Inspection on 25/04/07 for Longreach

This inspection was carried out on 25th April 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

Longreach 28/10/05

Longreach 07/06/05

Longreach 06/01/05

Longreach 13/07/04

Longreach 25/02/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Chandos House

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Longreach 7 Hartley Road Hartley Plymouth Devon PL3 5LW Lead Inspector Megan Walker Unannounced Inspection 25th April 2007 11:00 Longreach DS0000003446.V327882.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 Longreach DS0000003446.V327882.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. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longreach Address 7 Hartley Road Hartley Plymouth Devon PL3 5LW 01752 788699 01752 789980 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) Broadreach House Ms Wendy Van Der Niet Care Home 20 Category(ies) of Past or present alcohol dependence (20), Past or registration, with number present drug dependence (20) of places Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Female only Age 16-64yrs Date of last inspection 28th October 2005 Brief Description of the Service: Longreach is one of three residential centres owned by Broadreach House Services. The organisation is a registered charity, overseen by a board of trustees, and provides a range of services in Plymouth for the treatment of alcohol and drug dependence. Longreach provides second stage residential and rehabilitation treatment for women between the ages of 16 and 64 years of age who are substance free. Longreach does not provide a detoxification service. It is not registered to provide nursing care. Longreach is housed in a large detached house and a separate cottage within the grounds of the house. Up to fifteen women can be accommodated in the house that is made up of six double bedrooms and one single bedroom. The cottage is completely separate living space including a kitchen and lounge, and can accommodate up to five women in two double bedrooms and one single bedroom. The cottage is usually reserved for residents moving towards the end of their treatment programme at Longreach. There is a large garden to the rear of the building with a vegetable plot and a small area reserved for the home’s animals. There are a number of offices and purpose built counselling rooms and two main lounges. Longreach is located in the Hartley area of Plymouth, close to Mutley Plain and Hyde Park shopping areas. There is easy access to the city centre and other parts of Plymouth by bus. Longreach is staffed twenty-four hours by a team of trained counsellors, support staff, catering staff, and administration staff, all supported by a manager to ensure the home runs effectively on a day-to-day basis. The current fee at Longreach is £546.00 per week. This information was provided by the Registered Manager in the Pre-Inspection Questionnaire received by the Commission in February 2007. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key Inspection of which the fieldwork visit took place on Wednesday 25th April 2007 over a period of about five hours. It included a tour of the premises, observation of staff and residents in the home, talking to residents and to staff, case-tracking residents, inspection of care plans, medication, and other records and documentation. The Registered Manager was present at the time of this visit, and part of the time was spent talking with her about the day-to-day routines as well as the management of the home. Also included in this inspection was a visit to Ocean Quay to inspect staff files. In addition other information used to inform this inspection: • The Pre-inspection Questionnaire completed by the Registered Manager • Of approximately forty Comments’ Cards sent out, the Commission received back one from a Health and Social Care Professional in Contact with the Home, one from a Care Manager/Treatment programme Officer, and one from a relative. • The previous two inspection reports. • All other information relating to Longreach received by the Commission since the last inspection. There were no requirements, and one “Good Practice” recommendation was made as a consequence of this inspection. What the service does well: What has improved since the last inspection? What they could do better: Staff receive training on Child Protection however there is no formal training about “Safeguarding Vulnerable Adults”. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 6 Although there were staff files available for inspection at Longreach, these were incomplete because they were copies of staff files held centrally by the Broadreach House Services’ Personnel Department. This arrangement is being addressed separately to this visit with the Chief Executive of the organisation. 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. Longreach DS0000003446.V327882.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 Longreach DS0000003446.V327882.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, 2, 5 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Prospective residents can feel confident that their needs will be assessed before moving into the home, and that they can have the information they need to make an informed choice about the home. EVIDENCE: Longreach provides a comprehensive Service User’s Guide (a booklet explaining about the facilities, treatment programmes and care available at the home). Also included in this guide is a sample contract with the terms and conditions of staying at Longreach, and reasons why a contract may be revoked. Inspection of a random selection of care files found that each resident had a detailed assessment of her individual care needs and how these would be met during the stay at Longreach. Each file also had a contract signed by the resident. New residents were given clear information about the purpose, duration and requirements of the programme, including any restrictions of liberty, and circumstances/behaviour that could result in her being asked to leave the treatment programme. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 9 At the time of this visit the process of assessment was working towards being centralised with an Assessment Team based at Broadreach House, for all four Broadreach House Services’ centres, including Action For Change and the Quay Project. This new system could include assessment by telephone as well as consultation with the care manager and a meeting (if possible) with the prospective resident. Longreach DS0000003446.V327882.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 excellent This judgement has been made using available evidence including a visit to this service. Residents are involved in their individual plan of care and are supported and encouraged throughout the treatment programme. EVIDENCE: Residents who spoke to the inspector during this visit explained that the week was set out in a programme of group sessions, workshops and individual counselling sessions. The assessment process includes therapy suitable to meets assessed needs in the treatment programme for each woman coming to stay at Longreach. Each woman has her own programme for the week designed around her needs and aspirations acknowledged at the time of the pre-assessment. This may change during the stay at Longreach. For example, the therapeutic sessions such as SAIFLINE (Survivors of Abuse in Families) are over eight weeks and recommended towards the end of a person’s treatment Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 11 programme, when the person would know about the support systems in place at Longreach to help them. Residents were supported and encouraged by the staff team to manage their own daily routines and personal decision-making within the restrictions of the treatment programme. Each resident was involved in the review of her individual care plan on a regular basis. Care plans seen were signed by residents as evidence of this. Care plans inspected were thorough in identifying individual needs, including health issues, and how these could be met. Each plan had an application for treatment, information about visits by children (relevant to women responsible for childcare of their own children), a letter of confirmation of a place at Longreach, and a Discharge Form, completed by the resident when she leaves. Residents are able to leave Longreach before the end of their programme if they choose, or they may be asked to leave because they have breached the terms of their contract. The Discharge Form is therefore a declaration by the person as to why she is leaving Longreach: as planned; doesn’t wish to complete treatment; asked to leave; or being referred on to another service. A resident explained to the inspector about “TDs” – the house has a rota of “Therapeutic Duties” or what she preferred to call “housework”. The women took it in turns to clean certain areas of the house, wash up after meals, to plan and prepare the weekend meals, and to care for the home’s animals (a rabbit, two guinea pigs and three chickens). At the time of this visit there were nine women staying at Longreach. One woman was nearing the end of her programme subsequently was working towards independent living in the cottage. The low numbers seemed to suit those residents who spoke to the inspector because they could be more flexible about their “TDs”. One resident liked washing up whereas another enjoyed being able to plan and prepare the weekend meals. They described Longreach as “a good house at the moment” because, in their opinion, everyone got on and “mucked in”. Longreach DS0000003446.V327882.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, 14, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents have a variety of opportunities for personal development as well as leisure activities as part of the treatment programme and on which they can build after they leave Longreach. EVIDENCE: To ensure that residents could fully participate in community support groups such as “Alcoholics Anonymous” and “Narcotics Anonymous”, each resident was provided with a bus pass to travel within the boundaries of Plymouth. Restrictions on going out alone or accompanied were decided as part of the individual’s care plan. The contracts issued when a resident entered the home clearly stated the restrictions that would apply during the programme. Usually they would not go out for at least the first week to allow a settling in period. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 13 Most of the residents shared rooms. They did not have keys to their rooms (agreed as part of the treatment programme), however they could personalise them to suit their preferences. A resident told the inspector that she had been able to bring her stereo with her and other personal items to make the room more homely. There are single rooms in the house however these are usually offered to women with medical conditions, or specific reasons for which being alone would be more beneficial. Arrangements can be made for women with children to see them and also for short stays. These visits are both supervised and unsupervised (dependent on if there is a court order in place prior to coming to Longreach). Children up to the age of twelve years of age may stay with their mother for up to seven nights although usually visits are for a weekend. Alternative arrangements elsewhere can be made for children over twelve years to have an overnight stay with their mother. This would be dependent on the stage the woman was at in her treatment programme. At the time of this visit the contract was being revised so that should a woman who had custody of her children leave Longreach before the end of her treatment programme, the staff could inform the carer of her children if the woman herself had not. The Registered Manager explained that this was in an attempt to address some of the difficulties that arose around confidentiality and sharing information with third parties. Health and nutrition is an important part of the treatment programme as many of the women who come to Longreach arrive malnourished with poor appetites, and generally poor health. One of the counsellors specialises in working with people who may have an eating disorder. Dietary needs were catered for, as were likes and dislikes. Mealtimes were low key to encourage anyone with difficulties associated with food and/or eating to manage this in a way suitable for her. An individual would be monitored to ensure she was eating adequately, however there was not over emphasise on food and eating which could be detrimental. The Kitchen Manager teaches the women about the importance of nutrition to help them understand about different foods, and how they contribute towards a healthy lifestyle. There are informal cookery lessons once a week, and all the women do a Food Hygiene course. This in-house teaching was from a recommendation by an Environmental Health Officer because residents assist with meal preparation, particularly at weekends, as part of their treatment programme. As part of the weekend meal planning the residents responsible would be given a budget and then be expected to plan the meal, shop for the ingredients, and then prepare the food for everyone. It was very evident from everyone at Longreach on the day of this visit that the food prepared and provided for them was excellent. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents can feel confident that a supportive and reliable staff team will ensure that their personal, physical and emotional health care needs are met. EVIDENCE: At the time of this visit all the residents were independent with their personal care. As part of the treatment programme each resident attended group sessions as well as individual counselling sessions. Care plans inspected showed long-term aims as well as immediate issues. Generally aftercare was part of the assessment process so residents started their treatment programme with an outcome in mind. “Action For Change” is a programme run at Ocean Quay, (part of Broadreach House Services’), and residents are able to use this facility in preparing for the end of their treatment programme. There is a Housing Officer who offers support to those residents who choose to relocate to Plymouth. Ocean Quay also offers a day centre that provides ongoing support for people post treatment programme. Residents spoken to Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 15 talked about their aspirations when they had finished their treatment programme. On arrival at Longreach each woman is registered with a local medical practice. A staff member explained that staff generally tried to register individuals at a practice most suited to their assessed medical needs. At the time of this visit the staff were developing stronger links with the local Community Mental Health Team (CMHT). There had apparently been situations where individuals who were not resident in Plymouth, came to Longreach already known to a CMHT in their own area. The time for referrals and transfers of care had proven to be lengthy and residents had not been able to continue with support from a mental health worker. It was hoped that in the future the Longreach staff would be able to make direct referrals to the Plymouth CMHT. Medication was seen kept in three secure, lockable cabinets. Residents who require medication receive it according to the dosage at required times. There are three medication times each day and residents are expected to come to the staff office for it. Residents at the time of this visit, were not allowed to self medicate (except for conditions such as asthma) as part of their restrictions in their treatment programme. Medication records were seen and these were dated and signed by a staff member when given. One staff member has overall responsibility for medication however all staff responsible for administration and handling of medication have done appropriate training to do this. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents feel that they are listened to and that they are protected from abuse, neglect and self-harm. EVIDENCE: Residents were able to express their views in both group sessions and in one to one sessions with a counsellor. A resident also explained that there was a house meeting once a week that everyone was expected to attend. This was another opportunity for individuals to talk about and try to resolve, practical, daily living issues. All the staff working at Longreach are expected to do a training course on child protection. Some staff at the time of this visit were awaiting a course in the near future. Each member of staff is issued with “An Alerter’s Guide” to read and make themselves aware of any potential areas of abuse of vulnerable adults. There is, not, however any provision for staff to attend training on “Safeguarding Vulnerable Adults” (Adult Protection). Longreach DS0000003446.V327882.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, 25, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is suitable for short-term rehabilitation. EVIDENCE: A tour of the premises found that it was clean and well maintained. Broadreach House Services employs a maintenance team to be responsible for all its services. The majority of the rooms at Longreach are shared rooms. As part of the restrictions of treatment programmes none of the rooms are lockable. A resident told the inspector that she was surprised and pleased about how much of her personal bits and pieces she had been able to bring with her. (This was based on elsewhere where she had completed her detoxification programme and apparently not been allowed anything.) This resident was content with sharing a room, and felt that the room itself was comfortable as well as big enough for two people. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 18 Each room has an allocated day for laundry although residents may use the laundry facilities during the evenings. The laundry room is large, with two domestic washing machines and tumble dryers, and adequate space for two or three people to use at the same time. The main house and the cottage both have rooms designated for group Work sessions. The room in the main house is also used for tai chi and karate lessons, and for the arts and craft sessions held each week. It was a functional room although could be cramped if the house occupancy was full. Plastic ‘bucket’ style chairs were provided in this room and these could be uncomfortable to sit on for any extended period of time. Longreach DS0000003446.V327882.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, 35, 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A qualified and motivated staff team that is well supported and supervised cares for residents. EVIDENCE: Since the last inspection the staff team at Longreach has had some changes including a change of two counsellors. There are additional staff from within the Broadreach House Services who support the staff team at Longreach. This includes a maintenance team, a Human Resources team, and a training manager. The residents spoken to during this visit were aware of boundaries and restrictions imposed upon them, and had had these explained to them both at the beginning of their treatment programme as well if required during the treatment programme. The Registered Manager commented that circumstances of an individual being referred to Longreach could cloud her opinion of the treatment programme. For example, someone on a Drug Rehabilitation Order with a longstanding history of substance misuse and Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 20 associated criminality might perceive the manager and staff as “authority” so compliance with the restrictions of the programme possibly would be limited. All the staff as well as the manager however kept a consistent approach to all residents in encouraging them in their recovery. Broadreach House Services arranges training centrally for its entire staff across all its services. The staff at Longreach had therefore completed an induction programme based on the Skills for Social Care guidance. They had also completed mandatory training in Restraint, Child Protection, First Aid, Safe Handling and Administration of Medication, Fire Safety, and Health and Safety at Work. The Kitchen Manager was responsible for teaching Food Hygiene to residents, and most staff had also done this course. All the staff had a copy of “The Alerter’s Guide” however they had not received any formal training on “Safeguarding Vulnerable Adults” (i.e. Adult Protection). A random selection of staff files were inspected. They all had relevant checks with two written references, a history of employment, and with the exception of new staff, everyone had had a police check. Criminal Records Bureau (CRB) checks (i.e. police checks) are applied for when the person is offered a position with the organisation. A staff member confirmed that no-one works unsupervised at any time until a clear CRB check is returned to the organisation. All the staff files inspected also had terms and conditions of employment that had been signed by the member of staff. All the staff receive formal, recorded supervision approximately ever six weeks. They are also able to have informal supervision should it be needed. Longreach DS0000003446.V327882.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, 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents benefit from the ethos, leadership and management of the home because it is transparent and promotes their health, safety and welfare. EVIDENCE: During this visit the Registered Manager was found to be approachable and keen to promote the welfare and general well being of the women staying at Longreach. As well as managing the home, the Registered Manager is also responsible for some of the counselling work and EMDR (Eye Movement Desensitisation and Reprocessing) therapy with residents for whom it is felt to be suitable as part of their treatment programme. (As noted elsewhere in this report, Longreach offers a variety of therapies.) Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 22 Part of the review process is to provide an opportunity for the resident and her care manager and/or other responsible professionals to comment on the treatment programme. This can also be more general about daily life and expectations that maybe have been different to those anticipated. The Registered Manager explained that each resident’s review offered the staff at Longreach feedback about the service they were providing, and informed the home’s quality assurance monitoring. Additionally each resident was invited to complete a short questionnaire/ feedback form at the end of her stay at Longreach. The Chief Executive of Broadreach House Services visits Longreach on a monthly basis specifically to spend time with residents, collectively and individually, seeking their views and opinions about the home. The Commission receives “Regulation 26” reports (i.e. visits by Registered Provider) from these visits. Referrals to Broadreach House Services come from all over England. A wide network of social workers and probation officers as well as other referring authorities therefore have clients staying at Longreach as part of the plan of care to meet assessed needs of those clients. This network forms part of the quality monitoring of the service as it also acts as a national grapevine promoting good practice or occasionally raising concerns about possible poor practice. Broadreach House Services endeavours to be an approachable organisation that communicates its responsibilities to achieve its aims and objectives in the treatment of people who are dependent on alcohol and/or drugs. Although there was evidence during this visit that staff had received training for mandatory subjects such as food hygiene, moving and handling, and health and safety in the workplace there was no evidence to show that all of these subjects were done annually. There was also no evidence that staff had received training for infection control. All staff complete fire safety training with a questionnaire annually. The residents are responsible for cleaning of some parts of the premises. It was evident from a conversation with the kitchen manager and a couple of residents that this is taken seriously to ensure that the house was kept clean and hygienic. Longreach DS0000003446.V327882.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 X 2 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X Longreach DS0000003446.V327882.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. 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 YA23 Good Practice Recommendations The Registered Provider should provide staff with “Safeguarding Vulnerable Adults” training to compliment and underpin their understanding of the “Alerter’s Guide”. Longreach DS0000003446.V327882.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Longreach DS0000003446.V327882.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. 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. 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