Inspection on 25/05/06 for Milton Heights

This inspection was carried out on 25th May 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 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

Milton Heights 12/01/06

Milton Heights 15/11/05

Milton Heights 14/03/05

Milton Heights 23/11/04

Milton Heights 28/01/04

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Milton Heights Milton Abingdon Oxfordshire OX14 4EH Lead Inspector Catherine Kane Unannounced Inspection 25th May 2006 10:00 Milton Heights DS0000013110.V297051.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 Milton Heights DS0000013110.V297051.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 Older People and 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. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Milton Heights Address Milton Abingdon Oxfordshire OX14 4EH 01235 831686 01235 821956 hftmilton@hft.org.uk www.hft.org.uk Home Farm Trust 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) Mrs Emma Pithers Care Home 39 Category(ies) of Learning disability (39), Learning disability over registration, with number 65 years of age (39) of places Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of services users accommodated at any one time must not exceed 39. 12th January 2006 Date of last inspection Brief Description of the Service: Milton Heights is one of four registered homes in Oxfordshire run managed by Home Farm Trust (HFT), a national voluntary organisation that provides care services for people with learning disabilities. It is registered to accommodate 39 people. The accommodation is split into a number of self-contained houses and is situated in a rural location within easy reach of Didcot, Abingdon and Oxford. A day centre with a café and shop and large gardens with a greenhouse are included within the Milton Heights site. Here a variety of day activities, learning and work opportunities are provided for the people who live at Milton Heights and for people living in the community. The fee for this service is £610.17 per week. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 2.00pm on Thursday, 25 May 2006 and was in the service for almost 5 hours. The inspector returned on Wednesday, 07 June 2006 and was in the service for another two hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. She spoke with the registered manager, team leaders and staff on duty. The inspector visited one of the six independent houses and was present while some residents had their evening meal and saw how staff help residents look after and take their medicines. She also looked at residents care plans, staff files and other records kept in the home and made a tour of the part of premesis. What the service does well: Residents are asked for their views about their care and where they live and are taken seriously. Opportunities for residents to take part in a variety of interesting activities and to keep in touch with family and friends are good. A varied menu is provided and residents special dietary needs are catered for. The personal and health care needs of residents are well met. They are helped to access specialist healthcare support when it is needed. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure is good although not tested, as there have been no new admissions to the home. EVIDENCE: At the time of the inspection the home had one vacancy and there have been no new admissions to the home since the last inspection. The clear and comprehensive pre-admission assessment records were seen for the most recent resident admitted to the home in October 2005. Generally, admissions are not made to the home until a full needs assessment has been undertaken. The home are then able to confirm that they can meet Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 9 the needs of the individual through the service they deliver as detailed in the statement of purpose. Evidence confirms that the assessment is conducted professionally and sensitively and has involved the family or representative of the resident. Prospective residents are given the opportunity to spend time in the home. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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 (Adults 18 –65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system in place to provide staff with the information they need and for assessing risk is good. EVIDENCE: During the inspection the inspector sampled four residents person centred care plans selected at random. These were easy to understand, written in plain language, using picture formats and photos and consider all areas of the individual’s life including health, personal and social care needs. The plan also includes comprehensive risk assessments. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 11 During the inspection the inspector spoke with a team leader who has had a lead role in implementing the person centred care planning processed used in this home. They have worked with staff to develop their skills and ability to support and encourage residents to be involved in the ongoing development of their plan and make the process interesting, and worthwhile using a variety of ways including having allocated key workers who build up special relationships with residents and work on a one to one basis. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) 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 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for residents to take part in a variety of interesting activities and to keep in touch with family and friends are good. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 13 EVIDENCE: The inspector met and spoke with twelve residents over the two days of the inspection. Most were able to communicate with the inspector, some using sign language, about things they like to do during the day. One resident when asked what their favourite activity was said, “I like horse riding”. Another said “I love doing card making”. The inspector spent some time with one resident who liked painting pictures. Notes kept in the home indicated that residents have many opportunities to take part in a variety of activities. HFT has a day service on site attended by many residents. Outings to the cinema and bowling are popular. One resident told the inspector about their job working in a bakers shop. Another told her about how they meet with their family and go out regularly with their sister. A record of how staff support residents to keep in touch with their family and friends was seen in their care notes during the inspection. The discussion group where residents share their views on issues that are important to them. The registered manager shared examples of how the home has responded to make improvements following issues raised at discussion group meetings. The inspector was in the home at the time of residents evening meal. This meal was partially cooked by a resident helped by a staff member. The team leader discussed the importance of involving all residents in the menu planning and preparation of meals. They highlighted the importance of giving all residents the opportunity to make choices and making sure staff know how to cook the residents preferred meals. Residents are able to choose to eat in their own room if they wish. Regular drinks and snacks are available. A varied menu is provided and residents special dietary needs are catered for. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of residents are well met. EVIDENCE: Essential information needed by staff to be able to provide personal and health care support was included in residents’ files. Staff help residents to look after their own medication and see they get to see their local GP and other community healthcare services when needed. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 15 The inspector saw how the home helped residents to access specialist healthcare support when this was needed. This was well recorded by staff in the residents’ notes. Two GPs returned comment cards indicating that the home works in partnership with them and they are satisfied with the overall care provided within the home. During the inspection a resident, helped by member of staff, showed the inspector how they look after their medicines. A locked medicines cabinet is located in the office that needs to be securely fitted to a suitable wall. The home has a medication policy which is accessible to staff, medication records are generally up to date for each resident and medicines received, administered and disposed of are recorded. There is evidence of some residents administering their own medication safely. Action to meet requirements made at a previous inspection to improve medication systems have been made and nineteen staff have attended training provided by persons with creditable knowledge of medicines and further course have been planned. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) 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 a clear protection from abuse policy and the complaints procedure is good. EVIDENCE: The registered manager provided information relating to complaints received and how the home has responded. The registered manager provided a summary of all complaints and action taken received since January 2006 The Commission has received no information relating to complaints in the last year. The Commission has received information relating to one protection issue in the last year. This was dealt with appropriately by the home following local adult protection procedures. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) 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 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of décor in residents’ bedrooms and shared accommodation in this home is generally good. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 18 EVIDENCE: During this inspection the inspector visited one of the six independent houses. She had a tour of the shared areas and was invited by a resident to see their bedroom. The lounge and kitchen were furnished and decorated in a modern style and generally clean and tidy. Evidence of regular repair and maintenance was seen. Since the last inspection radiators in the hallway of this house have been covered. The registered manager informed the inspector that water pressure difficulties were being addressed and she was assured that careful planning to ensure each resident has sufficient hot water for bathing takes place. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) 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 and 35 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems for recruitment, selection and performance management of staff who work in this home are good. EVIDENCE: During the inspection the inspector spoke with four members of staff. They have a good understanding of residents’ support needs and communication methods. The relationships between staff and residents are good and morale is high. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 20 Since the last inspection five new staff members have joined the staff team and eleven staff member have left. The inspector viewed five staff files. Files seen were generally well maintained and contained the relevant documentation. The home keeps a record of training completed by staff; staff spoken with confirmed details of the training they have undertaken. Team leaders are undertaking the Registered Managers Award qualifications more staff are completing their NVQ qualifications. Staff spoken with were able to confirm that they had completed induction training and provide details of what this entailed. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has a good understanding of management areas in which the home needs to improve and has plans in place to address this. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager has the required qualifications and experience, is highly competent to run the home and meet its stated aims and objectives. The manager has sound knowledge of both strategic, and financial planning and review, and manages the service efficiently. The manager is visionary in their approach to the service and is able to demonstrate through formal qualification, and experience and ability that they are highly competent in the following areas: care of people with a learning disability and older people with a learning disability, quality assurance systems, equal opportunity issues, development and implementation of the services policies and procedures, good people skills, strong leadership of staff which leads to confident workers, responds to need and provides an excellent role model. She has a strong ethos of being open and transparent in all areas of running of the home and is aware of current developments both nationally and by CSCI and plans the service accordingly. While the registered manager has undertaken responsibilities for another HFT registered service, the day-to-day management of the home has been the responsibility of a deputy service manager who is currently on sick leave. There was the expectation that a manager would be appointed to this home who would apply to register with CSCI. During this inspection it came to the attention of the inspector that some tasks usually undertaken by the deputy service manager, including notifications to CSCI, have not been completed. The registered manager informed the inspector that the other service she has responsibility for is now well established and her involvement is less than one day per week. The registered manager must provide CSCI with details to outline the management arrangements for the home to ensure all aspects of residents’ care that staff are well supervised and the home complies with the Care Standards Act and Regulations and other legal requirements. The registered manager provided details of the homes last health and safety audit where the HFT identified areas requiring action. The registered manager must provide details on how health and safety requirements made in the last health and safety audit have been addressed within the set timescales. Milton Heights DS0000013110.V297051.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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 2 38 X 39 3 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Milton Heights Score 3 3 2 X DS0000013110.V297051.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA37 Regulation 39 Requirement The registered manager must provide CSCI with up dated details to outline the management arrangements for the home The registered manager must provide details on how health and safety requirements made in the last health and safety audit have been address within the set timescales. Timescale for action 15/07/06 2 YA42 13(4) 15/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations The inspector strongly recommends that the home follow Royal Pharmaceutical Society of Great Britain guidance that locked medicines cabinets should be securely fitted to a suitable wall. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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. Milton Heights DS0000013110.V297051.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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