Inspection on 06/12/07 for Longhouse

This inspection was carried out on 6th December 2007.

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

Longhouse 28/09/06

Longhouse 24/01/06

Longhouse 28/01/05

Longhouse 05/07/04

Longhouse 20/01/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Longhouse 6 Whitehouse Park Cainscross Stroud Gloucestershire GL5 4LD Lead Inspector Mr Peter Still Key Unannounced Inspection 6th December 2007 10:30 Longhouse DS0000032212.V350035.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 Longhouse DS0000032212.V350035.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. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longhouse Address 6 Whitehouse Park Cainscross Stroud Gloucestershire GL5 4LD 01453 765647 01453 753838 Amanda.Henderson@gloucestershire.gov.uk www.gloucestershire.gov.uk Gloucestershire County Council 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) Mrs Amanda Carolyn Henderson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2006 Brief Description of the Service: Longhouse is a purpose built residential care home providing a respite service for adults with a learning disability. The home is owned and managed by Gloucestershire Social Services Department and is registered to accommodate 5 respite service users. The accommodation is spacious, providing ample communal living areas, including a lounge/diner with snack and drink making facilities and two smaller lounges. Service users have single accommodation with wash hand basins. Separate toilet and bath/shower facilities are nearby. Service users have access to an area of level garden, which has ample seating and tables. The current scale of charges have a variable range, which is dependent on individual assessment. At the time of this inspection the lowest fee was £57.20 per week and the highest was £67.05 per week. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The unannounced inspection took place on one day in December 2007. The registered manager was available throughout the inspection and provided all relevant documentation requested. Prior to the inspection, the manager had completed an Annual Quality Assurance Assessment, which was sent to the Commission. Unfortunately the inspector had not been given the assessment and the manager kindly printed a copy during the inspection. This key document has provided a great deal of detail to help with the inspection and confirmed the inspectors findings. Three people who use the service were spoken with and another person was observed. The family of one person who uses the service was spoken with and a visiting National Vocational Qualification assessor. Apart from the manager, one other member of staff was spoken with specifically and other members of staff were seen. A range of documents were examined and the files for three people were used to provide evidence to track their care, called “Case tracking” and two of these people were also spoken with. What the service does well: Staff have a strong focus on encouraging and supporting service users to make choices and decisions that help them remain in control of their lives. Good record keeping supports effective communication and ensures staff are aware of peoples’ needs and wishes for their stay at the service. Assessments and care plans are comprehensive. The service also completes a pre visit phone call to carers to clarify and ensure information is up to date. The service uses various approaches to gain feedback to make the service better, including quarterly feedback surveys. One recent example of an action taken was the introduction of a post visit phone call and a relative told the inspector the system was working well. There have also been improvements to the laundry system to cut down on items that go missing. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Longhouse DS0000032212.V350035.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 Longhouse DS0000032212.V350035.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): 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 have good information about the respite service in order to make an informed decision about whether the service is right for them. Individual care plans ensure people’s diverse needs are identified and planned for before their stay or that detailed information is obtained before an emergency admission. EVIDENCE: One relative and family’ members were spoken with and said the most important part of choosing the respite care service was to meet the staff that would be providing the care. This they did and found them to be friendly and helpful. The relative visited a few times to make sure it was right for their relative. The files of three people were case tracked, which included one person admitted as an emergency admission and a pre admission form completed by Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 9 the social worker was seen for this person, with good detail about their needs. The home also had access to the full Community Adult Care assessment. A contract was in place and signed by the individual. People admitted for respite have trial visits with overnight stays to help people to be sure that it is a place they wish to go to for respite. Prospective users’ and their families are included in the assessment process; the individual aspirations and needs are assessed and incorporated into comprehensive care plans. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough assessment and detailed records ensure that peoples’ needs are known and can be responded to. A focus on encouraging individual choice helps people to make decisions and keep control of their lives. Risk assessments are in place with good information on which to base decisions for responsible risk taking. EVIDENCE: Detailed care plans were seen for people case tracked. The file for one person who has complex needs would benefit from some indexing work to help staff Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 11 navigate the file more swiftly. The manager was aware of the need to respond to this and therefore a recommendation is not considered necessary, at the end of the report Peoples’ needs were being well met and staff focus on encouraging people to have choice and make decisions. Some people frequently undertake small shopping trips to buy food for the home, with staff support; one person does this independently or buys a newspaper. Detailed records within care plans and from house meetings, establish what people wish to do and daily records, “notes”, show how people are encouraged to make their own choices. A daily record showed that a person was asked if they wanted to go to a local fair in the evening but chose to get sausage and chips from the “Chippy” and stay in. The records reviewed were detailed and well written, showing excellent clarity in terms of choice and how people wanted to spend their time. There was good evidence of staff encouraging people to lead an independent life and make decisions. This was supported by regular review and the use of symbols to help communication. The well produced booklet review for one person was seen and included photos: “We write about my life on these posters”; a copy had been given to the family. The three files case tracked had risk assessments in place, with regular and recent reviews. One included detailed risk assessments about moving and handling. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A range of activity is offered, which includes good use of the local community. A focus on meeting the individual needs and wishes of service users, helps people to enjoy their respite stay. There is a strong emphasis on encouraging people to make choices about their food and a healthy diet is encouraged. EVIDENCE: Staff support service users with a variety of activity, which meet individual requests. One person was observed enjoyed having her nails done by a member of staff. Another person spoken with had returned from a day at Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 13 college and talked about the physical work they do as a gardener. This person was smiling and clearly happy to be back at Longhouse after their day out. People are encouraged to maintain their normal daily life and routines. The service is flexible regarding times for getting up and going to bed, baths and meal times. One person was observed to decline the offer of a meal at one point. People attend college, day centres and social clubs. Respite can often be planned to coincide so that friendships can be maintained and developed. A range of activity is offered including shopping trips, visits to the cinema, pubs music, bowling and eating out or having a coffee. The home is very well located, which helps people to take advantage of activities and interests within the local community. There is a house meeting every Sunday and people are able to feedback on their stay and consider any changes or improvements that can be made. Following the meeting, people can talk individually with staff if they prefer, to ensure staff are clear about their needs and preferences. People are also asked what they wish to do at the beginning of their stay. The service maintains regular contact with families and one relative, who spoke with the inspector, made a comment in their feedback form following a stay, saying thank you for a follow up call from the home. Another relative spoken with said there was good communication and feedback following a stay. This relative spoke of two previous issues of concern following respite stays. The first had not been reported to the relative immediately and the manager took action on this and the second was dealt with promptly. However, in both cases the detail behind the concerns was properly explained and satisfied the relative. This relative told the inspector there is good communication and the feedback forms were helpful. However it was felt important for relatives to continue to have contact with staff and that perhaps a coffee morning would be a good approach. Asked if there were any current concerns or complaints, the response was “She/He is fed too well!!” - The family were very happy with the service provided. The menu and food choices are agreed on a Tuesday, however the kitchen was seen to be well stocked with food and a great deal of choice was available, including three different types of milk, including Soya. So whilst there is a time set aside to choose the menu, people can have choice of food at any time. An example was a person who wanted sausage egg and bacon but since there were no sausages, was offered bacon and eggs, which could be provided without a delay. It could be argued that this is a very minor example, however it shows the way staff offer choice and work hard to meet peoples wishes. It shows too how flexible the service needs to be with people who arrive for a short stay and that they can make requests, which are very important to them. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 14 Two bowls of fruit were available for people and one was in easy reach in the lounge. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal support in a way they prefer, respecting their individuality and promoting independence. Good recording supports staff in their work and with the continuity of care between respite visits. EVIDENCE: Evidence observed on the day of inspection found that staff were very patient and gave great encouragement to service users. One member of staff was seen to hold a resident’s hand whilst discussing the person’s discharge arrangements with another member of staff, ensuring all the personal items were together and handover information given. The inspector considered that the member of staff was maintaining contact with the person, who had limited communication ability and who was seen to be relaxed and content. The Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 16 inspector felt that the member of staff was including the resident and giving gentle reassurance, which showed a very caring and individual approach between staff and a resident. Another member of staff was seen to give very good positive encouragement to another person who had difficulty getting up from a chair. The inspector spoke with this service user who said that they were not happy having the difficulty and of feelings of worry about this but said that staff were very good and supportive. On other occasions the person was able to mobilise easily and there was no issue seen that a different chair was needed. Excellent information was recorded on care files about how people wish to receive personal support and gave detail of preferred gender for personal care. One person asked the inspector to carry out a personal care task because he “wanted a man to support him”. The inspector said he could not do this and it was noted that the person did not have to wait long for a male carer to provide the necessary support. One service user needed General Practitioner support the day before the inspection and was taken to their own GP in another town to ensure continuity of care. Care plans were reviewed regularly and recently. One person had been self-medicating but following a risk assessment the person needed support currently and would not be safe to self-medicate. Gloucestershire County Council has developed a new person centred planning tool which staff have had training to undertake and that this will ensure that all user information is written in a more person centred way and will provide more focus for staff. The medication system was reviewed and case tracking found the medication record to be correct. The disposals form was reviewed and represented good practice. The home has a copy of the British National Formulary for staff reference about the medication people take. Staff undertake annual medication training and the manager ensures she is satisfied with the competency of staff. The manager also completes regular checks of the medication system. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 17 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, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff listen to people who use the service and there is policy and procedure in place to protect people from abuse. Staff are trained to identify abuse and to act on any concerns they may have. EVIDENCE: The home has and uses the comprehensive procedures and policies of the Gloucestershire County Council for the protection of vulnerable adults and to respond to complaints and concerns. A picture version is also available. The statement of purpose and User Guide includes information about the complaints procedure. The home has a complaints log and there have been no formal complaints since the last inspection. Families can raise issues at any time but they have a specific quarterly opportunity to feedback on any issues they have. The weekly house meetings also provide opportunity for people to give feedback and raise points. Following the house meetings there is also individual opportunity for people to speak with staff. The inspector asked two people who use the service if staff listen to them and respond to their needs and both said yes staff do. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 18 All staff have received “Positive Response” training and are due to receive refresher training in January 2008. One member of staff told the inspector he was attending protection of vulnerable adults training that afternoon. He also said he had previous training concerning children and abuse. One member of staff was spoken with about the steps they would take if they had a concern about abuse and gave good responses, putting the residents first and said that if there were any concern there would be an immediate referral of the matter. The manager covers issues of importance for staff, such as the protection of vulnerable adults, within the monthly staff meetings. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 19 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, 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 comfortably furnished and provides a satisfactory environment for people who use the service, with specialist equipment available to meet individual requirements. EVIDENCE: The premises are now somewhat institutional. The design is not fully suitable for people with complex needs and some people would not be able to use the staircase easily to access the first floor. It is possible that the limitations of the building may have an impact on the ability of the service to cater for a number of people at the same time with mobility difficulty. However the home was found to be in reasonable condition though some redecoration was needed and Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 20 repair to part of the main toilet floor, which was taped down. Parts of the home have heavy use and constant attention to decoration is undertaken. Staff have clearly worked hard to ensure the parts of the building used by people are comfortable and homely and an example of this is the living room, with dining area. Over the last 12 months, new chairs have been purchased for bedrooms and a new sofa and carpet for the living room. Four bedrooms and the lounge area have been redecorated. The hallway area is due to be redecorated soon. The fire officer visited the home on 03/12/07 and found no issues. It was understood the Fire Officer would write to the service to confirm this. The fire risk assessment for the home was seen with the “Action on works” document. It was noted that night staff have fire training and the last drill was on 04/12/07. Weekly checks were reviewed and had been undertaken recently. The swimming pool was empty and a decision about its future will eventually be made. The kitchen was found to be clean and organised. Temperature checks of fridge and freezer were being carried out and opened food was dated. The home has good equipment and adaptations to meet the needs of people who use the service. A special chair had been purchased for one person with specific needs and can also be used by others. One person who uses the service told the inspector their room was cold and they would need a blanket. The inspector did not find the home to be cold and some windows were open because the home in places was too warm. The manager said the persons room would be checked. No offensive odours were found anywhere at the service and the person who works hard to ensure the home is clean and hygienic was spoken with briefly and praised for her work. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and trained staff, who communicate and work well together, support people who use the service. EVIDENCE: The inspector had a discussion with one member of staff and reviewed the files for two staff. Good detail in staff records was seen and of management steps when needed. One member of staff spoken with said that the staff team were excellent and fully supportive. This member of staff had made a change to the way the house meeting was conducted and felt able to do this because of the confidence given by the supportive staff team; a picture format had been introduced to increase communication for some people; details of this were seen. Supervision notes were seen for two staff. Regular supervision was given and staff have a copy of the supervision notes. One member of staff was being inducted at the time of the inspection and was working with their induction Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 22 pack, however the master pack was reviewed and seen to be comprehensive. The service was considered to be well staffed at the time of the inspection with 2 care staff, 1 admin person, 1 domestic and the manager being supernumerary. The needs of people who use the service are often complex and diverse and the good staffing levels were seen to be necessary. The inspector observed one person who was requiring a great deal of attention and saw that support was given when it was needed. At one point a service user needed two staff to provide personal care and the manager undertook the personal care to ensure the person did not have to wait for care to be provided. The nature of the respite service and other responsibilities of the manager mean that admin is a key task and the home has a dedicated 24 hours of support for this a week, which is clearly crucial. The inspector spoke with the National Vocational Qualification, NVQ, assessor who was visiting students and said there were no points to make about the service, which was felt to be well run. Staff were currently undertaking NVQ level 3. There had been a delay for one member of staff due to sickness but their training needs were being addressed and all other staff were on track with their training. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 23 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, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are safeguarded by good management practice, which ensure the welfare of service users, whose needs are assessed and met flexibly, helping people to retain control in their lives. EVIDENCE: The home was found to be well run by an experienced and professional manager. During the summer, the service provided essential support to a number of clients who had no place to go to due to the floods, because their normal Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 24 services were closed. Numbers were agreed with the Commission and increased to thirteen at one time. Staff came from other services to support the Longhouse staff team and the commitment of all staff to work so hard to support vulnerable people is acknowledged and high praise is due to all those involved. The manager takes a number of steps to gather quality assurance information and the inspector read completed survey forms from relatives, which had just been received. Comments included: “Really happy with the friendly staff, We are very pleased with the way he/she has settled”. “She/he likes being given the choice of going out and making own decisions.” “Enjoys outings”. “All staff are very helpful when I telephone”. The home sends a clothing list so the family can complete it if they wish and there was positive feedback about it. The home has a development plan and the inspector saw a copy of this. A staff-training matrix was reviewed and showed mandatory training undertaken by staff. The Annual Quality Assurance Assessment provided by the manager gave dates of maintenance checks for the property, which were up to date. Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 25 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 X 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 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 X X 3 X Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Longhouse DS0000032212.V350035.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!