Inspection on 30/10/06 for Littledale Hall Therapeutic Community

This inspection was carried out on 30th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Littledale Hall Therapeutic... 12/11/07

Similar services:

Bennett House

Padgate House

Mary & Joseph

Westcliffe House

Richards House

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

CARE HOME ADULTS 18-65 Littledale Hall Therapeutic Community Littledale Hall Littledale Lancaster Lancashire LA2 9EY Lead Inspector Mrs Gwen Miller Unannounced Inspection 30th October 2006 & 6 November 2006 11:00 th Littledale Hall Therapeutic Community DS0000067186.V312519.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 Littledale Hall Therapeutic Community DS0000067186.V312519.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. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Littledale Hall Therapeutic Community Address Littledale Hall Littledale Lancaster Lancashire LA2 9EY 01524 771400 01524 771553 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) Littledale Hall Therapeutic Community Limited Mr Keith Andrew Robertson Care Home 30 Category(ies) of Past or present alcohol dependence (30), Past or registration, with number present drug dependence (30) of places Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 30 service users to include up to 30 service users in the category D (drug dependent past/present) aged 18 years and over, or up to 30 service users in the category A (alcohol dependence past/present) aged 18 years and over. none Date of last inspection Brief Description of the Service: Littledale Hall is a therapeutic community set in a two hundred acre estate in the Trough of Bowland near Lancaster. Littledale Hall Therapeutic Community provides services to people whose lives have been adversely affected by their substance misuse. The home seeks to offer a safe, supportive environment where people can address emotional, psychological and social issues linked to their substance misuse. Littledale Hall Therapeutic Community has a strong theoretical base which focuses on the positive attributes people have, gradually building self efficiency through delivering treatment which is supportive and resident focused. Residents are supported to overcome their physical, psychological and emotional dependency on their chosen substance ( or substances) enabling them to strive towards independent ways of living in the community. The programme used at this home is based upon a model proposed by Rex Haigh and is built around five stages of Belonging, Safety, Openness, Participation, Citizenship and Empowerment. A further eight core elements and four other elements are available to all residents but may not be accessed by everyone. Accommodation of the home is detailed in the Environment section of this report, activities and leisure opportunities are listed in the Lifestyle section. At the time of this visit, (30/10/06) the information given to the Commission for Social Care Inspection, showed that the fees for care at the home are £370 per week, with added expenses for tobacco and tuck shop. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection since this new drug and alcohol rehabilitation was registered on 13th July 2006. This report includes information provided by the home in the form of a pre inspection questionnaire, letters to and from the home since the date of registration and seven comments cards received from residents. The inspection also included two site visits on separate days, one of which was attended by David Finney, Provider Relationship Manager, Bristol, who requested to be present during the visit. Time was spent talking and sharing a meal, with residents and observing the day to day routines of the home and care staff, as they provided support. A tour of the building included bedrooms, lounges, dining area and bathrooms. The front garden areas were also seen, the large garage is currently being converted to house gymnasium equipment. The registered manager, (Keith Robertson) explained the programme structure and the way the service operates for people with drug and / or alcohol dependencies. All staff on duty were informally interviewed and all residents present, were spoken with, either in a group setting or in private. A good atmosphere was noted and good relationships between staff and residents. Throughout the report there are references to ‘case tracking’, this is a method whereby the inspector focuses on a small number of residents, all relevant records relating to them are examined, from their initial assessment, throughout their period of care, to the current time. This was carried out for 2 residents. Administration records were also looked at. There were 14 residents living at Littledale Hall at the time of the visit. What the service does well: It is the policy of Littledale Hall Therapeuctic Community to actively seek to attract all groups that are underrepresented in treatment, regardless of background, gender disability or ethnicity and to make sure that there is equal care given to all residents, considering their individual needs and addictions by giving equal support to all, irrespective of their race, gender, disability, sexuality, age, religion or beliefs. There is equal consideration given to prospective employees in that there are male, female, younger and older staff between the ages of 18 and 65 years Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 6 working at the home, training and development programmes are offered to all staff. The home has facilities for those with mobility problems, these are on the ground floor. Those with different eating choices are enabled to receive a nutritious diet and people who find writing a problem are encouraged to express their feelings in art work, in their personal progress file and daily diaries. On my site visit I found the home to be bright, well decorated, pleasantly furnished and generally well presented but with the client’s needs in mind. The grounds will give opportunity for outdoor activities on site and provide a safe place, away from Lancaster pubs and contact with those who abuse drugs and alcohol in the community. Residents spoken with on this visit spoke well of the staff, programme and daily living at the home. Comments included: “The staff care about you”. “Can always talk to staff for support”. “Been trying to think of anything to complain about – but can’t think of anything”. 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. Littledale Hall Therapeutic Community DS0000067186.V312519.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 Littledale Hall Therapeutic Community DS0000067186.V312519.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): 1,2,4,5 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Good information is provided which allows people to make informed choices whether or not the home will meet their needs. Full assessments of needs are carried out for all residents to ensure the home can look after them properly and give the right sort of care. EVIDENCE: The Home’s written information contains all the relevant information needed for prospective residents to make an informed choice when they are considering using the service for their rehabilitation from drugs or alcohol. Information packs are given to each resident. Information is also sent to prospective purchasers of the service. However such information should reflect facilities available at present, self contained flats and a computer suite are to be available at a later date. A requirement has been made regarding this. All comment cards received confirmed that residents had received such information prior to their admission to the home, some added in conversation, that they had also obtained information from the internet. Comments included: “I got a full information pack through the post and an interview on the phone for about an hour”. And “I got the booklet about Littledale Hall and then my keyworker came to visit me in prison and explained as much as she could”. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 9 (Every resident is allocated a key worker who coordinates their journey through the programme). During case tracking, files seen, contained full assessments of resident’s needs, these had been completed prior to admission, to ensure that Littledale Hall was the right place for that person, and that the home could provide the right care for them. Assessments are well detailed and provide a good picture of the individual, including their strengths and weaknesses. They are completed with the resident, sometimes including their social workers, probation staff, funders or any one else involved with their care. During case tracking, it was clear that residents case files held written contracts between themselves and Littledale Therapeutic Community, stating clearly what was and was not included in the cost of staying at the home, the expectancy of their behaviour and their rights as residents of the home. Some residents said they had the opportunity to visit the home prior to their admission, others who lived too far away could not do so, but added they felt able to contact the home by telephone and ask questions prior to making their decision. Littledale Hall Therapeutic Community DS0000067186.V312519.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Personal support in this home is aimed to promote resident’s successful rehabilitation which includes the promotion of their independence so they may return to working and living in the community. EVIDENCE: Case tracking and records showed very detailed care plans for all residents, these are completed with, and signed by residents and their key workers, they are also signed by the manager to show his agreement. Care plans address changing needs and their constant changing goals as residents progress through the programme. Residents also complete their own Personal Progress File which provides a useful tool for personal reflection and a living record of individual’s progress. Residents are given ‘what do I need to achieve’ sheets as they progress into their next stage. Both these may be completed including art work thereby not disadvantaging those who have difficulty expressing themselves in words. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 11 The rules of the treatment programme are such that residents are not always able to make independent decisions, as a member of the house “community”, (which is the terminology used for the group living together), residents are given specific tasks and responsibilities to undertake. Residents did say they acknowledged the restrictions imposed as a necessary part of the programme. Such restrictions include not leaving the house without permission and not to have spontaneous visits from friends and family. Rules and boundaries are clearly documented in the home’s information and residents sign to confirm they understand them and agree to abide by them. When asked “do you make decisions about what you do each day”, comment cards received from residents included “there is a set structure which is a good thing to stick by but we get to choose what we do for activities at night”. Littledale Hall Therapeutic Community DS0000067186.V312519.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 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 good. This judgement has been made using available evidence including a visit to this service. . Links with families and community life, are in place, these support and enrich resident’s rehabilitiation. Meals offer choice and variety but also cater for those with special needs. Activities are in place to enable residents to enjoy their leisure time. EVIDENCE: The pre inspection questionnaire listed: Health & fitness, reading, cooking, sports facilities, walking, national trust and volunteering when appropriate, as activities the home offers. There are also many opportunities for continuation of education both in house and via the local colleges. The home has a mini bus, residents said they had enjoyed outings to the Lake District at weekends. The minibus will be used to take residents to the cinema, sports centres and other amenities in the locality. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 13 Recent information from the home, shows that ‘fly fishing’ is now offered and ‘countryside management’ is arranged through the local game keeper. Whilst restrictions are in place, residents maintain family relationships, visits by families usually take place at weekends so as not to interfere with daily programmes of the rehabilitation. Littledale hall Therapeutic Community requires a strict adherence to a structured treatment programme in daily routines. All residents are expected to attend and participate in their group therapies and are not allowed to determine their own daily living pattern. Residents confirmed their individual understanding of why this is necessary. Comment cards included “You couldn’t just come into rehab and do what you want because it would become unsafe, obviously we have to do our jobs and stick by structure but we do get free time to do what we want”. The inspector reminded residents of their rights to complain if they felt an injustice had occurred. Copies of house rules and restrictions are given to all residents on admission. All comment cards confirmed that residents knew who to complain to if they were not happy with their care The meals served on both days of the site visit, looked appetising and were served in a pleasant setting. A choice was offered between hot and cold food and residents, staff and visitors shared theirs meals together. The dining room is large enough for all to eat at one sitting. The resident in charge of the kitchen and foods, said there was always enough food stocks to provide meals for everyone. All residents said they enjoyed their meals, one person said that the home provided special foods for him as he didn’t like many of the foods which provide protein. Littledale Hall Therapeutic Community DS0000067186.V312519.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 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. On admission residents are registered with a local doctor, thereby ensuring their health needs are met. Medication systems are safe ensuring the resident’s safety. EVIDENCE: It is not always possible for residents to receive personal support in the way they prefer as the nature of the rehabilitation programme includes bringing back order and structure into their lives, therefore routines cannot be flexible. This is explained in the home’s information, on initial visits and is re enforced during stages of the programme. Residents said this had been explained to them and they understood the reasoning for this. Case tracking on this inspection, showed that care and personal support is provided in keeping with the changing needs of the resident, as they proceed through the programme. Residents also complete their own written records in the form of a Personal Progress File, which is mentioned earlier in this report. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 15 On admission, residents become patients attached to the local surgery. The GP carries out his assessment for the individual and will prescribe any medication necessary which will be administered by trained members of staff. It is not always possible for residents to retain, administer and control their own medication in the way they prefer, as the nature of the rehabilitation programme does not allow this. The home has a good medication policy and systems, medication appeared to be stored safely and medication records were seen to be up to date. Littledale Hall Therapeutic Community DS0000067186.V312519.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 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. The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. EVIDENCE: The home uses a good clear complaints procedure which is included in the home’s Service User Guide. All comment cards received from residents confirmed that they knew who to speak to if they were not happy, comments included “my peers or any members of staff are here 24 hours a day” and “my peers and staff, everybody is very much supportive”, they also confirmed they knew how to make a complaint. The Commission for Social Care Inspection has received one concern / complaint from an anonymous source since registration of the home. This involved staffing and has been resolved. Staff are trained in “The protection of Vulnerable Adults” , this includes “Whistleblowing”. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 17 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): 24,25,26,27,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is very good and well maintained providing residents with a safe and homely place to live. EVIDENCE: Littledale Hall is a Grade 2 Listed Building dating back to the 18th Century. It is set in 200 acres of woodland and open countryside on Quernmore, near Lancaster. This very large house is accessed via a private long drive and is very secluded, thereby providing a tranquil environment for those rehabilitating from drug or alcohol addiction plus causing no nuisance value to neighbours. Littledale Hall has a total of 10 bedrooms, 9 on the first floor and 1 on the ground floor which has wheelchair access and facilities for people with disabilities. All are very large and will accommodate between 2 to 4 persons easily without any overcrowding and allowing for privacy. All bedrooms have new beds, new matching bedding, new wardrobes and storage facilities, chairs, new curtains, new flooring either wood or new Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 18 carpets. Rooms have been decorated and furnished in modern style, non are overlooked, most offer extensive views over the countryside. Bedrooms are well personalised and all residents spoke well of their accommodation at the home. A total of 7 bathrooms with toilet, 4 shower rooms with toilet and 1 separate toilet provide adequate facilities for up to 30 residents, the maximum residents the home is registered for. The living space includes of 2 large lounge areas, 1 smoking and 1 non smoking, both furnished to a good standard. There is a very large dining room where all 30 residents can be accommodated at one sitting, new crockery, glassware and matching table linens have been purchased. Other smaller rooms on the ground floor are used for one to one counselling sessions. The extensive grounds cover 200 acres and allow for gardening and outdoor pursuits as well as providing privacy for visits from family and friends. Access to the outdoor areas is by front and back doors and through French windows in each lounge. A ramp is in place at the front entrance. The kitchen is again very large and fitted with the equipment needed for up to 30 residents. Various store rooms for food stuffs both fresh and frozen allow for bulk buying from food stores. Local butchers and bakers are used. The residents purchase and prepare all their own foods and meals as part of their rehabilitation programme. Laundry is completed by the residents using domestic washers and driers. Residents keep the home and their own rooms clean and tidy, cleaning materials are provided and stored appropriately. Domestic waste is disposed by the local authority, there is no clinical waste, sharps or other specialist waste products. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 19 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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a staff training plan which includes training in the problems suffered by those in rehabilitation, this means that staff will be more aware of the needs of residents at Littledale Hall. EVIDENCE: All staff spoken with said they knew their job description, had a contract of employment and that they could approach the manager for advice and guidance at any time. The pre inspection questionnaire showed that residents are assigned to their own key worker, case tracking showed that key workers are involved in reviews of care, together with their residents. Residents said they felt well supported by staff. The pre inspection questionnaire also showed that all staff are qualified to the equivalent of National Vocational Training level 2 and have up to date First Aid Training. Staff files seen held two references, Protection of Vulnerable Adult checks and employment histories. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 20 All residents spoke well of the staff and a good relationship was noted between staff and residents. Written comments included “The staff are always there for us and you never see them being negative which makes you feel positive” and “very supportive in all areas keeping me and my peers safe in house and environment”. Records seen showed that staff are supervised appropriately, their key working practices for each resident are also monitored by the manager and signed to show his approval. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 21 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): 37,38,39,40,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported and protected by the management and his leadership, this means their rights and best interests are safeguarded. EVIDENCE: The pre inspection questionnaire showed up to date maintenance certification and associated records. Policies and procedures are in place and used in the daily running of the home. Environmental changes were needed to be put in place to ensure the health, safety and welfare of residents. Fire recommendations have been extensive involving the input of Building Control and advice from an architect. (Ceilings needed to be “Envirografed”). A completion certificate has been received. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 22 Emergency lighting is installed throughout the building, domestic lighting is in keeping with the character of the building. Gas central heating is provided from 3 separate gas boilers, all radiators are fitted with individual thermostats. All rooms have wired smoke / heat and sounds systems “LI alarm systems” installed. A certificate has been received to confirm compliance with Food Safety Act 1990, Health and Safety Act 1974,and Environmental Health. Electrical, and gas safety certificates are in place and up to date. Fire risk assessments are in place. A certificate has been received to confirm compliance with Food Safety Act 1990, Health and Safety Act 1974,and Environmental Health. There are no lifts, disabled facilities are situated on the ground floor. The residents feel that the home is run well and in their best interests. Their comments included “this place is brilliant, its giving me my life, support and encouragement to live a better life”. Residents said their views were sought frequently and they “felt part of a family”. Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 23 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 x 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 3 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 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 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 3 x 3 x Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 4 Requirement The registered person must ensure that facilities included in the statement of purpose are correct. Timescale for action 10/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Littledale Hall Therapeutic Community DS0000067186.V312519.R01.S.doc Version 5.2 Page 26 - 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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