Inspection on 07/06/07 for Peldon Campus

This inspection was carried out on 7th June 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 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

Peldon Campus 02/05/06

Peldon Campus 10/01/06

Peldon Campus 12/07/05

Peldon Campus 04/01/05

Peldon Campus 17/08/04

Peldon Campus 25/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Peldon Campus Church Road Peldon Colchester Essex CO5 7PT Lead Inspector Ray Burwood Key Unannounced Inspection 7th June 2007 09:30 Peldon Campus DS0000017906.V342482.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 Peldon Campus DS0000017906.V342482.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. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peldon Campus Address Church Road Peldon Colchester Essex CO5 7PT 01206 735279 01206 735206 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) ib@essexautistic.org.uk The Essex Autistic Society Mrs Michelle Joanna Smith Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65, who require care by reason of a learning disability (not to exceed 18 persons) 2nd May 2006 Date of last inspection Brief Description of the Service: The Essex Autistic Society provides services across three houses at the Peldon Campus for 18 adults under the age of 65 with autism. Peldon Old Rectory is the main building, accommodating up to 10 residents and incorporates the administration offices. Seymour House is a smaller sized family house for up to four people. Ashton House provides accommodation and care for people with more challenging behaviour. The three houses have a management team comprising one registered manager, a deputy manager and three Senior Support Workers. The service is part of the Essex Autistic Society adult services directorate that has a number of care homes and other services in the Colchester area. The home provides structured support programmes tailored to the individual needs of the people living there. The range of monthly fees supplied to the Commission for Social Care Inspection (CSCI) on the 19th June 2007 and charged by the Society, is currently between £4,610:66 and £11,129:66, there are no additional charges. Information about the service, including inspection reports, are made available to prospective residents through a pack containing information about all of the services within the Peldon Campus, the Statement of Purpose, a current Newsletter, and literature regarding the Societies Jigsaw Study Centre. Peldon Campus is in a rural part of north Essex, approximately eight miles from Colchester Town Centre. Each unit has transport accessible to service users and public transport is available close by. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Peldon Campus on the 7th June 2007 without telling the person in charge of the home he would be visiting. The inspector spent a total of four hours at the home. He also: • • • • • Spoke to staff that work in the home. Looked at a number of files and paperwork. Examined information about what services are provided for people living at the campus. Talked to people who live at the home and the person in charge of the home. Looked around the three houses that people live in, the gardens and grounds. To help the inspector to write the report, the manager sent the inspector information about the Peldon Campus. The manager also wrote to the inspector and told them what they thought the home did well and what improvements had been made. The inspector also used other information that they already knew about the home from information regularly sent to the inspectors’ office. If you would like to know how people are cared for and supported you can read the inspectors report. You can ask the person in charge of the home for a copy, or contact the inspector. The person in charge of the home will give you the inspectors’ telephone number and address. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 6 What the service does well: These are some of the good things that the inspector found out about the Peldon Campus: • • The service is a well run by a good manager and good support staff. The home uses pictures to help some people to say how their needs should be managed, what their interests are, what activities they like and places they like to visit. These pictures also help people that live at the home to make decisions about things that are important in their lives. The manager meets with care workers on their own to make sure that they are happy working home at the campus, and what they need to do and how to do it, so that they can give the best support to people living at the Campus. The Campus provides information to people from health, education and emergency services about the needs of people with autism. • • • What has improved since the last inspection? • The home’s information documents have been made better and include the training and experiences of the people who manage the service. They are written in a way that people can understand them. Important documents have been changed to include pictures to help people living at the campus to have a say and make decisions about their care and support. The gardens have been made to look nice and a new fence put up to make the area safer and more private. The car park at Ashton House has been made safe for cars to park and turn safely. • • • Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 7 • Ashton House and Seymour House have had new windows and doors fitted and have been decorated and made nicer to live in. Seymour House has a new Jacuzzi in the garden. A new summerhouse has been bought for the main garden area. People who live at the home have decorated bedrooms with colours chosen by them. • • 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. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 8 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 Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 9 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home’s assessment process is well managed and ensures that admissions are not made to the home until a full needs assessment has been undertaken. EVIDENCE: Since the last inspection visit two new residents have been admitted to the campus, one from home and one from another society home. One person living at the campus was in the process moving into a small semi-independent home within the society. The home’s pre-assessment procedures and records were examined and provided the evidence that all areas of need were covered and prospective residents, their families, or representatives were involved in the process. From the evidence and records made available during the site inspection, the society ensures that information is gathered from a range of sources, including relevant professionals from within the society and community sources Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 10 The assessment process is comprehensive and includes achieving positive outcomes for people ensuring that facilities, staffing and specialist services required meet the ethnicity and diversity needs of individuals before a placement was considered. Communication with prospective residents is aided and developed through the use of pictorial images to assist with the assessment and transitional process. From discussions with staff it was noted that they were made aware of pending applications and their opinions and comments listened to before admissions take place, staff are also kept informed by management regarding the transitional arrangements when a placement is agreed, or people move onto other accommodation. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 11 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People who use the service are involved in decisions about their lives, and play an active roll in planning the care and support they receive. EVIDENCE: Care plans were sampled and inspected during this visit and were found to contain the information that people living at the campus are supported in developing their social and interpersonal skills and assisted in taking control of their lives within a risk management framework. Information contained in care plans was in a pictorial format that people living at the campus could understand. Care planning and programmes provided in the three houses are based on the different and diverse needs of the people living in them. People who have complex needs have individualised activities with a one to one staffing arrangement. In another house preferred groups have been established with Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 12 the environment being adapted for each group to have their own activity areas. Care plans provided sufficient information and guidance for staff in addressing individual needs; choices and aspirations. Staff spoken with confirmed that they were part of the care planning process and aware of the guidance laid down in individual care plans about how residents’ care is provided. There was evidence seen in plans to confirm that people living at the home and their relatives/representatives had been consulted and had been involved with developing their support plans. The home’s manager and key-workers are responsible for ensuring that agreed plans are implemented effectively through regular staff and residents meetings. Plans are regularly reviewed, evaluated and changes made as individual needs dictate. Formal reviews are held after people settle into their placement, followed by monthly reviews or earlier if required. Risk assessments seen in each of the residents care plans focussed on them being able to take appropriate risks that promoted their independence, but at the same time identifying the appropriate degree of support to minimise risk. The registered manager confirmed that regular reviews are carried out. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 13 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 and 17. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People who use the service are able to make choices about their life style through effective communication tools and are supported to develop their social, educational and recreational needs. Meals are well balanced, nutritional and cater for varying cultural and dietary needs of people who use the service. EVIDENCE: Social activities within the campus and opportunities for activities within the community are well managed and information provided in pictorial form for people who live in the three houses regarding their daily programme. One resident who assisted with part of the inspection went through their daily Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 14 programme using the pictorial format with the inspector and explained that it was a good guide to follow. Social, educational and recreational activities are supported by the society and made available to people living on the campus. One resident is preparing a vegetable garden and is making a list of what will be grown. Facilities provided on the campus include a relaxation room that was provided through public donations and an outdoor heated swimming pool that is currently being covered to enable residents to swim all year round. A member of the public, who was informed by friend of the society, donated the new frame and covering. Community activities enjoyed by people living at the Peldon Campus include the following: • • • • • • • • • The Essex Autistic Society Jigsaw Study Centre (Life skills, I.T. Woodwork, P.E. Keep Fit.) Sailing. Trampolining. Sailing. Horse riding. Bowling. Swimming/Aqua-Springs. Colchester Institute (Media and Life Skills) Drama Workshop. Other activities being set up by the society include social events where people living at the campus can meet other people socially and attend sporting. Each of the three houses on the campus have their own transport. Contact arrangements with parents, relatives and friends are well managed with the three houses having an open door policy to visitors. One of the residents maintains contact with his family through letters written in their first language. Residents’ mail is directed to them via the administration team to ensure privacy and confidentiality. Residents who are unable to read their correspondence are supported by their key-workers. Events are organised for relatives and friends of people living at the campus to visit socially for barbeques and other special occasions. The society also has a Family Support Team that encourages relatives to attend monthly meetings to discuss any concerns or need advice. The registered manager confirmed that weekly menus were in place. From records examined during visits to the different houses, residents were offered Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 15 a healthy and varied diet and an alternative choice of meals. Most of the residents are actively involved in the food-planning programme from menus to shopping. Some residents are able to assist with the preparation and cooking of food. The home was seen to observe the cultural diversity of one service user whose first language was not English. Special dietary needs were offered with food shopping trips made to appropriate outlets. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 16 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The medication and healthcare arrangements in the home are well managed and ensure the good health and wellbeing of service users living there. EVIDENCE: Observations undertaken during the inspection visit to this service provided good evidence that residents’ privacy; dignity; independence and control over their lives was encouraged and supported by the management and care provided by staff. Information relating to how personal support for people living at Peldon Campus is provided was noted in their individual care plans. Continuity and consistency of support for residents is provided through a keyworker system in which they choose a specific carer whenever possible. As some of the people living at the home have limited verbal communication skills a system of observations and pictorial aids helps to ensure their wishes are Known. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 17 Residents’ care plans examined provided evidence that appropriate healthcare services are available, accessed, and fully recorded following referrals. One resident who had behaviour that challenged was supported by staff, including the societies Clinical Psychologist and the hospital Learning Disability Nurse through a range of investigations, including a C.T. scan which resulted in a strategy being put into place for staff following a change of medication. The registered manager said the residents’ behaviour has improved and their quality of life is much better. The home is served by the local G.P. surgery, however, people living at the home are encouraged to visit their G.P. whenever possible. The management of medication was found to be of a good standard with appropriate ordering, administration and the recording of medicines by staff. The registered manager oversees the disposal of medication. The home operates the Monitored Dosage System (MDS). Staff responsible for the administration and recording of medications, have undertaken the appropriate training. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 18 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People living at the campus can feel confident that any concerns they have will be dealt with and they are protected. Arrangements for the protection of people using the service and staff training are good and help protect residents from abuse. EVIDENCE: The societies Complaints and Adult Protection Policies, including Whistle Blowing, was comprehensively detailed and available in a pictorial format that is appropriate to the needs of people living at the campus. The complaints register was examined and found to be up to date. The society had received a number of complimentary letters from relatives and friends praising the care and support offered by the staff team. The society had responded to two incidents since the last inspection of the service relating to residents, where there had been abuse issues. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 19 Records and correspondence had been presented to the Commission from the society and the social services department dealing with the referrals with the outcomes of both cases. There were no outstanding issues relating to the Protection of Vulnerable Adults. Staff spoken with during the course of the inspection said they had received Adult Protection training in recognising and responding appropriately to abuse. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 20 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 and 30. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The society provides a well-maintained environment that has good facilities, is comfortable and is safe place for those living there. EVIDENCE: The environmental standards of the houses visited were good following a range of improvements carried out since the last inspection visit. Bedrooms in the Old Rectory had been redecorated together with the hallways and landings and the Games Room. As previously reported a relaxation room had been introduced into the Old Rectory and sensory equipment fitted for residents to use. Ashton House has had a new drive, new perimeter fencing built and windows and doors replaced since the last inspection visit. The bathroom has also been refurbished throughout. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 21 Seymour House has also had improvement work carried out to both the interior and exterior of the property. One bedroom has been redecorated and the hall and lounge areas have had a new laminate floor laid. Windows and doors have also been replaced. There is now a Jacuzzi installed in the garden of Seymour House. The registered manager said the society had engaged the services of an independent structural surveyor to assess what additional external building work is further required. This would include the replacement of gutters and soffit boards on all buildings. The grounds have had some new additions with a new summerhouse being purchased and the swimming pool having a new heating system fitted. The swimming pool was undergoing work to be undercover and allow residents to swim all year round. A large greenhouse is available should the society employ a horticulturist, at present it is not used. The kitchen and laundry areas visited are domestic in nature and provide residents with the opportunity to be involved in domestic tasks to develop or maintain self-help skills. All areas seen were well lit, clean and tidy. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 22 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support and meet the needs of people who use the service. EVIDENCE: At the time of this site visit there were no staff vacancies following the employment of one Support Worker and one domestic person since the last visit to the service. The society had also engaged the services of a Speech Therapist on a full time basis. A Clinical Psychologist and a TEACCH Coordinator are also employed by the society. Rotas seen during the visit were found to be efficient and creative in providing staff support to residents during busy periods and the changing needs of people who use the service. National Vocational Qualification (NVQ) training continues to be used in conjunction with the Learning Disability Award Framework (LDAF) The LDAF induction programme is currently being used for all new staff but the “Skills for Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 23 Care” induction may be introduced and combined with the societies induction programme. The registered manager has completed her NVQ Level 4 / Registered Managers Award. The files of the two most recent members staff were examined and contained all of the required information and checks before they commenced working in the home. These included two references, proof of identity and POVA/CRB clearance. Staff files also included relevant qualifications. Staff spoken with confirmed that they undertaken the relevant training to meet the diverse needs of people using the service. One member of staff said the training opportunities were good and if they required any specialist training this could be discussed with the registered manager during formal supervision sessions. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 24 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. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service There is leadership, guidance and direction to staff to ensure that people who use the service receive a good quality of care and are safe. EVIDENCE: The registered manager, who is responsible for the whole of the campus, has the required qualifications which have been completed since the last site visit, is experienced and is competent to carry out her duties in a professional manner. A deputy who is NVQ Level 3 qualified supports the registered manager. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 25 Staff and one resident spoken with said the registered manager was always approachable and available for advice. One member of staff remembered her first arrival at the campus and was supported in applying for a post with the society by the registered manager. Since the previous inspection the registered manager has developed a range of meetings to improve the service. Care meetings are held every week to review plans, particularly holistic views of individual residents lifestyles. Also, there are communication meetings held regularly between management and staff. The registered manager said these meetings are open to people living on the campus if they wish to attend and it is appropriate to do so. Quality assurance survey forms are in a format that residents can understand. Surveys and questionnaires are made available to healthcare professional at reviews and meetings held for people living on the campus. Surveys and questionnaires for other interested parties and stakeholders are sent out from Central Administration. Health and safety issues within the home are well managed with appropriate training completed by all staff. All relevant checks, servicing of equipment and insurance cover is in place, with appropriate records kept up to date. Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 26 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 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 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No. 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 Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 28 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 Peldon Campus DS0000017906.V342482.R01.S.doc Version 5.2 Page 29 - 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!