Inspection on 26/09/06 for Manchester Learning Disability Partnership

This inspection was carried out on 26th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manchester Learning Disability... 01/05/07

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Manchester Learning Disability Partnership Short Breaks Service 37 West View Road Northenden Manchester M22 4LP Lead Inspector Steve O`Connor Unannounced Inspection 26th September 2006 10:00 Manchester Learning Disability Partnership DS0000065266.V313627.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 Manchester Learning Disability Partnership DS0000065266.V313627.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. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manchester Learning Disability Partnership Address Short Breaks Service 37 West View Road Northenden Manchester M22 4LP 0161 945 7231 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) Manchester Learning Disability Partnership c/o Manchester City Council Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home provides accommodation and care on a respite basis for a maximum of four adults aged between 18 and 65 years old whose primary need for care is by reason of learning disability. The organisation must, at all times, employ a suitably qualified and experienced manager. The matters detailed in the attached schedule of requirements must be completed within the stated timescales. First Inspection since registration. 2. 3. Date of last inspection Brief Description of the Service: The care home provides 24-hour accommodation and support for up to four learning disabled adults for short breaks to give their carers /families a respite from their care role. The service forms part of the Manchester Learning Disability Partnership (MLDP) The building is a normal domestic dwelling set on a residential street in the southeast of Manchester with good access to local amenities. The building is accessible on the ground floor for wheelchair users. The ground floor has a kitchen, lounge and dining room, toilet and shower facilities. Bedroom accommodation and bathroom facilities are also on the 1st floor with a staff sleep-in/storage room. There is an enclosed garden to the rear of the building. Information provided to the CSCI detailed that the charges for the service are £13.50 per day. Information about the service can be obtained from the Short-Break Team based at Forrester House. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection report is based on information and evidence gathered by the Commission for Social Care Inspection (CSCI) since the home was registered in January 2006. This information includes a pre-inspection questionnaire, completed by the home and submitted in August 2006, and an unannounced site visit to the MLDP Short Break Service office on the 16th June 2006 and a site visit on the 26th September 2006. This is the first inspection and site visit since the home was first registered with the CSCI. During the site visit, time was spent talking to people who stay at the home, staff on duty and the Team Leader (senior manager). Documents and files relating to people and how the home is run were also seen and a tour of the building was made. The inspection was an opportunity to look at all the key standards of the National Minimum Standards (NMS) and was used to make a judgement on the quality of the service provided by the home and to decide how much work the CSCI needs to do with the home. What the service does well: Long before a person comes to stay at the home for the first time usually a great deal of work has already been done, by the home and other relevant people, to make sure that the person’s personal care, healthcare and behavioural/emotional support needs are known and that the staff team have the relevant skills and knowledge needed to support that person in the right way. Depending on a person’s individual needs, the home may have worked with a Speech and Language Therapists to develop clear guidance on how to help a person eat safely, or an Occupational Therapist to make sure that any support with a person’s mobility or moving and handling are carried out in the right way. If a person needs support to cope with some behaviour that could be challenging, then psychologists and other clinical professionals will develop clear guidance on how to reduce and cope with this behaviour. The home places a lot of emphasis on giving people choices and allowing them to make their own decisions and not have the staff making them or setting their own daily routines. People are encouraged to make the small day-to-day choices that give them more control such as what to wear, what to have for dinner and where to go out. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 6 An example of how people can raise issues and make decisions was seen during the visit to the home. A person raised the issue of not being able to lock the bedroom door at night. The reasons for not locking the door were discussed with the person and it was agreed that there was no risk in having the door locked and this could now happen. People staying at the home were happy to show their own personal care plans and explain how they work with staff to record information about them and their life, their likes and dislikes and how they want to e helped. If possible, the person themselves would write in new information or have their own words written down by the staff. The information was very person centred and reads as if the person was telling you the best way to help them. The home does place a high emphasis on providing its staff team with the skills, knowledge and training they require supporting people in the right way. They have access to the Manchester Children, Families and Social Care department’s training programme and team as well as the training resources available within the MLDP, especially in relation to health needs. If specific specialist training is required then the home will find that from other relevant professions and training providers. Trying to find out what people think about the service they use can be difficult. It is made increasingly difficult if a large number of people who use the service cannot fully express themselves or gives their views through talking. The home was about to use a picture-based questionnaire that allows people to use signs and pictures to express their feelings about their experience of staying at the home. From this information the home would develop a report that was made available to people and their carers showing how they were doing, what people liked and what they did not like. The home used this information to look at how they run the service and how the service could be improved for people. What has improved since the last inspection? What they could do better: The home has a responsibility to make sure that the people who use the short break service are safe when they stay at the home. Generally the home takes the health and safety of people seriously and undertake regular checks and maintains the equipment it uses. People who come to stay at the home have a wide range of personal, emotional, physical and behavioural needs and so the way that the home responds to emergencies such as fire alarms may need to be different for each person, especially in relation to their mobility. The home were asked to look at Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 7 their fire containment and evacuation measures to make sure that they are safe for everyone who stays at the home. 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. Manchester Learning Disability Partnership DS0000065266.V313627.R01.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 Manchester Learning Disability Partnership DS0000065266.V313627.R01.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 at least once during a 12 month period. 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. Prospective users of the service are assessed to establish their support needs and whether the home can meet those needs. EVIDENCE: The Short Break service has a clear referral process that can only be accessed through the Community Learning Disability Team Care Management system. As part of this referral process a care management assessment of need is provided and the service undertakes its own in-house assessment through visits to see the proposed person and then coming to stay at the home for tea visit or overnight stays. In this way the home is able to decide whether it can meet the persons needs and determine what support, aids or equipment is required. Manchester Learning Disability Partnership DS0000065266.V313627.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 at least once during a 12 month period. 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. The home has a clear system and practices for identifying the support required to meet peoples’ needs and any hazards they may experience. Risks are identified and acted upon to allow people to be supported correctly and safely. The home encourages people to make choices and decisions about their dayto-day experience of the home. EVIDENCE: As part of the referral process a Care Management Care Plan was provided outlining a person’s primary needs. From the care management and in-house assessment, information is gathered and a personal care plan is developed. The amount and detail of information in the care plan reflects the complexity and range of a person’s needs. Specialist guidance to meet needs around areas such as mobility, nutrition and behaviour is developed through referrals to the relevant agencies. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 11 As there may be long gaps in time between peoples’ stays at the home the care plans are reviewed on an ongoing basis to ensure that the information and assessed needs are still valid. Any changes in a person’s support needs would then generate a referral to the relevant agency. The home works with the person and their family and other relevant people to find out what the person likes and does not like in terms of diet, activities, environments and communication. Through this they try to offer people dayto-day choices and decisions that reflect their needs. Restrictions of choice are only made to safeguard the health and wellbeing of the person and only as a result of a full risk assessment. It was found that the home kept a person’s cigarettes and had a verbal agreement with them to restrict the amount the person would smoke. There were other examples where people’s actions may have to be restricted for their own health and wellbeing. It is recommended that any agreements around the restriction of choice be formally recorded and signed by the person and the home. As part of the initial assessment process the home undertakes a comprehensive risk assessment that looks at specific areas such as moving and handling needs, falls, personal care, communication and risks associated with the community and environment. Those areas that are identified as known or potential hazards will be assessed further by the relevant specialist provider and support guidance in minimising those hazards and risks would be developed. Manchester Learning Disability Partnership DS0000065266.V313627.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 at least once during a 12 month period. 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. The home offers and supports people to participate in activities within the house and in the community that they enjoy. Visitors are welcome and the routines of the home are based on peoples’ own preferences and activities. Meals are based on peoples’ needs and choices and appear nutritionally balanced. EVIDENCE: People stay at the home for a short time to give them and their carers a chance for a break. If a person already goes to a specific day service then they may continue to go during their stay. People have the opportunity to visit local cafes, restaurants, pubs and other amenities that they enjoy. People also have the opportunity to continue maintaining their own independence skills through undertaking domestic tasks within the home, shopping, preparing and cooking meals. The activities they take part in are based on their abilities, needs and goals. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 13 The home tries to maintain the routines that people have developed in their own homes in terms of the day services and other activities that they would normally take part in. There is also a high degree of flexibility within the home, which means that people do not have to follow their normal routines and can have a change if they wish. Visitors are welcome to come to the home at reasonable times but the home provides a short break away from peoples’ carers/family and so this would not happen on a regular basis. As the home provides a service for around 40 people choice of meals has to remain flexible and is dependent on the dietary needs of the people staying at the home at the time. Information on peoples’ food likes and dislikes is used to decide the choice of meals and the home encourages a healthy balanced diet with the availability of fresh fruit, vegetable and ingredients. Giving people the opportunity to eat out at cafes and restaurants was also seen as an important part of a persons stay. Manchester Learning Disability Partnership DS0000065266.V313627.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 at least once during a 12 month period. 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. The home supports people to maintain their personal and healthcare needs. The medication administration system has the procedures and practices in place to ensure that people are safe and maintain their health. EVIDENCE: Each person who comes to stay at the home has his or her own personal care checklist and support guidance. This sets out clearly the skills the person has and what help they need to maintain their personal care. Peoples’ healthcare needs were identified prior to them coming to stay at the home. Identified health needs and the support needed to meet them are clearly identified and the input from the relevant healthcare service had been gained. Specific skills needed to support peoples’ healthcare needs were provided. Each person has a medication profile that lists all current medication. Changes to the medication regime have to be notified to the home prior to the person’s stay. If the medication that arrives with the person is different from that listed Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 15 then the home will contact the relevant prescribing doctor to confirm the changes. All medication that comes with the person is recorded on a Medication Administration Record (MAR) sheet. MAR sheets seen were accurate in recording the dosage of medication given. The quantity of medication is checked daily and MAR sheets are regularly audited by the management team. Only a certain grade of staff is allowed to administer medication. Training was through observation by a senior member of the team and followed a clear checklist of actions that needed to be learnt. The Short Break service was currently working with their training provider to develop a more comprehensive system of medication training. Manchester Learning Disability Partnership DS0000065266.V313627.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the systems in place that encourage people and or their carers to express their concerns and worries. The systems and procedures are in place for the protection of people from abuse but the home must ensure that they follow those procedures fully. EVIDENCE: The home forms part of the Manchester Learning Disability Partnership (MLDP) Short Break service and as such links into the formal Manchester Children, Families and Social Care (MCFSC) department’s complaints procedures. This is a clear and established complaints process that people and/or their carers/families can access. Information about how to make a complaint has been made available to people and their carers. The home also has its own informal complaints process where people and carers can contact the staff or management team to discuss issues that they are not happy with or concerns that they have. The home will try to resolve any concerns directly or may require the attention of the management team. As part of MCFSC the home follows the Manchester Multi-Agency Adult Protection Procedures. The staff team have access to a rolling programme of adult protection training and are aware of the procedures to follow. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 17 As people only stay at the home for a short time a system of recording peoples’ monies and spending has been developed. The system should show clearly what has been spent on what and how much returns home with the person. An example of the recording sheets were seen and found to be accurate. Manchester Learning Disability Partnership DS0000065266.V313627.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The facilities and layout of the home meets peoples’ needs and provides a safe and homely environment. EVIDENCE: The home was clean, well maintained and decorated throughout the house. All furniture, fixtures and fittings were of a good quality. The layout of the house offers people the chance to spend time together or in private in a relaxed and homely atmosphere. Staff spoken to were aware of the need for infection control and the procedures to follow to minimise cross infection. Guidance had been sought from healthcare specialists in implementing an infection control policy. The home had the equipment required to maintain safe working practices. Manchester Learning Disability Partnership DS0000065266.V313627.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from having an effective and competent staff team who have the skills and knowledge required to support their needs. The home’s recruitment practices and procedures ensures that staff are safe to work with vulnerable people. EVIDENCE: The staff team is made up of an Assistant Network Manager and five support workers (made up from two grades). There is usually at least two staff on duty during the day but this will depend on whether the people staying at the home attend a day service. To cover staff days off, holidays and sickness cover the home employs agency workers from either the MLDP own bank or private agency staff. The MLDP Bank staff covers the majority of hours and several of the staff team work for this bank and so this provides better consistency of staffing than using private agency staff. The home has access to an established programme of vocational training that is based on the Learning Disability Awards Framework (LDAF) and then the NVQ Level 2/3 Award. Both new and long-standing staff have access to the vocational courses. Four support staff had gained the NVQ Level 2. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 20 The home also has a system for assessing staff competence in the key areas of skills and knowledge that staff need to undertake their role. This includes regular job consultations, observation of their practice and a ‘mentoring’ system whereby experienced staff are given a role in developing and monitoring the competence of new staff. The Short Break service has an established recruitment process that includes gaining the required documentation and checks required to ensure that staff are safe to work with vulnerable people. The home has access to a structured staff induction programme that is based on the LDAF induction and foundation programme. This has been reviewed to ensure it meets the new standards introduced through the Skills for Care Induction modules. The home’s training is provided through the MLDP and MCFSC training programmes and other training providers. Staff training needs are identified through the home’s job consultation and appraisal process where, in addition to the core training, specific training relating to peoples’ support needs are identified and provided through the relevant training provider. Each member of staff has their own training plan and log that sets out what they need to achieve to undertake their role e.g. moving and handling, food hygiene, adult protection, recording, eating and swallowing. The plan also includes their training needs for the coming year. Manchester Learning Disability Partnership DS0000065266.V313627.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 at least once during a 12 month period. 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 home has in place the systems for gaining peoples’ views on the service. Overall, the home has the management structure to ensure that the people receive a well-run service but has no appointed registered manager. The home’s fire safety systems do not fully protect the welfare of the people who use the service. EVIDENCE: The home’s management structure has an Assistant Network Manager (ASM) who has day-to-day responsibility for the safe running of the home. They are also responsible for another home in the Short Break service. They are responsible for supervising the staff team and to ensure that standards of care are being maintained. They do this through allocating a large proportion of their time at the home working and spending time with people and monitoring the homes recording and operational systems. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 22 They are line managed by the Team Manager who has responsibilities for the Short Break and other services within the MLDP. The MLDP Short Break service has been in discussion with the CSCI in relation to the appointment of a registered manager responsible for the day-to-day operation of the service. The service had proposed appointing a single manager to oversee all four of the MLDP Short Break services. However, no appointment had been made at the time of the site visit. The home must appoint an individual who is fit to manage the home. The home gathers information about the service it provides in several ways. On an informal basis the home listens to people and their carers about their experiences of the service. The care management and in-house reviews looks at the support individuals receive. The home also organises regular meetings with people and their carers to discuss their experiences. The home also undertakes an annual quality assurance exercise where people and their carers are asked to express their views on the their experiences of the service and what they feel works and does not work. From this a report is produced setting out the key points raised and an action plan should be developed on how the home will address the issues raised. It is recommended that the home’s quality assurance system include a quantifiable analysis of the information gathered to provide a year on year measure of the quality of the service. The home undertakes a regular audit of health and safety within the home to look at potential risks and hazards. A fire log was being maintained of regular checks of the fire safety system. Gas, electric and other equipment was being serviced on an annual basis. At the time of the site visit a person staying at the home was seen to ‘wedge open’ a ground floor fire door. It was explained by the home that the person found the door difficult to open. They were aware of the need to be able to control the opening and closing of the fire door and the impact on peoples’ safety. The home must ensure that it has the necessary arrangements for containing fires and protecting the people who use the service. The home has an emergency/fire evacuation procedure and an updated Fire Risk Assessment. However, some people that use the service have varying Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 23 degrees of mobility needs that will impact on the procedures to be taken in the event of a fire alarm/emergency. The home must ensure that its systems and procedures for protecting people from fire that take into account the individual needs of the people who use the service. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X 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 2 X 3 X X 2 X Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 25 Not Applicable 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 2 Standard YA37 YA42 Regulation 8 and 9 23 The home must ensure that it has the necessary arrangements for containing fires and protecting the people who use the service. The home must ensure that its systems and procedures for protecting people from fire that take into account the individual needs of the people who use the service. Requirement The home must appoint an individual who is fit to manage the home. Timescale for action 30/11/06 01/11/06 Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 26 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 2 Refer to Standard YA7 YA39 Good Practice Recommendations It is recommended that any agreements around the restriction of choice be formally recorded and signed by the person and the home. It is recommended that the home’s quality assurance system include a quantifiable analysis of the information gathered to provide a year on year measure of the quality of the service. Manchester Learning Disability Partnership DS0000065266.V313627.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 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. 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