Inspection on 12/02/07 for Rock House

This inspection was carried out on 12th February 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Rock House 109 Rock Avenue Gillingham Kent ME7 5PY Lead Inspector Anne Butts Key Unannounced Inspection 12th February 2007 10:00 Rock House DS0000066024.V330177.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 Rock House DS0000066024.V330177.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. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rock House Address 109 Rock Avenue Gillingham Kent ME7 5PY 01634 280703 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) Rodney Herkanaidu Mr Marc Wood Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection New Service Brief Description of the Service: Rock House is a fifteen-bedroom property supporting people with mental health problems aged 18 - 65. This is a new service set up by an individual provider who has an interest and commitment to supporting people who suffer with mental health needs. The home is situated in Rock Avenue, a main road on the outskirts of the centre of Gillingham. There are good local transport networks, with a bus service passing the home on a regular basis. The premises are set over 3 floors with well-appointed communal spaces and lounges. There are two kitchens that are available for service users to use at any time and a fully equipped laundry area. There is also a gym and computer room. All bedrooms are single occupancy and have en-suite facilities. The ethos of the home is to support service users in working towards to achieving and maintaining an independent lifestyle. The current fees for the home start at £927.00, and this includes a weekly individual budget for food. Fees rise in accordance with the amount of individual one-to-one support required and can be fully discussed with manager and provider on referral. Information on the homes full services’ are available through the Statement of Purpose and Service Users Guide and on publication of any report from The Commission of Social Care Inspection. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took place over the course of one day. This was the first inspection for this home since their registration with the Commission for Social Care Inspection. Information was received in the form a pre-inspection questionnaire and time was spent talking to the registered provider, the registered manager, staff who were on duty and one service user who was available to talk to the inspector. As a newly registered home, they have had difficulty in establishing themselves because they have not yet built themselves up a reputation of being an acknowledged provider with a proven track record of good care. This has resulted in them encountering problems with funding for people using the service – and at the time of this visit referrals from the Local Authority were not in place. The home has, however, worked actively with Authorities out of the locality and is now providing support to people referred from these authorities. At the time of the site visit there were five service users living in the home, four of who have been in the home for under their six week assessment period. As a new registration judgements have been made on the available evidence, and any shortfalls identified are where the home has not been able to develop these areas as yet. As people have only been in the home for a relatively short period of time it is not possible to judge the long-term support that will be provided – however the home has made an excellent start with their initial service user plans and support programmes for individual people. One of the over-riding good practice indications from this visit was that the Provider and Manager are committed to providing their stated service, and records showed that if their assessment identified that they could not meet the needs of the individual then they would not be able to accommodate them. This has actually resulted in them remaining below their stated capacity however the home’s priority is to ensure that they provide a high quality service. What the service does well: Throughout the registration process and initial months of operation the provider and manager have worked consistently with The Commission for Social Care Inspection in order to ensure that they can meet and eventually exceed the standards. The initial assessment process has been developed in order to fully meet the needs of individual people and is aimed at providing a holistic overview of needs so ensuring that the home can meet the needs of the service user. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 6 The home is providing positive and empowering support to people with mental health issues and is pro-active in supporting any changing needs. They are building working relationships with individuals so that the support they provide is at a pace that suits each person. Care plans are agreed with the individual service user and built upon as different needs are recognised. Independence is promoted and recognised and all service users are fully involved in the daily running of the home. There are good systems in place to promote the health and safety of service users living in the home. The environment is well maintained and monitored to ensure that all areas remain safe and accessible for service users. 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. The summary of this inspection report can be made available in other formats on request. Rock House DS0000066024.V330177.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 Rock House DS0000066024.V330177.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, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs and aspirations of the individual are fully assessed, and service users benefit from spending time at the home prior to choosing whether to move in. Individual contracts serve to protect service users rights. EVIDENCE: The home has developed an initial assessment process that is designed at meeting the individual needs of the service users. The initial contact is made via a phone call from the placing authority and the Manager has a set criterion of assessment needs. From this initial phone call an assessment form is then sent out and the placing authority is requested to fully complete this and return. If the information is incomplete or requires any clarification, a follow up phone call is made. The assessment of needs covers background information, current circumstances, any physical or emotional needs, any medical needs and any associated risks identified with the individual amongst others. The Manager is then able to make an informed decision from this information as to whether the home may be able to meet the needs of the individual. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 9 Prospective residents are then invited to visit the home, and this can be as many times as they want and include overnight stays or a shorter visit to be introduced to the home and people living in it. They are promoted in participating in the assessment process, and if all parties agree that the home may be suitable for them – then prospective service users are invited to stay for a six-week assessment period. In agreement with the individual, they are aware that this is an assessment period and everyone works together in ensuring that the home can support each person in accordance with their needs. During this time a holistic assessment is carried out regarding the individuals needs, likes and dislikes. The home was also able to demonstrate that they were very aware of the diverse needs to the service users and the assessment process and subsequent service user plans evidence that these are identified and taken into account. This home intends to provide care and support to people who have been diagnosed with a mental health need – but this will only be done within the remit of the care and support that they can provide. There was a Care Programme Approach (CPA) in place on all files viewed. Currently there is a reduced staff base, however there are sufficient staff for the amount of people living within the home. The manager is working closely with the staff in ensuring that they will be able to meet the needs of the service users. During the visit staff on duty were observed to interact well with service users and spent time talking to them and listening to any problems or concerns. There is an individual contract in place for all those living in the home, and this is detailed outlining individual rights and responsibilities, and also those of the home. Rock House DS0000066024.V330177.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users benefit from an individual plan of care and support that promotes their independence and enables them to take responsible risks. Service users are encouraged to take an active role in the daily running of the home and their views are listened to and acted upon. EVIDENCE: There were care plans in place for all service users – these had all been agreed with each individual. The care plans are laid out in a format that establishes the individuals independence and activities which they want to carry out for themselves and then identify the supporting role (if any) that the carer will provide them with. Each area of support is fully identified and there is a précis of need, which gives the staff an overview and ensures that there were further more in-depth details within the care plan. The care plans are primarily aimed at supporting each person with maintaining their own independence in each Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 11 assessed area. As yet the limitations of the individual are not fully identified – however it should be noted as stated previously in this report, this is a new provider and the majority of service users within the home are still living and working with the home for the six week assessment period and this is an ongoing process whereby they are learning to live and work together. The home is working with individuals at looking at both short term and long-term goals. Service users are supported in their own decision-making processes and all current service users have full control over their own finances and daily living activities. They are also allocated, from within the fees, a budget for their own shopping and are supported in managing this. Limitations are only in place where a need has been identified and has been agreed with the individual. Service users are actively encouraged to take a positive role in the day-to-day running of the home, and the registered manager and staff consult with service users on an on-going basis to identify their views and wishes. Although the home has only been open for a short while they are holding regular meeting with service users who are then able to give their views and opinions of different aspects of the home. There is a robust risk management process that promotes service users in taking responsible risks. These are fully recorded and are in agreement with the service users. Records are maintained to ensure that any out of character or unusual behaviours are recorded and these are monitored on a regular basis so that any changing needs can be identified. Rock House DS0000066024.V330177.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 and 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 benefiting from being supported in maintaining a range of daily living skills and expanding their range of activities both within the home and through external resources. The home encourages service users to manage and maintain a healthy diet. EVIDENCE: When people are moving in, the home is establishing their preferences for recreational and educational activities. As previously stated that the majority of service users have only recently moved into the home and, therefore, access to external centres and resources are still being developed – the home needs to ensure that this continues. People are promoted in maintaining an independent a lifestyle as possible and during the course of the visit service users were out and about accessing the local town and facilities. One service Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 13 user is attending an evening class in the locality and budgeting skills are promoted through the support staff within the home. The home intends to promote and identify individual aspirations and work with people to achieve these goals. Their aim is to ensure that individuals are promoted is being rehabilitated so that they can regain their full independence. They are supporting people with individual living skills including household activities such as maintaining their own washing and ironing. The home is promoting the culture of this being a shared environment and staff are there to support people through their daily needs. They have not as yet developed structured activities – although as more people move in and express a preference for organised outings or group activities then the home intends to respond accordingly. They have provided a gym and this contains an exercise bike, cross trainer and treadmill – people are accessing this as they wish. There is also a computer room – and everyone is given a ‘log on’ account to enable them to have their own private access to the Internet and use of the computer. One service user stated that he used the computer a lot and also had his own e-mail account. One service user stated hat he had settled into the home and liked living there. He said that he was able to do a lot of cooking, which was something that he enjoyed. Observations showed other service users were relaxed in the home and were able to come and go as they pleased. Visitors are welcomed at all reasonable times and there are plenty of spaces to enable service users to meet friends and family in private – should they so wish. The home is promoting and supporting service users in establishing and maintaining associations with others in the home, and where conflicts arise they are being dealt with by working with the people involved. All prospective service users have the opportunity to meet those people already living there. As previously stated people are independently organising their own meals and shopping, and there is allocated cupboard, fridge and freezer space for everyone. Where identified people are supported with their shopping and cooking – although currently everyone prefers to manage their own. There are also ‘communal’ items provided such as milk, bread etc. People are free to use the kitchen as they wish. Rock House DS0000066024.V330177.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support in the manner that they prefer and are promoted in accessing local healthcare facilities, where possible. Medication processes are aimed at promoting independence, although service users would be better supported if staff were fully trained in this area. EVIDENCE: Currently none of the service users require any help with their personal care, although staff are available to support if any assistance is required. The service user plans evidenced that individual’s physical and emotional needs are recognised. Individuals are supported and facilitated in taking control of and managing their healthcare. The home and individuals are having difficulty accessing local G.P. surgeries for those people who moved in from another area – but the home is continuing to ensure that they are able to assist service users to register with a G.P. Additional services such as dental and chiropody have been accessed for people. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 15 There is a policy and procedure for medication, and people are supported in managing their own medication, where possible and with their agreement. Service users are given different levels of support; with one service user retaining complete control over his medication and his service user plan showed how the staff would support him with this. Another service user was observed stating that he didn’t want his medication and the manager discussed this with him and allowed him the opportunity to make an informed choice of any consequences that may result in him not taking his prescribed medication. There are records in place to show any assistance with medication. Staff are not trained in medication as yet, and this is an area that is currently being addressed. Rock House DS0000066024.V330177.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be fully confident that any complaints or concerns are taken seriously and acted upon. Adequate processes are in place to protect service users from abuse, but their safety will be enhanced once staff have received full training in this area. EVIDENCE: There is a clear complaints procedure in place and this is provided to all service users. A discussion with one service user evidenced that he felt comfortable in approaching the manager or a member of staff if he had any concerns. Records showed that the home is taking any issues seriously and where a service user is identifying a problem, either with another resident of the home, a member of staff or general issues within the home – these are being taken seriously with full recorded actions taken to address and resolve these matters. People are also encouraged to share their views and concerns through regular meetings. There are policies and procedures in place for Adult Protection and Abuse awareness, and this is addressed through the induction programme. As yet staff have not undergone any formal training in relation to this – and this needs to be addressed. Rock House DS0000066024.V330177.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, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, homely and clean environment, and service users benefit from having safe access to all areas of the home. EVIDENCE: A brief tour of the environment was undertaken, although the inspector did not visit individual service users rooms, as the majority of people were unavailable and one service user stated that he preferred not to have his room viewed, and the inspector respected this choice. This is a good sized property, and as a new registration has recently been completely refurbished. There is a range of communal spaces varying in size and the whole home is well maintained and attractively decorated. There is also an overall homely atmosphere with personal touches around the home such as flowers and ornaments. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 18 All bedrooms are single occupancy and all have en-suite facilities. Additional bathroom facilities are situated around the home. Bedrooms that are not yet in use all have new beds, wardrobes and storage space – the manager stated that as people move in they will purchase additional items such as chairs etc with the individual so that they are able to choose their own. Service users currently moving into the home are able to pick and choose their preferred room. All service users have their own key to their individual rooms and also the front door. The manager retains a master key for individual bedrooms but this is identified in the contract and rooms will only be accessed without service users permission in the case of an emergency. There are two kitchens available to use for service users and there is designated laundry area. As previously stated there is also a gym and computer room. There is garden at the side of the property – although this has not yet been developed. One service user stated that he was looking forward to setting up a vegetable patch once spring had arrived. The home has adopted a strict no-smoking policy and all prospective residents are advised about this. They have provided a sheltered area in the garden to enable people to smoke under cover. Rock House DS0000066024.V330177.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, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service users benefit from being cared for by staff that have a good basic understanding of their needs, and are well supported by the manager, however they will benefit further once staff have received appropriate training. EVIDENCE: The staff team is currently in its infancy with a brand new staff base. Prior to registration the home had already started to recruit staff in order to ensure that they could provide care and support as people moved in and there has been a staggered ongoing recruitment process so as more service users are moving in – then the home is able to provide the required support. The home is staffed 24 hours per day and there is sufficient staff to care for service users with an identified amount of one-to-one support as agreed with the Care Manager. The home is promoting the use of a collator – who will be the one-to-one support worker for an individual service user. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 20 They are aiming to recruit staff who are able to demonstrate an aptitude towards the home’s philosophises and ethos. The home has implemented a robust recruitment procedure – although they need to ensure that any gaps in employment are fully explored and that two references are obtained for all members of staff. There is a staff handbook and all staff are issued with a contract and a job description. All staff undergoes a Criminal Records Bureau (CRB) check and no new member of staff starts work in the home prior to a satisfactory check being received. The home intends to involve service users in the recruitment process as they expand their staff team. The skills and experiences of the staff are varied and currently limited with regards to the needs of the people in the home. The manager, is however, fully aware of this and has developed an induction programme that is based on the Skills for Care Induction topics and is specific to the needs of the home. The induction book covers a range of subjects but this does need to be expanded upon and some areas need to be able to evidence as to the amount of depth of induction that is being provided. This is particularly important, as the home has not yet implemented a training programme for current and future staff. Staff do have a selection of different training accumulated through previous experience in the care field. The manager is aware that training is a priority, though, and has worked with the local council’s development workforce is accessing their training programmes and has identified a range of training that all staff will be undertaking. He is aware that there is a need to prioritise as to what areas of training need to take precedence. The training programme will encompass the mandatory training areas and also service user specific training. A requirement has been made with regards to training. The manager is experienced in the care and support of people with mental health needs and is using this experience to supervise and support staff and is working closely with them. At the early stages of the homes development he is ensuring that he is working as full time as possible with staff and service user and allocating himself ‘on shift’. He is balancing this with ensuring that the home is ready to meet the needs of new service users and the ongoing recruitment of staff. As the home gains more residents the home has plans in place to ensure that there will be a set of staff groups that provide the key support to a set number of service users – this will enable the home to ensure that there is a small stable support network for individuals. Staff who were on duty demonstrated a good working relationship with service user in the home and there was a good rapport observed. Rock House DS0000066024.V330177.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, 38, 39, 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from living in a home where the manager is competent, enthusiastic and very experienced with the care of people with mental health needs and is supported by a Provider who has a clear vision for the home. EVIDENCE: The registered manager was employed prior to the opening of the home and has worked with the provider to ensure that the home would be able to meet its stated purpose. He has a vast experience in supporting adults with mental health needs and the relevant qualifications. He has successfully transferred his skills into promoting the development of this service. Both the Manager and Provider have developed a positive and collaborative atmosphere within Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 22 the home and are ensuring that service users are being empowered and fully supported. There is an open and transparent management style and service users are promoted in participating in the running of the home. Both the Manager and Provider have placed the capability of the home being able to meet service users needs over the filling of beds. They have turned down referrals where they have identified that they cannot meet individual needs – despite that fact the home has taken some time to start to become established. They are not prepared to compromise their values in ensuring that the service users are the primary concern. In the short period of time that people have been living in the home, quality assurance processes are already in place with regular meeting being held and the opinions of individuals being listened and acted upon where appropriate. The inspector is confidant that the home will continue to develop these processes. The home has developed a clear consistent method of ensuring that health and safety records are maintained. Routine maintenance checks are carried out and there are systems in place to ensure safe working practices. Any accidents are recorded and the home has adopted an incident monitoring chart that tracks the reason why there was an incident, what happened and how to reduce the likelihood of re-occurrence. These will be reviewed on a regular basis so that any patterns or trends can be monitored and tracked. Prior to opening the Provider ensured that he had a sound business plan in place and had a budget available to ensure the viability of the home during the initial months of operation. Rock House DS0000066024.V330177.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 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X X 3 3 Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA35 Regulation 18 (1) (c) Requirement Staff must be trained in all areas that are appropriate to their work. Timescale for action 12/05/07 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 Refer to Standard YA34 YA35 Good Practice Recommendations It is strongly recommended that application forms identify any gaps in employment and the home ensures that there are two references in place for all members of staff. It is strongly recommended that the induction programme is expanded upon to evidence the content of the programme. Rock House DS0000066024.V330177.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office 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 Rock House DS0000066024.V330177.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. 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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