Inspection on 13/10/06 for Linden Cottage

This inspection was carried out on 13th October 2006.

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

Linden Cottage 10/10/08

Linden Cottage 16/01/06

Linden Cottage 24/05/05

Linden Cottage 11/01/05

Linden Cottage 01/09/04

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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 Linden Cottage Linden Chase Uckfield East Sussex TN22 1EE Lead Inspector Elaine Green Key Unannounced Inspection 13th October 2006 13:00 Linden Cottage DS0000021403.V312275.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 Linden Cottage DS0000021403.V312275.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. Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Linden Cottage Address Linden Chase Uckfield East Sussex TN22 1EE 01825 763872 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.efitzroy.org.uk Elizabeth Fitzroy Support Graham John Jerrom Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum service users to be accommodated is 6 Up to 4 residents may also have a physical disability Date of last inspection 16th January 2006 Brief Description of the Service: Linden Cottage provides care and accommodation for six people with a learning disability; up to four of them may also have a physical disability. The house is a detached property set in a quiet residential area of Uckfield. The High Street, with its shops and access to bus and rail routes, are a short level walk away. The building is a converted bungalow; ground floor accommodation is adapted to accommodate people who have a physical disability and require the use of a wheelchair. First floor accommodation is allocated to those service users who can manage stairs. There is a large rear garden with a patio and lawn area, most of which can be accessed by wheelchair users. The fees charged range from £800 to £1,400 per week and include the cost of the staffing for a 7-day annual holiday. Additional charges are made for chiropody, personal toiletries, clothing, meals out, activities, music therapy, and transport. The home makes the Inspection Report available upon request and the last report is included in the homes’ Service user guide. Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The National Minimum Standards refer to individuals who reside in Care Homes as “Service Users”. The people who live at Linden Cottage will be referred to as “Resident(s)” throughout this report. As part of the unannounced Inspection of Linden Cottage, a site visit took place to the home on the 13th and the 24th October 2006. As part of the Inspection the Registered Manager completed a Pre Inspection Questionnaire that provided the Inspector with statistical information relating to the home. Residents of Linden Cottage and their relatives or representatives were also given the opportunity to complete surveys and return them to the Inspector. Feedback from them will be included in this report. On the day of the first site visit, issues relating to the day-to-day running of the home were discussed with the Registered Manger, the Deputy Manager and some of the staff on duty. Discussions also took place with two residents and two members of staff on the day of the second site visit. A range of documents were examined including three residents care plans, two recruitment files, a selection of the homes’ policies and procedures and some of the homes daily records. What the service does well: Prospective residents of Linden Cottage have their needs assessed prior to moving into the home and are given all the relevant information they require in order to make an informed decision about whether or not to reside there. Residents are provided with the opportunity to participate in stimulating and enjoyable activities in the home and by accessing the facilities on offer within the local community. They are able to make choices about the way they spend their time and about the way they decorate and furnish their rooms. Residents are also supported to express themselves through their appearance and are given the opportunity to have a supported annual holiday. Residents care plans are highly individualised and provide staff with the specific guidance they require to support the residents appropriately. All residents have their own person centred plan that details their likes, dislikes and preferences. Residents are involved in setting the menu, buying provisions and in making the arrangements for the provision of food at meal times. The food provided is nutritious and wholesome and mealtimes are relaxed and informal. The support that residents receive at mealtimes is appropriate and ensures that dignity and choice are promoted. The home has a conservatory, kitchen and lounge all of which are domestic in character and are furnished and decorated in a modern style to a high standard. Residents’ bedrooms are individualised and reflect their personal tastes and interests. They also contain the specialist equipment they need to promote their independence. Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 6 The medication policies and procedures adopted by the home are safe and residents’ health care needs are met. Referrals are made to the relevant health care professionals when required and adult protection alerting procedures are followed when required. The staff team are open and enthusiastic to new ways of working. They receive appropriate training and are supervised on a regular basis. Informative handovers take place at the beginning of each shift ensuring that all relevant information is passed onto the staff coming on duty. The management of the home are open and transparent and there are systems in place to ensure the home is run in the best interest of the residents. 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. Linden Cottage DS0000021403.V312275.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 Linden Cottage DS0000021403.V312275.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can test-drive the home and are supplied with the information required in order to make an informed decision about whether to reside in there. EVIDENCE: The manager explained that prospective residents are assessed prior to them moving into the home. A pre admission assessment was examined and was found to be in order. The first three month’s stay are on a trial basis enabling prospective residents to test drive the home and this is specified in the contract. Contracts were examined and confirmed this. The homes statement of purpose and service user guides were examined and found to be satisfactory. These documents have been reviewed and updated and include service user views and the results of service user surveys. The manager has given assurances that all residents in the home are provided with copies of these documents. Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ care plans provide the information required for staff to support service users in their daily living and are reviewed and amended as required. EVIDENCE: Three residents’ care plans were examined. They are based on comprehensive assessments and provide all the guidance required by staff to support the residents effectively and appropriately. Residents’ care plans are individualised, person centred and include personal history and lifestyle plans. All the associated records that were examined had been completed as required. Residents’ personal goals are specified in their care plan and progress made towards meeting these goals is documented. All care plans contain a weekly timetable illustrating the activities participated in including the preferred activities for evenings and weekends. Scheduled and recorded one to one sessions with residents and their respective key workers’ are used to help assess and record residents preferences in relation to the activities they would like to participate and the decisions made in respect of the goal setting at reviews. This is considered to be good practice. All activities that are Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 10 participated and all the goals set at reviews are monitored on a daily basis. Care plans provide guidance for staff to follow when supporting residents manage behaviours that may be difficult or challenging and also detail guidance on proactive ways of working with residents, thus promoting residents independence and encouraging residents to make decisions for themselves. Comprehensive risk assessments undertaken for each resident in respect of all the activities they participate in. The home has a robust system in place for ensuring care plans and the associated documentation are reviewed and updated on a regular basis. Staff read and sign all residents’ care plans on a 6 monthly basis. Linden Cottage DS0000021403.V312275.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides residents with the opportunity to access the community and participate in meaningful and appropriate activities. Residents are provided with a healthy diet. EVIDENCE: Through discussions with residents and staff and the examination of daily records it is evident that all the residents lead active lifestyles. Trips out are organised at the times to suit the individual. A supported annual holiday is provided for those who want to go. One resident enjoys an annual holiday to a music festival that is supported by a member of staff and a personal friend. The musical instruments he plays and the photographs and music memorabilia in his room reflect his interest in music. On the day of the site visit this resident had a music therapy session that he told the Inspector that he enjoyed. Another resident indicated that they had enjoyed a trip out to the seaside earlier in the day and also chose to have a music therapy session. Timetables detail all the activities that are participated in and includes times where residents are given the opportunity to choose for themselves what they Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 12 would like to do rather than everything in their lives being structured and preplanned. At each shift handover staff are allocated residents to work with and the tasks and activities they are to support them with. Care plans specify family relationships and peer group relationships pertinent to the individual. Staff stated that residents’ visitors are welcomed into the home. On the day of the first site visit the residents were going out so the Inspector did not have the opportunity to spend with time them. However a second site visit was made and the Inspector was able to observe the residents of the home whilst they were being supported at the evening mealtime. Independence, dignity and choice were promoted throughout the meal and residents were supported appropriately. Staff demonstrated and in depth knowledge and understanding of residents needs throughout the meal. Menus were examined confirming that the food provided is balanced, varied and nutritious. Staff explained that residents are fully involved in setting the weeks’ menu, buying the provisions and choosing where and when to eat their meal. Linden Cottage DS0000021403.V312275.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 at least once during a 12 month period. 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. Residents’ health care needs are met and personal support is provided appropriately. The homes’ medication policies and procedures are safe. EVIDENCE: Observations of practice on the day of the site visit, an examination of records and discussions with residents and staff confirms that residents’ health care needs are met. Referrals are made for input from health care professionals when required and residents receive support and treatment in the privacy of their own rooms. Where specific exercises are required in order to e.g. improve mobility, this is monitored. Clear and specific guidance is provided in care plans for staff to follow in relation to supporting residents with their exercise and in relation to preferences for how they receive personal care. All service users have an allocated key worker. Times for getting up, going to bed, having meals etc are flexible. On the day of the first site visit meal times were rearranged as the residents had chosen to have an outing. Residents are given the freedom to express themselves through their choice of clothing, hairstyles and make up and are supported to do so by the staff team. Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 14 Medication records were examined and found to be in order however there were gaps identified in relation to the specific guidance required by staff for when ‘as and when ‘ medication can be administered. This was discussed with the manager on the day of the site visit who assured the Inspector he will make sure that all the residents G P’s are contacted in respect of getting clear guidance for how, when and why ‘as and when’ medication and ‘homely’ remedies can be administered. Residents’ medication is administered at times to suit them rather than at rigidly set times. The manager explained the robust system the home has in place to ensure that the risk of errors being made are minimised and that if errors are made they are identified as soon as possible and the appropriate training provided for the staff member who has made the error. The training provided for staff in relation to the administration of medication is robust and provided on a continual basis. There are very clear and specific guidelines in place for one of the residents of the home in case of their death. Linden Cottage DS0000021403.V312275.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 at least once during a 12 month period. 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. Residents are listened to. The homes’ adult protection policies and procedures protect residents from abuse and harm. EVIDENCE: Some residents can display a level of behaviour that may be challenging. Guidelines for staff to follow in relation to managing this behaviour is included on their care plans thus minimising the risk of harm. Some staff have received training in relation to the protection of vulnerable adults and a programme for all staff to receive this training is in place. An ‘in house’ induction adopted by the home ensuring that all new staff receive information, guidance and ‘in house’ training on how to work with specific individuals with difficult or challenging behaviours. The manager is aware of the need for referrals to be made to the local social service department when required in line with local guidance. The home has worked closely with the local Community Learning Disability Team and other professional bodies in order to achieve the best outcome for the residents involved and ensure residents safety. Residents are able to make complaints and there are a number of ways they can do this. Some residents stated that they would speak to their key worker. Residents, preferences, likes and dislikes are assessed by staff and the residents families and this information is then used to ensure that residents views are recorded and listened to. Linden Cottage DS0000021403.V312275.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and comfortable, residents own rooms promote their independence and the home is suitable for its’ purpose. EVIDENCE: The Inspector had a tour of the building on the day of the site visit. The home was found to be both clean and hygienic, and decorated and furnished in a modern style to a high standard. All rooms are domestic in character, have a homely and comfortable feel to them and are fully accessible. There are bedrooms on both the ground and first floor and there are plans for a lift to be installed to provides access for residents with mobility difficulties. Residents’ own rooms are decorated and furnished to their own tastes and personalised with their belongings. All bedrooms meet the needs of the residents they accommodate. Residents’ rooms are individualised and are fitted with the specialist equipment that they required maximising their independence. Several rooms have sensory equipment and all rooms are reflective of the individuals’ taste and interests. Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 17 The kitchen is bright, modern and fitted to a high standard providing ample work space and storage. Hand washing facilities are appropriately sited in the kitchen and in the separate laundry. Adjoining the kitchen is a conservatory that provides an alternative dining space and the space for all residents and staff to eat together if required. Adjoining the conservatory and off the ground floor hall way is a lounge area providing seating to accommodate all residents. There is an enclosed garden to the side and rear where one of the residents is growing vegetables access to this is via the kitchen. Linden Cottage DS0000021403.V312275.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are good and consistently followed. All staff receive regular documented supervision and appropriate training. The home is staffed by an effective staff team. EVIDENCE: All staff, including the manager, receive formal documented supervision at least 6 times a year plus an annual appraisal. All mandatory training has been provided for the staff at Linden Cottage this year. Further training needs are identified through supervision and additional courses are sourced according to individual residents changing needs. Currently 50 of staff have not obtained a National Vocational Qualification (NVQ) in Care at level 2 or above as is required by national minimum standards. However the manager is aware of this target figure and is confident that it will be achieved in the near future. And over 50 of the staff employed are currently working towards achieving this qualification. New staff are super numery to the rota for the first 2 or 3 weeks and then shadow experienced staff for 6 or 7 weeks before they work unsupervised. The staffing levels of the home vary from shift to shift and is dictated by the activities that residents are participating in and the amount of support they require. Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 19 The Inspector observed information being passed between staff and the planning of the next shift. Issues discussed included comprehensive detailed information relating to the activities that residents had participated in that day, a summary of the residents general health and emotional well being, the tasks that had been undertaken, other events of the day and information relating to activities planned for the evening and other tasks that required to be completed. The staff coming on duty were given specific residents to work with and specific tasks to complete linking in with the residents personal plan for the day. This is considered good practice and provides continuity and consistency in the way that support is delivered in the home. Staff recruitment, induction, training and supervision files were examined. The recruitment procedures adopted by the home are safe and all the required security and identity checks are undertaken prior to staff being deployed to work in the home. The homes’ ‘in house’ induction package that all new staff must complete when they start work at Linden Court was examined by the Inspector and was found to be comprehensive, covering all aspects of the running of the home, including; the main points of care in relation to the residents, a health and safety induction, introduction to medication administration and assessment, time to read residents care plans, information relating to the Protection of Vulnerable Adults and details of the fire evacuation procedures. Linden Cottage is part of the Elizabeth Fitzroy Organisation and has a large training department. All staff receive appropriate specialist training they need in order to deliver the care and support that the residents of the home require. Linden Cottage DS0000021403.V312275.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is appropriately qualified and experienced and the management and administration systems are good. This service is run in the best interest of the residents. EVIDENCE: The registered manager of Linden Cottage is experienced and holds the relevant qualifications required to manager a care home. The management of the home monitor staffs’ understanding of the homes’ policies and procedures and whether or not they follow them at all times. The homes record keeping is of a high standard. The records examined were all up to date and accurate and many of them were comprehensive and detailed to that above the standards required. A range of documentation and certificates in relation to residents’ health and safety were examined and found to be in order. The temperature of the hot food that is prepared in home is Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 21 routinely recorded as required. All staff receive training in respect of food handling and preparation. The area manager undertakes monthly unannounced visits to the home to monitor their performance and the information gathered from this process is then used to identify the homes shortfalls and ways in which the home can improve the service they provide. The information supplied in these reports was detailed, informative, open and transparent. Clear guidance is contained within these reports in respect of the shortfalls identified, any action that is required and by whom. Residents are regularly consulted over how they think the service is performing, this is by means of regular key worker meetings and by their completion of questionnaires; the questionnaires are collated and the results published in the home’s annual report. The manager of the home produced a staff survey and the results of this have been used to produce a report that clearly shows how changes have been made to the running of the home to reflect the views of the staff. All the staff that the Inspector spoke to spoke positively about the home and the way it is run. The staff stated that they felt the manager had listened to their suggestions and that they felt valued. All staff felt that the changes that had been made as a result of the survey were for the better. Records are kept of residents’ financial transactions and a small amount of money is kept in the home for each resident. These records are checked at each handover and the Inspector can confirm that on the day of the site visit the balance of one of the tins was checked and the records were in order. The fire evacuation procedures for the home are safe and regular alarm tests are carried out. The home records all accidents and incidents and these are audited on a 3 monthly basis to see if any patterns are emerging and if there are any steps that can be taken to reduce the risk of them happening again. The management and administration systems adopted by the home are good. Linden Cottage DS0000021403.V312275.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 3 2 3 3 3 4 3 5 3 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 3 26 4 27 X 28 x 29 3 30 3 STAFFING Standard No Score 31 3 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 4 3 3 4 x LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 4 3 3 4 3 x Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 23 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 YA20 Good Practice Recommendations Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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 Linden Cottage DS0000021403.V312275.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!