Inspection on 22/04/08 for Lynton

This inspection was carried out on 22nd April 2008.

CSCI found this care home to be providing an Adequate service.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lynton 30/09/09

Lynton 19/04/09

Lynton 16/04/07

Lynton 06/11/06

Lynton 03/11/05

Lynton 25/05/05

Lynton 20/09/04

Lynton 29/04/04

Lynton 22/07/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Lynton London Road Ashington West Sussex RH20 3JS Lead Inspector David Bannier Unannounced Inspection 22nd April 2008 09:30 Lynton DS0000014618.V361067.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 Lynton DS0000014618.V361067.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. Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynton Address London Road Ashington West Sussex RH20 3JS 01903 893406 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) jallies@btinternet.com www.caremanagementgroup.com Care Management Group Ltd Post Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 3 male and / or female Service Users in the category learning disabliity may be admitted. Only persons between the ages of 18 - 65 years may be admitted / accomodated. 16th April 2007 Date of last inspection Brief Description of the Service: Lynton is a care home, which is registered to provide personal care for up to three service users in the category learning disability (LD) who are between the ages of 18 to 65 years of age. It is a detached property, which has been adapted for its current use, and is located in a residential area of Ashington, a small village approximately 20 minutes from both Worthing and Horsham town centres. There are local shops and a pub in the village and residents can access nearby leisure facilities, colleges and work placements. There is a bus service from the village that connects with mainline trains. The property is a two -storey building providing private accommodation to service users in single bedrooms located on the ground and first floors. Communal accommodation is made up of a lounge and a dining room located on the ground floor. A garden which has been laid to lawn, with flowerbeds is available to service users, and is located to the rear of the premises. Fee levels currently range from £1,080.00 to £1,532.00 per week. Personal items such toiletries and hairdressing are not included. The registered provider of this service is Care Management Group Ltd. Whilst the registered provider has appointed a manager, this person has yet to register with us in accordance with current legislation. Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assessment Form (AQAA) prior to the inspection. Information from this document will be referred to in this report. A visit to the care home was made on Tuesday 22nd April 2008. This was an unannounced inspection, meaning that the care home had no prior warning of our visit. We spoke to the two residents who are currently living at the care home. This helped us to form an opinion of how it is to live at the care home. We also spoke to three staff who were on duty in order to gain a sense of how it was to work at the care home. We also viewed some of the accommodation and observed care practices. Some records were also examined. The visit lasted approximately seven hours. The manager was present and kindly assisted us with our enquiries. What the service does well: Lynton continues to perform well in the areas identified during our last visit. The service provides a homely, comfortable living environment for people. People using the service have an active lifestyle, which meets their social and educational needs. People are supported to make their own decisions and develop their independence skills. Care staff are skilled and dedicated, and relate well to people using the service. Lynton DS0000014618.V361067.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. Lynton DS0000014618.V361067.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 Lynton DS0000014618.V361067.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. The registered provider has set up a procedure for ensuring prospective residents’ individual needs and aspirations have been assessed. EVIDENCE: We looked at the care records of each resident who are currently living at Lynton. No new people have been admitted into the home since the previous inspection. However, care records sampled indicated that people have received a full assessment of their needs before they are admitted to the home. Residents we spoke to confirmed they were able to visit the care home before they decided to move in. They also confirmed they were involved in their needs assessment. Staff on duty were clearly able to discuss the needs of each resident and how they should be met. We spoke to the manager who was able to explain how new residents’ needs are assessed. Information supplied by the registered provider confirmed, “A Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 9 full assessment of each individual’s needs is carried before they are admitted in order to provide a package of care that is needs led and person centred.” Lynton DS0000014618.V361067.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have been consulted when care plans have been drawn up. Care Plans include residents’ own aspirations and goals. Residents are encouraged to make choices about their own lifestyle, with support where needed. Residents have been involved with day to day decisions about the running of the care home. EVIDENCE: We found that information about each resident’s needs together with comprehensive and detailed guidance for staff had been drawn up. Staff are expected to follow guidelines, which gives them specific instructions to ensure Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 11 they work in a consistent and continuous manner with residents. They are also expected to sign them to confirm they understand the contents. We also saw that risk assessments have been carried out when necessary to determine the level of risk an identified activity would present to a resident and the action staff should take to reduce it. All the information has been reviewed to ensure it is up to date and reflects the current needs of each resident. Care plans and review notes had also been signed by the resident or their relative to confirm they had been consulted as part of the process. We observed staff working with residents. They demonstrated that care practices and support provided to residents were in line with the guidance provided. Discussions with staff on duty confirmed they had been made fully aware of the needs of each resident and how they should be met. Residents told us that staff do provide them with the care and support they need. Residents are encouraged to make choices on a daily basis with regard to what to eat, how to spend leisure time, when to go to bed, what to wear etc. During the morning we spoke to one resident who was on their way out to college. The resident told us how much they were looking forward to this. Another resident told us about their interest in gardening. We saw the garden and hanging baskets that had been set out and planted by the resident, with appropriate help from staff. Information supplied by the registered provider confirmed that residents are afforded choices with regard to activities, menus, and colour schemes for bedrooms and communal areas. The information also confirmed, “Guidelines and risk assessments are in place to ensure service users’ safety.” Lynton DS0000014618.V361067.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in appropriate activities. Residents have been encouraged to become part of the community. Residents have been supported in maintaining family relationships. Residents’ rights have been respected whilst ensuring their safety is maintained. Residents have been provided with a healthy, varied and appropriate diet. EVIDENCE: Each resident has an individual activity programme for each day. This includes clear information about a range of activities, including free time, in which they Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 13 wish to participate. It was clear from records and documents seen, and meeting with residents, that each programme has been drawn up with the interests and hobbies of each resident in mind. In house activities include helping prepare dinner, gardening, games, music, relaxation and DVD movie night. Each resident has been allocated a placement at a local college. Courses provided include cooking, music appreciation, animal care, equine studies and horticulture. The manager told us that, when this is realistic, residents would be helped to find jobs in the community. We were told that residents are supported to make use of the facilities in the local community. Residents are accompanied to the bank, to the local pub and go out for lunch. One resident enjoys visits to a leisure centre where they go ten-pin bowling. Where appropriate, residents are able to go out into the local community unaccompanied. This is determined by conducting risk assessments after consulting with the resident, their family and other appropriate agencies such as the resident’s care manager. Residents told us they are able to do what they want each day and at weekends. We saw copies of minutes of resident meetings. They showed clear evidence that residents are regularly consulted with regard to the provision of activities and making plans for holidays. One resident showed us photographs of leisure activities, day trips and holidays they had enjoyed during last year. Records we saw clearly indicated residents are encouraged to keep in touch with their families and friends. This includes making regular telephone calls to them. Guidelines drawn up details of how staff should support residents in maintaining such contacts, taking into account the wishes of the resident concerned. Residents told us about their families and how they keep in contact with them. We were unable to join the residents for lunch as they were attending college placements. We were told that residents take a packed lunch with them to college. The main cooked meal of the day is provided in the evening, when residents and staff on duty sit down together. Where appropriate residents are expected to help with the preparation of the meal. We saw copies of menus that indicated that residents are provided with a varied diet appropriate to the needs. Residents told us they choose the food they want to see on the menu and were very happy with this arrangement. We also saw copies of the minutes of resident meetings that clearly demonstrated residents are consulted about menus. Lynton DS0000014618.V361067.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support and personal care provided takes into account the wishes and personal preferences of each resident. The physical and emotional health care needs of residents have been met. Staff deal with medicines in a way that protects and supports residents. EVIDENCE: Care plans have been drawn up from the information gathered when residents’ needs were assessed. The care planning system includes risk assessments where necessary. It also records visits by each resident to doctors and other health care professionals such as dentists and chiropody. Care plans have been regularly reviewed and updated to ensure they reflect the current care needs of residents. When care plans have been reviewed residents, or their relatives have signed the record to confirm they have been consulted. Residents told us Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 15 they feel well supported by staff in terms of their physical and mental health care needs. We noted that medication has been appropriately and securely stored. Records seen had been well maintained and kept up to date. Training records seen confirmed that staff have received in house training in the safe administration and dispensing of medication. We were shown how staff administer medication. This includes, in some instances, taking medication out of a container marked with directions by the dispensing pharmacist into another, unmarked container, before giving the medication to the resident. This is known as pre administering medication. This is not considered to be good practice as residents may not be given the right medication. We spoke to the manager about this who informed us they would to take this up with staff who are responsible for administering medication. We were informed that, currently no residents are self administering medication. Lynton DS0000014618.V361067.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 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Complaints are not being adequately recorded. The handling of complaints needs to demonstrate that the views of people making complaints are listened to and acted upon. Residents are protected from abuse, neglect and self harm. EVIDENCE: We looked at minutes of resident meetings that demonstrated they are held on a monthly basis. Residents are supported by staff and encouraged to discuss any issues that can be sorted out before they become major concerns. A complaint procedure has been drawn up so that residents and their families know how to make a complaint if they wish to do so. We spoke to residents who told us they knew who to speak to about any concerns and how to make a complaint. Residents also confirmed that staff do listen to them and, where necessary act on what has been said to them. During our last visit we found evidence that complaints were not being adequately recorded. On this occasion the manager showed us a record of two complaints that have been received since then. Whilst a brief record of the complaint had been made, the manager was unable to confirm that the details of any investigation into the complaints, together with the outcome of each investigation had been kept. There was no evidence of any action taken to remedy any shortfalls identified either. We also looked at the home’s own Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 17 complaint procedure. This detailed what should be done once a complaint has been received. The manager was unable to confirm that procedure had been followed. We made this a requirement after our last visit. As we could find no evidence that this had been met the same requirement appears again at the end of this report. The registered provider is advised to ensure appropriate action is taken to meet the requirement in order to avoid further regulatory action being taken. Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have been provided with a homely and comfortable environment in which to live. The registered provider has not ensured the fire safety and fire detection equipment has been adequately maintained to protect residents and staff. The home has been kept to a good standard of cleanliness and hygiene. EVIDENCE: We visited a resident’s bedroom, the lounge and dining room. Those areas of the home seen were presented in a homely and comfortable manner. The decoration and furnishings provided ensured residents live in a comfortable and homely environment. We were told that residents have been able to personalise their own rooms. They were involved in choosing colour schemes and have also bought items such as posters and pictures, televisions and CD Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 19 players. Residents told us they were very happy with the accommodation provided. One resident said, “I like living here. I like the building. I have got my own room upstairs.” Information supplied by the registered provider prior to this visit confirmed they have taken appropriate steps to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. There is an internal system for staff to use to record and report any issues related to the maintenance of the premises to ensure any defects or repairs are dealt with. However, during this visit we discovered that some work regarding fire detection and fire safety equipment identified in a maintenance report issued two months ago had not been carried out. We spoke to the manager about this, as this directly affects the safety and wellbeing of residents. We issued an immediate requirement to ensure the work is done. The registered provider will be expected to carry out work required within 24 hours of our visit. The registered provider has since confirmed to us in writing that the work has been completed within the specified timescale. We also viewed the kitchen, the utility room and the bathrooms and toilets. These areas of the premises were fresh, clean and hygienic. Staff are expected to clean these areas regularly, involving residents where appropriate. Cleaning schedules are in place to ensure all areas are cleaned on a regular basis. Staff also support residents with their personal laundry. Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has appointed a team of competent and qualified staff to support residents accommodated at Lynton. The home’s recruitment practices and procedures protect vulnerable residents. The staff team have received appropriate training to ensure they are able to meet residents’ needs. EVIDENCE: We examined the recruitment records of two staff that had been appointed since our last visit. We found that all appropriate information and checks were in place to ensure vulnerable residents have been protected. This included two written references, proof of identity and criminal record checks (CRB). We also spoke to three staff who were on duty. We asked them about their role as support worker and what was expected of them. We asked them about the specific requirements of the residents and what staff are expected to do to Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 21 ensure their needs have been met. We also asked the staff about the training they had received, including induction training, since they had been working at Lynton. We looked at staff training records. They demonstrated that newly appointed staff undertake structured induction training. This includes providing an understanding of the principles of good care practices and covers the promoting of residents’ rights, independence, choice and dignity. Training records also provided evidence that confirmed staff have been provided with mandatory training such as identifying and reporting abuse, fire safety, health and safety, first aid, infection control and food hygiene. Staff spoken to confirmed the training and induction training they had received. We observed staff on duty interacting with residents. This showed us that staff treat residents with respect and ensure their dignity is upheld. When we spoke to them they were able to demonstrate they had a good understanding of how they should work with identified residents to ensure their needs are met. Residents we spoke to confirmed they were satisfied with the care provided. They also told us that the staff treat them very well. Residents also told us that staff do listen to and act on what they say. There was also evidence that demonstrated they receive regular support and supervision. Staff also told us they felt well supported by the manager. Information supplied by the registered provider confirmed that approximately 50 of staff are working towards the National Vocational Qualification (NVQ) in care at level 2 or above. It was also confirmed that one member of staff currently holds this qualification at level 2. Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Provider has not yet demonstrated their fitness to manage the care home in accordance with current legislation. It is a requirement under the Care Standards act 20000 to be registered to manage a care home. An application to be registered has not been submitted to the Commission. The views of residents and their families are sought as part of any self – monitoring, review and development of the care home. The health, safety and welfare of residents and staff has not always been promoted. EVIDENCE: Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 23 During our last visit we found that the care home had been without a registered manager for some time. This had clearly limited the home’s capacity for further improvement and had also had begun to have an impact on the quality of care provided to residents. We made a requirement on this, informing the registered provider that they must appoint someone who is sufficiently experienced, competent and experienced to be the registered manager. At this visit we were informed that as from August 2007 a manager has been appointed. This person was present during our visit and kindly assisted us with our enquiries. However, as it is some time since the manager’s appointment it was not clear to us why they have yet to be registered in accordance with the requirements of current legislation. We informed the manager that it is an offence to manage a care home without being registered with us. As the previous requirement has not been fully met we have also repeated it at the end of this report. The registered provider is advised to take appropriate steps to meet this in order to avoid further regulatory action being taken. We were informed that representatives of the registered provider visit Lynton each month to ensure this care home is being run in the best interests of residents. We did not examine reports of such visits on this occasion. The manager told us that satisfaction questionnaires are sent out on a regular basis to residents and their relatives. We saw copies of these in residents’ files. We noted that comments made about the service provided were positive. Information supplied by the registered manager prior to this visit confirmed the registered provider has also taken appropriate steps to ensure the premises and equipment within the care home is safe for use. Gas and electrical appliances have been checked and maintained regularly. There is an internal system for staff to use to record and report any issues related to the maintenance of the premises to ensure any defects or repairs are dealt with. However, during this visit we discovered that some work regarding fire detection equipment identified in a maintenance report issue two months ago had not been carried out. For further detail please refer to the environment section of this report. We saw written evidence the registered provider has developed a system for monitoring incidents and accidents, which have occurred in the care home. The appropriate agencies, including the Commission, have been notified of incidents and accidents that are required to be reported. The purpose of the monitoring system is to review incidents to identify any areas where improvements can be made to ensure the safety of residents and staff has been fully protected. Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 24 During our last inspection we found evidence that while a copy of the Safer Food system which records food hygiene checks was in the home, this system is not yet being used. The registered provider was advised they must ensure that a food safety system that complies with food hygiene legislation is put in place. A requirement was made as this directly affects the safety and wellbeing of residents. During this visit we were informed this system was not being used as the manager is expected to use a system developed by the registered provider. However, when we examined this it was only being used to record temperatures of fridges and freezers and nothing else. As the system has yet to be fully implemented this requirement appears again at the end of this report. The registered provider is advised to take appropriate steps to meet this in order to avoid further regulatory action. Lynton DS0000014618.V361067.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 1 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 1 X 3 X X 2 X Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 26 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 YA37 Regulation 8 (1)(a) Timescale for action A person who is managing a care 30/04/08 home must submit an application to be registered (Previous timescales of 31/03/07 and 30/06/07 not met). 2. YA22 22 (3) The registered person shall ensure that any complaint made under the complaints procedure is fully investigated. (Previous timescales of 31/12/06 and 30/07/07 not met). The registered provider shall ensure that a system for food hygiene that complies with recent food safety legislation is put in place for the health and safety of people accommodated. (Previous timescales of 29/06/07 not met). 30/04/08 Requirement 3. YA42 13.3 30/04/08 Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 27 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 Lynton DS0000014618.V361067.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Lynton DS0000014618.V361067.R01.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. 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!