Inspection on 15/06/07 for Long Eaves

This inspection was carried out on 15th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Long Eaves 17/10/06

Long Eaves 18/01/06

Long Eaves 30/07/05

Long Eaves 04/03/05

Long Eaves 28/07/04

Long Eaves 30/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Long Eaves 40 Stafford Avenue Clayton Newcastle Staffordshire ST5 3BJ Lead Inspector Mr Berwyn Babb Unannounced Inspection 15th June 2007 02:30 Long Eaves DS0000005112.V339813.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 Long Eaves DS0000005112.V339813.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. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Long Eaves Address 40 Stafford Avenue Clayton Newcastle Staffordshire ST5 3BJ 01782 630375 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) staffordave@choiceshousing.co.uk Choices Housing Association Limited Mrs Jackie Beddow Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2006 Brief Description of the Service: Long Eaves is registered to care for five adults with learning disabilities. It is one of a group of homes managed by the Choices organisation, which is a provider of care for people with learning disabilities in North Staffordshire. Long Eaves is one of a cluster of six homes whose management is overseen by a Principal Officer. It is situated in Clayton, a residential area of Newcastleunder-Lyme. It is located close to a range of amenities and is on a public transport route. The home is a dormer bungalow with a single storey extension to the rear. All bedrooms in Long Eaves are single occupancy (though none have ensuite arrangements) and are located on the ground floor. Both a dedicated walk-in shower room, and a domestic bathroom, and a separate toilet service them. The living accommodation and facilities are domestic in style and design. The Dormer is used to accommodate the office, and the staffs sleep in quarters. There are private gardens to the front and rear, including a seating and barbeque area to the front. There is limited off-road parking in the front driveway. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out during the afternoon of Friday the 15th of June 2007 by one inspector. An E-mail had been received prior to the inspection to say that the Registered Care Manager remained on indefinite sick leave and that in her absence the deputy manager was taking charge of the home. On this particular afternoon he was away on a training course, and the person in charge of the home was a senior male carer who was scheduled also to be the sleep in member of staff that night. Four of the five people who use this service were in the home of the commencement of the inspection, and the fifth returned soon afterwards from an excursion out with his key worker, for lunch in the town. He had also been looking forward to going to the cinema, but unfortunately, for some undisclosed reason, this had been shut. All five of the men took part in the inspection to a greater or lesser degree, as befitted their choice and personality. Two of the man invited an inspection of their bedrooms, and a full tour was made of the communal and service areas of the home. A cursory visual examination was made of the exterior, without revealing any areas of concern, and the gardens and grounds were seen to be well maintained and in the main, to be accessible. Work was underway on a sloping area that had previously been covered in shrubs, and whilst this formed a subject for discussion, the inspector understands that no final decision has yet been taken as to whether this is going to be seeded with grass, or to have a level decking area constructed on it, so that the men can use it for sitting out in greater privacy and away from the road noise encountered in the front garden. None of the men expressed dissatisfaction with their lives at Long Eaves and they were seen to be well looked after in a well maintained, warm, and comfortable environment, by people who had a deep understanding of their assessed needs and personal choices. Fees for accommodation at this home quoted as being currently £870 to £890 per week. What the service does well: Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 6 This service continues to provide admirable support to five people (currently all men) who have a Learning Disability, in a home located in the heart of a residential district, and along the most domestic lines that can be devised with regard to their assessed needs. 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. Long Eaves DS0000005112.V339813.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 Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service were seen to only have been admitted after a full assessment had been made of their individual aspirations and needs. EVIDENCE: There have been no fresh admissions to this service since the last inspection, but it was noted in the care plan of one of the men, that a letter had been sent to members of the family with a copy of the newly improved and updated Statement of Purpose. Four of the five men had been long-term residents of National Health Service institutions prior to their entering the care of what is now Choices Housing Association, and their original basic assessments were done by qualified hospital staff, resulting in the benefit of them of finding a home that was both prepared and able to meet all their assessed needs and known personal choices. Long Eaves DS0000005112.V339813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service had their assessed and changing needs reflected in an individual care plan that identified the decisions they make about their life, including any assistance that they may need to do this, and what risks are involved, and steps taken to minimise these to enable people to live the most independent life attainable. EVIDENCE: The Person Centred Care Plans of two people who use the service were reviewed as an example, and these were found to be comprehensive, and showed where assistance was given to enable them to make decisions about how they lived their lives, and in one of these there were clear directions that the gentleman needed the use of a hoist to assist him in and out of the bath, and also that he needed prompting whilst using this because of failing memory. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 10 What could not be found was any evidence that he had received an assessment for the particular weighed in use to demonstrate that this was the appropriate one for his need. Another care plan demonstrated the choice of one man to rise at 6 a.m. every morning and to make a basic breakfast for himself, and there was direction to support staff to assist him if he chose to have a fuller breakfast, I.e. something cooked, like bacon and eggs. A further demonstration of the importance given to the choices made by the people who use this service, was found in the care plan of one man, and was a very full, and very sensitively produced, documentary record of the decisions that he had made about aspects surrounding his death, and disposal of his body. This included having a funeral service, and the inclusion of his favourite hymns at that time, and also the use of other favourite music before and after the service. He had indicated special people in his life that he would like to be there, and that there should be a party. At a previous inspection it had been noted that the lounge door was being kept open with a wedge, and the inspector was told that a particular man did not like being shut in, and therefore requested the door to be kept open. The company has now reviewed its procedures, and has invested in a type of door closure that is linked to the fire alarm system, so that the door will remain automatically open without exposing him to a potential hazard if there were ever to be a fire in the home. Another gentleman has been used to a very active engagement with the community, but has recently shown signs of both impaired mobility, and of failing memory. However, instead of using this risk to limit the choices open to him, sufficient staff have been made available for him to be escorted on his trips into the town so that he may continue to obtain enjoyment from this activity. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are enabled to take part in appropriate activities, to access the local community, to maintain family and friendship links, to have their privacy and dignity respected, and to eat a nutritious and enjoyable diet that is both healthy, and meets their individual choice. EVIDENCE: One of the man who spoke to the inspector told him : I worked with “X” on a Thursday, we go round all the other homes. I enjoy this . (“X” operates the handyman service for the providers, and he and the other operators provide the opportunity for users of the service to generate some therapeutic earnings, by assisting them). Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 12 As previously stated one of the men returned from an outing into the town where he enjoys accessing the Roebuck Centre for shopping, and a cup of tea or a meal out. It had also been his intention to use the cinema, but was disappointed to find that this was not open. (He said: It might be something to do with the times they opened during school holidays differing from the times when the children were at school). Written and picture records around the home con firmed care plans evidence to trips out to pubs and a local garden centre, and one man told the inspector: I am going to America next year to see him (pointing to a picture on his wall of Elvis Presley) . Discussion with staff identified that he indeed was going to go to America to enjoy a visit to Gracelands, and the Elvis Presley experience. Another of the man had been in the habit of visiting, and being visited by, someone who lived in one of the other homes in run by Choices limited, and he stated that: They bring her in the van. Its got a tale lift. Shes in a wheelchair. We go out to lunch . When this particular man was showing off his room it was noticed that he and the small hand operated carpet sweeper, and he confirmed that he liked to polish the furniture, and keep the floor swept . One of the men (who is more concerned with maintaining body mass than with dieting) spoke about his love of chocolate. He liked to go to his room in the early evening, and enjoy this with a little drink whilst watching his television. Like the other men in the home, he had recently given up smoking, and in his bedroom there was a laminated collage designed to remind him of the benefits of continuing with that choice, in terms of the better health, and also of the extra money that he would have available for his favourite treat, and also to spend on things such as his holiday. An appetising smelling meal of chicken casserole was being prepared for the men, and when two of them were asked about the provision of food, neither could think of anything that they disliked, and both enjoyed meals and out on a fairly regular basis. (This was confirmed in their care plan daily records.) In one of the care plans there was a risk assessment for the person who uses this service in taking his tea down to his own bedroom, and sitting on his bed and watching television at the same time as eating. There was an identified risk of him choking, and the steps taken to enable him to continue with his choice, had been reinforcement with more intensive refresher training, in the use of the emergency call system, and in keeping it to hand at such times so that he can summon assistance if he does begin choking. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service receive the personal support they need from sensitive and attentive staff, who ensure their physical and emotional needs are met, and store and administer their medication appropriately. Their wishes surrounding their own demise are determined and sensitively recorded. EVIDENCE: Those care plans reviewed showed a wide range of health related risk assessments, including an in-house generated assessment called the O. K. health check, which was used in conjunction with the local GPs Well Man provision. Discussion with a member of staff centred round how one man uses a bath now, where he had previously used the shower. This was because of a problem with his feet, which was being addressed by staff assisting him to ensure that his feet are regularly and properly cleaned, and receive the application of prescribed oils to help with his recurrent fungal infection. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 14 There were letters in the records, from various outside health professionals including those associated with hearing aids, diet, and continence, and various assessments that had become indicated as being necessary. A member of staff was engaged in a formal interview during which assisting somebody in a personal care task was discussed in depth, and their answers indicated an appreciation of the need to respect and encourage independence where this was appropriate, and to ensure dignity and choice. This support worker was also aware of such health and safety issues as testing the temperature of water being used for bathing, and of his responsibility to reduce chances of any cross infection by such things as ensuring that used towels were taken immediately to the laundry, and that surfaces exposed to bodily contact were properly washed down/disinfected, before anybody else used them. In the care plan of one of the man there was a very full and very sensitively produced documentary record of the decisions that he had made about aspects surrounding his death and disposal of his body. The document had been very skilfully generated with the minimum number of words, and maximum number of pictures, for the man to understand, and thus to express himsef. This included having a funeral service, and the inclusion of his favourite hymns at that time, and also the use of other favourite music before and after the service. He had indicated special people in his life that he would like to be there, and that there should be a party. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use this service benefit from a clearly thought out complaints policy, and are supported by people trained in the best practice of safeguarding vulnerable adults, and who have a culture of commitment to protecting those in their charge, from abuse. EVIDENCE: A formal interview was conducted with a member of staff during which the subjects of abuse, and expressing complaints, was discussed in some depth. And he explained how such is the knowledge of support staff of the likes and dislikes of each person who uses this service, that apart from responding to direct verbal communication, they would be able to determine whether something was wrong in the lives of one of the people who look after, and if necessary, helped them to complain to the appropriate body. When asked about abuse, he was aware that the people who use this service are vulnerable to anyone they come into contact with, and he also demonstrated a wide understanding of those things, acts of both omission and commission, that would be abusive. Further, he understood that after ensuring the safety of anyone he suspected of being abused, his first and paramount task was to inform the person responsible for the management of the home, so that the procedure agreed between all local agencies could be initiated, and the situation resolved in the most appropriate manner. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 16 Long Eaves DS0000005112.V339813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have an environment that is both comfortable, safe, and homely, and bedrooms that are suited to their needs, as were the communal spaces and service areas of the home, with planned programmes of decoration and renewal, and attention to the elimination of odours. EVIDENCE: Discussion took place in both with the people who use the service and with the staff on duty about possible plans for the redevelopment of the area at the back and slightly above the property, which used to be unavailable to the men because of the overgrown nature of the shrubs that were there. A long term a decision has to be taken between seeding this with grass to form a bartered extension to lawn, and a major programme of investment to provide a level getting area where the men can sit out and be more secluded than they are on the terrace at the front, and be less exposed to the noise of passing traffic. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 18 During the tour of the home and the cursory visual examination of the exterior, nothing was seen to suggest the need for urgent attention to the declaration or structure, though one of the people who use the service did say: its about time my room was redecorated . There will be a recommendation that the company enter into discussions with this person about early attention to his choice to have his wallpaper renew and his paintwork refreshed. This gentleman had a key for his room, and is one of the people who has chosen to use this, though not everybody in the home does so. People who use the service was seen to be protected from the danger of accidental burns by the provision of covers for all radiators and exposed pipework, Both of the men who invited inspection of their rooms declared that they were comfortable, and suited their needs. The bathroom, shower room, and toilets were suitably decorated and furnished, with handrails in the appropriate places, and one man particularly appreciated the provision of a second-hand rail at the head of the Bath to steady him as he got in and out, rather than him having to use the chair hoist. He said: Dont like that . (Pointing to the hoist) The home was clean and warm and tidy throughout, and the grounds were well maintained, with a gazebo erected over the patio at the front, so that the men could sit out in warm weather without being exposed to sunburn. The wrought iron styled gates at the boundary of the property protect the sloping drive that has been widened to form off street parking for three or four cars, and has been paved with brick. There was a separate laundry that was well ordered and tidy (even though the spin cycle on the washing machine was said to activate the Independent door closures that were not hardwired into the fire alarm system). As noted earlier in this report, the door adjacent to this (leading to the lounge) had been fitted with a hardwired closure system, so that the man who feels distressed when the door is closed is not endangered should fire break out, by having it wedged open. Long Eaves DS0000005112.V339813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people using the service are cared for by sufficient staff with the experience, training, and qualifications, necessary to ensure that their choices and needs are met in the manner that is most appropriate, and will give them the best quality of life possible. These people have been recruited, and inducted, in a way that meets all relevant legislation aimed at ensuring the protection of people using the service, and equality of opportunity for prospective staff. EVIDENCE: Information supplied by the providers in the Annual Quality Assurance Assessment demonstrated that all of the eight members of staff at this home were qualified to NVQ level 2 or above. It also confirmed the staff have induction training to meet National Minimum Standards, and that 100 of the care staff had received appropriate training in the safe handling of food. Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 20 During a formal interview with a member of staff it was confirmed that mandatry retraining was set to take place regularly, and to be reviewed, and that other training had been made available by the providers or through them, which was pertinent because it reflected the individual needs and conditions experienced by people living in the home. During this interview the member of staff also confirmed that his NVQ level 3 had been paid for by his employers. He emphasised the importance given to medication training, especially the side-effects that may be displayed, and the limit of safe dosages that may be used in relation to different conditions and different products. This is particularly relevant to one person who uses the service, as he need regular blood tests to determine the level of medication to be administered, and all staff have had to undertake more specialised medication training to ensure that this person receives the appropriate dose to manage his condition. During the visit to the service there were sufficient staff on duty to meet the choices and assessed needs of the people who use it, including the flexible rostering of an extra support worker, to enable one-man to access the local community and have his lunch at a restaurant in the town. In discussion with both people use the service and those caring for them, future plans for escorted holidays were discussed, and the comments of the men indicated that they had very much enjoyed these in the past, and were looking forward to quality time with their key workers in the location of their choice in the future. Long Eaves DS0000005112.V339813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use this service have their needs met through policies, procedures, and practices that ensure the providers fulfil their stated purposes and objectives, and protect them from all reasonably identifiable risks while supporting them to have the maximum freedoms possible. EVIDENCE: The Registered Care Manager is on indefinite sick leave during which time her role he has been filled by her deputy. (Like the Registered Manager, he is a qualified nurse for people with learning disabilities, and has achieved the Registered Managers Award). Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 22 CSCI are currently in discussion with the providers to ensure their legal responsibility to have a Registered Care Manager in post in the home. The deputy care manager was not available during a visit to the service, and the home was in the charge of a qualified member of staff with 14 years experience of working for these providers. His chosen regular shift pattern means that he is usually in charge of the home at weekends, and he was able to demonstrate a commitment to ongoing training, both in the general fields of care, and more specifically in areas particular to Learning Disability. Written information submitted by the providers confirms that they have made changes to their service as a result of canvassing the views of the people who use it. Particularly they are developing plans to increase their involvement at an organisational level, and tailoring activities to fit the choices of individuals, rather than on what is available in the local care market. Peoples views have been obtained using a variety of means including the use of residents meetings, Person centred planning meetings, contact with family, and the use of whatever means of communication are most appropriate such as face-toface, written text, and the use of audio or video facilities. The home is visited every month by a principal officer of the providers who assesses their performance under the various National Minimum Standards before preparing a report, a copy of which is made available to CSCI. The providers have confirmed their commitment to safe working practices in writing, and ensure the health, safety, on welfare of the people who use this service through those safe working practices including environmental and individual risk assessments (samples of which were seen during the visit to the service in Person centred care plans), in rigorous and appropriate training for members of staff in general principles of care and in particular aspects of Learning Disability, in regular fire safety audits that include weekly checks to see the fire alarm system is working, and daily checks after the last person has gone to bed, to ensure the safety of the environment. The portable electrical appliances were last tested in September 2006, the hoist in July 2006, the fire detection and fire fighting equipment in November 2006, the emergency call system in February this year, the heating system in April this year and the gas appliances in April this year. They have a written assessment of hazardous substances, and sufficient staff trained in first aid for that to be one available on each shift. (The ethnicity and culture of the staff employed matches that of the current group of people who use this service and therefore ensures that they cared for by people who have an instinctive understanding of their background. There are robust policies for managing and preventing infection, and the most recent review of their policy of moving and handling was dated August 2006. Long Eaves DS0000005112.V339813.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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 4 27 3 28 3 29 3 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 15 16 17 X 3 4 4 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000005112.V339813.R01.S.doc Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Long Eaves Score 3 3 3 4 3 X 3 X X 3 X Version 5.2 Page 24 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 YA6 Good Practice Recommendations It is recommended that the providers should ensure that their risk assessment documentation available in the home contains a full audit trail. Thus, where an aid or adaptation, such as a bath hoist, has been provided, an assessment of the original need should remain on file to justify the choice of the aid provided. It is recommended that the providers should enter into discussions with the person who drew early attention to his choice to have his wallpaper renewed and his paintwork refreshed. 2 YA24 Long Eaves DS0000005112.V339813.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Local Office Commission for Social Care Inspection Dyson Court Staffordshire Technology Park Beaconside Stafford, ST18 0ES 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 Long Eaves DS0000005112.V339813.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. 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