Inspection on 28/09/07 for Northwood House

This inspection was carried out on 28th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Northwood House 30/09/09

Northwood House 03/10/06

Northwood House 27/02/06

Northwood House 20/06/05

Northwood House 17/01/05

Northwood House 07/09/04

Northwood House 22/01/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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 Northwood House 28 London Road Sittingbourne Kent ME10 1NA Lead Inspector Robert Pettiford Key Unannounced Inspection 28 September 2007 09:00 th Northwood House DS0000023981.V347073.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 Northwood House DS0000023981.V347073.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. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northwood House Address 28 London Road Sittingbourne Kent ME10 1NA 01795 472464 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) Kent Assessment & Training Services (Swale) Limited Vacant Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2006 Brief Description of the Service: The Home is a detached property with accommodation for service users on two floors with office accommodation on the third floor. The home is situated on the outskirts of Sittingbourne approximately 1 mile from the town centre providing access to shopping and all public amenities. The Home offers services for people with learning disabilities who may challenge the service. The Home is registered for seven service users. Excluding the manager, the Home employs full/part time care staff who work a rota which includes one staff member working at night on waking duty with a further staff member on-call sleeping. A further senior staff member is available on-call in an emergency. The manager, undertakes management of Westdene in addition to Northwood House. Although both homes have defined staffing groups, staff from each of the homes have worked in the other home when required, and staff emergency oncall at night has been provided through the sleep-in staff member at Westdene. Fee’s are charged according to assessment. Current fee’s are within the range £1000 to £2100 Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector agreed and explained the inspection process with the member of staff present during the inspection. The focus of the inspection was to assess Northwood House in accordance with the Care Home Regulations 2001 and the National Minimum Standards for Younger Adults. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The Inspector used a varied method of gathering evidence to complete this inspection, pre-inspection information such as the previous report and discussion and correspondence with the registered provider was used in the planning process to support the inspector to explore any issues of concern and verify practice and service provision. The home had completed an annual quality assurance assessment questionnaire which was received prior the site visit to the home. This provided the Inspector with information relating to What the home considers it does well, What we could do better, What has improved within the last 12 months and plans for improvement. Survey questionnaires were sent to the home prior to the inspection. Documentation and records were read. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. Other area’s viewed included risk assessments, pre-admission assessments, menus, rota’s, training records and recruitment records. In addition a full environmental tour took place. The Inspector identified two Residents for case tracking, speaking with one of them and assessing the available information held in the home pertaining to the care provision for both. In addition the Inspector met with the other Residents, which gave him a good opportunity to observe the quality of care within the home and activities enjoyed. What the service does well: It is evident through the inspector talking to members of staff that the emotional health of the residents is of a high priority to the home and that staff are pro-active in maintaining and supporting residents with their emotional needs in order to maintain their quality of life. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 6 The service actively encourages and provides imaginative and varied opportunities for Residents to develop and maintain social, emotional, communication and independent living skills at Northwood House. The manager and staff have a strong ethos and focuses on involving Residents in all areas of their life, and actively promotes the rights of individuals to make informed choices, providing links to specialist support when needed. Residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home has sought the views of the residents and considered their varied interests when planning the routines of daily living and arranging activities both in the home and the community. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focused, regularly reviewed, and can be quickly changed to meet individual residents needs. Many Residents confirmed that the staff are very caring and kind to them at all times. The inspector noted that staff spoke to the Residents in a respectful and courteous manner. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Northwood House DS0000023981.V347073.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 Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Residents can be confident that their needs will be properly assessed prior to moving to the home and that they have an opportunity to visit the home prior to moving in. EVIDENCE: Records held showed that residents have an assessment which identifies their individual needs prior to or on admission to the home. The information is provided by the residents, their families and health / social care professionals. The assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet needs of the individual. Before agreeing admission the service carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. Prospective Residents have the benefit of a trial period at Northwood House to assess whether the home can or cannot meet their needs. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from having clear individual plans that are comprehensive, identify their needs and personal goals and are specific to the individual service user. Care plans showed that residents are enabled to make decisions and choices. Residents are enabled to take responsible risks through a thorough risk assessment process. EVIDENCE: The home and its staff are committed to supporting the residents. This was evidenced through the care plans which detailed the areas of support that the resident needed and how this support is provided by the staff. There were guidelines in respect to routines and behaviour. The member of staff confirmed that these are reviewed with the residents on a regular basis Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 10 and the families are supported to be involved. The home supports residents to completed a workbook which contributes to their plan of care. This is completed as their capacity and understanding allows to further reinforce their own personal sense of ownership of their plan of care and rights of citizenship. The plan focuses on current needs, development of skills. This follows the principles of person centred planning. Staff have the necessary training and skills to support and encourage the individual to be fully involved. Where Residents have limited communication, staff are skilled in using other methods of engagement. A key worker system provides additional support enabling one to one involvement. Residents rights to make decisions are respected and the care plans reflected their ability to make an informed judgement. Care plans included in depth information concerning the preferred lifestyle and choices. Plans sampled demonstrated that the home used positive planned interventions to manage the residents to manage residents behaviour. The home is to be complimented on such details of behavioural support plans which were found to be of a high quality. Care plans include a comprehensive risk assessment. Management of risk takes into account the specialist needs and age of people who use the service, balanced with their aspirations for independence, choice and normal living. Where there are limitations on choice or facilities, it is in the person’s best interest. The resident understands and agrees the limitations where possible. Any limitations are fully documented and reviewed on a regular basis to ensure their ongoing relevance. Within the service there is evidence of a good awareness and understanding of equalities and diversity. Staff are able to translate understanding into positive outcomes for people who use the service in the areas of race, ethnicity, age, sexuality, gender, disability and belief. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents can be confident that they are offered a wide range of opportunities for personal development and to learn new skills and feel part of the wider community. Residents engage in a higher than average level of activities which are appropriate to their needs and capabilities. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The residents benefit from the appetising meals and balanced diet offered at the home. EVIDENCE: Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 12 Residents are enabled to participate and contribute to meeting their own self care needs and day to day chores around the house. Discussion with staff confirmed that the level of activities were of a high level and that they enjoyed a good level of stimulation through leisure and recreational activities both inside and outside the home. The inspector joined residents at 9:00am while they were getting ready for the day ahead. The inspector had the opportunity to speak to several of the residents who expressed their opinion of the home and the activities they participated in and enjoyed. Other residents were observed participating and interacting with staff. Residents have been enabled to and encouraged to participate in hobbies and activities which they had an interest in, such as maintaining and building on personal collections and specific recreational activities. The service actively encourages and provides imaginative and varied opportunities for Residents to develop and maintain social, emotional, communication and independent living skills at Northwood House. The staff have a strong ethos and focuses on involving Residents in all areas of their life, and actively promotes the rights of individuals to make informed choices, providing links to specialist support when needed. It was confirmed that residents are enabled to maintain contact with relatives and friends where they wished to do so. Examples of such included provision for relatives and friends to visit the home and support being provided to enable services users to visit relatives or friends outside the home. Residents were consulted with regard to whom they saw and when and were under no compulsion to accept visitors should they not wish to do so. From observation, records viewed it was evident that residents were offered a choice of menus that meet their dietary needs and individual preferences. Meal times are flexible to suit the residents’ activities and schedules. Residents are able to choose where to eat, and also have facility to make drinks, meals and snacks for themselves and others with staff support should they wish. Residents on evidence seen have had been involved in planning and choosing what to eat. One service user explained the food offered to the inspector and how his choice and preferences influenced the menu. He also spoke of his interest in cooking and related to the occasions he had personally helped cooked a meal. Although it was seen that fresh fruit and vegetables were part of the residents diet, it was requested that the home further evidences on the menu that it is a well balanced diet by ensuring that more vegetables and fruit are shown. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents feel supported by the level of help given and that their healthcare needs are addressed. The service user can feel confident that their wellbeing will be protected by the home’s policy and procedures with regard to the handling and administration of medication. EVIDENCE: The care plans fully documented the personal support required for individual Residents within Northwood House. They reflected their choices and preferences and staff were observed offering guidance where needed. Times of getting up / going to bed, having baths, eating meals and other activities are flexible to allow for different Residents daily routines. All Residents are allocated a key worker and the inspector observed excellent interaction between staff and Residents. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 14 Staff understand the key principles of giving personal support and are responsive to the varied and individual requirements of the Residents. It is recognised that the delivery of personal care is highly individual and must be flexible, consistent and reliable. Attention is given to ensuring privacy and dignity when delivering personal care and staff are sensitive to changing needs of Residents. When ever possible residents are able to have choice about who delivers their personal care. Where possible Residents are supported and helped to be independent and responsible for their own personal hygiene and personal care. The care plans also fully documented all physical and emotional healthcare needs and where able Residents filled in or were supported to fill in appropriate forms. Within the care plans records of health care provided by G.P, chiropodist, dentist, and opticians was evident. Residents physical and emotional health is monitored on a daily basis. Through their daily records and these correspond with support assessments held in the care plans. This system ensures that all Residents receive continuity of care and supports potential complications and problems at an early stage. It is evident through records that the emotional health support is of a high priority to this home and the staff are pro-active in maintaining and supporting Residents with their emotional needs in order to maintain their quality of life. The inspector viewed the storage arrangements and some records including Medication Administration Record (MAR) sheets, and the protocols for the administration of “PRN/As Required” Medication. The manager was requested to review the PRN protocols, to state what would be the maximum dosage over a number of days that the medication would be given, prior to consultation with a healthcare professional. The medication was stored appropriately and administered in accordance to current guidance. The staff member confirmed that all staff that dispense medication have received appropriate training. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents know that their concerns and complaints are taken seriously and are protected from the risks of abuse. EVIDENCE: A copy of Northwood House complaints procedures was reviewed. The procedure included details of how to complain, timescales for response and information for referring a complaint to ILG the service provider. The home was recommended to make the complaints procedure more widely distributed, and highly visible within the service and make is more readily available in different formats. Residents within the service have an understanding of how to make a complaint as their capacity and understanding allows. No requirement has been made at this time. The home’s Policy for the Protection of Residents and staff “Whistle blowing” procedure was discussed. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training is provided in safeguarding venerable adults. The home promotes an open culture where Residents feel safe and supported to share any concerns in relation to their protection and safety. Policies and procedures regarding protection are in place. Staff are trained to respond appropriately to physical and verbal aggression and fully understand the use of physical intervention. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 16 The home ensures through training, supervision, review and quality monitoring that care staff fully comply with the policies and procedures provided in relation to protecting and safeguarding the rights of people who use the service. Criminal Record Bureau Checks (CRB) have been obtained for all staff. Northwood House DS0000023981.V347073.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, Quality in this outcome group is adequate. Service users currently benefit from a home which is suitable for their needs however it is not at present well maintained due to poor maintenance and the need for refurbishment. The home is at present in the middle of a major refurbishment programme, which will provide a clean well maintained home with additional facilities once complete. EVIDENCE: The Inspector undertook a tour of the home including viewing some service users rooms, bathroom/toilet facilities and communal areas. At the last inspection it was evidenced that many areas of the home viewed appeared dirty especially the carpets and bathroom facilities. Fixtures and fittings and general decoration were seen to be of a poor standard. Urgent remedial work was seen as being needed due to the demands placed on the building by the service user group and further decoration of rooms to make the home appear more homely. At time of inspection major building works were being carried out with a plan to totally refurbish and decorate the whole building and many of the bedrooms. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 18 New carpets and furniture are planned for many parts of the home which will transform the home and result in a more homely environment. At present due to the ongoing building works the outcome group for this section is considered to be adequate. It is hoped that once all works are completed that this will result in an improvement to good. Northwood House DS0000023981.V347073.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ care, social and emotional needs are promoted by the employment of caring and suitably trained staff. Residents are protected from potential abuse by the home’s robust staff recruitment procedures. EVIDENCE: From discussions with the Manager, observations and reviewing the staff rotas more than sufficient staff were on duty at the time of inspection to meet the residents needs. The home provides three AM staff, three PM, a sleep in and one waking night. Additional staff are provided to facilitate outing’s or increased need. There is a half hour overlap of shifts to facilitate handover. The inspector was informed that staffing numbers would be reviewed and staff increased should the needs of the service users change long term. Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 20 The staff training records indicated planned and undertaken training. The manager evidenced that individual and group staff training needs had been identified. A wide range of training has been identified for all staff. The manager was requested to insure that the induction programme adopted complies fully with the recommendations of the Skills for Care Councils current guidance. First Aid, Health and Safety and other core courses are undertaken to maintain current qualifications and for protection of residents. Courses also include training in managing Challenging Behaviour. Food Hygiene training was not up to date for all staff and this was seen as a shortfall. The manager is aware of this and in the process of addressing this. The service has a recruitment procedure that has the needs of people who use the service at its core. The recruitment of good quality carers is seen as integral to the delivery of an excellent service. The service is highly selective, with the recruitment of the right person for the job being more important to the filling of a vacancy. The inspector viewed details of the Home’s recruitment procedure and a number of records relating to staff members recruited. The Home undertakes a recruitment practice including submission of an application form detailing all previous work history, requests proof of I.D and copies of qualification certificates, seeks written references. All staff appointments are subject to a probation period, which is subject to review. All staff have a contract of employment and job description. Northwood House DS0000023981.V347073.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well run and managed home. Residents and or their relatives can be fully confident that their views and opinions effect how the home is run and that their best interest are safeguarded by appropriate policies and procedures. Residents can feel fully confident that their health and safety/ welfare is protected by robust policies/ procedures and safety checks. EVIDENCE: Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 22 The manager is actively involved in the day-to-day management of the home and works with staff and residents. From observation and staff feedback the manager offers a clear sense of direction and leadership, which staff and residents understand. Residents, their relatives and staff are encouraged to comment on the services the home offers and to voice any concerns they may have. The manager is not currently registered and is currently in the process of making an application to the Commission. The home operates a keyworker system to identify an individual staff member to directly to work with a service user on a one to one basis. The home has a well developed quality assurance system. Spot checks and quality monitoring systems provide management evidence that practice reflects the homes policies and procedures. There is strong evidence that the ethos of the Home is open and transparent. The views of both Residents and staff are listened to, and valued. There is full and clearly written recording of all safety checks and there is no evidence of a failure to comply with other legislation. There is a good understanding of risk assessment and this is taken into account in all aspects of the running of the home. The quality assurance system confirms that the findings from risk assessments have been actioned and the home continuously improves its systems for health and safety. The manager ensures that all staff is trained in health and safety matters and has regular planned updates. Northwood House DS0000023981.V347073.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 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 x 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 3 x x 3 x Northwood House DS0000023981.V347073.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 YA24 Regulation 23(2) Requirement 23.—(2) (b) the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally; Timescale for action 28/12/07 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 Northwood House DS0000023981.V347073.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Northwood House DS0000023981.V347073.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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