetable area had been replaced. Outside the kitchen the counter was seen to be in a closed position at the walk through serving hatch. To prevent residents getting into the kitchen area and gaining access to the water boiler, to maintain their health and safety. The first floor was examined there was a number of empty rooms, two were padlocked. There was a staff room, training lounge and a treatment room and store cupboard for pads being used. The deputy manager and manager stated that none of the first floor rooms were used for service users, as they were registered for 20 bedrooms and all these were downstairs. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 20 Improvements to the environment had been made. The proprietors have also stated that financial constraints prevent the outside of the building from being re painted. This may deflect from the good care given by the staff and may well negatively influence potential service users and their families from considering Lifestyles. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standards 32, 34, 35. People who use this service experience good outcomes in this area. People were looked after by adequate numbers of well-trained staff. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staffing levels upon the day of the site visit were adequate. Training at the home was ongoing, and encouraged. There was a training matrix to ensure that it was kept up to date. New staff completed an induction programme, and gained the relevant staff supervision, with a yearly appraisal. This ensured that staff were always updating their knowledge and skills. People who used the service had confidence in the staff. There were enough staff on duty at busy times of the day to provide care to people using the service. Two new staffs recruitment records were inspected, they indicated that all pre employment checks were undertaken. The recruitment process was clearly defined and followed. This ensured that people were protected from staff that may not be suitable to work in the care industry. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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): Standards 37, 39, 42, 43. People who use this service experience adequate outcomes in this area. People’s views are considered by the management of the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager was experienced and was supportive to the people using the service, relatives and staff. The manager promoted equal opportunities, and had good people skills. She ensured that person centred care was delivered. The manager was dedicated and had developed the staff to ensure that the quality of the service being delivered to people was of a good standard. Management procedures were being developed by her within the home to ensure standards were maintained. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 23 Issues relating to the passenger lift must be addressed to ensure that people cannot travel in the lift. Following the receipt of advice gained recently by the home, a lock must be fitted, to ensure peoples health and safety is protected. Surveys were about to be sent out to people who use the service and their relative’s representatives. This was undertaken yearly. To ensure that management understood and could act upon the feedback given by people who used the service and their representatives. Regular staff meeting were undertaken and minutes were recorded. Quality assurance systems continued to be developed by the manager, who undertook a regular walk round and informal audit of the service. Also a care plan audit and Job satisfaction Survey had taken place. This ensured that the delivery of the service was being monitored. The home manager continued to take and record hot water temperatures and maintain the fire alarm checks. This ensured that the health and safety of service users was maintained. A business plan had been created to ensure that the business moved forward where it was able to do so. Evidence that the proprietor visited the home unannounced and undertook an assessment of how the home was operating was sent to the Commission for Social Care Inspection. This provided evidence that the proprietor was monitoring the service delivery. However this had had to be requested and had not automatically been sent. This information must be sent to the Commission for Social Care Inspection each month without a request being made. The proprietors must continue to support the manager and act upon any issues they may find upon the unannounced site visits that they make, to ensure that the service is monitored and any corrective action is taken to deal with issues found. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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 2 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 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000027965.V335875.R01.S.doc 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 1 2 Version 5.2 Page 25 Lifestyles Care Centre For Adults With Disabilities 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 YA24 Regulation 17 20 & Sched 4 9 Requirement Records must continue to be made available for inspection as required. Bank accounts agreed to be set up for peoples personal allowance monies must be opened. To be administrated by residents relatives. The proprietor must contact the local authorities to ascertain if another appointee could be allocated for the two people using the service. Clarification must be sought in relation to one person’s mobility allowance payments received, to ensure the person or their representative is happy with the current arrangement. 2 YA43 24 (2) The proprietors must continue to undertake a monthlyunannounced visit to the home and send a written report of this visit to the Commission for Social Care Inspection. Any issues found must be addressed. A lock must be fitted to the passenger lift to ensure peoples health and safety is protected. DS0000027965.V335875.R01.S.doc Timescale for action 06/09/07 06/09/07 3 YA42 23 (2) (c) 30/09/07 Lifestyles Care Centre For Adults With Disabilities Version 5.2 Page 26 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 YA1 Good Practice Recommendations Management should review the information given to people who use the service to ensure that they have all relevant information to make an informed choice about the home. Contracts previously sent out should be chased up. 2. YA24 The outside doors and windows should be repainted, repaired or replaced when finances are available. The concrete edging on top of the small wall on the second internal patio area should be secured. The bathroom door, which has two holes within its inner skin, should be replaced. The patio door and surround should be varnished. Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Lifestyles Care Centre For Adults With Disabilities DS0000027965.V335875.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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