Inspection on 08/11/06 for Prospect Place, 6a

This inspection was carried out on 8th November 2006.

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

Prospect Place, 6a 11/01/06

Prospect Place, 6a 31/08/05

Prospect Place, 6a 18/03/05

Prospect Place, 6a 20/07/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Prospect Place, 6a 6a Prospect Place Worcester Worcestershire WR5 2AD Lead Inspector R McGorman Unannounced Inspection 8 November 2006 2:00pm th Prospect Place, 6a DS0000018671.V294438.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 Place, 6a DS0000018671.V294438.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 Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prospect Place, 6a Address 6a Prospect Place Worcester Worcestershire WR5 2AD 01905 351514 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.dimensions-uk.org Dimensions (UK) Ltd Ms Helen Elizabeth Mence Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This Home is primarily for people with a learning disability but may accommodate people with an additional physical disability. 11th January 2006 Date of last inspection Brief Description of the Service: 6a, Prospect Place is registered to provide residential care for up to four service users who experience a learning disability, who may also have a physical disability, and whose needs are diverse. The home is also able to accommodate one person over 65 years of age. The range of fees varies between £1,100 and £1,250 per week. The building is a large dormer style bungalow situated in a quiet cul-de-sac, in close proximity to the city centre, with access to a range of amenities and facilities. The home is owned and run by Dimensions (UK) Ltd., and is part of the New Dimensions Group, which, as the parent company, provides strategic direction and a range of functional support services. The stated purpose of the organisation is, to work with people with learning difficulties, supporting them to make choices and to exercise control over their lives, and the main aim of the home is, to deliver a person-centred response to the needs and aspirations of the people we support. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine key inspection was to monitor the care provided at the home, to assess how well the service meets the needs of the people who live there, and to follow up previous requirements and recommendations. The visit was unannounced and took approximately 3 hours, when some time was spent with service users, mostly observing their interactions with the people who support them, as they are unable themselves to verbally communicate their views. During conversations with staff, positive comments were made about what it is like to work at the home and also to be employed by the organisation. They assist service users in completing a survey entitled, ‘Have Your Say,’ – which provides information about what they think about the care and support they receive. Written comments are also requested from relatives, and any visitors or professionals are spoken with at the home during the inspection. Everyone expressed satisfaction with the standard of the care provided. The care records of service users were inspected, and discussions held with the manager and staff about the content. One was inspected in detail for case tracking purposes. A tour of the building was also undertaken, and the records kept in respect of the maintenance of equipment, and safe working practices were seen. The Care Manager was available for part of the inspection. Mrs Helen Mence, who has worked for the Organisation for many years is retiring at the end of the year, and a new manager is being recruited. What the service does well: Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 6 Detailed documentation is kept at the home, and information is produced in an appropriate format for service users. Good communication ensures that everyone has the relevant information to make appropriate decisions. The home is well maintained, appears cared for, and is comfortable and safe. Care plans are detailed and thorough, and reviewed regularly, which helps to ensure that the needs of service users are anticipated, and responded to in an appropriate way. The individuality of each service user is recognised and the staff are committed to supporting and enabling service users to achieve as much as possible. What has improved since the last inspection? 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. Prospect Place, 6a DS0000018671.V294438.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 Place, 6a DS0000018671.V294438.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Appropriate documentation is in place to enable prospective service users to make an informed decision about their future care needs. The assessment process is both detailed and thorough, to ensure that an appropriate decision is made, both by the home and the service user. EVIDENCE: The documentation is produced in an appropriate format, and retained by the service user, if this is their wish. Some documents are produced on audio tape, and can be provided in other formats if needed. There have been no recent admissions to the home, although the process was discussed with staff who confirmed that it includes an extensive assessment by staff from the home, with a Community Care Assessment undertaken by a social worker. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 6,7 & 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The service users plan of care is based on the initial assessment, which clearly identifies their assessed needs, and how these will be met. The key-worker system ensures that service users living at the home are supported in making choices in all areas of their lives. Risk assessments are in place and enable a responsible approach to the risks associated with the various activities of daily living. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 10 EVIDENCE: An individual plan of care is produced for each service user, based on the initial assessment undertaken during the admission process. The plans are very comprehensive, detailing the specific needs of service users and how these are to be met. Documentation is reviewed regularly, to ensure that it accurately reflects specific aspects of the care that can be provided. Two key-workers are assigned to each service user, and have responsibility for ensuring that appropriate care is provided. Changes are monitored over a period of time, and amendments made when necessary. The obvious commitment of staff and the positive relationship with service users from everyone involved with their care is commendable. One care plan was checked in detail during the inspection, and discussed with the key worker, who was fully aware of every aspect of the needs of the service user. The comments were written as from the service user, whose main form of communication was by facial expression. Several documents combine to form the plan of care for the service user and include the following: • Support Plan, which details the daily routine, basic communication needs, feeding requirements, and specific guidelines for staff to follow • A Health Action Plan is completed although health care needs are also well documented in the support plan • Essential Lifestyle Plan, that includes all the activities that the service user is involved in, and how they are accessed and implemented • Communication Passport, relating specifically to the various forms of communication used with individual service users. Training was provided recently by the Speech and Language Therapist • Key-worker folder, containing information on the bi-monthly review meetings which are held with the service user and the family or representative • Risk Assessment folder, that provides greater detail about all the risks identified in respect of every aspect of the life of the service user • Financial folder, giving information relating to money matters, accounts, signatories and how funds are accessed by the service user The service users living at 6a Prospect Place are not able to communicate verbally, therefore staff are continually having to interpret their individual needs and preferences. Participation in the daily life of the home is encouraged, and indications that a service user may not wish to do something is acknowledged and respected. One person made it very clear by making a lot of noise, that he wished the music to be changed, that he was listening to, and following this he became quite content again. The details recorded in all the documentation relating to each service user are discussed with them and their family, or a representative. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are the focus of the delivery of the high standard of person centred care that is provided. The involvement of each individual in developing their activities, both within and outside the home, means that they are able to choose what they wish to do. The opportunities made available to service users enable them to live as fulfilling a life as possible. The health and wellbeing of service users is promoted by the provision of a nutritious and wholesome diet. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 12 EVIDENCE: Service users living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range activities. A person-centred approach is part of the philosophy of the care provision in homes run by Dimensions. Limited communication skills preclude involvement in paid employment or educational opportunities, but social activities are provided, and these may be undertaken in-house or in the community. Examples include, shopping, cookery sessions, swimming, going to the pub for lunch, visits to the snoezlan, Jacuzzi and hydro, going to the theatre and to discos. One service user was taken out by a member of staff to attend a music session during the afternoon. In-house activities include an Indian head massage, watching TV or videos and music is enjoyed by everyone. Making music is a past-time of one service user, who has an electronic organ. One service user was involved with a member of staff in preparing the vegetables for the evening meal. There are no set routines or formal arrangements within the home, as staff respond to each situation as it occurs. The days are organized around the preplanned activities of each service user, and are also influenced by the health of each person. Links with family and friends are promoted, with a high degree of support provided by staff, to both the family, and to the service user. The services of volunteers or an advocate is sought in the absence of family involvement. The arrangements regarding the provision of food reflect the individual preferences of each service user, which are recorded. The proposed meals are discussed, although service users are not able to express their specific preferences, but it is made very clear if something is not liked or wanted. All service users require assistance with eating, which is dealt with sensitively by staff. Two service users have their food cut into small pieces, one needs most foods pureed, and another is fed through a P.E.G. (Percutaneous Endoscopic Gastrostomy), which is well managed by staff. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 8,19 & 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The procedures in place at the home are followed closely by staff to ensure that the personal and healthcare needs of service users are met appropriately. Support is provided to each service user, and their independence promoted as far as possible, in meeting the care needs of each individual. Arrangements for the safe administration of medication are satisfactory. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 14 EVIDENCE: The personal and healthcare needs of service users, which are extensive, are well documented, and there is evidence to show in the individual plan of care how staff understand and respond to them in an appropriate way. Personal care is provided in privacy, and is never rushed, although an extensive amount of time is spent giving personal support to each individual. Reviews are undertaken regularly on all service users to determine their specific needs. The healthcare of service users is closely monitored, and additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. Podiatry and optical care is arranged as necessary, and dental treatment is also provided. Health Action Plans have been implemented for all service users. One service user is to have dental extractions in the near future, which have been planned in multi-agency meetings and with the involvement of family. These discussions are well documented. A physiotherapist was visiting a service user at the time of the inspection and advised staff on providing postural drainage to relieve some breathing difficulties that had been experienced by the service user. The service users are all unable to walk independently, but the high standard of physical care provided has ensured that the skin integrity of each individual remains intact. There is also the need for intrusive treatments to be undertaken by staff from time to time e.g. administering suppositories, but relevant staff have been given the necessary training. Medication arrangements at the home are satisfactory. A Monitored Dosage System is in use, and regular checks by the pharmacist are undertaken. The Medication Administration Records have been completed appropriately. Staff were advised that a detailed profile, together with a photograph should be included for each service user, and guidelines provided for the administration of PRN (as required) medication. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are able to express any concerns, through an effective complaints procedure. The awareness of the management, together with the training provided for staff, ensures the protection of service users from all forms of abuse. EVIDENCE: A clear procedure for the investigation of complaints has been produced and any issues are dealt with immediately. The document has been produced in a format that is understandable to service users. Discussions have been held with service users families or advocates regarding the process, and several lovely compliments about the home and the care provided are recorded. Since the last inspection, the records at the home indicate that one complaint has been made, which was dealt with appropriately by the organisation. There have also been two complaints to the Commission, relating to an inappropriate placement at the home, that had an adverse effect on the other service users. Staff are able to demonstrate a clear understanding of the issues relating to abuse, and also to their individual role as an advocate for service users. An appropriate procedure is in place relating to the many aspects of abuse and the protection of vulnerable adults. Training for all staff on the Protection of Vulnerable Adults has been provided. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 24 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The premises are suitable for their purpose. They are comfortable and clean, and ensure as far as possible that the safety and wellbeing of service users is promoted. The standard of the accommodation is excellent. The décor and furnishings are in good condition, and provide service users with an attractive and homely place to live. The location of the house is convenient to local services and facilities, and the layout provides adequate communal space and equipment for the needs of service users. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 17 EVIDENCE: The premises at 6a, Prospect Place is a large detached, bungalow, which provides a safe and well-maintained environment that is suitable for its purpose. The communal areas of the house are nicely decorated and comfortably furnished. There is a lounge, and a separate dining room, with additional comfortable seating. Sensory equipment is provided for the benefit of service users. The gardens are well maintained, and provide a suitable area for service users during the warmer weather. There is also a patio that can be accessed through a French window from the lounge. The ground floor of the house is fitted with overhead tracking to assist with moving service users. Appropriate aids and adaptations are provided for the use of service users, although storage space is limited, as the amount of equipment is extensive. Contracts are in place for the servicing and maintenance of equipment. Several developments discussed during the inspection were observed to have improved facilities for service users and enhanced their quality of life. These include the following: • The provision of two new specialist beds with full size bed rail protectors • The purchase of one new easy chair and one chair recovered • The fitting of power packs for the wheel chairs • A fruit blender was purchased to produce fresh fruit drinks • A new food mixer to assist with the catering • A new vehicle is to be provided for transporting service users There are no outstanding requirements following a visit from the Environmental Health Officer in November 2005. The home has not received a recent visit from the Fire Safety Officer. The Fire Log Book was seen, and the appropriate checks have been undertaken with the required frequency. The Fire Risk assessment was reviewed in July 2006. Staff have regular awareness sessions and a fire drill and full evacuation was undertaken in March 2006. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has an experienced and competent team of staff, who are able to ensure that the needs of service users living at the home can be effectively met. Appropriate recruitment procedures ensure that service users are supported and protected by staff. The training programme available to staff ensures that they are effective in their work, and therefore able to provide appropriate care and support to service users. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 19 EVIDENCE: Dimensions provides relevant information for staff on joining the organisation, and also keeps them updated on new developments and any changes that take place. Each member of staff is given a Welcome Pack that contains details about the organisation, and its aims and objectives, an Employee Handbook that provides information about terms and conditions of employment and policies and procedures, and an Induction Checklist covering the first three months of employment. A review of the staffing arrangements at the home has been undertaken by the organisation, and the rotas indicate that three members of staff are usually on duty at the home throughout the waking day. Agency staff have been used quite frequently, although a new member of staff has been appointed to a full time post recently. A part time vacancy has yet to be filled. A thorough recruitment and selection procedure has been produced by the organisation, and includes a commitment to equal opportunities. Criminal Record Bureau checks are completed prior to an appointment being confirmed, and verbal and written references are also obtained. A training programme is in place at the home that includes statutory and specialist care related training. Induction and Foundation training, (known as ‘Welcome to Our Team’), and the Learning Disability Award Framework (LDAF) accredited training are available to staff. The training needs of staff are regularly reviewed, and a training record is maintained in respect of each member of staff. Confirmation was provided during discussions with staff about the opportunities for training, and the courses they had attended recently. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff and service users benefit from the positive leadership, and the person centred approach to the care they receive. The rights of service users are safeguarded by the effective policies and procedures, together with appropriate records that are maintained at the home. The health, safety and welfare of service users and staff is promoted and protected in respect of all safe working practices. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 21 EVIDENCE: The Care Manager, Mrs Helen Mence, has many years experience working with this client group. She has good communication skills, and a clear understanding of her role and responsibilities. She attends various care related training courses and ensures she is kept informed of the various developments relating to the care of people with a learning disability. She has recently confirmed her intention to retire and will leave Dimensions at the end of December, after 15 years service. An annual development ‘PATH’ plan has been produced which involves the whole home, and forms part of the quality assurance programme for the Organisation. The team identifies where they are at, where they want to be in 12 months time, who they need to help them to get there, the building bricks and the strengths required, and who does what. Reviews of achievements take place every 3 months, and the outcomes are measured. Procedures are in place in regard to the control of infection, and staff are trained in all safe working practices. An extensive health and safety policy is in place, and the Organisation employs an officer to advise on health and safety matters. Risk assessments in respect of all safe working practices are completed. The records checked during the inspection have been completed to a satisfactory standard. Regular maintenance and servicing of equipment is undertaken routinely, and temperature checks are recorded. The accident records were seen to be in order. Notifications are made under Regulation 37, which requires reports to be sent to the Commission of the death or serious illness, or any other event in the home which may adversely affect the wellbeing of a service user. Regulation 26 reports, which relate to visits made to the home by or on behalf of the registered provider, are also submitted on a regular basis. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 23 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. 1. 2. Refer to Standard YA20 YA20 Good Practice Recommendations A photograph of the service user together with a detailed medication profile should be provided with the Medication Administration Records Guidelines for the administration of PRN (as required) medication should be included in the records. Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. Extracts may not be used or reproduced without the express permission of CSCI Prospect Place, 6a DS0000018671.V294438.R01.S.doc Version 5.2 Page 25 - 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. 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