Inspection on 16/06/05 for Maple Grove Hostel

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Maple Grove Hostel 15/05/07

Maple Grove Hostel 15/05/06

Maple Grove Hostel 12/12/05

Maple Grove Hostel 24/11/04

Maple Grove Hostel 28/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Maple Grove Hostel 25-27 Maple Grove Bath Bath & N E Somerset BA1 INY Lead Inspector Angela Smith Unannounced 16 June 2005 10:00 th 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 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 Stationary 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. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Maple Grove Hostel Address 25-27 Maple Grove Bath BA1 1NY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01225 477000 01225 420548 Bath & North East Somerset Council Vacant Care Home 10 Category(ies) of LD Learning disability,10 registration, with number of places Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 10 persons aged between 18 and 65 years who have a learning disability. Date of last inspection 24-Nov-2004 Brief Description of the Service: Maple Grove is a local authority run residential care home for up to ten adults who have a learning disability. The home is situated in a quiet location, and provides easy access to local shops on Bear Flat and Moorland Road, Bath. The city centre is also no more than a mile away. Maple Grove is two spacious semi detached Victorian houses (number 25 & number 27 Maple Grove), which have been connected to form one building. The home has large gardens to the front and rear of the property. There are ten single bedrooms, one of which is used to provide respite care to people living in the community, two communal lounges, a dining room, two bathrooms without toilets, one shower room with toilet, and two separate toilets. Three of the bedrooms have ensuite facilities. The home does not offer adapted bathing facilities or a lift of any sort between floors. The home is therefore not suitable for people with poor mobility. All service users are provided with their own key to the house and are encouraged and supported to use local community services. The staff team at Maple Grove also provide support to four people living in their own flats in the local community, and seven people who regularly use the home’s respite care service. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over one day. Members of the staff team assisted the Inspector as the home’s Acting Manager was on annual leave. The Inspector gained information for this report from her discussion with members of the staff team, from reading a number of records maintained by the home relating to the residents, staff training and development records and maintenance records. Care plans, daily records of care provided, staff training records, and relevant policies and procedures were all seen. The Inspector was also able to gather information for the report from observing and talking with six of the residents during the inspection and from observing staff members’ interaction with the residents and from a tour of the premises. What the service does well: Residents were able to personalise their bedrooms and their individuality was being respected. The staff team demonstrated respect for residents’ rights and every effort was being made to enable residents to make choices about things that directly affected their lives. The residents seemed happy living at Maple Grove. Professional expertise was being actively sought whenever necessary in order to support and maintain residents’ health and well being. Staff were making every effort to support residents to become part of their local community and to lead as fulfilling a lifestyle as is possible through the activities they pursue and the opportunities they have available to them for things like going out and holidays. Residents’ records were sensitively written and clearly identified residents’ individual needs. The staff team were supportive of each other and there was a good team spirit apparent in the home. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 Residents were being supported based on an assessment of their individual need and their transition into care had been well managed by the staff team. Residents are given the information they need about the home. EVIDENCE: A new service user’s guide had been produced since the last inspection and all residents have received their own personal copy of this document. This document provided details of the facilities and services that the home can provide and it set out the main aim of the home. The document does not provide residents with a summary of the home’s complaints procedure, but residents had been provided with a separate complaints procedure document, which is in picture format. The service user’s guide refers residents/readers to accessing the latest inspection report at a local library. This should be amended so that the resident or reader is directed to accessing the last inspection report via the Care Standards Commission either by telephone or by accessing the web site. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 9 One person had been admitted since the last inspection and nine people were being accommodated in total. The home had one vacancy. Care records examined relating to the most recent resident’s admission to the home provided a clear account of the admission process that had been followed and demonstrated the staff team’s effort to ensure that this person had a smooth a transfer as possible into the home. This person had made a number of introductory visits before they had been ready to move in permanently. One resident spoken with said that they had been able to see the bedroom they had been allocated before they had moved in and had been able to redecorate the room with colours that they liked. Staff members told the Inspector that seven people were regularly using the home’s respite care service. The records relating to respite care clients need to be updated as some people whose details the home had were no longer using the service. Respite care records should set out the frequency of visits that respite care clients normally make to the home. A social worker had been responsible for organising the placement of all of the residents receiving a service. All residents had therefore undergone a care needs assessment and a financial assessment. Social Worker care placement reviews were seen in the resident’s care files that were examined. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 standard(s) 6, 7, & 9 The home is able to provide the necessary level of support needed by each individual resident in order to enable him or her to work towards achieving goals that they had agreed to. EVIDENCE: Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 11 Care documentation, which included assessment information, guidelines for working with residents, individual personal programmes, which included individual goals, risk assessments, individual timetables, and day-to-day records, were reviewed for four residents. This documentation was generally comprehensive and provided evidence of the staff team’s commitment to meeting the individual needs of residents - where necessary through seeking appropriate support from suitably qualified professionals. Entries made by staff into residents day to day records made it easy for the Inspector to track each of the four residents care needs, their progress within the home, and any day-to-day activities they had participated in. An epilepsy protocol was not seen to be in place within the care file of two residents who are prescribed medication for this condition. Epilepsy protocols need to be devised, discussed and agreed with the relevant professionals and made accessible within the care files of both of these residents in order to inform action that would be taken by staff and ensure the welfare of the residents. Interactions observed that took place between staff and residents during the inspection showed that the home’s staff team were working hard to ensure that the needs and wishes of residents were being identified and as far as possible met. Individual residents’ abilities and needs were clearly known and acknowledged by the staff team. Staff were seen to actively encourage residents to make choices whenever possible and to provide advice and guidance were necessary. One resident who regularly walked to the hairdressers, but who was finding the walk more difficult was advised to consider the hairdresser’s recent offer to visit her at the home. The resident was given advice, but encouraged to make her own decision about what she wanted to do. Residents were being supported to manage their own finances as far as they were able. For example, one resident was seen to request money from that which was being held for safe keeping by staff in order to enable her to pay a paper bill. The resident told the Inspector that she always pays her paper bill on time. Risk assessments had been carried out in respect of each of the four residents. Risk assessments covered aspects of activities of daily living and behaviours specific to the individual resident. Actions to be taken by staff in order to minimise any identified risks had been recorded. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16 & 17 Residents receive good support from staff to pursue activities that they enjoy, to make the best use of community facilities, to enjoy holidays/ short breaks away from the home, and to keep in contact with their family. Residents contribute to menu planned are were being supported to eat a healthy balanced diet. EVIDENCE: Each resident had their own timetable of activities, which included educational activities and leisure activities, which were being accessed through the Local Authority day services. Residents were being provided with opportunities to learn and use practical life skills such as planning and preparing meals, managing their own finances, planning and enjoying day trips, holidays and social events. Two residents were observed preparing the evening meal with a member of the staff team. One resident told the Inspector that she enjoyed being able to cook. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 13 Residents do go out on their own or with friends if they are able and they are provided with their own front door key to the house. Residents are asked to inform a staff member when they do go out for their own safety. One resident told the Inspector that she enjoys walking to and looking around the shops on her own. Staff members spoken with said that residents would receive the appropriate level of support following an assessment of their need in order to enable them to use community facilities such as shops, the library, restaurants, and the cinema, or to pursue a leisure/sporting activity of their choice. Residents have been offered opportunities to enjoy day trips and holidays, and also to enjoy social events in the home, such discos, and they have been able to invite their friends and family. Two residents told the Inspector about an overnight stay they enjoyed in a hotel in Cheltenham in April supported by two staff members. Both residents said they had had a really good time. Staff members told the Inspector that they were looking into the possibility of offering residents the opportunity of enjoying a short break to Centre Parks in Longleat. Most of the residents have regular contact with their families and staff members explained how some regularly go to stay with their families for weekends. Interactions observed between staff and residents during this inspection showed that residents were being treated with respect and dignity. Monthly resident meetings were being regularly held, which keeps residents involved in the general running of the home. Weekly menus are planned and residents are encouraged to contribute to this plan and also to assist staff with a weekly shop. Records showed that residents were being encouraged to eat a healthy balanced diet. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 standard(s) 18, 19, & 20 Residents are receiving personal care support as needed. Residents’ health care needs are being closely monitored and action taken promptly to address concerns. Medication administration was being well managed. EVIDENCE: Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 15 Arrangements have been made for all residents to be registered with a local G.P. practice. GPs have visited the home when requested, although the Inspector was told by staff that they would generally support residents to attend appointments at the surgery should they need to see their GP. All residents have received a degree of support from the range of professionals employed by the Local Authority Community Learning Disability Team (CLDT). These include the Speech Therapist, Physiotherapist, Psychologist, Behavioural Specialist, and Occupational Therapist. The Psychologist and the Occupational Therapist were supporting one resident who will more than likely have to undergo major surgery in the near future. Staff members have supported this resident to attend all her hospital appointments and were making necessary arrangements to support the resident following surgery. All hospital appointments had been carefully documented in the residents care records. Local practitioners in the community have undertaken optical and dental reviews for residents. Residents have also received chiropody care when needed. The home uses the Boots Monitored Dose System (MDS system) and the Boots pharmacist had carried out regular advisory visits, providing the home with a report following each of the visits made. The last advisory visit took place on the 6 June 2005 and no problems were identified. Two residents were noted to be on medication for epilepsy, but no epilepsy protocols were seen to be in place within their care records, which had been signed by the appropriate professionals. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 standard(s) 22 & 23 Residents would be supported and protected appropriately by staff should they wish to make a complaint or raise any concern. Whistleblowing and protection of vulnerable adult procedures are relevant and known by staff. EVIDENCE: There were several local authority generic complaints leaflets available in the home, which outlined the procedure someone would need to follow when making a complaint about a Local Authority service. These leaflets provided information on how a complaint would be dealt with, but were not specific to the home. The home’s staff team have therefore developed a more service user-friendly complaints procedure, which was seen to contain pictures and symbols to assist residents understanding and related specifically to the home. This procedure informs residents who they can complain to including CSCI. Residents spoken with told the Inspector that should they have any concerns they would feel able to speak with any member of the staff team and one resident said, “staff would help them”. There was a complaints and compliments form in operation within the home, which had been filled out by staff members when the need had arisen. The home had received no complaints since the last inspection. Bath and North East Somerset Council has an interagency procedure on the protection of vulnerable adults, which is available in the home and the home has produced an in-house procedure for staff, which makes it clear to staff that if a service user discloses information or is showing symptoms which lead them to believe there is possible abuse, staff must only ask what they need to ask to Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 17 figure out what to do next. Staff were made aware that must not ask for any details as they may compromise an investigation. The Local Authority also has a confidentiality reporting policy, which tells staff what to do if they have a concern about the service they are working in. An in-house whistle blowing procedure was also seem to be in place in the home and was accessible to staff. Staff members spoken with were aware of where to access both the in-house protection and vulnerable adult procedure and the whistle blowing procedure. The Local Authority has provided a series of training sessions on the protection of vulnerable adults. Staff members spoken with had attended this training and had found it useful and informative. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 standard(s) 24, 25, 26 & 30 Some improvements have been made to the premises both internally and externally, which has improved the safety for residents and made the home a little more homely. Residents can personalise their bedrooms with the support of their family and/ or staff members, which demonstrates that their individuality is being respected. The home was clean and tidy. EVIDENCE: Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 19 The two semi-detached Victorian houses, which form Maple Grove have the potential to offer extremely comfortable and pleasant accommodation to residents. All maintenance or refurbishment work has to be reported by staff working in the home to the Local Authority’s Property Service Department who have responsibility for approving and organising any work needed on the properties. The opportunity was taken to inspect all communal areas of the home and three of the residents’ bedrooms. The hall, stairs and landing, had recently been repainted and new floor covering had been provided in the dining room and new tables and chairs obtained. The redecoration, new floor covering and new dining room furniture have improved the appearance of the internal environment. Shower seats have also been installed in the shower facilities as aids for residents. Externally some repainting of the properties has also been carried out and some of the pathways around the properties have been repaired/resurfaced and the debris from the fallen down garage at the bottom of the garden has been removed. This work has also improved the overall appearance of the properties and has rectified some of the hazards identified at previous inspections for residents. Staff members told the Inspector that further work on the premises is due to be carried out. A more comprehensive inspection of the premises will therefore be carried out at the next inspection. The three residents’ bedrooms seen had been personalised and reflected the individual tastes of the residents – indicating that their choice and independence had been promoted. Both properties were found to be clean and tidy. There was a rotten back door frame on number 27 and this door could not be pulled to when going outside as it did not have a proper door handle or lock fitted. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 & 36 Residents are supported by a well trained and supervised staff team who were responsive to their needs, which in turn resulted in them being relaxed and happy in the company of staff. EVIDENCE: Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 21 Staff members were observed interacting well with residents and those spoken with during this inspection had a good understanding and knowledge of the individual needs of each of the residents. The home’s staffing establishment consists of a manager, a full-time deputy manager and 10 assistant managers each working between 26 and 37 hours a week and providing an overall total of 309 support hours per week (this total excludes the manager’s and the deputy manager’s hours). This total number of support hours also excludes 14 hours, which were being provided each week in order to provide 1:1 support to one resident whose support needs have increased and 23 hours, which the home has been granted in order to support a client who lives in the community. The home manager has left her employment at Maple Grove and the Deputy Manager was acting as manager. There were no other staff vacancies. The Inspector was not able to see any employment documentation for staff working in the home as the staff members who assisted the Inspector did not have access to this information and the deputy manager was on annual leave. It was therefore not possible to make a judgement about the robustness of the home’s recruitment procedures during this inspection. Employment documentation needs to be accessible at each inspection. Individual training and development records were seen for four members of the staff team. During 2005 these staff had received first aid training, food hygiene training, minibus training, medication training, fire training and person centred planning training. Staff members spoken with stated that the level of training they had received from the Local Authority was good. The Inspector was told that four members of the staff team were working towards their Level 3 National Vocational Qualification, one staff member was awaiting verification of her Level 3 award portfolio, which she had completed, and the deputy manager was working towards her Level 4 award. Staff members told the Inspector that they had been receiving individual supervision approximately six weekly. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 40 & 42 The home is being generally well run, which means that residents can enjoy a good standard of lifestyle and be assured that their health and safety is being actively promoted. EVIDENCE: The home’s manager had left her post at Maple Grove and the post was vacant. The home’s deputy manager was acting as manager and has applied for registration with the Commission for Social Care Inspection. During this inspection the home’s staff team were seen to be supportive of each other. There was an open and inclusive atmosphere in the home and staff and residents interacted well. Monthly staff meetings were being regularly held and minuted. There were recording systems in place to support the maintenance of health and safety in the home. For example, recording systems were in place to show that regular in-house checks had been carried out on such things as the Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 23 home’s fire alarm system, fire fighting equipment, window restrictors, water temperatures and fridge and freezer temperatures. The Local Authority has contracts in place for the maintenance and servicing of plant and equipment. Copies of some servicing reports were seen during this inspection and were found to be satisfactory. Residents care records were sensitively written and meaningful. However, a clearer record of the level and frequency of support provided to respite care clients is needed and epilepsy protocols are needed for two residents. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Maple Grove Hostel Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x 2 3 x D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 25 Are there any outstanding requirements from the last inspection? NEEDS COMPLETION 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 6 & 41 6 & 41 Regulation 15 15 Requirement Bring record of respite care clients up to date. Epilepsy protocols to be devised, discussed and agreed with relevant professionals and made accessible with the care files of both residents who are prescribed medication for their epilespy. Replace the rotten back door frame on number 27. Fit a proper handle and a lock. Staff employment records to be available for inspection. Timescale for action 30/08/05 30/08/05 3. 4. 24 34 23 17(2), Sch 4 30/08/05 FROM 30/06/05 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 1 6 &41 Good Practice Recommendations Amend service users guide to refer residents/readers to the latest inspection report being accessible via the CSCI office or by accessing the report via the CSCI website. Respite care client records to set out frequency of visits that they normally make to the home. Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 26 Commission for Social Care Inspection 300 Aztec West Almondsbury South Gloucestershire BS32 4RG 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. Extracts may not be used or reproduced without the express permission of CSCI Maple Grove Hostel D56_S38861_MapleGrove_V222919_160605Stage4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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