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Inspection on 31/07/07 for Ogilvie Court

Also see our care home review for Ogilvie Court for more information

This inspection was carried out on 31st July 2007.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service offers secure and private, homely accommodation in small units to people with a variety of needs including learning disabilities and challenging behaviours. The staff have been provided with a wide range of training to meet the needs of the people at Ogilvie Court in a supportive way. Several of the staff have worked at the home for several years and are very knowledgeable about the needs of people and their behaviour patterns. The grounds are well managed and provide a variety of places for people to use. Effective administrative systems are in place to ensure that information about people living at the home and staff is up to date and easily retrieved. Peoples` finances looked after for safekeeping are safe.

What has improved since the last inspection?

The range of activities provided both on the site and in the community has been increased to provide people with more opportunities and experiences. A new system of personal care planning is in the process of being introduced that endeavours to include all the care needs of each person and how these needs are to be met. Clear evidence was available to show that the home is committed to ensuring the care planning process is comprehensive and inclusive of all relevant persons. Timescales have been set for these objectives to be implemented. A successful recruitment drive over the past year has resulted in the home being fully staffed and without the need to use agency staff. Internet access is to be installed in the activities centre during August 2007 for all people to use.

What the care home could do better:

The acting manager must submit without further delays an application to CSCI for consideration to be registered as manager. The Statement of Purpose and the service user guide need to be updated to include all the information required by the regulations and to be produced in formats that some people at the home can understand. There are some areas identified within the report that require refurbishment to bring them up to a satisfactory standard. The driveway at the front of the building needs to be repaired following the demolition of an outbuilding. There needs to be more evidence in records such as in care plans and weekly programmes of who has been involved in their completion and they should always be signed and dated. These issues have been identified by the home`s own quality assurance system but do need to be implemented.

CARE HOME ADULTS 18-65 Ogilvie Court America Road Earls Colne Colchester Essex CO6 2LB Lead Inspector Brian Bailey Key Unannounced Inspection 31st July 2007 09:25 Ogilvie Court DS0000017898.V347673.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 Ogilvie Court DS0000017898.V347673.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. Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ogilvie Court Address America Road Earls Colne Colchester Essex CO6 2LB 01787 222355 01787 222495 ogilvie.court@craegmoor.co.uk 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) Speciality Care (Rehab) Limited Manager post vacant Care Home 28 Category(ies) of Learning disability (28), Learning disability over registration, with number 65 years of age (1), Physical disability (1) of places Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 28 persons) One named person under the age of 65 years who requires care by reason of a learning disability and who also has a physical disability One person, aged 65 years and over, who requires care by reason of a learning disability The total number of service users accommodated in the home must not exceed 28 persons 23rd August 2006 Date of last inspection Brief Description of the Service: Ogilvie Court is a care home providing personal care and accommodation for twenty-eight adults with a learning disability. The home is owned by Speciality Care (Rehab) Limited, which is a part of Craegmoor Healthcare. An acting manager has been in post for almost one year and an application for consideration as the registered manager must be submitted to the Commission for Social Care Inspection (CSCI) without further delay. Ogilvie Court is a large property with spacious grounds situated in a rural setting some three miles from local shops and is not accessible by public transport. People at the home are therefore dependent on the home’s transport. The home is divided into four separate buildings; all bedrooms are for single occupancy. Turner Lodge is primarily for people that are semi-independent residents and Chelmer House is for people to gain skills to be semiindependent. Danbury and Moore Houses are for more dependent people. A day care unit, known as The Arc (Activity and Resource Centre) is located within the grounds and is in daily use for everyone that lives at the home. Car parking facilities are available at front and side of the home. Information provided on 31/7/07 indicates that the fees range from £995 and £1,295 per week depending on the accommodation occupied, the source of funding and the level of dependency of each person. Extras to the fees include hairdressing, toiletries, private chiropody and personal items. Inspection reports of this home can be obtained from the home and from the CSCI website at www.csci.org.uk Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection looking at the core standards for the care of adults. This report is based on a range of information that has been accumulated from our inspection records, a site visit to the home that took place on 31st July 2007 at 9.25am, a partial tour of three of the properties, discussions with the home’s area manager, the two team leaders that were on duty, administrator, staff and people that live at the home, questionnaires issued by CSCI, an annual assessment completed by the home and submitted to CSCI in July 2007 and the records kept at the home. The acting manager was away on leave on the day of the site visit. It was evident that the home has continued to develop and introduce new systems and ways of working that will benefit people living at the home. The atmosphere at the home was calm and relaxed. Staff seen were confident and knowledgeable about their roles and were able to provide a wide range of valuable information. People living at the home that were observed and spoken with appeared to have established good relationships with staff. Some people were able to indicate that they were happy with the place and the support of staff. What the service does well: The service offers secure and private, homely accommodation in small units to people with a variety of needs including learning disabilities and challenging behaviours. The staff have been provided with a wide range of training to meet the needs of the people at Ogilvie Court in a supportive way. Several of the staff have worked at the home for several years and are very knowledgeable about the needs of people and their behaviour patterns. The grounds are well managed and provide a variety of places for people to use. Effective administrative systems are in place to ensure that information about people living at the home and staff is up to date and easily retrieved. Peoples’ finances looked after for safekeeping are safe. Ogilvie Court DS0000017898.V347673.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. The summary of this inspection report can be made available in other formats on request. Ogilvie Court DS0000017898.V347673.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 Ogilvie Court DS0000017898.V347673.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): 1, 2 and 4. Quality in this outcome area is adequate. People who use this service can expect that information concerning their needs will be obtained prior to admission but they still cannot be assured that they will be provided with accurate and up to date information about the service such as in the Statement of Purpose. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose was last updated in October 2006 but still does not comply fully with the requirements of the National Minimum Standards and Regulations. There is no mention of pre-admission assessment of need or has details of the staffing structure for example. The service user guide is still not available in alternative easy read formats that some people may be able to understand. There was no evidence available to show that information about the home is provided to people living at the home or their relatives/friends. An audit of the home has also highlighted the need for this and requires this information to be made available during August 2007. There was no evidence that people are provided with a statement of the home’s terms and conditions. The files of three people were inspected. These contained comprehensive assessments provided by the placing authorities and a care home from where Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 9 one person was transferred. There were also detailed assessments completed by staff that provided the manager with sufficient information to be able to confirm that the home could meet their needs. People that are considering living at Ogilvie Court are invited to visit the home on a phased introduction to meet other people and staff and to see the accommodation and facilities. Staff stated that the majority of people take the opportunity to visit to see the facilities, but there was no evidence to confirm this on the files seen. Ogilvie Court DS0000017898.V347673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. People who use this service can continue to expect to have a care plan to help meet their needs and make decisions and take risks with support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files and daily records of three people were seen. Two files had care plans for the peoples’ needs; the other had the basis of a care plan but was incomplete. Information had been obtained from a previous placement and an assessment had been carried out but staff were finding it difficult to devise and complete an up to date care plan. The system for creating and maintaining care plans is in the process of change as the home move towards a person centred approach. Staff are currently working towards ensuring all relevant information is recorded and is up to date. One of the files checked included the new style records. This was comprehensive, well laid out and included information on the persons Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 11 selections of food, a behaviour chart that indicated a level of calm, a range of activities were listed, a weight chart, health care professional visits, the most recent appointment was with a psychiatrist for a full assessment and the person centred care planning seen was completed. Two of the files contained risk assessments for activities the people liked to participate in such as going out in the minibus. An internal audit has recognised the need for the care planning system to be developed to ensure they are a more meaningful and relevant document. Ogilvie Court DS0000017898.V347673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this outcome area is good. People who use this service can expect to be able to access appropriate activities and maintain contact with their family. They can also expect to be treated with respect and offered a healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an activities and resource centre called The Arc that is open each working day to any of the residents, although this facility was not visited on this occasion. Dedicated staff support a range of art and craft activities there. Staff and people at the home confirmed that the facility was still available. Staff said that the Arc still has a snoozelum that gives people an area to go to with a quieter and more relaxed atmosphere. The home is in a rural setting and there is no access to public transport and therefore a number of the staff hold a driving licence to allow them to take people out in the home’s own transport. Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 13 Records showed that staff support people to experience a wide range of facilities in the community. In discussion with staff and some people at the home, places visited has included the local swimming pool, bowling alley, cinema, pubs, beach trips and restaurants from time to time. During term time some people attend courses at Colchester or Braintree colleges. The home owners contribute a sum of money each year towards the cost of a holiday. The home has extensive grounds with each unit having its’ own garden area with level access and sheltered seating. There is a large vegetable garden and orchard that is managed by a gardener who works four days a week. People that have an interest in gardening and horticulture help with the work and any produce is used in the houses to offer fresh fruit and vegetables to people. One person spoken with confirmed that they help out in this area. The staff in each unit are responsible for the menus and shopping for their house. Residents are consulted about the menus and some help prepare some of the vegetables and simpler dishes. A menu was seen for one unit, which offered a range of dishes for lunch. An evening meal had been prepared in one house using fresh vegetables grown at the home. Good food stocks were observed in all three units. Two people at the home were spoken with and both said they liked the food and considered they had sufficient. One person said how much they enjoyed visiting the pub and generally went each week. Peoples’ files had details of the next of kin and family relationships. There were no rules about friends and relatives visiting. Staff confirmed that visitors were welcome at any reasonable time and could see their relative wherever the person felt comfortable. Ogilvie Court DS0000017898.V347673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. People who use this service can expect to have their health and emotional needs met and are protected by the home’s medication practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Peoples’ files seen had details of the health care professionals involved in the care of the people such as a GP, psychiatrist, dentist and optician. There were records of visits to and from other health care professionals and details of medication changes and possible side effects to observe for. The daily records seen recorded moods and behaviour. There were weight charts and food intake monitoring records. Behaviour monitoring charts were completed each day. The home has a comprehensive policy and procedure on the administration of medication. This includes guidelines on the use of homely remedies. There were guidelines for the assessment of people who want to look after their medication. The medication in one house was checked. The storage cupboard Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 15 used was secure. The Medicine Administration Record (MAR) sheets checked had no signature gaps noted. As required by the regulations, the home informs us whenever a significant incident has occurred. These indicate that there are some people at the home that frequently demonstrate challenging behaviour, which staff have to be trained to know how to handle the situation. Guidance is provided to ensure that all staff adhere to a ‘behaviour management strategy plan’ so that all staff respond in the same way. Procedures include what are considered to be acceptable ‘control and restraint’ manoeuvres to prevent a person hurting themselves or others. Ogilvie Court DS0000017898.V347673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. People that use this service can expect to be protected from abuse and have any complaints taken seriously and investigated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a detailed complaints policy and procedure. Three complaints were received and recorded by the home since the last inspection. These were resolved within an appropriate timeframe, and two were considered as upheld. CSCI has not received any complaints about this service. The home’s administrator looks after any money held for safekeeping on behalf of people living at the home. The money was kept secure and a system for maintaining separate accounts was observed. The accounts of three people were checked. These were up to date and accurate with receipts available for all expenditure, which reflected those items considered as extra to the fees by the home. The home has a protection of vulnerable adults from abuse and a whistle blowing policy. Staff are made aware of the various types of abuse and of the need to report any concerns to the manager. Copies of the procedure are made available to all staff. Records showed that staff are provided with training on the protection of vulnerable adults. Ogilvie Court DS0000017898.V347673.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, 27 and 30. Quality in this outcome area is adequate. People that live at this home can expect to live in a clean environment with their own rooms personalised but they still cannot be assured that all areas of the home will have fresh decoration, carpets or that damage will be speedily repaired. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home consists of four units, Turner, Chelmer, Moorhouse and Danbury, each with its own front door on a large site in a rural setting some three miles from the nearest shops. The refurbishment and redecoration programme continues. Some areas in each of the three units visited had been redecorated and were much improved; they were clean, bright and cheerful. Bedrooms in each of unit were individual in style and clearly designed and equipped to suit and meet the needs of the people. The area manager and staff said that the programme of redecoration would continue. Three people were happy to show their rooms and they indicated they liked them. One person was in the process of choosing the décor with support from staff. Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 18 Odour control was good. All bathrooms and toilets seen were clean and tidy and had liquid soap and paper towels for hand washing. However the bathroom in Danbury is in urgent need of a refurbishment. The room spelt musty, tiles were missing and the decoration looked dull and unwelcoming. Doors were falling off the kitchen cupboards in Danbury. Each unit has its own washing machine and staff are responsible for doing the residents’ laundry. The kitchen in Chelmer is in need of refurbishment. It has damaged cupboards and drawers and a very poor worktop. The carpet in the adjacent corridor is badly marked and either needs cleaning thoroughly or should be replaced. The area manager said that these areas had been identified as in need of refurbishment and were in the programme of work. The staff in each unit are responsible for the laundry and each has a washing machine with sluicing programmes and tumble dryers. The grounds are spacious and were very well maintained. There is a kitchen garden area where some people at the home assist with the growing of vegetables that provide the units with fresh food. Ogilvie Court DS0000017898.V347673.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): 32, 34 and 35. Quality in this outcome area is good. People that use this service can expect to be supported by correctly recruited and trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three staff files were inspected and each contained two references. There was also evidence that a check had been made on the Protection of Vulnerable Adults (POVA) list, a Criminal Records Bureau (CRB) and identification checks had been made and a record of the interview questions and answers were kept. Information provided by the home to us also confirms that all staff employed at the home have had the required employment checks carried out. There was evidence of an induction programme that covered infection control, equal opportunities, recognition of abuse, food hygiene, fire awareness, challenging behaviour, managing violence and aggression, health and safety, control of substances hazardous to health (COSHH) and moving and handling. Training certificates were available to show that staff had received additional training for the administration of medication, using control and restraint techniques, managing epilepsy and administering rectal diazepam. Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 20 The home employs a total of forty-five care staff, which includes seven bank staff, of which twenty have a National Vocational Qualification at level 2 and eleven staff are currently working towards the qualification. If successful, this number of qualified staff means the home will have exceeded the recommended target for the number qualified staff. The duty rotas were seen and showed that Turner Lodge had two staff daily, Danbury had four and the other units had three. Five waking and two sleeping staff covered nighttime. A gardener and an administrator supported the care team. Ogilvie Court DS0000017898.V347673.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 and 42. Quality in this outcome area is good. People that use this service can expect to have their opinions sought and their welfare protected by the home’s procedures and practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager was on annual leave on the day of inspection. The person has been in post for over one year but has still not submitted a complete application to CSCI to become the registered manager. The acting manager has a registered mental nurse (RMN) qualification. Regular management and team meetings are being held, minutes are taken and action points and dates noted. The home has a comprehensive Quality Assurance system policy & procedure. Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 22 Evidence was available to show that surveys are sent to all relatives asking about the service offered to people living at the home. This is normally carried in January each year. A series of audits are carried and results were available for inspection. An audit carried out in April 07 showed that a wide range of topics were examined, which resulted in a Quality Improvement Plan that identifies issue that require attention, the action required to remedy and the person and date to implement. Meetings take place with people at the home and are chaired by the Family liaison person; minutes of the meetings were seen. Information provided by the home about Health and Safety (H&S) matters confirms that the servicing of equipment and services such as the fire detection system have been attended to within the appropriate timescales. Certificates were available for inspection. Records are available to show that staff are provided with training on H&S topics such as first aid and food hygiene. Ogilvie Court DS0000017898.V347673.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 2 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 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 OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 4 (1) (a) (b) (c) Sch. 1 Requirement The home’s Statement of Purpose and Service User Guide must be amended to meet the requirements of the Care Homes Regulations 2001 and provided to all people using the service and/or their relatives. This is a repeat requirement from the last inspection and was not achieved by the timescale of 30/9/06. Repairs and redecoration must be carried out to ensure all parts of the home are maintained and reasonably decorated to meet the needs of the people at the home. In particular this refers to the kitchen and carpet in Chelmer, the bathroom and a kitchen unit in Danbury and the main drive. This is a repeat requirement from the last inspection and was not achieved by the timescale of 30/9/06. Timescale for action 01/09/07 2. YA24 23 (2) (b) (d) 01/12/07 Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 25 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 Ogilvie Court DS0000017898.V347673.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Ogilvie Court DS0000017898.V347673.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!