Inspection on 13/09/05 for Polesworth Group 70 Long Street

This inspection was carried out on 13th September 2005.

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

Polesworth Group 70 Long Street 16/09/09

Polesworth Group 70 Long Street 23/06/07

Polesworth Group 70 Long Street 09/02/06

Polesworth Group 70 Long Street 14/03/05

Polesworth Group 70 Long Street 16/11/04

Polesworth Group 70 Long Street 25/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

1a White Ladies Close

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

CARE HOME ADULTS 18-65 Polesworth Group - 70 Long Street 70 Long Street Dordon Tamworth, Warwickshire B78 1SL Lead Inspector Maggie Arnold Announced 13 September 2005 09:00 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 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 Stationary 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. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Polesworth Group - 70 Long Street Address 70 Long Street Dordon Tamworth Warwickshire B78 1SL 01827 898125 01827 892500 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Polesworth Group Homes Limited Mr Stewart Harrison Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 March 2005 Brief Description of the Service: 70 Long Street, also known as “The Cottage” is part of Polesworth Group Homes, which was established as a Limited Company in June 1991, with the aim of providing accommodation and support services to adults with learning disabilities. The home is one of three care homes housed in adjoining terraced properties owned by the company on Long Street. 70 Long Street accommodates two service users. It comprises of a modern kitchen with utility at the rear, a cosy dining room and lounge. On the first floor there is one large bedroom and another smaller bedroom and a light modern bathroom. Externally there is a small rear garden with lawn, flowerbeds and shrubs. The home is situated in a residential area of Dordon near to shops and other local facilities including a public house, a library and a health centre. As the current service users are able to safely maintain many aspects of their independence, 70 Long Street is only staffed for parts of the day. Staff are available 24 hours a day at 64-66 Long Street and the service users from 70 Long Street can call upon these staff should a need arise. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was only given a few days notice of the inspection which took place on Tuesday 13th September between 1.30 –5.45pm. In addition to spending time with the residents and a staff member the inspector also interviewed the registered care manager at his office, which is located a few minutes walk from the home. One resident’s care plan and accompanying records and two staffing records were scrutinised on this inspection. What the service does well: The day-to-day management and routine of 70 Long Street helps to ensure that the two residents enjoy a calm and relaxed home with a good balance of staff support and degree of self-determination and independence. There was a high degree of interaction between the staff member and resident present throughout the inspection process. Due to time limitations the inspector only a short time with the second resident who came home just before the end of the inspection. Both residents gave positive feedback regarding all aspects of life in the home. Observations and discussions with the residents showed that 70 Long Street was very much their home and that they liked their lifestyle and routine of the home. Care plans, which meet the resident’s identified needs, and accompanying records, are comprehensive, well ordered and easy to cross-reference. All records of a confidential nature are securely stored when not in use. The home has a good recruitment process and training plan in place. Additionally there is a structured staff supervision and appraisal system that helps to support and monitor staff development and practice as well as the resident’s well being. The home, which is domestic in size, has a homely atmosphere and relaxed feeling. The décor and furnishing is of a good standard and appropriate to the resident’s needs and preferences. The home is very prompt to respond to any requirements or recommendations. Polesworth Group Homes Limited considers whether requirements and Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 6 recommendations made for any one of their homes might help improve the service of all of the homes. What has improved since the last inspection? What they could do better: No requirements were made as a result of the inspection visit. The recommendations below will help to further improve the accountability of the service. A) In order to make the records of residents’ donations to gifts for other residents or staff more robust it is recommended that the name or initials of the recipient of the gift be noted on the financial records of the contributing residents. This would make it a lot easier, particularly with the passage of time, to cross-reference where the money has gone. B) It is recommended that the person who checks essential proof of identity documents for newly recruited staff, such as passports and driving license, Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 7 confirm in writing, either on the staff member’s file or photocopies of the documents, that they have seen the originals. 3) Statutory records would be further improved with the implementation of the following recommendations. Records of drills to include full details of where the residents were at the time of the drill, time of day and length of time of exit and action taken in the event of any concerns. The times of drills should vary. It is strongly recommended that fire drills take place on a more regular basis. Records seen showed that fire drills had taken place on 22/10/03, 16/02/04 and 22/05/05. Consideration should be given to ensuring that, from time to time, different scenarios be set up. For example, a fire in the kitchen or at the foot of the stairs (whilst the residents are upstairs). This would help to ensure that, in the event of an actual fire, the residents do not automatically assume they will simply exit via the back door. It is good practice that the same member of staff does not always undertake fire drills or testing of equipment. Batteries for essential equipment, in particular smoke detectors and torches, to be replaced on a regular basis. The guidance of most Fire Safety Officers is not to wait until smoke detectors warn that batteries are failing but to replace on an annual basis. Many people choose a date that is easy to remember. For example, around the time that the clocks go back for the winter months. Details of when the batteries were replaced should be kept on file. 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. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-5 Prospective residents individual needs and aspirations are assessed prior to coming to live in the home. This ensures that the home is able to meet the needs of the residents. Prospective residents are offered every opportunity to visit the home prior to admission. This helps the resident to make an informed choice when choosing where to live. Residents have individual contracts, which help to ensure that the residents are informed regarding what the home has to offer and any additional costs. EVIDENCE: One care plan and accompanying records were selected for scrutiny. The documents held evidence that the residents’ needs and preferences were assessed by suitably qualified person, prior to the resident being admitted to the home. The resident confirmed that she had been to visit the home prior to admission. The file also contained a copy of a statement of terms and conditions. The resident whose documents were being scrutinised was present throughout the inspection process and went through the file with the inspector. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 10 Although the home is registered for three adults with a learning disability, only two residents have lived in the home for a significant length of time. The manager advised that the Company will draw up an agreement to ensure that, as far as possible, the vacancy will not be filled for the foreseeable future. This will ensure that the resident occupying the shared bedroom continues to enjoy the benefits of being the sole occupant of the room. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6-10 The detailed care plans and accompanying risk assessments works towards ensuring that the residents assessed needs and personal goals are met. The home consults with and encourages the residents to participate in various aspects of life in the home. This gives the residents a degree of responsibility and fosters self-confident. The secure storage for residents’ records protects the privacy of the residents EVIDENCE: As noted in the previous section of this report, one care plan and accompanying records were selected for scrutiny. The home has a comprehensive recording documentation process, which details the aims of the plan and covers the assessed and changing needs as well as personal aspirations. For example, the care plan included particulars of likes and dislikes as well as support plans for independence, diet and health care needs. Records seen, which also contained risk assessments, were routinely updated, easy to cross-reference and included details of changing needs, activities undertaken, and any particular concerns. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 12 The ethos of the home is to encourage both residents to be as independent as possible. Consequently there are periods in the day when staff are not present in the home. Support is always available either via the telephone or from staff working in either of the adjoining homes. Discussions with the resident confirmed that she knew that staff support was always available and how to access help if she required it.. The resident also confirmed that she liked the routine of the home and level of independence and choice she had. Records of a confidential nature are securely stored when not in use. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11-14, 16, 17 Residents are given opportunities for personal development and enjoy varied leisure activities. The home is pro-active in encouraging appropriate personal and family relationships. This works towards a feeling of well being and good quality of life. Residents are provided with meals that are varied and wholesome. The healthy diet promotes good health and a feeling of well being for the residents. EVIDENCE: In addition to independent living skills, the home also encourages residents to develop a variety of social and leisure interests that are based both within the home and local community. For example, the resident present throughout the inspection process was doing her own ironing when the inspector arrived at the home. Discussions with the resident and staff member combined with records seen demonstrated that the residents, subject to risk assessments, make their snacks and drinks and share many other domestic tasks such as vacuuming and dusting. Both residents are also responsible for looking after their own bedrooms. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 14 In addition to small group holidays, the residents also have meals out and day trips to various places. Recent days out have included a visit to a Zoo and garden centre. Both residents regularly attend a Gateway Club and access services such as hairdressing and dental checks in the local community. Residents also help out at a local charity shop. Needlework throughout the home plus items relating to a popular singer plus a pet budgerigar reflected some of the interests of the two residents. Other residents and staff respect individual resident’s rights and privacy. For example, staff and residents knock and wait to be invited in before entering the adjoining homes. Residents do not enter each others bedrooms without their permission. Throughout the inspection process the staff member was mindful not to discuss any of the other resident’s personal details in the presence of another resident. A brief check of the kitchen found it to be very clean, well organised and stocked with a good supply of varied foodstuffs. Discussions with the resident and staff member combined with records evidenced that care is taken to promote a varied and healthy diet. The inspector did not sample a meal on this occasion. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18-21 The discrete, individually based care and support that is provided in a sensitive manner by the home helps to promote privacy and dignity whilst supporting residents to develop/maintain independent living skills. The safe management and storage of medication protects the safety and welfare of the residents. EVIDENCE: Records seen and discussions with one of the residents and staff member confirmed that, where necessary, personal care is delivered in a discrete and sensitive manner. The daily routine of the home is organised around the needs and preferred wishes of the residents. For example, staff presence in the home is arranged for times that meet the time of day that the residents need support and supervision, which is particularly in the morning. Where appropriate, and with the residents permission, staff accompany residents for healthcare appointments the outcome of which are recorded on file. One of the residents and the staff member discussed aspects of the resident’s healthcare needs and how supportive the staff member had been. The manager of the home also gave very positive feedback saying that, “The Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 16 staff member has exceeded any reasonable expectations of supporting a resident, much of it in her own time”. There is very little prescription or homely medication in the home as only one of the two residents require medication on a regular basis. Scrutiny of the medication and accompanying records found it all to be in good order. As noted above, the illness of residents are handled in a supportive and respectful manner in accordance with the resident’s wishes. Details are on file regarding resident’s wishes in the event of death. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22-23 Systems in place to reduce the risk of financial abuse and demonstrate the accountably of the home would be further improved if the home adopts the recommendations made in this report. This would offer additional protection to the residents. EVIDENCE: In order to check that residents are happy with the service and to monitor whether there are any group or individual compliments or concerns, the Director of the home visits residents on a regular basis. The manager and staff are excluded from these formal meeting. The manager advised, although feedback is given, the records of the meetings are retained by the Director in the head office and not made available to staff or the manager. The manager whose office is not based at the home said that he visits home on regular basis, many of the visits being unannounced. The staff member and resident confirmed this to be the case. It is also pleasing to note that the resident’s were fully involved in the inspection and consulted by the staff member throughout the process. Two staff files were selected for scrutiny and these evidenced that staff had received training in awareness of abuse in care home. The staff member on duty at the time of the inspection was well informed and said it had been a very good training programme and “had opened her eyes” with regards to possible different types of abuse and behaviour of perpetrators. Systems are in place to reduce the risk of misappropriation of resident’s finances. The manager advised that a new protocol for appointees accessing Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 18 residents’ money has recently been introduced. Scrutiny of the resident’s personal allowances found them to be orderly. The receipts corresponded with records and balance of cash was correct. From time to time residents choose to club together to buy a gift for a resident or staff member. For example, a special birthday or event such as a leaving gift. In order to make the records more robust it is recommended that the name or initials of the recipient of the gift is noted on the financial records of the contributing residents. This would make it a lot easier, particularly with the passage of time, to cross-reference where the money has gone. It was noted that a small amount of money was held in a tin but not recorded. It transpired that the money was bus fare given to the residents by the charities that they do voluntary work for. Procedures have been changed to ensure that records are kept of any monies, however small the amount, held by the home for safekeeping. It should be noted that there is no suggestion of the misappropriation of residents’ money. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 70 Long Street is clean, comfortable and homely with ample shared and private space to suit the residents’ present needs and preferences. This helps to ensure that the residents enjoy the levels of privacy that they would like whilst benefiting from the advantages of communal living. EVIDENCE: As noted in the section headed ‘ Choice of Home’, although 70 Long Street is registered for three adults with a learning disability only two residents have lived in the home for a considerable number of years. There are no plans to admit a third person in the foreseeable future. The home, which is domestic in size, decoration and style of furnishing, is comfortable and homely and meets the needs of the present residents. A resident accompanied the inspector throughout the tour of the premises and confirmed that she liked living in the home and how the home was furnished and decorated. Neither of the residents requires any particular aids or adaptations. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 20 Communal space consists of a front lounge and separate dining room cum sitting room that leads directly onto the kitchen and laundry area. A goodsized bathroom, which had been fully refurbished in the last twelve months, is located on the first floor. The residents also enjoy a small well-maintained garden and patio area that they share with one of their sister homes. The home was very clean and free from any unpleasant odours or excess clutter. There was no evidence of potential hazards such as worn carpets or damaged furniture. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 21 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-36 The home has good recruitment policies and procedures. This helps to reduce the risk of abuse or neglect of the residents. A stable, skilled and knowledgeable staff team who receive regular training and supervision promotes residents’ welfare and safety and fosters a good quality of life for the residents. EVIDENCE: The staff member on duty at the time of the inspection was very experience and familiar with care needs of residents. It was noted that, as far as appropriate, the staff member included the residents in the inspection process. Two staff files, one pertaining to the staff member present throughout the inspection process, were seen on this occasion. Both staff are experienced having worked for the Company eight and sixteen years respectively. The files were comprehensive and contained all the relevant information as required by the Care Standards Act 2000: Care Homes Regulations 2001: Regulation 19: Schedule 2. It is recommended that the person who checks documents such as passports and driving license confirm in writing that they have seen the originals. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 22 Records evidenced that the staff receive regular training. The staff, who both hold a National Vocational Qualifications (NVQ) Level 2, have successfully undertaken twelve and thirteen training courses respectively since 2002. Training included a Food Hygiene refresher, Care of Medications, Mental Health Awareness, Loss and Bereavement, Person Centred Planning and Awareness of Abuse in Care Homes. Files seen also confirmed that supervision, covering professional practice, development and care of residents takes place on a regular basis. Annual appraisals are undertaken. In order to help the staff, the home adopts the good practice of providing staff with a pre-appraisal assessment questionnaire. Records of supervision and appraisals are signed by the both supervisor and supervisee. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 23 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 , 42 &43 A suitably qualified and experienced manager is in charge of the home. This works towards a safe and accountable service that meets the needs and preferences of the residents. A variety of health and safety procedures are in place. This helps to reduce the risk of accidents and works towards promoting the safety and welfare of the residents. Procedures would be further improved if the home implements the recommendations arising from this inspection. The Director of the Company has regular meetings with the residents. In accordance with the Care Homes Regulations 2001: Regulation 26 a representative of the company also makes regular unannounced visits to the home. These meetings and visits help to ensure the accountability of the manager and staff and that the service is run in a manner that takes into account the views of the residents. EVIDENCE: Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 24 The manager, who has worked for the company since 1997, holds National Vocational Qualifications (NVQ) at Level 4 in management and care as well as a Registered Managers Award. Discussions with the manager confirmed that he was familiar with the needs and preferences of the residents. Residents and the staff member confirmed that, although the manager’s office is not located in the home, the manager spends time in the home. The manager said that many of his visits are unannounced, being “pop in visits to check how things are”. The staff member confirmed this to be the case. 70 Long Street has a relaxed atmosphere and homely routine. This, in addition to the manager’s open door policy for both residents and staff, combined with regular reviews and group meetings plus staff supervision and appraisals all help to ensure that the management approach of the home is open and inclusive. Records and certificates on files evidenced that the home ensures that gas, electrical and fire safety equipment are routinely serviced and refrigerator and freezer temperatures are routinely recorded. . The home does not have emergency lighting. It is pleasing to note good-sized battery torches are provided for use in the event of any lighting failures. Residents are also provided with torches, which are kept by their beds. Two torches were checked and found to be in good order. The records relating to fire safety drills were limited. In order to improve the records it is strongly recommended that the home consider adopting the recommendations made at the beginning of this report under the section headed ‘What They Could Do Better’ and under the ‘Recommendations arising from this inspection’ section at the end of this report. As a very small care home 70 Long Street is not subject to statutory inspections from the Local Fire Safety Department. The manager advised that he had arranged for a Fire Safety Officer to visit the home (and its sister home No 68 Long Street) in order to help them further improve their fire safety practice and procedures. As noted in the section regarding concerns, complaints and protection, the Director of the Company meets with residents on a regular basis in order to ensure that they have an opportunity to give her direct feedback regarding their likes and dislikes or any concerns about life at No 70 Long Street. In accordance with the Care Homes Act 2000: Care Homes Regulations 2001: Regulation 26, a representative from the Company makes regular unannounced visits to the home. A copy of the findings of the visit are forwarded to the Commission. Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 25 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Polesworth Group - 70 Long Street Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 3 E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard Good Practice Recommendations Polesworth Group - 70 Long Street E53 S4375 Polesworth Group 70 Long Street V247877 130905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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