Inspection on 02/08/06 for May Lodge

This inspection was carried out on 2nd August 2006.

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

Other inspections for this house

May Lodge 22/11/07

May Lodge 01/02/06

May Lodge 31/10/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 May Lodge Barrow Hill Sellindge Ashford Kent TN25 6JG Lead Inspector Ms Patricia Green Unannounced Inspection 2nd August 2006 3.00P May Lodge DS0000065349.V300723.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 May Lodge DS0000065349.V300723.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. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service May Lodge Address Barrow Hill Sellindge Ashford Kent TN25 6JG 01303 813926 01303 814974 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) CareTech Community Services (No.2) Ltd Erica White Care Home 6 Category(ies) of Learning disability (6) registration, with number of places May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2006 Brief Description of the Service: May Lodge is registered to provide care to six people who have a learning disability aged between 18 & 65. The aim of the Home is to provide a service to younger adults, within the age range 18 - 25 who have a diagnosis of autistic spectrum disorder or Asperger’s syndrome. The home is a detached bungalow, surrounded by its own gardens, and comprises of 6 single bedrooms; three with full en-suite facilities, three with toilet and wash hand basin. Two communal bathrooms with WC are positioned in easy reach for all. For communal use are a lounge, with TV and video facilities and a dining room, with a music system. The home has a large kitchen and a separate laundry. A large garden, to the rear of the property has a picnic table, a variety of recreational items and some developing plant boarders. The home is in easy walking distance of the village of Sellindge that has a shop, pub, and community centre and is on a direct bus route to the towns of Ashford and Hythe. The current scale of charges are £1524.55p - £1760.00 May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was unannounced and took place over 2 days, 2nd & 7th August 06. During the visit management, staff and residents were spoken to, the premises were toured and a range of documentation was viewed. Due to limited verbal communication experienced by some residents, evidence was in addition gained by observation during direct contact with the residents. The Manager of the home was not present during these visits; during the first day of the site visit a Senior member of staff was on duty and during the second day the Deputy Manager and Area Manager were present. It is evident that since the last Inspection of the home, much focus has been given to addressing the requirements made at this time; however as the home offers support specifically to those diagnosed with Autistic Spectrum Disorder, there is a need to ensure that the aims and objectives of the service are continuously and consistently met. What the service does well: What has improved since the last inspection? Documentation in regards to the daily needs of residents has improved and is now much more detailed. Person centred planning has been developed and is now more evident in the written records kept. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 6 Supporting the individual resident to be make choices regards their daily life has been given specific focus within the staff team. Health action plans are incorporated into overall care planning. Individual risk management strategies have also been developed. Risk management involving the kitchen area has been discussed with strategies in place. Medication procedures are monitored by management, which includes monitoring of temperature in the area where medication is stored. The Manager of the home has successfully applied for registration. 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. May Lodge DS0000065349.V300723.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 May Lodge DS0000065349.V300723.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents are well informed of the home’s services and facilities and are safeguarded by the pre-assessment and review processes in place. EVIDENCE: The organisation has produced a Statement of Purpose, which gives details about the service and facilities offered. A Service User Guide has also been produced, containing information in an easily readable/picture format. The normal process for receiving referrals would be via the Social Services Department, with the Care Manager, and family being very much involved in the initial assessment process; on receiving a referral the home’s manager will arrange to meet with the prospective resident for the purposes of undertaking the initial assessment of need and to assess the home’s capacity to be able to meet the needs of the individual. Evidence was seen within the care planning documentation of the pre-assessment process, with the care plan then being developed from this initial assessment. Arranging a visit to the home for the prospective resident will be agreed with all those involved in the care of the resident and in accordance with the resident’s assessed needs. In arranging the placement a contract/terms and conditions is agreed with the placing authority. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 9 One of the resident’s spoken to during the visit had recently moved into the home and at the time appeared to be settling in well; staff confirmed that following a period of time, a ‘review’ of the placement will be undertaken to assess how this resident has settled and identify possible further current and future care requirements. When meeting the resident it was noted that his room was very homely and personalised, with many items of his choice that he had brought with him to the home. May Lodge DS0000065349.V300723.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 & 9 QUALITY IN THIS OUTCOME GROUP IS ADEQUATE. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Care planning documentation is clear in identifying individual needs of the residents, however residents are not fully safeguarded due to the need for close monitoring of staff to ensure they fully understand care planning in practice. EVIDENCE: The home offers support to persons whom have a diagnosis of Autistic Spectrum Disorder (ASD) and as such has become ‘care specific’. Care planning documentation has been developed and is now more detailed. The records contain ‘Individual Support Requirements’ written in ‘First Person’, which give a good description of the resident’s daily needs and clearly state personal likes and dislikes; a ‘Health Care Plan’ is also included. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 11 Risk assessments have been undertaken as part of supporting the resident in daily activities. In addition clear guidelines are in place for staff in the daily support of the resident, giving guidance in support/action required in specific circumstances that have been identified as likely to occur. Regular reviews of care are in place, with each resident having an allocated ‘care co-ordinator’ (key-worker), whom as part of their responsibilities engages with the resident in a regular ‘talk time’ session, ascertaining the views of the resident as well as undertaking a review of their individual support and care needs; the ‘care co-ordinator’ will produce a monthly report of this review/assessment of current needs. In addition to these monthly reviews, an annual review of care is arranged which includes the involvement of the Care Manager and the resident’s family. It is evident that much emphasis has been placed on developing the care planning documentation and ensuring this is kept up to date; however from this visit there was not sufficient evidence ascertained to confirm that there is a full understanding of each resident’s care needs by individual members of staff; a situation that occurred during the visit, involving a member of staff, did not demonstrate clear understanding of their role, the needs of the residents and accepting and understanding guidance given (it is acknowledged however that the situation that occurred is currently being addressed by management). The residents at the home have a wide variance of need and their diagnosis of ASD does require a high level of understanding in this area and skill in supporting persons with this condition; from evidence gained during this visit there is a need to ensure close monitoring of staff in their understanding of the individual resident’s needs and strategies identified to be implemented in practice. May Lodge DS0000065349.V300723.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): 11, 12, 13, 15, 16 & 17 QUALITY IN THIS OUTCOME GROUP IS ADEQUATE. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents benefit from being involved in a variety of different activities, including contact with family, however there is a need to ensure that the ‘person centred’ approach aimed for is fully developed and implemented in practice. EVIDENCE: Evidence gained during this visit demonstrated that attention has been given by management to developing a more ‘person centred’ approach to practice, with the personal interests of the residents being identified and individual residents being supported in activities that they have specifically chosen recently. In discussion with staff on duty it was evident that there is a commitment to fully developing this approach, with a good understanding demonstrated by staff of individual interests and personal preferences. However through general discussion, observation and in viewing relevant documentation there is still a May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 13 need to ensure that this approach is fully understood by all staff working at the home and that ongoing assessments and reviews of care fully identify the individual’s personal aspirations and short and longer term goals. There is a need to ensure that with the home’s objectives to support persons with ASD, that staff have a full understanding of this diagnosis and as such the need to support accordingly and appropriately in daily living activities and lifestyle. In discussion evidence was gained of current activities residents are involved in, which include using (at times during the week) the facilities of Care Tech’s own community resource centre, shopping trips, being able to access some community local facilities and trips out to places of interest. In developing further and maintaining the aimed for ‘person centred’ approach to practice it is necessary to ensure that staffing levels at the home reflect the identified support needs of individual resident’s to be able to partake in activities outside of the home. Evidence was gained from discussion that at times staffing levels may not always be adequate to be able to accompany and fully support individual’s to engage in outside activities of their choice. In discussion with staff it was evident that residents are involved in the choice of menu at the home and are encouraged, in accordance with their identified needs, to be involved in food shopping trips and cooking. As observed during this visit there was good interaction noted between the staff and residents, with residents being asked what they would like to eat and one resident being supported in his wish to make a hot drink. Makaton as a form of communication is used for some residents with limited verbal communication. Relatives are encouraged to be involved in the resident’s care, from the preassessment process, through to ongoing reviews of care; staff said that a number of the residents have regular contact with family and this is encouraged. May Lodge DS0000065349.V300723.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 & 20 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. The residents benefit from having an individual Health Action Plan, which clearly identifies support needs in this area and are safeguarded by the home’s medication procedures. EVIDENCE: As part of overall care planning each resident has an individual Health Care Plan drawn up, which details current health care needs and the intervention and involvement of health care professionals; the Health Action Plan is set out in a picture/easy readable format. Reviewing health care needs is incorporated into the regular reviews and monitoring of overall care. In discussion with staff evidence was gained of a good understanding of the resident’s preferences when receiving personal support; care plan documentation gives clear guidance to the staff of the resident’s preferences and their daily personal support requirements. During the visit medication was seen to be stored securely and administration records up to date; staff on duty (on both days of the site visit) confirmed that May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 15 only those staff members whom had received appropriate training would be involved in giving medication to the resident; staff spoken to gave details of the type of training that is undertaken in regards to medication practice and it was confirmed that this training was assessed by an outside training organisation. The Deputy Manager confirmed responsibility for overseeing the ordering and associated administrative tasks relating to medication for the residents. May Lodge DS0000065349.V300723.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 & 23 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INLUDING A VISIT TO THE SERVICE. The residents are safeguarded through the home’s complaints procedure and the training that has been undertaken by staff covering Adult Protection EVIDENCE: An ‘easy readable’ picture complaints procedure has been introduced for the residents and is incorporated as part of the Service User Guide; in addition staff said that during the monthly ‘talk time’ sessions with the individual resident, this gives an opportunity to ascertain if the resident has any concerns or worries. Focus has been given by Care Tech to ensure that all staff undertake Mandatory training which includes Adult protection; in discussion with staff and in viewing documentation evidence was seen of Adult Protection training having been undertaken by staff. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents benefit from living in a clean, comfortable and homely environment, however there is a need to ensure that the practice of locking the kitchen door is regularly reviewed in accordance with residents needs. EVIDENCE: In touring the home it was noted to be clean and in good general order; the home offers a comfortable environment, with lounge and separate dining area and with all residents having single accommodation. The residents bedrooms are very individual and from viewing it is evident that the resident’s bedroom is seen as very much their own personal space, with many items of their personal choice. Residents are encouraged and supported on moving into the home to bring their own preferred choice of items/equipment with them; this was specifically demonstrated by viewing the room of the resident whom has recently moved into the home, whom has chosen to bring many personal items with them, creating a very personalised environment. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 18 Residents do have access to the kitchen at the home, however this access is supervised by staff in accordance with the resident’s identified needs; access to the kitchen is risk assessed for the individual. During the visit the current practice of locking the kitchen door was discussed and the need for this practice to be regularly reviewed, in accordance with the review of each resident’s daily support needs. It is acknowledged that there is a need to balance the freedom of movement around the home for the resident with health and safety practice and individual risk to the resident, however residents whom are safely able to use the kitchen should not be prevented from doing so and therefore this area needs to be closely monitored and practice updated as necessary. However during the visit it was noted that a resident whom wished to make a hot drink at the time was able to access the kitchen with staff encouragement and support. The garden to the rear of the property is able to be freely accessed by residents and offers a spacious and pleasant area; staff said that this area is regularly monitored and checked in accordance with Health & Safety requirements. May Lodge DS0000065349.V300723.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, 34, & 35 QUALITY IN THIS OUTCOME GROUP IS ADEQUATE. THE JUDGEMENT HAS BEEN MADE BY USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents are safeguarded by the home’s recruitment process, however there is a need to ensure that training and development for staff continues, specifically relating to the category of resident being cared for at the home. EVIDENCE: During the visit a selection of staff files were viewed demonstrating the robust recruitment practice that has been introduced by the organisation; applicants are asked to complete an application form, with identity check, written references followed up and POVA/CRB check undertaken. On commencing employment the new member of staff will follow an Induction training programme, during which time it is envisaged they will undertake all Mandatory training courses. In discussion with staff they commented that they felt well supported by management to undertake training, with regular courses covering a broad area of practice available, including courses dealing with ‘challenging behaviour’ and intervention relating to ‘restraint’. Staff also confirmed that the opportunity and support is given by management to undertake NVQ training. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 20 However through observation and discussion, it was evident that there is a need to continue the focus on specialist training to ensure that the aims and objectives of the home to care for people with an Autistic Spectrum Disorder are consistently met. It is acknowledged that training in general has been developed and made available to staff, however evidence gained demonstrates that only ‘awareness training’ covering Autism has been undertaken by the majority of staff and yet they are supporting people with often very complex needs. As the home’s aims and objectives are to care for this specialist client group there is a need to ensure that staff move onto more in- depth training to fully develop an understanding of this diagnosis and strategies of care and support that may need to be implemented. A situation that occurred during the visit, involving a member of the staff team (see section 2), is a possible demonstration of the need for staff to receive full and in-depth training and guidance relating to the client group at the home and the necessary consistent practice that needs to be in place. May Lodge DS0000065349.V300723.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 & 42 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. The home is well managed on a daily basis with strong support from senior management visiting the home. Residents are safeguarded living in the home by Health & Safety practices implemented by management. Quality Assurance measures take into account the views of the residents. EVIDENCE: The manager at the home has focused since taking up her position on reviewing the training needs of staff and in the building of a cohesive staff team; there is a need for ongoing training (as stated in previous section), however feedback from staff demonstrated that the staff team is now working much more cohesively and developing more knowledge in their daily practice. The Deputy Manager works very closely with the Manager of the home each having specific responsibilities; the Deputy Manager expressed that much emphasis had been given to supporting staff in their daily support of the May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 22 residents and that it was felt that a stable cohesive staff team was now developing. The home is well supported by senior management of the organisation, with the Area Manager visiting the home regularly; the required Regulation 26 reports are received by the Commission. Care Tech has devised its own Quality Assurance system, which includes questionnaires sent to residents and relatives at least once annually to gain feedback on the service. In addition the ‘talk time’ sessions that have been introduced for residents will cover any concerns/worries they may have, as well as any views on the service being provided. All finances kept on behalf of the resident are recorded and securely stored; the system in place is regularly monitored and checked for accuracy and safeguarding of monies kept on the resident’s behalf. Evidence was gained during the visit of guidance for staff and training that has been undertaken covering Health & Safety; staff confirmed that this training is included as part of Mandatory training. In discussion with staff they demonstrated a good awareness of Health & Safety practice. During the visit records relating to the Fire Alarm system were viewed; these gave evidence that the system is tested on a regular basis. Staff confirmed that Fire Safety is an area that is covered during the Induction training period, with refresher/updating training provided at regular intervals. May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 3 5 3 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 3 26 3 27 x 28 2 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 2 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 3 x 3 x x 3 x May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 24 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 YA6 Timescale for action 15,24(1)(b) Individual plans to be developed 30/09/06 further to have a clear person centred focus and for staff to be closely monitored to ensure understanding in the delivery of ‘person centred’ care and support needs. 16(2)(n) Staff training to include focus on developing awareness of person centred practice, in supporting residents with a broad range of activities relating to recreational, fitness and training. Staffing levels at the home need to reflect this practice. The current practice of locking the kitchen to be kept under regular review, in accordance with the needs of the residents. Staff have suitable training to be skilled and competent in their roles with this service user group, to enable service user development. Staffing levels to be monitored to ensure appropriate support is available at all times. 30/09/06 Regulation Requirement 2. YA11 3. YA28 23 30/09/06 4. YA32 18 30/09/06 May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 25 5. YA35 18 Staff to have appropriate training specifically relating to the client group cared for at the home and for this training to be regularly updated. 30/09/06 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 May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 May Lodge DS0000065349.V300723.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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