Inspection on 29/10/07 for Ridgewood Drive (1)

This inspection was carried out on 29th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ridgewood Drive (1) 04/12/06

Ridgewood Drive (1) 14/12/05

Ridgewood Drive (1) 30/08/05

Ridgewood Drive (1) 10/11/04

Ridgewood Drive (1) 03/08/04

Ridgewood Drive (1) 19/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Ridgewood Drive (1) 1 Ridgewood Drive Old Bisley Road Frimley Surrey GU16 5QE Lead Inspector Vera Bulbeck Unannounced Inspection 29th October 2007 10:35 Ridgewood Drive (1) DS0000013440.V347089.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 Ridgewood Drive (1) DS0000013440.V347089.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. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgewood Drive (1) Address 1 Ridgewood Drive Old Bisley Road Frimley Surrey GU16 5QE 01276 62668 01276 62668 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.new-support.org.uk New Support Options Ltd Ms Regina Meakings Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1), Physical disability (4), of places Physical disability over 65 years of age (1) Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Of the 5 residents accommodated, up to 4 may fall within the category PD in addition to the category LD Of the 5 residents accommodated, up to 1 may fall within the category PD(E) in addition to the category LD(E) For those residents within the category LD or PD, the age range will be 31-64 Years. For those residents within categories LD(E) and PD(E) the age range will be 65 Years and over. 4th December 2006 Date of last inspection Brief Description of the Service: 1 Ridgewood Drive is a purpose built, detached bungalow set in a private residential area, located in Frimley, close to the town of Camberley. The home is owned and managed by New Support Options Limited and provides accommodation and care for up to five people with learning disabilities and/or physical disabilities. All areas of the home are easily accessible and the doors and hallways are wide enough for wheelchair access. Communal areas are arranged and furnished in a comfortable, homely way and there are ample toilet and bathing facilities. All bedrooms are single occupancy and of a good size, and all have a wash basin. No rooms have en-suite facilities. There is a garden to the rear of the property that is fully accessible to the residents and parking for several cars at the front of the building. The home has its own vehicle for accessing activities in the local community, trips out and attending day centres. The current weekly fees are from £1208.58 to £1243.77 the fees do not include personal items for example hairdressing, chiropody, holidays and transport costs. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and took place over eight hours and thirty minutes commencing at 10.35 and ending at 16.30pm. Mrs V Bulbeck, Regulation Inspector carried out the visit. A full tour of the premises was undertaken. Two care plans were sampled and the care observed for the two residents. The inspector observed the care provided on the five residents, two residents are able to communicate. Five members of staff were spoken to during the visit and a number of records were observed. The registered manager was not available on the day of the site visit and a senior support worker was in charge of the home and was able to assist in the inspection process. There were five residents living in the home on the day of the site visit and there were no vacancies. The inspector would like to thank the residents and staff for their co-operation and hospitality during the inspection. The residents living in the home wish to be called residents, therefore residents will be referred to as residents throughout the report. What the service does well: What has improved since the last inspection? A new carpet has been laid in the corridor and hallway and two residents’ bedrooms have been decorated. The staff sleeping in room has also been newly decorated. There is a new Hi Fi system in the lounge; a member of staff informed the inspector, that one resident has purchased a flash stick, which is compatible with a computer. A member of staff has recorded the resident’s favourite Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 6 music onto the flash stick, and when the resident has a home day he is able to listen all day to his own music. 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. Ridgewood Drive (1) DS0000013440.V347089.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 Ridgewood Drive (1) DS0000013440.V347089.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New admissions to the home are only admitted following a needs assessment to ensure that the home can meet the residents identified needs. EVIDENCE: All new residents entering the home have a pre needs assessment carried out to ensure the home can meet the resident’s needs. The staff on duty explained that full details of any potentially new resident would be undertaken before the resident enters the home. Also when the resident enters the home the senior support worker explained the admission procedures and criteria to reflect the principles of admission and assessment appropriate to the home. These principles are outlined in the homes statement of purpose. The pre assessment document was seen and it was noted that residents when possible are involved in the assessment, prior to admission to the home. The staff on duty informed the inspector that a copy of the residents guide is provided to each individual person. The document is also provided to relatives. This document was not checked on this visit, the inspector was informed it is updated on a yearly basis. Ridgewood Drive (1) DS0000013440.V347089.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents health, personal and social care needs are set out in an individual plan of care, to demonstrate needs are met in accordance with the homes philosophy. Resident’s confidential information is stored in a locked facility. Systems are in place to enable residents to make decisions and to promote independence where possible. EVIDENCE: Two residents care plans were sampled and there was evidence that resident’s health, personal and social care needs had been identified and assessed. Care notes were detailed to include resident’s daily routines. Some residents are able to be involved with their care plan. The care plans hold all the relevant information, in one of the care plans it was noted that the residents parents had provided adequate cover and information regarding the death of both parents and the resident. The senior support worker explained that she is in the process of changing the plans to be person centred. The care plans are kept in the manager’s office, Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 10 and staff has access to the care plans. Residents care plan should indicate who are unable to hold a key to their bedroom; care plans must be documented to include the reasons for not holding a key. Reviews are undertaken on all residents and care managers involved with the majority of the residents on a yearly basis. Staff stated that residents are supported to make decisions affecting their lives in a number of ways. Each person has an allocated key worker, who is trained to offer one to one support and who knows the resident well and understands his or her needs. The majority of residents have limited communication and staff has the experience to enable residents to make some decisions and choices. Holidays, menu planning and outings are mainly with staff support, interaction and generally knowing the residents well. Staff advised the inspector that information is provided to residents to assist with decision- making and this is in a format to suit their individual needs. Observation by the inspector, staff are respectful to the residents. It was also noted that residents and staff have a good rapport. There were pictures of staff on duty on the resident’s notice board; this is to enable residents to see who is on duty on a daily basis. Ridgewood Drive (1) DS0000013440.V347089.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents have opportunities for personal development and to take part in appropriate activities within the home and in the local community. They are supported and enabled to maintain and develop appropriate personal and family relationships. EVIDENCE: Residents are supported to make choices in their everyday lives as far as they are able. Families of residents are consulted and encouraged to be involved in the decision making process. All residents are registered to vote, however, residents are not able to understand the procedures and reasons for voting. All residents should be offered a key to their bedroom door and this needs to be documented in the care plan. The five residents attend various activities; for example, bowling, swimming and shopping. All five residents are going on holiday next week for a few days Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 12 each individual to Pagham in Bognor over a week period. One resident has recently been on holiday with their parents. The inspector was informed the local golf club make the residents very welcome and invite them to play golf and have a meal. Staff also takes residents shopping and for car rides, stopping off at garden centres for tea and cake, and visit other places of interest. One resident is able to attend cookery classes with the Adult Education Centre and two residents attend Art Venture classes. It was also noted that three residents are members of Lockwood social club and visit the club every Wednesday evening. On the Sunday before the site visit a resident went to Beaulieu for the day with two members of staff on a birthday treat. He informed the inspector he had a good day because he likes cars. Another resident who recently had a birthday went to Portsmouth for the day and had a ride on a red bus. The home has a vehicle for the residents use and a number of staff are able to drive the vehicle. The senior support worker stated the rota is arranged to ensure at least one member of staff is able to drive the vehicle on each shift if possible. The lunchtime meal was observed to be nutritional and well balanced. The staff cooks the meals. A member of staff informed the inspector who was cooking the meal, that residents have a good appetite and are able to indicate what they like to eat. Staff informed the inspector that residents are involved with the menu planning. The menu is displayed in picture symbols on the fridge in the kitchen and dining area for residents to see. Staff supports residents to ensure they eat healthily. Food intake and nutritional content is monitored and all residents are weighed monthly. The senior support worker informed the inspector that if necessary a dietician would be involved with resident’s diets. All members of staff who are undertaking the cooking have undertaken training on food and hygiene and have a certificate. Ridgewood Drive (1) DS0000013440.V347089.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen in care notes, to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: The inspector was informed by staff that residents are able to choose when to go to bed and when to get up and are supported to choose their own clothes, hairstyles and other aspects of personal grooming. All residents have a bed with rails and only one resident has covers for the rails the inspector would advise the home to provide covers for all bed rails to ensure the safety of residents at all times of the day and night. Two bedrooms have connecting doors into a bathroom and on the day of inspection both doors to the bathroom were open. The inspector would advise the management of the home to make sure the doors are kept closed to ensure the privacy and dignity of both residents. The member of staff on duty informed the inspector the doors are always kept closed and was surprised the doors were found open on the tour around the premises. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 14 There are regular visits to the local G.P and residents have an annual health check. The member of staff in charge informed the inspector that the medical team as well as other professional health care people, including the dentist and optician when required, constantly observe residents health care needs. A number of risk assessments were seen, risk assessments were in place for each resident, and the senior support worker explained the process is updated on a regular basis. However, there are plans to up date all the residents’ plans to be more person centred. The system for medication administration was seen and was generally carried out to a high standard. The Medication Administration Record (MAR) sheets were seen for the two residents who were case tracked and it was noted that there were no gaps on the recording records. The manager and senior staff monitors the medication and the MAR sheets. Any recurring gaps or errors would be discussed with the member of staff. Staff stated that the member of staff making the entry, signs any additional entries to the MAR sheet that have been handwritten. Two staff signs the MAR sheet for all medication given and for the receipt of medication into the home. Sample signatures of all staff that administer medication were held with the MAR sheets for ease of reference. Only staff that have received medication training are allowed to administer medication. There are no residents who are able to self medicate. Ridgewood Drive (1) DS0000013440.V347089.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The majority of staff have received training in protecting vulnerable adults and are aware of the procedures and practices, to ensure that residents are safeguarded, as far as reasonably possible, from harm or abuse. EVIDENCE: There were no recorded complaints. Records seen indicated that complaints would be responded to within the guidelines. The Commission for Social Care Inspection (CSCI) have not received any direct complaints. The homes complaints procedure for residents is in pictorial form and staff stated that some residents would be able to use it when necessary. The complaints form is written with widget symbols and easy for residents to understand. A copy of the complaints procedure needs to be displayed on the notice board in the hallway of the home. The complaints procedure needs to be updated to include the change of address and telephone number of the Commission for Social Care Inspection (CSCI). There are some newly appointed members of staff, who need to complete vulnerable adults training. The senior support worker informed the inspector that staff has undertaken the protection of vulnerable adults training at the time of induction. However, staff were not clear if this training had been covered. When checking staff files there were no certificates to indicate this training had been undertaken. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 16 The majority of staff spoken to stated they had undertaken training in the protection of vulnerable adults and were aware of the whistle blowing policy. Staff said they would be willing and able to report any concerns and “would go to any level to protect residents”. New Support Options have control over resident’s finances and hold their bank account books. The resident’s bank accounts and statements were not available. Two residents personal allowances were checked by the inspector and found to be correct and the money balanced against the records held by the home. The receipts were available and matched the records. Staff checks the records on a daily basis. The resident’s cash tins were securely locked away as well as the financial records. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements in the home are continuous in order to ensure a safe and wellmaintained environment for residents. The home was observed to be clean and hygiene. EVIDENCE: The environment is homely and welcoming all bedrooms were personalised with some items purchased by the residents. There were a few areas around the home that required attention for example a light shade was missing from the centre light in a resident’s bedroom and also the sensory room was without a lampshade on the centre light. A cupboard under the kitchen sink was not closing appropriately and needs to be repaired. Also the inside of some of the cupboards needed cleaning. All the resident’s have beds with rails and it was noted that only one resident has appropriate covers on the rails. As a safety precaution the inspector would Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 18 advise the management of the home to ensure all bed rails have appropriate covers. At the time when the inspector was checking the premises, and upon entering a residents bedroom. It was noted that one resident was trying to put a cover on his duvet, the member of staff completed the task. The bed cover was very creased. The inspector asked why the cover was so creased and was told the tumble dryer was broken and the home was waiting for the appliance to be repaired. This bed cover needed to be ironed to enhance the appearance of the bed. There are two bedrooms, which have connecting doors and lead into a bathroom and both residents share. On the day of the inspection it was noted that both connecting doors were open. To ensure the privacy and dignity of both residents the inspector would advise the staff to keep both doors closed at all times. The garden is nicely presented and during the good weather residents are able to use the garden. The garden is accessible and it was clear that the residents use the garden when the weather permits. There is ample room and the garden is nicely laid out. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service. Recruitment and vetting practices were not inspected, as the records were not available. The process of new staff is good and the service is committed to safeguarding the welfare of residents. EVIDENCE: The registered manager was not available on the day of inspection. The service manager came to the home to help with the inspection process. However, she had not brought any keys with her to open the filing cabinet where the staff files are stored. Therefore staff files were not inspected on this site visit. Staff spoken to on the day of the site visit commented that the manager has an open door policy and staff are able to discuss with the manager any issues. The staff confirmed that regular supervision takes place. There was some new staff present in the staff team who confirmed they had undertaken induction training. Training records seen indicated that staff are currently being up dated with regards to training on a regular basis. It was noted that on the list of training Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 20 shown to the inspector by the service manager, the list indicated that the protection of vulnerable adults training was not included on the mandatory training list. However, staff confirmed they had received the training. All staff needs to attend equality and diversity training, which is not on the current training programme. The inspector would advise the management of the home to ensure all staff attends more specialists training regarding communication, as some of the residents are unable to communicate verbally. The inspector was informed that staff know all the residents well and are able to establish the residents wishes by facial expression. The staff on duty covers all the duties in the home for example, cleaning, laundry, cooking and shopping. The inspector would advise the management of the home to undertake a staffing matrix to ensure the staffing levels meet the needs of the residents. There are times when there are only two staff on duty and this would appear to be a restriction on residents being able to go out. Also in the event of an emergency there could be further problems. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. The management in the home provides an open, positive and welcoming atmosphere. The residents are able to make their views known and management of the home ensure that the health, safety and welfare of residents is promoted and protected from harm and abuse. EVIDENCE: The registered manager was not available on the day of inspection. However, the inspector was informed that the manager has completed the Registered Managers Award and is an Internal Verifier and Assessor NVQ trainer. A number of records were sampled and the majority were found to be well documented. The policies and procedures were difficult to locate on file, these need to be sorted in some order of reference. The service manager agreed with the problem of locating a particular policy was difficult, and would discuss with the registered manager the problem. The Legionella certificate found was Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 22 out of date 06/12/05. The senior support worker informed the inspector that they had already identified the problem and have arranged for the test to be done. The inspector noted that a record was detailed regarding the test and was written in the communication book for the work to be completed. The management of the home was waiting for a date by the company for the work to be undertaken. It was also noted that some dried foods were stored in plastic containers and some had been opened including cereals. All dried food should be stored in a container with a lid to ensure insects cannot get into the food. The management of the home to ensure a copy of the Care Homes for Younger Adults National Minimum Standards are available in the home and a copy of The Care Homes Regulations 2001 and the updated amended version should be available for the staff to use as a working tool. Regular monitoring Regulation 26 visits take place and the reports seen were informative and the person undertaking the visit is clear regarding the content of the report. The surveys received by the Commission for Social Care Inspection (CSCI) were mainly positive. • • Two health professionals responded and made very positive comments regarding the staff. Four relatives, Carers and Advocates responded and were very complimentary regarding the care provided and one relative stated: their relative was very happy living in the home. Five residents responded, four with staff support and all stated the home is operating well. Ten members of staff responded to the survey, one member of staff commented that “most of the staff do everything they can to support the people who live in the home in the best way they can and we do really care”. Some members of staff suggested that: • There is very little support from New Support Options. • There could be more interaction with other New Support Options houses • More equal training required. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 23 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA24 YA24 Regulation 16 16 Requirement Two Lights require shades in a residents bedroom and the sensory room. The cupboard under the kitchen sink needs repairing and the inside of some cupboards need cleaning. Timescale for action 30/11/07 30/11/07 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 3 4 5 6 Refer to Standard YA16 YA16 YA18 YA22 YA32 YA42 Good Practice Recommendations To ensure the connecting doors leading into the bathroom are kept closed at all times. All residents should be offered a key to their bedroom door. To consider covers for bed rails as a safety precaution. The complaints procedure needs to be updated to include the change of address and telephone number of the CSCI. Staffing levels to be reviewed. All dried foods need to be stored in a sealed container. Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Ridgewood Drive (1) DS0000013440.V347089.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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