Inspection on 23/06/07 for Polesworth Group 70 Long Street

This inspection was carried out on 23rd June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 09/02/06

Polesworth Group 70 Long Street 13/09/05

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 Patricia Flanaghan Unannounced Inspection 23 & 24 June 2007 2:00pm 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 Polesworth Group 70 Long Street DS0000004375.V344078.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. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Polesworth Group 70 Long Street Address 70 Long Street Dordon Tamworth Warwickshire B78 1SL 01827 895054 01827 892500 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) 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 DS0000004375.V344078.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 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 three 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 DS0000004375.V344078.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The inspection visit was unannounced and took place over two visits. The first visit took place Saturday 23 June 2007 at 2:00pm. A second visit was made the following morning, Sunday 24 June to meet with the registered provider and examine records relating to the service. Prior to the inspection visit the manager had forwarded to the Commission a pre-inspection questionnaire, a staffing rota, training information and menu records for the home. Service user and relative questionnaires were sent out; three service user and two relative responses were returned. Comments received are reflected in the body of the report. All pre-requested documentation returned was examined as part of the inspection process and the evaluation included in this report. One of the people who use this service were ‘case tracked’. This involves establishing an individual’s experience of living in the care home by meeting or observing them, discussing their care with staff, looking at their care files, and focusing on outcomes. Tracking a person’s care helps us understand the experiences of people who use the service. The inspector would like to thank the people who live in the home and staff for their cooperation and hospitality. What the service does well: The home is clean and comfortable with a friendly atmosphere and all staff were observed to be interacting well with the people living there during the inspection. Staff carefully monitor the health care needs of residents and react promptly when they identify a problem. They enable residents to have access to a wide Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 6 range of specialists and have developed good working relationships with other professionals. The home actively encourages people to maintain contact with family and friends. The atmosphere in the home was relaxed and friendly. Staff were observed to treat people who live in the home with dignity and respect; they were patient and showed great understanding of their individual needs. People who live at the home enjoy a varied, balanced and nutritious diet and choose their own meals. The food is home-cooked and there is a plentiful supply of fresh fruit and vegetables. The home is clean and fresh. It is decorated and furnished to meet peoples’ needs and minimize their anxieties. Residents’ bedrooms are individually decorated, contained lots of their personal possessions and were safe environments. The home has a very stable and committed staff team, and this is evident from the number of years many staff have worked here. All staff have achieved an NVQ (National Vocational Qualification) at level 2 in care. The home is run by a highly skilled and competent manager who is very supportive of his staff and is dedicated to providing the best possible opportunities for people who use the service to be safe and happy. What has improved since the last inspection? Overall this is an excellent service with few areas for improvement. Where these have been identified, management have already put systems in place to address them. For example, people’s current medication is recorded on a card, the size of credit card, which is carried with them when they go out on outings or on holiday. This ensures that the person’s medication details are readily available in the event of an emergency requiring medical assistance. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 7 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. Polesworth Group 70 Long Street DS0000004375.V344078.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 Polesworth Group 70 Long Street DS0000004375.V344078.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): 1, 2 and 3 Quality in this outcome area is excellent. People who may choose to live in the home have the information they need to choose a home to meet their needs. This judgement has been made using available evidence including a visit to this service This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection a person has come to live in the home and their admission process was looked at during the visit. Admission records and the care plan were up-to-date and demonstrated that assessed needs were being reviewed regularly as the person settled into the home. The documentation showed that the person and placing authority had been involved in the admission of the person. During conversation the person said that they had settled well into the home and they liked it there. They confirmed that they had paid a “couple of visits” to the home to meet the other people and “see if they would like it.” The person said that the house was “all right” and that they “liked” the other two people living there. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 10 The statement of purpose and service user guide describes the aims, objectives and facilities of the home and had been reviewed since the previous inspection. The service user guide is available in written and photograph format and therefore meaningful to the needs of the people who may wish to use the service. Polesworth Group 70 Long Street DS0000004375.V344078.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 Quality in this outcome area is excellent. Care plans are comprehensive tools used by staff to assist them in providing support to residents. The plans are person centred and focus upon the individual’s strengths and personal preferences. Residents are enabled to take risks as part of every day living and this is managed in a constructive and supportive manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans for two people, which included the most recent admission to the home, were looked at. Their risk assessment information and review documentation was also examined. Each care plan looked at had clear written guidelines for staff to follow to meet specific needs, this included keeping people safe from harm in their environment and activities, communication and significant behaviours. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 12 The daily routines for each person were very detailed and included the specific times preferred for their daily activities, for example times for getting up and times for going to bed. Risk to any activity had been assessed and guidelines put in place to ensure the activity remained safe and the service user had been able to sign that this had been explained to them. Risk strategies had been developed with the support of psychologists that may have placed the service user, or others, at risk of harm. Discussion with people during the visit confirmed that the home continues to support them to make decisions regarding their everyday lives. These include meals provided, activities pursued, holidays and choice of personal clothing. The two comment cards returned by relatives indicated that they were satisfied with the overall care provided by the home. Polesworth Group 70 Long Street DS0000004375.V344078.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 Quality in this outcome area is excellent. Residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. Daily routines promote independence and staff fully respect and promote residents’ rights. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The philosophy at the home is very much about encouraging and supporting independence. The home is run in a person centered way by consulting people in decisions about their lives and the running of the home. The home is run and staffed at a level that promotes residents’ independence and individual choice. For example, staff are not always on duty in the home. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 14 The people knew that a staff member is always on duty in an adjoining sister home if they needed support or had any concerns. People who live in the home have individualised activity programmes in place which demonstrated a wide range of stimulating and therapeutic activities within the community and home. Staff record the outings and activities undertaken by the resident. There is comprehensive monitoring and evaluation of all activities undertaken so that staff can measure whether or not they meet the needs and individual preferences of the resident with excellent records maintained. During the day residents were seen helping around the home with housework tasks. People spoke about the activities they enjoyed and this included their holidays away from the home, working, attending college courses, their day services, shopping, eating out and being involved in activities around the home such as cleaning, cooking and gardening. The inspector was also shown the many beautiful craft items such as stuffed animals that residents make at craft classes. Two of the residents regularly attend a Church Service on Sunday mornings. On Saturday, the first day of the inspection, one of the residents was having their hair done at a nearby salon and another resident went out to meet them off the bus. This person said they would probably go for a coffee together before coming back home. People said that they liked living together and got on well and this was evident during the visit. The three people living here were happy to discuss with the inspector their day-to-day life in the home and constantly made references to how much they enjoyed each others company. A newly admitted person said: • “I have settled in well, I like it here, I get on really well with……(other residents).” People said that they go on regular holidays and, over lunch, they told the inspector about their planned holiday in July to Cornwall. This was a holiday they had chosen themselves. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 15 The inspector spoke with staff who demonstrated an in depth knowledge of peoples’ individual preferences regarding daily routines which is supplemented by comprehensive care plans. Residents respect the privacy of each other’s bedrooms and unless necessary, staff do not enter residents’ bedrooms without their permission. Residents are able to have keys to their own bedrooms and the home and are able to access all parts of the house. The home does not operate a set menu plan. Instead, residents are able to choose on a daily basis what they would like to eat. On Sunday, the second day of the inspection, one of the residents had helped prepare vegetables for dinner. The inspector was told they would be dining with the three residents who live at No 68 Long Street. The kitchen was clean and in good order. Polesworth Group 70 Long Street DS0000004375.V344078.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 Quality in this outcome area is excellent. Personal support is offered in such a way as to promote residents’ privacy, dignity and independence. The health needs of residents are very well met with evidence of good multi-disciplinary working taking place regularly. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service operates a person centred approach to providing residents with effective personal and healthcare support. Care practices observed during the visit were sensitive and respectful and people appeared satisfied with their care received. The three people who had responded to the questionnaires sent to them about life in the home said that staff always treated them well and listened and acted on what they said. Records examined confirmed that residents have access to a wide range of specialists. There is very good monitoring and recording methods used by Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 17 staff. They react promptly upon identifying any area of concern by seeking further advice from the relevant specialist. The member of staff spoken with demonstrated a clear understanding about the specific and individual needs of the people living in the home. Medication was secure and locked within a dedicated locked cupboard. The medication keys were held by the person in charge to ensure safety. All records relating to medicine management seen on this occasion were up to date. Medication is administered by trained care staff who have completed a ‘Safe Handling of medication’ accredited course. None of the people living in the home looked after their own medication. Polesworth Group 70 Long Street DS0000004375.V344078.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 Quality in this outcome area is excellent Suitable procedures and training are in place to enable staff to recognise and respond to service concerns and any suspicions of abuse, so that people who use this service are properly protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No formal complaints have been made to the home or to the Commission for Social Care Inspection within the last twelve months. Discussion with people using the service and staff and examination of the complaints record for the home demonstrates that there continues to be an open and positive approach regarding the service at the home. People living in the home said they felt safe in their environment and with the people who were caring for them. Information for people about how to complain if they are unhappy is available to them in symbol and written format. There are policies and procedures in place regarding safeguarding adults, but the most positive safeguard continues to be the ethos and atmosphere apparent in the home. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 19 Discussions with staff confirmed that they are aware of their responsibilities in the event that concerns that are raised or a complaint is made. Staff demonstrated an excellent understanding and awareness of abuse; they were able to describe many types of abuse, including financial, verbal, physical, psychological and using medication inappropriately. The company has a clear and appropriate policy concerning the management of service user’s finances. These are robust with regular audits undertaken by staff and detailed records of residents’ financial transactions and receipts obtained by staff for purchases made. Polesworth Group 70 Long Street DS0000004375.V344078.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, 25 and 30 Quality in this outcome area is good. The people living in this home have a living environment that is appropriate for their particular lifestyle needs and is homely, clean, safe and comfortable and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home confirmed that the residents continue to live in a comfortable, clean and homely environment. The inspector was shown around the home by two of the residents and they said they were happy living at the home. The home is spacious with lots of communal space for residents to relax in and to undertake any in-house activities. There is a garden to the rear which is secure. The home is maintained to a high standard. Peoples’ bedrooms were decorated to meet their individual tastes and personalities. They contained Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 21 lots of their own personal possessions and were homely. People looked comfortable in their surroundings. People who use the service are encouraged to see the home as their own and are able to move around easily and freely and to go to their bedroom if they wish. Decor, furnishings and fittings were all clean and to a high standard and the home smelt fresh and pleasant. There are established policies and procedures in place for the control of the risk of infection in the home and staff practices during the visit were seen to be safe. Infection control training is included in mandatory training for all staff and when being assessed towards NVQ Level 2. Polesworth Group 70 Long Street DS0000004375.V344078.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 Quality in this outcome area is excellent A skilled and very motivated staff team supports people living in this home. There are sufficient numbers of staff on duty to meet the needs of people. Recruitment and selection procedures are robust and offer suitable safeguards to people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents at 70 Long Street do not have twenty-four hour staff cover on the premises. The residents spoken to know that a staff member is always on duty at 64-66 Long Street. Unless there are reasons to the contrary, such as illness or additional concerns, just one staff member is employed to work in the home at any given time. This staff member also covers 68 Long Street, which is adjacent to this home. Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 23 All staff within the home have received positive and meaningful training, the registered manager prioritises training and enables staff members to undertake specialist training beyond the basic requirements. This ensures a consistent and needs led service is offered to the people who use the service. Comments by staff confirmed that they are supported to gain access to a good range of training, including Health and Safety related training, such as fire safety, food hygiene, adult abuse, first aid and medication as well as National Vocational Qualification training courses (NVQ’s). All staff working in this home have achieved an NVQ at Level 2 in care. Discussions with the staff member confirmed that supervision and staff meetings take place on a regular basis. Observation of care practice and discussion with staff on duty at the time determined that positive relationships exist between people and the staff supporting them. Support was provided discreetly to residents and they appeared comfortable and relaxed with staff members. The recruitment files for newly appointed staff were looked at and demonstrated appropriate and safe recruitment procedures occurred. This included confirming satisfactory Criminal Record Bureau checks and obtaining two references, one of which is from the employee’s previous employer. The service clearly defines the roles and responsibilities of staff through accurate job descriptions and specifications. Members of staff spoken with were positive about their training opportunities and knowledgeable on areas asked about. The staff stated that they enjoy working in the home. Polesworth Group 70 Long Street DS0000004375.V344078.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 Quality in this outcome area is excellent. The people using this service continue to benefit from a well run home that has effective systems in place to ensure their health and well-being is promoted and maintained during their time there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In addition to 70 Long Street the registered care manager is also responsible for Numbers 64-66 and 68 Long Street, which are two adjoining Polesworth Group Homes. The manager, who has worked for the company since 1997, holds National Vocational Qualifications (NVQ) at Levels 3 and 4 in Care, a City& Guilds Advanced Management in Care as well as a Registered Managers Award. Staff Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 25 said they receive excellent support from the manager. They receive regular one-to-one supervision and guidance when necessary. The home has a number quality assurance and monitoring systems in place. For example, the Chief Executive of the Polesworth Group Homes visits the residents four times a year. The manager and staff are excluded from these formal meeting. In accordance with the Care Standards Act 2000; Care Homes Regulations 2001: Regulation 26 a representative of the Company undertakes a monthly visit to the home. A report of the visit is available for inspection. As the home is small people living here do informally have a lot of involvement in its functioning and are encouraged to make decisions in respect of daily routines, meals, menus and outings. An annual quality assurance meeting with residents and relatives is held and are seen as a social occasion as well as seeking views on how the service is performing. The last meeting was on 5/10/06 and the outcome was available in the home. The home has service and maintenance contracts for all equipment in the home: the records were available at the home and a copy of the service dates were provided by the manager prior in the pre–inspection questionnaire. Safe working practices were observed in the home and records show that this is further promoted through training for staff in manual handling, food hygiene, first aid, fire safety and infection control. Health and safety management in this home is to a high standard and all records seen relating to this were up-to-date and in good order. A record is maintained in the home of any accident or incident that happens to a person using this service. The registered manager undertakes a regular analysis of accidents to identify any particular trends and ensure all steps are taken to limit untoward incidents. The most recent analysis seen was undertaken on 31/12/06. All records seen during this visit were stored securely and in good order. Polesworth Group 70 Long Street DS0000004375.V344078.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 4 2 3 3 4 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 4 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Polesworth Group 70 Long Street DS0000004375.V344078.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 Polesworth Group 70 Long Street DS0000004375.V344078.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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