Inspection on 28/06/07 for Lorne Terrace (14)

This inspection was carried out on 28th 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lorne Terrace (14) 24/01/06

Lorne Terrace (14) 13/09/05

Lorne Terrace (14) 17/02/05

Lorne Terrace (14) 24/08/04

Lorne Terrace (14) 17/03/04

Lorne Terrace (14) 26/09/03

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

CARE HOME ADULTS 18-65 Lorne Terrace (14) Ashbrooke Sunderland SR2 7BU Lead Inspector Miss Nic Shaw Key Unannounced Inspection 28th June 2007 10:00 Lorne Terrace (14) DS0000015775.V334462.R02.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 Lorne Terrace (14) DS0000015775.V334462.R02.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. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lorne Terrace (14) Address Ashbrooke Sunderland SR2 7BU 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) 0191 564 0951 0191 563 7711 European Services for People with Autism Limited Mrs Amanda Catherine Morris Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Lorne Terrace is an end house that has been adapted to provide a care service. The home provides personal care for 4 adults who may fall within the Autism Spectrum or have Asperger’s. The house has four large bedrooms, one office/sleep-in room, 2 lounges, a dining room, kitchen, bathroom/shower and two toilets. These are divided throughout the home. However a toilet is not available on the ground floor and a few steps lead up to the entrance of the home. Therefore the home is not suitable for people who use a wheelchair. Lorne Terrace is in the Ashbrooke area of Sunderland and is within walking distance from the city centre. Corner shops can be found in the area, as well as pubs and an art centre. Backhouse Park is within walking distance plus there are ample bus routes, which travel to the city centre and other cities such as Durham. Information relating to the weekly fee payable by service users is not available. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day in June 2007 and was a key inspection. This inspection was announced, as service users were temporarily living in alternative accommodation, near to Lorne Terrace, whilst their home was being re-decorated. The service users are also often out during the day and the inspectors wanted to make sure that people would be at home when they visited. The inspection included information which had been provided by the manager in a questionnaire. Feedback forms were also sent to each of the service users and three were completed and returned to the Commission before the inspection. Three relatives also completed and returned feedback forms. Time was spent talking to the manager, staff and three service users. The inspectors also visited Lorne Terrace to see what re-decoration was taking place there. A sample of records, including staff files, were also looked at. The inspection focused on two of the four service users. This is known as “casetracking”, and this involved looking at what it was like, from their point of view, living at Lorne Terrace. This involved talking to the service users, watching the staff’s care practices with them and checking that information obtained from discussion with staff, service users and observation was accurately recorded in the care records. What the service does well: The admissions process is excellent and involves an assessment panel, (which consists of experts in the field autism), who decide if prospective service users needs can be met by the organisation and the home. Care plans are good and risk assessments and behaviour profiles are excellent. These are kept up to date so staff know what they need to do to meet the personal, social and healthcare needs of the service users whilst at the same time helping them to live independently. The food is nice with lots of choices and the activities available to people are excellent. Service users said they always felt listened to and knew what to do if they wanted to make a complaint. The building is homely and well maintained. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 6 The staff have had lots of training particularly about autism so that they can do their job well. They have also had training so that they know what to do should they see anyone being harmed. As well as making sure the views of relatives and service users are obtained there are good quality assurance systems in place. For example: the staff carry out daily checks of the building to make sure that it is safe. The manager is very approachable, warm and friendly and works really hard to make sure service users receive an excellent service. Service users said: “the staff are very nice and they do treat me very well” “the people at Lorne are very friendly” “Lorne is a very smart well furnished house” Relatives said: “my family member is supremely happy and has the best life possible” “I am astonished at the thoroughness of their care, whoever I speak to he/she is always fully aware of my family members whereabouts, well-being and plans” “our relative has an excellent quality of life thanks to the quality and consistency of the staff and their expertise in dealing with special needs”. What has improved since the last inspection? What they could do better: There is very little for this home to improve upon, as it is an excellent service, however, service users still need to know what the weekly fee for the service is, who is responsible for paying this, and a copy of the local authority placing Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 7 agreement. This will help people decide whether or not they are getting value for money. 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. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 8 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 Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 9 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&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This assessment process ensures that when people move to Lorne Terrace the manager can be confident that all of the information has been obtained and that the service is appropriate for that particular individual. Service users do not know what the weekly fee is, and therefore cannot know if they are receiving value for money. EVIDENCE: Although there have been no new admissions since the last inspection should a vacancy become available then the manager would initiate the home’s admission procedure. This involves an assessment panel, (which consists of experts in the field of understanding the autism spectrum), who determine whether people’s needs can be met by the organisation and the service that will be the most appropriate for that individual. The organisation has also developed a full and comprehensive assessment tool, (the living plan), for the home. Information from the initial assessment via the Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 10 panel is included in this, which ensures full background information and is available to the staff working with the individual. There is a generic terms and conditions of residence included in the service user guide for specific individuals, which does provide space to include the amount of fee payable, however, individual agreements do not include this information. Also copies of the local authority placing agreement are not provided. Without them people cannot make informed decisions about whether they feel the service they are getting is value for their money. The manager confirmed that the organisation continues to work with local authorities in order to provide each individual with a placing agreement. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 11 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. The service users care plans are good and give detailed information about service users as individuals, which helps to provide continuity of care. Service users are supported to take risks and make decisions. This means that they can enjoy an excellent range of activities as part of living an independent lifestyle. EVIDENCE: Each service user has a care plan which provides detailed information in relation to the service users strengths, abilities and areas of need. There are also detailed communication profiles so that staff know how best to communicate with each service user. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 12 Detailed risk assessments are also completed and these cover all aspects of daily living such as travelling independently, going to the cinema, making a drink and making a meal. Within the risk assessments any risks are identified together with what action staff should take to reduce these. They also provide information about any situation where limitations may need to be imposed, for example: if a person is unable to go out independently as the risk is assessed as too great. For people who may display complex inappropriate behaviours as a result of their autism, detailed behaviour profiles have been developed. These are excellent as they include a detailed description of the behaviours with information about possible triggers and how staff should support the service user. One member of staff, the “behaviour co-ordinator” has the responsibility of closely monitoring the behaviour profiles and amending and up-dating these where necessary. Service users are supported to make decisions, not only by staff taking time to listen to their aspirations, but also through regular service user consultations. Detailed records are kept of these and show that service users have been involved in discussion about all aspects of life in the home. Observation of staff practices showed that the culture of the service is to encourage people to be independent. For example, incentive programmes have been introduced and these are used to help service users to understand and take responsibility for their actions. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 13 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. Service users are supported to take part in a wide range of activities both inside and outside the home. They are assisted to maintain links with their families and to have a regular community presence. This enables them to lead a full and enjoyable life. Service users are provided with a nutritious, varied diet which helps to promote their general health and well being. EVIDENCE: There are many activities available to service users ranging from indoor activities including board games, cookery, relaxation sessions to activities in the local community such as swimming, shopping, going to football matches, the Theatre and the cinema. Service users also regularly use a range of Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 14 community resources such as the local library and the “Pallion Action Group” where keep-fit and art classes are held. Service users regularly attend the Croft Centre. This is a day centre run by European Services for People with Autism. There are lots of activities which take place here including dance and drama, pottery and aromatherapy as well as further opportunities of using activities in the local community such as bowling centres and trips to Sunderland Town Centre. There is also a Tuesday club where opportunities are available for people to meet new friends as well as visit new places. There is a “Croft Magazine”, which is published four times a year. One service user’s recent trip to a recording studio to record a song was featured in this magazine. The service user spoke enthusiastically of this experience which is an excellent example of how the staff support the service users to achieve their goals and aspirations. On the day of the inspection two of the service were going to Moor House Farm. This is another regular weekly activity where people have the opportunity of helping improve the site where organic crops are grown and a small number of animals kept. Everyone has the opportunity of having an individual holiday. One service user spoke enthusiastically about their holidays abroad and their recent trip to the Rhine Valley. Although there were no visitors on the day of the inspection one service user said they have a friend who the staff support them to visit. Another service user said they were looking forward to their trip to visit their family, which staff had helped them to arrange. The routines of the home promote independence. Staff support the service users to prepare the meals, do their own laundry and maintain their own living environment. Staff throughout the visit constantly interacted with service users offering encouragement and support, helping them to make their own decisions. Menus are planned and decided during service user meetings. Each evening service users take turns to prepare and cook the meal. Healthy eating is encouraged by using a “healthy eating recipe book” when planning the menu. Service users are supported by staff to purchase the ingredients they need for the meal and careful thought has been given to how this can be achieved whilst at the same time meeting the needs of the service users. For example, when staff plan the weekly shopping they think about which aisle items are situated in so that service users can independently buy the items they need. There is a picture menu and this also helps those people with communication difficulties to choose what they want to eat. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 15 The Inspectors sat and chatted with service users and staff over lunch. This was a relaxed social occasion where service users and staff chatted about recent and future events. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 16 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. Service users receive the support they need from staff to ensure that their personal, physical and emotional health needs are met. The service users are protected by the homes medication policies, procedures and practises. EVIDENCE: The care plans provide clear guidance to staff on the service users preferences on how their personal care needs are to be met. The plans are all different and the content reflects the personal care needs of each service user. All service users have access to a range of healthcare professionals such as opticians, dentists and GP’s. The organisation employs and has access to a range of specialists such as psychiatrists, psychologists and speech and language therapists. These specialists provide support in all aspects of the Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 17 service users lives including sex education, managing anxiety, and social skills and also provide support and advice to staff. The staff have acted upon the interventions the specialists have suggested and asked for further support when necessary. Staff are trained and competent in health care matters, particularly in the specific needs of people with autism, and how to respond to those service users who have “obsessive compulsive disorders”. As previously mentioned detailed behaviour profiles are in place, which are excellent, and these are regularly reviewed and up-dated. Each service user’s health and well-being is evaluated monthly within the “living plan”. Medicines are stored safely. Medication records confirmed that medication is administered to service users appropriately. Systems are in place for ordering and the safe disposal of medication. An audit of the medication held in the home was checked and correct and corresponded to the medication administration records, which are held on one file and contain good detailed information. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 18 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. The views of service users are taken seriously and appropriate action is taken to resolve concerns and complaints. Appropriate policies and procedures are in place, supported by staff training, which ensure that the service users are protected from abuse and neglect. EVIDENCE: There is a complaints procedure in place and service users and their relatives have been given a copy of this. There have been no formal complaints since the last inspection. It was good to note that service users are encouraged to express their views and opinions and any “niggles” are also recorded, including the action taken by the manager to resolve them. The home has its own policy and procedure documents relating to abuse which are available to staff to guide them if they have any concerns in this area. All staff working in the home are trained in safeguarding adults. Arrangements are in place for all staff to receive training in the local authority safeguarding adult’s procedures. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 19 There have been no safeguarding adults referrals made since the last inspection. This is as a result of lack of incidents rather than a lack of understanding about what incidents should be reported. Policies, procedures and staff practices also ensure the financial protection of service users. Records showed that for all transactions made on behalf of the service users, two staff signatures as well as receipts are obtained. The manager carries out regular internal audits of the service user’s personal money. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 20 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. Lorne Terrace offers service users a well maintained, homely place in which to live. EVIDENCE: On the day of the inspection service users were temporarily living in another registered building owned by the organisation. This was to enable Lorne Terrace to be re-decorated throughout without causing stress or difficulties to the service users. Service users appeared very at home in the temporary house, which was clean and homely. During the visit to Lorne Terrace much work was being undertaken to improve the environment for people. Everyone’s bedroom was being re-decorated as Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 21 well as all communal areas. New carpets are being fitted throughout and the bathroom is being fully re-furbished. Everyone has their own bedroom at Lorne Terrace and these are large spacious areas where people can spend time in private. Service users are provided with a key to their bedroom. All staff are currently completing a three month training course in infection control. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 22 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from skilled, experienced staff and the good staffing levels ensure that the service users needs are readily met. The service operates a robust recruitment procedure which protects service users from being supported by unsuitable people. EVIDENCE: In addition to the NVQ level 2 qualification in care, which nearly all of the staff have now completed, training has included “emotive language”, “autism”, “healthy eating”, Mental Capacity Act”, “equality and diversity”, “positive communication”, “obsessionality within Autism”, and “independence, choice and inclusion”. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 23 Staff are paid to attend all training courses. External providers deliver the training if the organisation does not have the appropriate skills within. The training delivered is person centred, autism specific and reflects the diverse needs of the service users. Staff said that the training was “excellent”. The staff team support each other and share skills and knowledge and this is achieved through weekly team meetings as well as regular keyworker meetings. On duty at the time of the inspection were the manager, deputy manager and two members of staff. There is always sufficient staff on duty to ensure that service users care needs are met to a high standard. Service users said in feedback forms “the carers are very understanding and they help you”. There has been a low turnover of staff, which is excellent in terms of continuity of care. There is currently one staff vacancy, which is soon to be filled. The staff recruitment process involves the prospective employee completing an application form. An interview is conduced. Two satisfactory references as well as an Enhanced Criminal Records Bureau and POVA (Protection of Vulnerable Adults) check are sought prior to offering prospective employees a position within the home. All new staff are asked to complete a nine month probationary period and staff said that during this time they were never left unsupervised. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 24 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. Overall management systems are effective and ensure that the health, safety and welfare of the service users is promoted. The home operates a good quality assurance system, based on the views of the service users, so that they know their rights will be respected and their views listened to. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 25 EVIDENCE: The manger has considerable experience in a variety of care roles as well as a number of years experience in management. She is competent and skilled to carry out this role and in addition to the completion of the NVQ level 4 qualification in care she has also completed the Registered Manager’s Award. During the inspection staff and service users were observed to relate to the manager with confidence and respect. Service users clearly regard the manager as someone who will be able to support and help them to resolve any problems they may have. The manager is highly motivated and committed to ensuring that the diverse needs of all the service users are met to a high standard. She communicates a clear sense of direction, which reflects best practise, and this was clearly evidenced through the high standard of record keeping as well as observation of staff practices during the inspection. It was particularly excellent how well the move to temporary accommodation had been managed, given the complex needs of the service users. There is a comprehensive internal quality assurance system in place. This involves regular internal audits of a range of standards, including checking that the first aid box is properly equipped, making sure that bathwater temperature are safe as well as checking the medication sheets and personal allowance records. Each day a shift co-ordinator also completes a health and safety check. The views of service users, relatives and professionals are sought through questionnaires as well as regular service user consultations. This information is collated and analysed and used to produce an annual report. There is an excellent range of comprehensive policies and procedures which are regularly reviewed. Appropriate records are held in relation to accidents. All staff receive a regular fire drill. The manager has also completed a detailed fire risk assessment for Lorne Terrace and made sure that staff and service users were shown the fire procedure when they moved to their temporary accommodation. All staff have received training in relation to health and safety issues such as food hygiene, manual handling and first aid. During the inspection there were no health and safety risks noted. Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 26 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 4 3 X 4 X 5 2 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 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 3 X X 3 X Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 27 yes 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. 1. Standard YA5 Regulation 5 (3) Requirement The owners must ensure completed copies of the local authority placing contracts and weekly fees payable, by whom, are provided to each service user and available in the home. (Timescale not met 22/02/05 &17/7/06). Timescale for action 31/10/07 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 Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Lorne Terrace (14) DS0000015775.V334462.R02.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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