Inspection on 16/11/05 for Saxonbury

This inspection was carried out on 16th November 2005.

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

Saxonbury 30/05/07

Saxonbury 12/10/06

Saxonbury 14/06/05

Saxonbury 21/12/04

Saxonbury 08/07/04

Saxonbury 12/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Saxonbury Heathfield Road Freshwater Isle Of Wight PO40 9SH Lead Inspector Janet Ktomi Unannounced Inspection 16th November 2005 13:45 Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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 Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Saxonbury Address Heathfield Road Freshwater Isle Of Wight PO40 9SH 01983 755228 01983 755228 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) Islecare `97 Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: Saxonbury is a residential home providing care and accommodation for up to six younger adults with Learning Disabilities, one of whom is now over sixtyfive years old. Saxonbury is a large detached two-storey property situated in a quiet residential area of Freshwater. All the homes bedrooms are single, one with en-suite facilities. The town centre with its shops and amenities is about three quarters of a mile from the home. There is off-road parking for several cars at the front of the building, from which there is level access into the home. An average sized garden is provided at the rear of the home. Saxonbury is owned by South Wight Housing Association and leased to Islecare ‘97 who is the homes proprietors. Shortly before the unannounced inspection the home’s registered manager retired due to ill health. Islecare ‘97 is actively recruiting a new manager for the home. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection of this inspection year. Core standards not assessed during the first inspection were assessed along with additional core and non-core standards. The inspection lasted three hours during which a tour of the building was undertaken. Discussions were held with visitors and the care staff on duty. All service users living within the home were met during the inspection and those able gave the inspector their views about parts of the service. Service users stated that they enjoyed living at the home and liked the staff. Service users unable to comment to the inspector were observed to be relaxed and happy in the presence of care staff and to be moving freely about the home. Care and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? What they could do better: Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 6 Care staff have identified that a very tall tree in the home’s front garden is dead and dangerous, with a large branch having already fallen from this to the road outside the home. The home has informed their landlords of the condition of the tree but as yet this has not been attended to. The proprietors must attend to the tree immediately as this represents a risk to all service users, staff and visitors. One chair in the dining room has a damaged seat and this must be repaired or replaced. 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. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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 Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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): No standards assessed. No new people have been admitted to the home since the previous inspection. EVIDENCE: The home has not admitted any new people for approximately eight years. Standards 2, 3, 4 and 5 were assessed during the previous unannounced inspection. At the time of the unannounced inspection the home had one vacancy. The acting manager explained that there was the possibility of a new admission to the home but that this would not occur until July 2006. The preadmission assessment information and assessment procedure will be inspected at the next inspection if this admission is confirmed. Discussions with care staff and the acting manager indicated that consideration would be given as to compatibility with the existing service users prior to anyone new being offered a place at the home. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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): 8 and 10. Service users are consulted on and participate in all aspects of life in the home. Information about service users is appropriately handled and their right to confidentiality is respected by care staff. EVIDENCE: Staff encourage service users to take part in various aspects of the day to day running of the home according to their individual abilities. Service users are actively encouraged to assist with domestic tasks such as dusting, hoovering and shopping. Due to their cognitive abilities service users have limited input into the development of policies and procedures and management related issues. Service users and staff stated that they have service user meetings and that service users are involved in day-to-day decisions concerning the home such as the menus and colour schemes for redecoration. During the inspection it was noted that care staff consulted service users, providing them with opportunities to make choices about day-to-day events. Questions were formulated in a manner service users could understand and Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 10 respond to. Care staff demonstrated a thorough knowledge of service users’ non-verbal communication. Islecare ‘97 has a policy and procedure in respect of confidentiality that is included in staff induction training. Care staff were clear about confidentiality and the situations in which information may need to be shared with managers or other professionals. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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): 11, 14, 16 and 17. Service users enjoy a varied lifestyle with lots of opportunities for community and leisure activities. Service users are involved in planning a varied nutritious diet. EVIDENCE: Each service user has an individual weekly programme of activities that includes a range of day services and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. A list on the dining room wall contained details of individual weekly routines. Discussions with care staff and service users confirmed that service users enjoyed these activities and had been involved in the development of their individual plans. Care staff, service users and care records confirmed that service users often enjoy ad hoc community activities as the weather and service users’ health permits. Service users stated they enjoy going out for meals, shopping, to the beach, swimming at a local pool, for drives or to pubs for drinks. Service users are encouraged to participate in domestic activities as their cognitive and physical abilities allow. Due to physical, health and Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 12 behaviour reasons it was not appropriate for service users to have a holiday away from the home this year. The home therefore rented a beach house at Totland on two separate weeks and service users enjoyed days at the beach returning to the home at night. Service users stated they enjoyed the beach house. The home has a house car capable of transporting service users who are wheelchair users. The lease for the car is divided equally between all the people who live at the home with an individually determined mileage rate paid by each service user dependent on individual use. During a tour of the home the lounge and service users’ bedrooms were seen to contain a number of appropriate home entertainment options including televisions, music centres and sensory equipment. Service users informed the inspector that they are involved in menu planning decisions and that they liked the food provided at the home. Individual choices are made available to service users with food being cooked within the home by care staff, who were aware of individual preferences and dietary needs. Where service users have limited cognitive ability to express choices they are shown several options and will indicate a preference. Specialist advice from speech therapists has been sought to ensure food is offered at an appropriate texture, using suitable aids and support given by care staff to maximises independence. Service users generally eat within the dining room although snacks and drinks are taken in the lounge or bedrooms. Service users are encouraged to help with activities such as laying and clearing the table and with baking cakes and other safe kitchen tasks. Care staff have all undertaken food hygiene courses. All records required in relation to meals are maintained by the home. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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): 18 and 20 Staff provide personal support to all service users and ensure that dignity and privacy are maintained at all times. The Medication Administration Records are fully completed. EVIDENCE: The home operates a key worker system that provides for individual support and monitoring of service users’ daily needs. Care plans detail the types of support individual service users require to ensure their personal care requirements are fully met. There was evidence from conversations with staff that individual service users have access to specialist support and advice as and when required. Service users spoken with confirmed that they are able to choose their own clothing, hairstyles and appearance. Service users also confirmed that staff respect their privacy and knock on bedroom doors before entering. This was observed during the inspection. During the previous inspection it was noted that the Medication Administration Records had not been fully completed and contained gaps. A review of all the Medication Administration Records showed that they were all fully completed on this occasion. All care staff that administer medication have completed the BTEC Medication course. The medication storage arrangements were viewed during the previous inspection and found to be appropriate. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 14 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 and 23 The home has a complaints policy in symbol format with service users’ opinions sought and respected by staff. The acting manager and care staff are aware of adult protection issues and follow the locally agreed procedure in the event of adult protection concerns. EVIDENCE: Islecare ‘97 has a complaints policy which is made available to service users or their representatives in the service users’ guide. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. Staff were aware of what procedure they should follow should a service user or their representative make a complaint. Service users at the home were observed making comments and suggestions to care staff and it is the inspector’s opinion that those able would feel capable of making a complaint if they wished to do so and that the staff would listen to their complaint and take the appropriate action. Most service users attend day services part of the week and would be able to complain via these services if they wished to do so. The home has a copy of the Isle of Wight Adult Protection Policy together with the Islecare ‘97 adult protection and whistle blowing policies. All staff receive training in respect of adult protection as part of the Islecare ‘97 induction programme. Staff spoken with during the inspection were all aware of the adult protection policy and procedures and clear about their responsibilities to report issues of concern without delay. All service user bedrooms contain a secure lockable facility where valuables or money may be stored. The employment procedures followed by Islecare ‘97 should ensure that unsuitable people are not employed at the home and include POVA and criminal record checks. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 15 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, 25, 26, 27, 28, 29 and 30. The premises is well maintained and suitable for the existing service users providing all single bedrooms and appropriate bathing, WC, and communal space. The large tree in the front garden that appears to be dangerous must be attended to and made safe as a matter of urgency. Damaged furniture in the dining room must be repaired or replaced. EVIDENCE: Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 16 In general terms the structure and layout of the home is suitable for the needs of the current service users in that it is safe, well maintained and meets service users’ needs in a comfortable and homely way. The lounge is a good size and has been redecorated and has new furniture. The kitchen, again of a good size, has been recently refurbished. There is level access into the home and ramped access to the rear garden from both the lounge and dining room. The rear garden appeared safe and is fully enclosed with seating, a patio, vegetable garden and lawn area. The front garden contains a number of tall trees one of which appeared to be dying and care staff informed the inspector that a large branch had recently fallen from the tree. Care staff have informed the housing association and are waiting for the tree to be attended to. The tree, in its current condition, represents a significant health and safety risk to service users and staff. One service user spends a considerable amount of time each day standing by the gate under the tree and does not comprehend the risks involved. The home is required to ensure that the tree is immediately attended to. One chair within the dining room was noted to have a small amount of damage to the seat covering. Care staff stated that they would arrange to have this repaired or replaced. A requirement is therefore not made in respect of this as all other furnishings within the home were noted to be in good order. All bedrooms within the home are for single occupancy, one having en-suite facilities. Five of the bedrooms are a good size whilst one is smaller. All bedrooms are centrally heated and naturally ventilated. They were seen to contain appropriate furniture, adequate lighting and storage space. All rooms were seen to be well decorated and individually personalised. All bedrooms have a washbasin. The home has two assisted bathrooms, one containing both parker bath and shower, and a third bathroom upstairs. The bathrooms also contain a WC. One bedroom has en-suite facilities. The number and facilities within the bathrooms are appropriate to the current service user group. All bathrooms have lockable doors and staff were noted to knock on bathroom doors prior to entering. The home has redecorated the lounge with people living at the home having selected the colour scheme. The home has additional communal space within the dining room and the gardens that are located to the front and rear of the property. All communal areas are accessible to all service users with ramps leading to the gardens. The home’s office, which doubles as the staff sleep-in room, is available for professional meetings but is not accessible to people with restricted mobility. However as the home is small and many service users are out at activities during the day the home’s lounge or dining room could be used for larger meetings. During the inspection people who live at the home were seen using communal rooms and moving about independently within the home. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 17 Some of the people living at the home have restricted mobility. Their bedrooms and communal facilities are located on the ground floor affording them full access of all these areas of the home. Within one bedroom was seen a new hoist and shower chair. Bathrooms were seen to contain appropriate grab rails. As previously stated the home has two assisted bathrooms situated on the ground floor. Appropriate moving and handling risk assessments have been completed with aids and equipment available. The home’s routine maintenance is carried out by handymen employed by Islecare. Care staff undertake all domestic tasks within the home, sometimes supported by service users where appropriate. On the day of the unannounced inspection the home was found to be clean, tidy and free from offensive odours. Laundry facilities are located within a locked utility room. Care staff confirmed they have undertaken infection control training. The home has a no smoking policy. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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): 32, 33, 35 and 36. The home employs appropriate numbers of care staff to meet the needs of service users. Staff have the necessary skills required to meet service users’ needs. EVIDENCE: During the inspection care staff were observed interacting appropriately with the service users. Many of the staff have been employed at the home for a number of years and have a good understanding of the service users’ needs. Service users stated that the staff are helpful and nice and that they would trust them to sort out any problems or concerns. Both male and female staff of various ages are employed at the home. Staff spoken with understood when and how to seek advice and support via the Islecare on-call system. Care staff stated that they have completed core and specialist training to understand and meet the needs of the people living at the home and that six of the eight care staff employed at the home have NVQ level 2 in care. All staff, except one recently recruited, have completed the Learning Disability Award Framework at introductory and foundation level. Care staff have also all achieved the City and Guilds in medication administration. Care staff confirmed that they have all undertaken the appropriate mandatory training and update courses which include first aid, health and safety, food hygiene, fire awareness, manual handling and also Person Centered Care training. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 19 The home currently has five service users, most with high care needs. Service users and care staff stated that they felt there were appropriate numbers of staff on duty to meet the service users’ current needs. Duty rotas and staff confirmed that on weekday mornings the home aims to have three members of staff on duty with two through the evening and one sleep-in at night. Where possible the home has three staff members on duty throughout the weekend. On call arrangements are provided by the senior care staff who are available at night should the female service user require personal care when a male staff member is on sleep in duty, although this is not often required. As stated the home has a low rate of staff turnover and staff try to provide additional cover for holidays and sickness to avoid the need for agency staff. The home has a low rate of sickness as stated by care staff. Islecare has a bank system and the same bank staff would be used wherever possible. In addition to care work care staff also undertake a range of cleaning, cooking and transport to day service duties. The home has regular staff meetings with minutes of the most recent being displayed for staff to read on the office wall. The manager confirmed that the staffing levels would be reviewed depending on the needs of any new service users admitted to the home. A new member of care staff, who was previously employed at the home, confirmed that the recruitment procedure had been thorough and included references, interview and CRB enhanced level check. The staff member confirmed that she has received formal and informal induction and undertaken mandatory training as part of her induction. Care staff confirmed that they have regular supervision that had been undertaken by the previous manager. The acting manager confirmed that she would be undertaking the role of supervisor until a new manager is appointed. The acting manager stated that she herself would be supervised by the Islecare general manager who was visiting the home at the end of the week to confirm the interim management arrangements. All staff receive a staff handbook, which contains information about grievance and disciplinary procedures. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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, 41 and 42 The deputy manager is again acting up as manager following the sudden retirement of the registered manager due to recurrent health problems. Service users’ needs continue to be met and creates a homely atmosphere in which service users feel valued and are well cared for. All records were found to be appropriately stored and well maintained. The home provides a safe place for service users, staff and visitors however there is a need to ensure that the tree identified in the Environment section of the report is attended to by an appropriately qualified and experienced person. EVIDENCE: The Registered Manager has recently retired at short notice due to a recurrent health problem. Islecare ‘97 is attempting to recruit a replacement manager with adverts in the Island newspapers. Until a new manager is appointed the deputy manager will be acting up as manager as she has successfully done in the past when there has been a gap between managers. The home has had a number of managers during the past five years and it is important for the service users and staff that an appropriate permanent manager is appointed to Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 21 the home. Care staff are supportive of the deputy manager who, like them, has worked at the home for a number of years and with whom they appeared to have a high level of respect and commitment to. Care staff confirmed that senior Islecare ‘97 managers regularly visit the home with Regulation 26 visits by a representative of the proprietors being received at the Commission on a monthly basis. The home is small therefore the acting manager has contact with all service users each day she is in the home. Due to cognitive disabilities service user surveys would be impractical. Service users informed the inspector that they are consulted on issues such as choice of menu, activities and the home’s decoration. The proprietors ensure that an annual audit of the home is undertaken by a suitably qualified person who works for the company but is based elsewhere in the country. During the inspection a range of records including medication administration records, fire detection equipment checkbook, menus and duty rotas were viewed. All were found to be appropriately stored and well maintained. Generally the home provides a safe place for service users, staff and visitors however there is a need to ensure that the tree identified in the Environment section of the report is attended to by an appropriately qualified and experienced person. Care staff confirmed that they have received all the mandatory training to cover manual handling, fire safety, first aid, food hygiene and infection control as well as specific training to meet service users’ individual health needs. Appropriate equipment is provided and maintained. The appropriate insurance certificates were seen. Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Saxonbury Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X 3 2 X DS0000012531.V250214.R01.S.doc Version 5.0 Page 23 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. Standard YA24YA42 Regulation 23 (2)(b) Requirement The tall tree in the front garden identified to the acting manager must be attended to. Timescale for action 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Saxonbury DS0000012531.V250214.R01.S.doc Version 5.0 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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