Inspection on 13/05/08 for 27 Stratford Road

This inspection was carried out on 13th May 2008.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

27 Stratford Road 22/05/07

27 Stratford Road 20/12/05

27 Stratford Road 27/07/05

27 Stratford Road 10/03/05

27 Stratford Road 30/10/04

27 Stratford Road 27/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 SCIC - Stratford Road, 27 27 Stratford Road Shipston On Stour Warwickshire CV36 4AZ Lead Inspector Jo Johnson Key Unannounced Inspection 13th May 2008 07:30 SCIC - Stratford Road, 27 DS0000004445.V364754.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 SCIC - Stratford Road, 27 DS0000004445.V364754.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. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service SCIC - Stratford Road, 27 Address 27 Stratford Road Shipston On Stour Warwickshire CV36 4AZ 01608 663129 01789 296724 david@stratfordmencap.org.uk 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) Stratford & District Mencap Ms Julia Furniss Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (2) of places SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd May 2007 Brief Description of the Service: 27 Stratford Road is a registered care home for 5 adults who have learning disabilities. Stratford and District Mencap provide 24-hour support and care for the people living in the home. The house is located on a main road close to the town centre of Shipston on Stour where a wide range of community facilities is available. There is a bus service from Oxford to Stratford with a bus stop directly in front of the house. 27 Stratford Road is a detached house built in the 1930s. It has been converted to provide five bedrooms for service users. There are two bedrooms on the ground floor and four bedrooms on the first floor, one of which is for staff doing sleep-in duties. There is also an office and bathroom with toilet on the first floor. There is access to a large loft area but for safety reasons this is not in general use. Shared facilities on the ground floor consist of a dining room, lounge, large kitchen, utility area, a shower room (which is wheelchair accessible), and a separate toilet facility. There are secluded gardens to the rear of the property, with wheelchair access. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The focus of inspections undertaken by us is upon outcomes for people who live at the home and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. This report uses information and evidence gathered during the key inspection process, which involves a visit to the home and looking at a range of information. This includes the service history for the home and inspection activity, notifications made by the home, information shared from other agencies and the general public and a number of case files. The manager supplied the commission with an AQAA (Annual Quality Assurance Assessment). Information from this has been used to make judgements about the service, and have been included in this report. Surveys were sent to people who live at the home and the staff. The findings of these surveys have been included in the report. This was the home’s first key inspection of 2008/2009. The inspection visit was unannounced (we did not let the home know that we were coming) and took place on 13th May between 7.30 am and 1.00 pm. The inspection involved; • • Observations of and talking with the people who live at the home and the staff on duty and the manager. Two people were identified for close examination by reading their care plan, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’, where evidence is matched to outcomes for people. A tour of the environment was undertaken, and home records were sampled, including staff training and recruitment, health and safety, and staff rotas. • We would like to thank the people who live at the home, the manager and staff for their hospitality and cooperation during the inspection visit. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Pictures and photographs are being used to support a majority of the plans and assessments at the home. All personal information about people is kept in their own care records. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 7 Medication plans have been written for people who administer their own medication. People have been involved in these plans and pictures support them to make them easier to follow. The manager has planned for the changes that will need to be made to the environment as people get older and become frailer. Rails have been fitted by the back door, new sofa and chairs that are easier to get out of have been bought and new non-patterned carpet has been put in the communal areas. 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. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 8 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 SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good People’s needs are assessed and they are provided with information so that they are clear about their rights and entitlements at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide are in large print and supported by pictures, which makes it easier for people with learning disabilities to understand the services in the home. Since the last inspection, the statement of purpose has been reviewed in relation to the environment and the changing needs of the people who live at the home. There have been no new people admitted to the home for a long time so the outcomes for any new person coming to live in the home could not be assessed. However, there are ongoing and regularly updated assessments in people’s care records that have been amended as their needs have changed so that staff have up to date information about them. SCIC - Stratford Road, 27 DS0000004445.V364754.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): 6,7,9 Quality in this outcome area is good The people living in this home are involved in decisions about their lives and are playing an active role in planning their care and the support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two people’s care records were seen. The care plans and risk assessments had recently been reviewed and included all the care and support they need. Any changes in need had been quickly identified and planned for. Care plans are supported by pictures so they are easier to understand. From discussion with the manager and people who live at the home, there is a focus on promoting people’s independence and positive risk taking. Risk SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 11 assessments were in place for each person that were regularly reviewed as part of the care plan reviews and as new or changed risks were identified. They were clear and easy to follow. One person has had a recent change in their health and had required more support from staff. Of the morning of the inspection, the manager was reviewing the shower and bathing risk assessment. The person was looking forward to regaining their independence with showering now their pain was more manageable. They were involved in all aspects of the review process and the manager was observed to explain what was happening and check they understood. The person said, “ I’ve been bad but I’m getting better, we had to change my plan and staff had to help me more”. As people living at the home are ageing, it is important that ‘life story and history’ books are developed that includes details and photographs of their ‘history’ such as family, friends, where they have lived, pets, work etc. These life history books will assist both the person and staff in remembering their past and will assist staff to have a greater understanding of them as an individual. The manager is now planning to follow this up as the home is fully staffed. People’s ‘life history’ work had been raised at the previous staff meeting. SCIC - Stratford Road, 27 DS0000004445.V364754.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): 12,13,15,16,17 Quality in this outcome area is excellent The people living in this home are supported to make choices about their lifestyle and to develop life skills. Daily activities promote independence and opportunity for people to live ordinary and meaningful lives in the community where they are living. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most of the people living at the home attend day community services or work for part of the week and spend at least one day at home to carry out light domestic chores, such as cleaning, laundry and shopping. Two of the people access local community older people’s day centres. All of the people spoken with were enthusiastic about how they spend their days both in the community and at home. One person was going to the local older people’s day service SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 13 and was clearly looking forward to their day. Another person was going to the local resource centre and was looking forward to a game of golf. Discussion with people and the survey returned show that they can choose how to spend their time during the week and that can do what they want at the weekend. People spoken with were talking about their annual holidays. One person was planning to go to Spain for their holiday but due to their health difficulties, they have cancelled the trip. They said, “ we talked about what was best and we have had to cancel the holiday to Spain but I will be able to go again hopefully. I’m going to go on holiday with xxx, xxx and xxx”. There were records of discussions with the individual and the other people who they were going to join on holiday and all had agreed. One person had given the individual some pictures of the place where they were going to be staying. One person always chooses to go on their own holiday with staff. This is very positive that people are supported to spend their leisure time either on their own or with others that they live with. Daily records looked at showed that during the week activities to meet identified needs are regular and support ordinary and meaningful lifestyles. There is significant evidence on care plans and in photographs displayed around the home that people’s activities are wide and varied and meeting their needs regarding maintaining family links and cultural needs. The menus show that people are provided with a well-balanced and nutritious diet. All food being stored in the kitchen looked fresh. We observed breakfast and people prepared their own drinks and staff made people porridge that wanted it. All of the people were involved in the preparation and tidying up after the meal. One person said that they go shopping with staff. They said, “staff write the list and we go to Somerfield”. There is a menu board that shows the week’s menu and the records show that staff try to make sure that the menu is not repetitive. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19,20,21 Quality in this outcome area is excellent The health and personal care that people in this home receive is based on their individual needs. Staff respect the people and promote their dignity and privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were positive relationships and interactions observed between staff and the people who live at the home. The staff and manager encouraged and supported people in a relaxed way. All of the people living in the house said that they like and get on well with the staff. Every one knew who their key worker was and one person was having a day out with their keyworker shopping for clothes. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 15 People’s wishes in terms of who supports them with intimate and personal care is respected. One person said, “I don’t like men to give me a bath or shower, it’s ok I have just let them know”. People’s health records and care plans showed that their right to good-quality physical and mental health care is being promoted. The records show that as part of promoting their health people make regular visits to a dentist, optician, specific health consultants, their GP and a chiropodist when needed. The staff have reviewed people’s ‘Health Action’ plans and any significant changes have been recorded. There were clear records that reflected the dramatic health changes for one individual and they showed that the home has been pro active in following up these changes. People’s weight is recorded and monitored in the interests of maintaining good health. This is now only recorded in each person’s own care records. People who live at the home are encouraged to go for a daily walk to maintain their mobility, as they get older. Records of these walks are kept. People spoken with said that they like to go for walks and go out and about. Staff are trained in the medication policies and procedures during induction and there is a medication training programme. Medication records seen were correct and the manager and staff actively monitor the completion of the medication records. Following the last inspection, medication plans have been developed for the two people who self-administer and a record is kept that accurately reflects the system. One person said, “I still do all of my own tablets, I’ve had some new tablets”. Pictures support the medication plans and the people have signed them. The manager and staff continue to be proactive at meeting the specific social, health and personal care needs of the people who are ageing at the home. There are good systems in place for monitoring people’s physical well being. For example, one person’s fluid intake is recorded as they have frequent urine infections. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is excellent The people who live in this home are able to express their concerns and know whom to speak to if they are unhappy or feel unsafe. They are supported by a staff team who have a good knowledge of how to respond to any suspicion of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no complaints or allegations of abuse received by the home or commission since the last inspection. The manager told us on the AQAA (Annual Quality Assurance Assessment) that there have been five complaints at the home from the people that live there. Following discussion with the manager, these complaints were concerns from the people living at the home that were addressed as soon as they were raised. It is good practice that these day-to-day concerns are recorded on the complaints log, as it shows that people’s issues and concerns are taken seriously and addressed as soon as they are raised. People said they felt safe and would know whom to talk to if they were unhappy. People have access to a complaints policy, which is in picture and large print format and includes information about us. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 17 The survey shows that people know who to speak to if they are not happy and know how to make a complaint. It included the comment ‘I can always speak to the staff on duty or Julie the manager’ One person went through the new complaints procedure that was on their bedroom wall and showed us the new photos in the back of the document of the new chair of Trustees. The staff surveys show that they know how to support people to complain. All of the people had a pictorial guide on how to keep safe and what things they need to report to staff. They all were able to explain that they felt safe and knew that they needed to talk to the manager or staff if they were worried about anything. This is excellent practice. An adult protection procedure is in place at the home so that staff know how and to who they can report any suspicions of abuse. The staff and manager spoken with were confident of how to use these procedures. The new chair of the trustees has previous experience of developing guidance documents about adult protection for people with learning disabilities. An adult protection procedure is in place at the home so that staff know how and to who they can report any suspicions of abuse. The staff and manager/owner spoken with were confident of how to use these procedures. All of the staff have attended Adult protection training in March 2008 and new staff have covered it in their induction programme and will attend further training. Systems are in place to safeguard the finances of the residents in the home. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good The home is well maintained and furnished so that people live in a clean, comfortable and homely environment to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a warm and welcoming atmosphere in the home and at the time of the visit, it was homely, comfortable and safe. People living there were able to move around easily and freely and to go to their bedrooms if they chose. Since the last inspection, the manager has planned the changes that are needed to the environment as people become increasingly frail. There have been hand rails fitted by the back door, new lounge furniture has been bought that easier for people to get out of and there are investigations into whether a SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 19 stair lift can be fitted if needed. New non-patterned carpet has been bought for the communal areas. One of the people proudly gave us a tour of the communal areas of the house and their bedroom. The home was clean and free from any offensive odours. The survey returned shows that the home is ‘always’ fresh and clean. Three of the people living in the home were happy to show us their bedrooms. The bedrooms reflected their individual lifestyles, interests and tastes. People at the home said that they are involved in cleaning and tidying alongside staff. They said that the staff help them with their laundry. One person did their ironing during the inspection with staff support. There are established policies and procedures in place for the control of the risk of infection in the home and staff practices during the visit were seen to be safe. Infection control training is included in mandatory training for all staff. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good The people living in this home are protected by robust recruitment practices and supported by a skilled and competent staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a very low turnover of staff with only two staff leaving since the last inspection. Staff sickness levels are also very low and this means that a consistent staff team that they know well supports the people living at the home. The manager said that since the last inspection new staff have been recruited to replace the staff that have left. The training chart in the home shows that staff have accessed training in the full range of mandatory, health and safety related training, (e.g. first aid, food hygiene, adult protection and fire safety) as well as specialist care courses, such as dementia, diabetes, epilepsy and death, dying and bereavement. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 21 Staff spoken with and surveys show that that they are given training that is relevant to their role, helps them understand and meet the individual needs of service users and keeps them up to date with new ways of working. Three staff files including the two most recently recruited staff files were seen. Original copies of references and CRB (Criminal Records Bureau) checks are held at the head office with copies being available at the home. Two of the files all included CRB (Criminal Records Bureau) checks and two references. However, one of the two references for the third staff file was not in the home but at the head office. The manager took immediate action to ensure that a copy was sent to the home and confirmed with us the following day that this had been actioned. Staff spoken with said they had regular supervision and staff meetings. Staff surveys show that the manager meets and gives support regularly. Discussion with staff and examination of the staffing rota shows that there continues to be good levels of staff support for the people living in the home. People living at the home said they know all of the staff and who is working each day. There is a weekly photographic rota on display on the kitchen. This is good practice. People and the surveys told us that staff treat them well and they act and listen to what they say. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is excellent People continue to benefit from living in a well run home. They are able to express their views of the service provision and know that their views will be listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been in post for over ten years. She has achieved the Registered Managers Award and National Vocational Qualification, level 4 in Care and is well qualified for the role as Care Home manager. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 23 From discussion with people living at the home, staff, the manager, the examination of records and observation of care practices show that a competent and skilled manager runs the service. The staff and manager are very proactive with identifying areas for improvement with the people who live at the home. This is excellent practice. People said that they have regular house meetings where they can say what they want about the running of the home. People are involved in the recruitment of staff and someone sit son the interview panel. The people living at the home are surveyed for their views on an annual basis. The outcomes of this consultation are summarised and fed into the development plan for the home. The organisation’s quality assurance system has been recently been reviewed and will now include formal consultation with families and professionals involved with people. A representative of the organisation carries out monthly monitoring visits and copies of the reports are kept at the home. The reports show that suitable arrangements are in place for monitoring the work of the home and provide an opportunity for the visitor to seek the views of people using the service and to check significant records, such as accidents, incidents and complaints. Information provided before the inspection, by the manager in the AQAA (Annual Quality Assurance Assessment) shows that relevant Health and Safety checks and maintenance are being carried out at the home. A number of Health and Safety records were checked, including the fire safety log. These records showed that health and safety matters are well managed. SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 4 23 4 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 4 4 x 4 x x 3 x SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA7 Good Practice Recommendations ‘Life story’ books should be kept up to date, as these give a much more interesting picture of how people have been spending their time and people may find them easier to follow than written records. ‘Life History’ books should be developed that include details and photographs of their ‘history’ such as family, friends, where they have lived, pets, work etc. These life history books will assist both the person and staff in remembering their past and will assist staff to have a greater understanding of them as an individual. 2 YA7 SCIC - Stratford Road, 27 DS0000004445.V364754.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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. 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