Inspection on 06/03/07 for Our House

This inspection was carried out on 6th March 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Our House 20/02/06

Our House 29/09/05

Our House 03/03/05

Our House 16/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Our House 5 Blueberry Close Woodford Green Essex IG8 OEP Lead Inspector Jackie Date Key Unannounced Inspection 6 – 8th March 2007 1:30pm th Our House DS0000025914.V332151.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 Our House DS0000025914.V332151.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. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Our House Address 5 Blueberry Close Woodford Green Essex IG8 OEP 020 8599 7585 020 8599 7585 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) www.rchl.org.uk Redbridge Community Housing Limited [RCHL] David William Granville Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mild to moderate level of disability. Date of last inspection 20th February 2006 Brief Description of the Service: 5 Blueberry Close, also known as Our House, is a home for five people with learning disabilities. It is one of a number of homes run by RCHL, Redbridge Community Housing Ltd. The house is in Woodford in the London Borough of Redbridge. The home was built in 1998 and was designed with the support of the parents of the residents. It is a bungalow and accessible for wheelchair users. The home has five large bedrooms, two with ensuite showers and toilets. There is a large lounge, a kitchen/dining area, a bathroom, a shower room and a laundry room. There is also a small conservatory where residents can use the computer. In addition to this there is a staff sleeping in room and an office. All of the residents have lived together since the home opened. The residents do a lot of things in the home, the day centre, and the college. They have strong links with the local Catholic Fellowship and join them for a lot of social activities. The basic charge per week for each service user is £819.08. The Director of Finance provided this information just prior to the visit. Information about the service provided is contained in the service users guide. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the home on 6th March. Sadly the mother of one of the residents had passed away and staff and residents were all getting ready to go to her funeral. Therefore a second arranged visit was made on 8th March. This visit lasted for about five hours and took place during the afternoon. The staff and the residents were spoken to. All of the shared areas and three of the bedrooms were seen. Staff, care and other records were checked. Staff were asked about the care that residents receive, and were also observed carrying out their duties. Relatives were contacted and asked for their opinions of the service. Feedback was received from one relative. This was a key inspection and all of the key inspection standards were tested. What the service does well: What has improved since the last inspection? The organisation has looked at all of their staff records and made sure that all of the required checks have been made on staff in post. They have also made their recruitment procedure better. This will help to keep residents safe. Staff have received the training that they need to provide a good service to the residents. A business plan has been developed and many of the objectives have already been met. The lounge furniture has been recovered, the carpets have been cleaned and some new equipment has been purchased for the kitchen. This has all helped to make the house homely and comfortable. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 6 Residents have been involved in staff interviews. Residents now take responsibility for looking after the garden and relatives have been helping with this. There is now a full staff team and residents are supported by regular staff that they know and who know them. All of the residents voted in the local elections. 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. Our House DS0000025914.V332151.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 Our House DS0000025914.V332151.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 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. If a vacancy arose the required information would be gathered on a prospective resident and they and their relatives could spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home, within their capacity to do so. Residents and their representatives have a written and costed contract/statement of terms and conditions and will therefore be clear about what they are entitled to. EVIDENCE: The home was purpose-built in 1998 for the five people that live there and there have not been any new admissions since then. It is therefore not possible to directly test Standard 2 with regard to prospective users needs being assessed. However, the organisation has an admissions procedure that includes gathering of information and assessments. It also contains details of how a prospective resident would be introduced to the home. The staff would be able to assess and introduce a new resident to the home if needed. The residents have a contract between themselves and the Housing Association/provider. Previous inspections have required that the organisation must provide a fully costed contract/statement of terms and conditions to each Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 9 resident. These have now been developed and include information about individual financial arrangements. The contracts were available at the home. This means that there is clear information available about the service that will be provided to individual residents. Our House DS0000025914.V332151.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, 8, 9 & 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ plans focus on their individual needs and abilities and contain detailed information so that staff can meet their needs safely. Residents’ needs are reviewed and care plans updated when needed. Residents are fully involved in this process. Risk assessments are appropriate and reviewed and up to date. Therefore residents’ are supported to take risks according to their needs and residents have the opportunity to try things and to develop their skills as safely as possible. Residents are encouraged and supported to be involved in decisions about what they do and what happens in the home. This includes staff recruitment and the development of the business plan and this exceeds minimum standards. EVIDENCE: Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 11 Each resident has a care plan. These are detailed and give clear information about each person. They include details of what they can do, what they like and the support that they need. Residents said that their plans were discussed with them and residents have signed their plans. The care plans are reviewed and information updated when required. Each resident has two reviews a year and relatives are involved in these. A report is written for the review meeting and those seen on file contained very comprehensive information, supported by photographs and gave a clear picture of the individual and what they had been doing. These are very good pieces of work. In one file the resident concerned had signed invitation letters to his review. The manager said that they are preparing to implement person centred planning and to make the care plans more user friendly. Therefore information is available to enable staff to provide appropriate support to the residents and to meet their needs. Daily notes contain details of how the person has been, what they have done, and in one case where there is concern about a resident’s behaviour and health detailed information is recorded about this. Risk assessments are the in place. These identify risks for the residents and indicate ways in which the risks can be reduced to enable the residents needs to be met as safely as possible. Risk assessments cover all the necessary areas and are relevant to individual needs. For example one resident’s needs have increased and there is now a risk assessments about using the kettle, keys and wandering. Therefore residents have the opportunity to try things and to develop their skills as safely as possible. The residents are very involved in everything that happens in the home. Residents said that they take turns to choose the menu and that some of them feed the cat and give it water. Regular residents meetings are held and minutes show that residents’ views are sought on a variety of topics. Following discussion, residents now have “ownership” of the garden. The contract for garden maintenance has been cancelled and residents and their families have been doing the garden. Two of the residents have been involved in interviewing staff. Residents were consulted about the homes business plan. Residents are consulted about all aspects of life in the home and make decisions about their lives. This exceeds minimum standards. Residents’ records and other information are stored in a lockable cabinet in the office and staff are aware of issues of confidentiality. Our House DS0000025914.V332151.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): 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. The residents are encouraged to be as independent as possible, to take part in activities and to be part of the local community. Residents have a very busy social life. This exceeds minimum standards. Residents are supported to keep in contact with their relatives and visitors are made welcome at the home. This exceeds minimum standards. Residents are given meals that they have chosen, like, and that meet their needs and individual preferences. EVIDENCE: Residents participate in household tasks on a rota basis. This includes the cooking as well as domestic chores. Residents’ care plans contain lots of Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 13 different ways in which they are supported to develop their skills and to be as independent as possible. For example, personal care, finances and medication. They attend college courses and some go to day centres. In addition to this they belong to the Catholic Fellowship and United Friends and they go on lots of social activities, trips and holidays with them. They all go to church regularly. Residents go on holiday to places of their choice. Last year one went to Disneyland Paris, two went to Tenerife and two went to the Isle of Wight. A relative said that her son has a busy life and that staff always help him to follow up his interests. Residents said that they had enjoyed their holidays. As previously stated the residents’ families were involved in the setting up, planning and building of the home and they are still very much involved. They visit regularly and residents also go home for visits and short stays. A relative spoken to said that she was always made welcome at the home and there was a happy family atmosphere there. Also as previously stated relatives and residents have been working on the garden and there were photographs around the home of a day when they did this and had a BBQ afterwards. One relative said that she visits each week and has a meal at the home with her son. Sadly just before this inspection the mother of one of the residents passed away. The staff team supported her to attend the funeral. Staff and residents also attended to offer support to the resident and her family. All of the residents voted in the local elections. Information was gathered and read to them, they were then supported to go to the polling station. They will be supported to vote at any future elections if they wish. As previously stated the residents choose the menus, they take turns to do this. There are encouraged to eat healthily and fruit and yoghurts are available. One of the residents usually has a vegetarian diet and a different meal is cooked for her when necessary. Another resident’s care plan says that he prefers English food and that he likes lager shandy and red wine. Residents said that they enjoyed the food. Therefore residents have meals that they choose and like and also that are suitable for their individual health needs. Our House DS0000025914.V332151.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 & 20. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. When required residents receive personal care that meets their individual needs and preferences. The residents are encouraged to take their own medication with help and supervision from the staff team and this increases their independence. Residents receive support to ensure that they get the medical and health care that they need. EVIDENCE: Residents need differing amounts of help with their personal care and details of this are in their care plans. One person needs to use a bath chair to get into the bath. This person is supported by the staff but is encouraged to work the controls himself. There are guidelines in place to enable this individual to have some privacy in the bath and to be as independent as possible even though he has epilepsy. Another resident’s care plan says “I will run my bath but staff need to guide me on the amount of foam that I put in the bath. I would like support when washing my hair. I will cover my eyes with a flannel and staff will wash and rinse my hair.” Another resident’s needs have increased and this Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 15 person has had some continence problems. The continence nurse has been involved and staff are following guidelines to promote continence for this resident. Residents receive personal care that meets their individual needs and preferences. All of the residents are registered with local doctors and are supported to attend appointments. Residents’ files have details of health care issues and show that residents have regular access to health care professionals. Records are kept of medical appointments and these show that residents have checks from the optician, dentist and when needed the chiropodist. One resident has been unwell and appears to have deteriorated. This resident has seen various professionals to diagnose the cause of the problem and staff are closely monitoring the situation. They are recording a lot of information so that any further deterioration or any improvement can be more easily and accurately gauged. Residents are supported to get the healthcare that they need and to be as healthy as possible. Medication cabinets are fitted into each resident’s rooms and the keys are kept in the office. The resident comes to the office and the staff goes with them and assists them with their medication. The staff sign the medication administration record. The details of what is required are clearly explained in the guidelines, which also contain photographs of each resident. The idea of this is to give the residents an understanding about their medication and to enable them to be as independent as possible even though at present none are able to totally self medicate. This system of administering medication is adequate and suitable. The key cabinet is kept locked at all times to safeguard residents. Medication is appropriately stored and administered. Our House DS0000025914.V332151.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 & 23 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. There is a user-friendly complaints procedure that would be followed in the event of any complaints being made. Staff have received adult protection training to ensure that they are clear about what constitutes abuse and what to do if abuse is seen or suspected. This gives residents a greater protection from abuse. Residents’ finances are adequately managed and monitored and this lessens the risk of financial abuse. EVIDENCE: The home does have clear policies and procedures for dealing with complaints/concerns and compliments. A user-friendly complaints procedure has been developed and is displayed in the home. If residents are not happy about anything they said that they would speak to the staff about this and they would sort things out for them. There have not been any recorded complaints since 2001 but the home has had several compliments that they also record. These are mainly from the residents’ relatives and relate to the quality of care and service provided. The organisation has produced a detailed adult protection policy that tells staff the actions to take in the event of abuse/suspected abuse being discovered. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 17 Staff spoken to were aware of the issues of abuse and aware of their responsibility to residents. They had received ‘Adult Protection Awareness’ training. The staff team appropriately dealt with a recent possible adult protection issue, not related to the service provided by the home. All of the residents need support with their finances and details of the support required is in their care plans. One resident’s plan says “staff escort me to the bank and I will tell the cashier how much cash I want.” Records are kept of financial transactions. Regular checks are made by the manager to ensure that these are correct. The cash held for two of the residents was checked at the time of the inspection and were found to be correct. Appropriate receipts were on file. The organisation carries out annual financial audits. Therefore systems are in place to ensure that residents are protected from financial abuse and that residents’ finances are appropriately managed and monitored. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a clean and comfortable home that is suitable for their needs. EVIDENCE: The home was built in 1998 and was designed with the support of the parents of the residents. It is a bungalow and accessible for wheelchair users. The home has five large bedrooms, two with ensuite showers and toilets. There is a large lounge, a kitchen/dining area, an assisted bathroom, a shower room that is accessible to wheelchair users and a laundry room. There is also a small conservatory where residents can use the computer. The garden is well maintained and has suitable garden furniture. The communal areas were decorated about 18 months ago and since the last inspection the suite has been recovered and carpets have been cleaned. There are photographs of residents and their families all around the home. A relative said that she thought the house was very homely and that the photographs contributed to this. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 19 The residents’ rooms are all well decorated and furnished. They have been personalised with family photographs, ornaments, music centres and televisions. Since the last inspection new heaters and a humidifier have been fitted in the bathroom and this has made it warmer and more comfortable and there is no longer any smell in there. The manager said that it is planned to refurbish all of the shower facilities. The communal shower room will be done first and then the two ensuite facilities. Bathing and showering facilities are suitable for the needs of the residents. At the time of the inspection the home was clean and free from offensive odours. The house is very comfortable and homely and suitable for the needs of the residents. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Commission for Social Care Inspection (CSCI) is now confident that residents are supported and protected by the organisations recruitment practice, including the recruitment of bank and agency staff. Staffing levels are sufficient, and staff receive the necessary training, supervision and support, in order to meet residents’ current needs and provide a good service for them. Residents are supported by a staff team that know them well and who are committed to providing a good quality service. EVIDENCE: The home is fully staffed now and regular relief staff cover any additional shifts. A relative said that it was good to have a regular staff team now but the bank staff do know the residents well. Therefore residents receive a consistent service from a staff group that are aware of their needs and how to meet them. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 21 The staff team have experience of working with people with learning disabilities. Three staff have achieved NVQ level 3 and another will be doing NVQ 3 this year. The three new support workers are just finalising their LDAF (Learning Disabilities Award Framework) training and will then be put forward to do NVQ training. Staff training records are kept and staff received appropriate training last year. This included food hygiene, equal opportunities, moving and handling, health and safety, adult protection and dementia. Therefore staff receive the training that they need to provide an appropriate service to residents. Staff have job descriptions and in discussion were clear as to their individual role in the home. An inspection, at the organisations head office, of a sample of personnel files showed that the previous requirements with regards to staff recruitment and checks have now all been addressed. The organisation worked cooperatively with the Commission and reviewed their procedures and all of their staff files. They then took the necessary action to address any shortfalls and to ensure that the future recruitment procedure would be robust and would safeguard residents. A random sample of staff records were checked during the inspection and were found to contain the required information. Staff spoken to said that they are receiving supervision regularly and also that staff meetings are being held regularly. Staff therefore have an opportunity individually and together to discuss issues, concerns and the development of the service. Staff spoken to said that there is a small but supportive staff team. Two staff are on duty from 7 a.m. to 9 p.m. and then one staff is on duty until 10:30 p.m. and from 10:30 p.m. to 7 a.m. one member of staff sleeps in. Staffing levels are sufficient to meet the assessed needs of the residents. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 & 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and provides a safe environment for the residents. EVIDENCE: The manager has considerable experience of working with people with learning disabilities and of managing residential services. He has recently successfully completed the Registered Managers Award. Also since the last inspection he has been registered by the Commission and is therefore deemed to be suitably experienced and qualified to manage this home. Feedback from staff was that they are well supported by the manager, that he is approachable, and that he empowers staff. They also said that they are involved in discussions about the development of the service and that their opinions and ideas are listened to. The home is well managed. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 23 The quality of the service provided to the residents is monitored by the manager and by the organisation. The service manager carries out monthly monitoring visits to assess how effectively the home is operating to meet its stated aims and objectives, and reports are written. These indicate the action to be taken when deficiencies are identified. Copies of these reports were available in the home and copies are sent to the Commission. In addition to this the organisation carries out a quality audit each year. All of the necessary health and safety checks are carried out and records are kept of these checks. A safe environment is provided for the residents. The manager has developed a business plan for the home. This was in consultation with residents, staff and relatives. This has been used to focus the development of the service and many of the objectives have already been achieved. One member of staff said that the manager has asked everyone “what has improved and what improvements would you like to see”. Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 3 Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 Our House DS0000025914.V332151.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Our House DS0000025914.V332151.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!