Inspection on 13/02/07 for Prospect House

This inspection was carried out on 13th February 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

Prospect House 03/10/05

Prospect House 06/06/05

Prospect House 22/01/05

Prospect House 13/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Prospect House 14 Boston Road Spilsby Lincs PE23 5HD Lead Inspector Wendy Taylor Key Unannounced Inspection 13th February 2007 09:10 Prospect House DS0000002405.V323233.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 Prospect House DS0000002405.V323233.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. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prospect House Address 14 Boston Road Spilsby Lincs PE23 5HD 01790 752531 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) Linkage Community Trust Mr Simon Brown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: Prospect House is a care home operated by a voluntary organisation called Linkage Community Trust Care Services. It is a detached two-storey house situated in a residential area of the market town of Spilsby and is registered to accommodate six people who have a learning disability. The home has its own small garden area, equipped with patio furniture and is sited close to the local shopping area. Public transport is readily available, linking Spilsby with Boston and the coastal town of Skegness. Accommodation is provided in six single occupancy rooms on both the ground and first floors and has benefited from an upgrading to parts of the property in August 2004 including a new fitted kitchen. The home is part of Linkage Community Trust’s long-stay project, which also operates a day centre facility at Scremby Grange, approximately four miles from Spilsby. The residents are able to access this facility and as part of their personal development, are also involved in community work experience projects. The current weekly fees for the service range from £501:78 to £532:00 Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out during February 2007 and the visit to the house took place over approximately five hours on one day. Service users led the visit, showing the inspector around the home, discussing their care plans and files and talking about their experiences of living at the home. The registered manager helped the inspector to access staff and general house records. The registered manager and staff also spoke to the inspector about their experiences of working at the house and how they help the service users to live fulfilling lives and stay safe. The care and support received by two service users was followed in detail and other service users were able to be involved in the inspection by filling out surveys or talking to the inspector during the visit. Service users said ‘I’m very happy at Prospect House’, ‘I love living here’. Staff also said that they were happy working at the home. Other comments made by service users, staff and the registered manager are contained in the body of the report. What the service does well: What has improved since the last inspection? Since the last inspection there has been a refurbishment of the downstairs shower room; a new conservatory has been built; and there has been general redecoration around the home. In response to a recommendation made at the last inspection, the outcomes of all concerns and complaints are now recorded. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 6 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. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4, 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have a comprehensive range of accessible information available to them, which helps them to make their choice about where to live. They are fully involved in the assessment and admission process, which assures them that the home is suitable for their needs. EVIDENCE: Pre inspection information shows that there are policies relating to referral and admission. During the visit the statement of purpose and service user guide were seen, and both documents are available in a DVD format and sign language. They are both detailed documents that tell service users about the home and how it runs, including information about the contracts for placement. Individual contracts are in place for each service user, as well as an admission sheet, and a set of expectations from the organisation for living at the home. During discussions service users demonstrated that they understand the expectations, and they said that staff had helped them to this understanding. There is an assessment of needs in place for each service user, which covers issues such as finances, safety, communication, personal skills, domestic skills, emotional needs and behaviour. Service users said that they helped to do the assessments with involvement from their families. Assessments carried out by Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 9 the placing authorities were also in individual files. A separate personal profile/personal history is in place, and there is a ‘focus page’, which says briefly what help and support the service user needs and then cross references this information to relevant care plans and risk assessments. Service users sign the documents to say that they agree with the information, and to indicate their involvement. Service users who were at the house during the visit said that they chose to live in the home, and they had the chance to look around and meet people before moving in; they also said that they had been able to watch the DVD’s of the statement of purpose and service user guide. Surveys received prior to the inspection indicate that all service users had a choice of moving into the home, and all of them said that they had enough information to help them make that choice. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a robust and person centred approach to care planning, which they are fully involved in. They are able to have control of their own lives, and be fully involved in the running of the home in a supported and safe manner. EVIDENCE: Care plans are in place, which cover needs such as healthy lifestyles, dentist, behaviour management, personal hygiene and independence. Privacy, dignity and choice are reflected in the care plans, and there evidence of monthly reviews. As well as assessing how effective the care plans are, the reviews give the service user an opportunity to express their views about house issues, leisure activities and concerns or complaints. The service user’s key worker signs to say they have checked the files on a monthly basis, and the service user signs the care plans. Risk assessments are in place, which cross reference with the care plans; and they cover needs such as behaviour, scalding, falls, Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 11 fire safety and talking to strangers. There is evidence that they are also reviewed on a monthly basis. As well as care plans and risk assessments, there are also person centred files and plans in place, in which service users write about what they are achieving and what they aspire to in the future. There is a guide to person centred planning that is available in sign language format. Service users said that they complete their files and do the reviews with their keyworkers. They also said that they have house meetings where they can air their views. Minutes of the house meetings show that there is discussion about the operational plan, décor, risk assessments, policies and procedures and opportunities to move to semi-independent living. The minutes demonstrate that service users are consulted about, and involved in the running of the home and the wider organisation. Pre inspection information shows that there are policies for privacy, dignity, choice, independence and risk assessing; and surveys indicate that service users can make their own decisions about their daily lives. The registered manager said that the staff title of houseparent is currently being reviewed and service users are being asked what they wish them to be called. There was a very respectful and family like interaction between service users and staff; and all decisions and choices were being made by the service users with guidance and support where needed. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have access to a wide range of social, leisure and work based activities, which help them to develop their independence in the home and community settings. They enjoy a healthy diet based on their own choices. EVIDENCE: Surveys indicate that service users can choose what they want to do at all times. During the visit service users said that they could go to the local church; they said that they choose their activities at the house meetings, and one service user said that they enjoy doing course work leading to a nationally recognised work skills qualification. Individual timetables of activities are in place and cover activity such as work placements, sport and fitness, social inclusion, computer courses and house days for skill development such as laundry, cooking and cleaning. The registered manager said that the provider organisation employs a ‘job carver’ who helps service users to find work placements and settles them into the work. Voting rights are included in Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 13 service users care plans, and they said that they could choose if they wanted to vote or not. During the visit service users were doing their washing, ironing, cleaning tasks, making drinks and lunch and planning to go out for the afternoon. Service users said that they are able to see their families and friends whenever they want, and the registered manager said that all service users have an email address at the home so that they can keep in touch with people, as well as having their own mobile phones. Healthy and balanced menus are available for four weekly periods. Service users said that they choose the menus and take turns in doing the cooking with staff. They also said that they take turns to do the house shopping with staff. Healthy eating information is available in the kitchen, together with recipes that help service users make their choices. On the day of the visit fresh fruit and snacks were freely available whenever service users want them; and they were able to make drinks whenever they chose. The registered manager said that each service user has the opportunity to engage in more in depth skill development by doing their own personal menu planning, cooking and shopping for a three month period to build up their skills for semi independent living, should they choose this option in the future. Pre inspection information shows that there are policies available for food safety and nutrition. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Thorough care planning and record keeping assures service users that their personal and health care needs will be met in a safe and supported manner, which suits their individual preferences. EVIDENCE: Care plans are in place for needs such as self-medication, allergies, eye care, diabetes and bereavement support. The care plans include information about how to meet emotional and psychological needs, for example allowing time for service users to talk about feelings and setting private space aside for contemplation. There is clear and detailed information about special equipment and health needs, for example the use of oxygen and medical syndromes. Service users and staff demonstrated clear knowledge of the use of specialist equipment. As well as care plans, health action plans are in place, which say how the service user wants to be supported to meet their health care needs. There are up to date records for visits to the GP, chiropodists and well-person clinics. Service users said that they go to well-person clinics and they can see their GP Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 15 whenever they need to. The provider organisation employs a psychologist who helps service users with needs such as bereavement; and there is clear information about service users individual wishes for end of life arrangements. These documented wishes are kept in sealed envelopes within personal files so as to respect privacy. Medication administration forms are completed in a timely and accurate manner, and storage is appropriate. There are consent forms for taking medication, which service users have signed. There is a clear audit trail in records from ordering of medication to usage or disposal. Oxygen signs are placed appropriately, and portable equipment is securely stored. There are clear procedures for the use of homely remedies and first aid, with a procedure for managers to be informed of and agree the use of homely remedies. A service user said that they administer their own medication, and they described secure storage facilities in their own room. There are risk assessments in place for self-medication. Pre inspection information shows that and health care emergencies, injuries or accidents are managed and recorded appropriately; and there are policies for first aid and medication. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to express their own views and opinions by way of robust procedures and practices. They are protected by comprehensive and accessible policies. EVIDENCE: Pre inspection information shows that there are policies in place for safeguarding adults, concerns and complaints, whistle blowing and management of service users money. Surveys indicate that service users know how to make a complaint if they are not happy with anything, and they think that staff listen to them and act upon what they say. Records show that no formal complaints, or safeguarding adult referrals have been made since the last inspection. The registered manager said that a record is kept of daily concerns from service users, and the outcomes of action taken to address the concerns are clearly recorded as recommended at the previous inspection. The complaints policy is in place in service user’s personal files, and it is available in sign language and DVD formats. Service users sign to say that have received and understood the policy. The contact details for advocacy services and the commission are also in contained in care plans. Staff demonstrated a very clear understanding of safeguarding adult issues and how to protect service users. Service users said that there is a complaints book in the kitchen area, where they can write things down. They said that staff help Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 17 to sort everything out and they get lots of information from the ‘Pointers Committee’. This is a service user representative committee for the wider organisation. The registered manager said that an advocate from a local advocacy service takes part in the committee, and there is a regular advocate surgery held at a nearby service. He also said that each house within the provider organisation is to take part in a self-advocacy video diary project in the near future. Care plans are in place for personal finances; and service users said that they sign for their money and keep it locked in their own tins. The registered manager said that service users are in the process of being supported to open their own bank accounts instead of having their money paid into an organisation account. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are fully involved in developing and maintaining a comfortable and homely environment, which suits their needs and wishes. EVIDENCE: Pre inspection information shows that since the last visit, a new conservatory has been built onto the side of the property, and the downstairs shower room has been refurbished. Surveys indicate that service users think the home is always fresh and clean. On the day of the visit the house was very clean and tidy throughout, and service users talked about their rota for housework. A tour of the house showed that redecoration of the hallway, stairs and landing is currently in progress. Service users said that they have chosen the new décor together, as they have for the rest of the communal areas. They also said that they have chosen to use the conservatory as a second lounge area instead of a dinning room. Bedrooms are very well personalised with photographs, ornaments, TV’s Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 19 and hi-fis. Service users said that they ‘really like’ their rooms, and again they have chosen their own décor and furnishings. Communal areas are comfortably furnished and there are photographs around the home of the people who live there. There is a spacious, well-equipped kitchen with a large family like dinning table. There is a good-sized laundry area, where all substances that are hazardous to health are stored securely. Records for maintenance within the home are up to date, and service users said that they know and like the maintenance men. The registered manager said that there is more redecoration, and renewal of furnishings planned for 2007, which is discussed regularly at house meetings. There are also plans for garden refurbishment. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Very well trained and safely recruited staff support service users in their daily lives; and the service users benefit from the consistency of the team, and their knowledge and understanding of needs. EVIDENCE: Staff recruitment files contain application forms, references, identification, criminal record bureau checks, and new employee checklists. The registered manager said that service users are involved in interviewing prospective staff members, and the provider organisation is currently assessing the possibility of service users being involved in the staff appraisal process. The registered manager said that induction and foundation training programmes take three months to complete, and there is an expectation that new staff will commence training towards a nationally recognised care qualification within six months of starting work. Records show that induction training covers subjects such as epilepsy, health and safety, moving and handling, first aid, principles of care, basic food hygiene, medication administration, fire safety, infection control, safeguarding adults and risk Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 21 assessment. The programme is in line with nationally recognised general and specialist frameworks; and probationary interviews are held at three and six month intervals. Records show that staff also undertake training in subjects such as line management, equal opportunities, confidence building, person centred planning, oxygen therapy and record keeping. Pre inspection information shows that further training is planned for individual syndromes that effect service users lives. Staff said that they have very good access to training, which helps them to develop their knowledge, and this means that they can do more things for the service users. Pre inspection information shows that there is a policy referring to supervision, and staff said that they have regular supervision, which they find very helpful. Monthly supervision sessions are recorded, together with annual appraisals. The registered manager said that the organisational training plan is used at appraisals, where four targets are set for the year and training is booked to help the staff member to achieve those targets. Minutes of monthly staff meetings show that staff receive in-house updates for subjects such as safeguarding adults; and they have regular policy reviews, discussions about service user needs; and they receive feedback from audits and surveys. Rotas show that there is a consistent staff team, and there are enough staff to cover the contracted number of care hours. The registered manager said that shortages are covered by staff from other areas of the organisation, who are known to the service users. Staff said that they get very good support from the registered manager, and that he encourages people and listens to them. They also said that there is strong teamwork. During the visit they demonstrated a very clear knowledge and understanding of the service users needs and how best to support them. Service users said that staff are very helpful and they like all of them. This was also indicated in surveys received prior to the inspection. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are fully involved in the development of their home and the wider provider organisation. They are protected by robust record keeping practices and policies, to which they have full access and support to understand them. EVIDENCE: Pre inspection information shows that there are policies available for issues such as quality assurance, substances that are hazardous to health, emergencies and crises, equal opportunities, fire safety, health and safety and record keeping. There are also risk assessments in place for substances that are hazardous to health. Daily service user records are very clear and detailed, and they cross reference with care plans and accident forms. The accident forms are also very detailed. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 23 On arrival at the home the inspector was shown the fire exits and the assembly point in case there was a fire alarm during the visit. Service users demonstrated a very good knowledge of fire evacuation procedures, and records show that there are practice evacuations at least monthly. Records also show that fire alarms, equipment, emergency lighting, carbon monoxide detectors and door closures are checked on a weekly basis. Regular testing of portable electrical appliances is clearly recorded. Individual and communal house equipment records are kept separately, with service users record being kept in their files. There are also weekly visual checks carried out by staff for wires, plugs and bulbs for example. Water temperatures are recorded regularly; and there are environmental risk assessments in place for issues such as the use of oxygen cylinders, the use of step ladders, the use of transport, falls, laundry, cooking, power cuts and Legionella. Records show that the risk assessments are reviewed on a monthly basis. There are comprehensive quality assurance processes in place, which include service user, relatives and other stakeholders’ surveys. There is evidence that surveys were carried out in March and October 2006, with very positive outcomes. A contract-monitoring visit by the local placing authority was carried out in April 2006, the report of which again shows very positive outcomes with no recommendations for improvement. Managers from other homes in the organisation audit the home on a monthly basis. A report is written and shared with service users and staff, and then an action plan is developed to address any issues highlighted. The ‘Pointers Committee’ (see Standards 22-23) also conducts surveys about specific issues such as communication. The registered manager said that DVD formats are available for subjects such as fire safety, complaints and communication. He also said that the organisation, together with service users, is developing DVD’s for bullying and person centred planning. The service users confirmed this during discussion. Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 3 3 X 4 3 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 X 27 X 28 4 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 4 X 4 X 3 4 X Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Prospect House DS0000002405.V323233.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!