Inspection on 27/07/05 for 27 Stratford Road

This inspection was carried out on 27th July 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 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 13/05/08

27 Stratford Road 22/05/07

27 Stratford Road 20/12/05

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 09/07/2008.

CARE HOME ADULTS 18-65 SCIC - Stratford Road, 27 27 Stratford Road Shipston On Stour Warwickshire CV36 4AZ Lead Inspector Kevin Ward Unannounced 27 July 2005, 7:35 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 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 Stationary 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 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service SCIC - Stratford Road, 27 Address 27 Stratford Road Shipston On Stour Warwickshire CV36 4AZ 01608 663129 Telephone number Fax number Email 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 PC Care home only 5 Category(ies) of LD Learning disability (5) registration, with number LD(E) Learning disability over 65 (2) of places SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 10 March 2005 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 1930’s. 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 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection involved looking around the home and talking with people at breakfast time before they went out for the day and meeting with people again when they returned home from work and day services later in the day. The inspection also involved meeting with the manager and a group leader and speaking to a number staff during the course of the day. Service users’ care plans were examined and a number of policies and procedures were looked at during the inspection. A sample of staff recruitment files was also examined. What the service does well: The home provides people with care plans containing satisfactory levels of information, in order that staff are made aware of people’s needs and the support they need. Where necessary, to aid people’s understanding, some plans and risk assessments have been illustrated with pictures. Most people go out to work or day services during the day, however staffing arrangements have been put in place to support some people to remain at home and to receive assistance to go out into the community. Positive arrangements are made for people to go on holidays during the year, with staff support. The people living at the home take an active role in attending to every day tasks about the house and one person takes part in staff interviews. Meetings are held regularly for people to raise any concerns and to have their say in making plans, e.g. holiday arrangements. The home provides a varied menu that is planned by the people living at the home each week, taking account of any likes and dislikes. Two people take part in cooking the main meal one day a week, to help to develop these skills, whilst making a positive contribution to the group. The people living at the home looked very comfortable and at ease in their conversations with staff, indicating that they are happy with staff at the home. This was confirmed by the many positive comments they made about the staff that support them. Information contained in people’s care plans and health records confirm that people are being provided with support to receive support from health professionals to address their health needs, so that they remain in good health. Suitable arrangements are in place for the safe storage of medication and where it is considered safe to do so people are encouraged to manage their own medication with support from staff, to encourage their independence. Overall the home is very comfortable and homely. The décor, furniture and carpets are generally in reasonable condition and support has been provided to help people to personalise their bedrooms so that they are very comfortable and equipped to meet their needs. The people living at the home appeared SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 6 very comfortable and relaxed as they went about their daily routines and took a great pride in looking after their home. Staff at the home are well trained in the health and safety related areas of practice and staff are being supported to undertake NVQ qualifications to underpin their practice. Staff recruitment procedures are satisfactory and new staff are being properly vetted to ensure that they suitable to work at the home. Tests of fire safety equipment are being carried out and routine fire drills are taking place to ensure the safety of everyone at the home. Similarly suitable arrangements are in place for maintaining gas and electrical equipment to ensure that it is safe for people to use. 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. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 standard(s) 5 The home issues people with contracts, in an accessible format, so that they are made aware of their rights and responsibilities at the home, however there is a need to include details of any additional charges so that everyone knows what they have to pay for. EVIDENCE: Contracts have been issued to everyone living at the home in an illustrated format to aid people’s understanding where this is necessary. The manager explained plans to revise the contract shortly and agreed to include the details of any additional charges, over and above the general fees, that service users are required to fund, e.g. transport charges. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 standard(s) 6,7, 9 The home regularly reviews people’s needs, with their involvement, so that they are kept aware and can contribute to their personal plans. Service users are encouraged to take part in the life of the home and provided with opportunities to voice their opinions so that they are able to contribute to decisions that affect their everyday lives. Risk assessments are in place so that people are provided with the necessary support to retain independence in a safe manner. EVIDENCE: Each service user has a care plan in place, detailing their needs and the support that is given, taking account of people’s personal care and health needs. A profile is also in place at the front of each person’s file providing a helpful summary of his or her personal history and current requirements. Where required, care plans have been devised for some people, using illustrations, to make the information more accessible to them. Care plans are being reviewed by the home at least 6 monthly between social work reviews and more frequently where changes in people’s needs demand it. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 10 All the people living at the home have been together for many years and there have been no changes to the group since the last inspection. Service users records contain copies of care plans and review documents, to demonstrate that social workers are carrying out annual reviews of people’s care. Information on service users’ records confirms that they are encouraged to take part in their reviews and that the home works with other professionals, e.g. health professionals, to monitor and review people’s needs. During the course of the inspection, service users were seen to take an active role in the daily running of the home. On the morning of the inspection a service user opened the door to welcome the inspector and people carried out daily living tasks, such as making breakfast, loading the dishwasher and mopping the floor. Service users have a meeting each month to discuss plans and to monitor any concerns or complaints they may have. Comments made by service users confirmed that they are supported to shop and choose their own clothes and other items. Two people are involved in cooking the main meal one evening each week and one person represents the service users at staff interviews. The manager explained that last year the home supported one person to gain access to advocacy support, to help represent her personal interests. Service users appeared very relaxed and at ease in their home environment and spoke confidently to the inspector, indicating that they are encouraged to voice their views. Risk assessments have been devised for service users which include general environmental risks as well risks that are more specific to them personally, such as managing their health related needs. These documents are fairly concise but contain reasonable levels of information, to advise staff on the safe management of risks in the home. Risk assessments are dated to indicate that they are being regularly reviewed and amended if necessary. The manager said that she intended to add some further details into medication risk assessments, where service users are responsible for holding their own medication. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 17 The home supports people to find employment and leisure activities that meet their needs so that their time is filled purposefully and they take part in the life of the community. The home includes service users in devising menus and takes account of any dietary needs so that people are provided with meals that they enjoy. EVIDENCE: Service users are supported to undertake work and daytime activities that meet their needs. This includes part time employment opportunities in some cases and Social Services day service placements for other people. One person stays at home during the day and two other people also stay at home part of the week. Staff support is provided for these people to venture out places in keeping with their wishes. Support is provided by the home for people to enjoy social events, e.g. Bootleg Beatles, theatre, Gateway club, pottery exhibition, walks to town and shopping. One person explained that he had recently seen two films at the local cinema. Comments made by service users and entries in the meeting records confirmed that people are being consulted over holiday plans. Comments made by staff and service users indicate that most people commonly go away on holiday twice a year. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 12 Comments made by the people living at the home confirmed that they are very happy with the food provided and are involved in planning the menu at the start of each week. On the morning of the inspection people were seen to help themselves to breakfast cereals of their choice. One person was seen to be encouraged to add fruit to her cereals in keeping with her care plan, to promote a healthy diet. A well stocked fruit bowl was seen to be available for people to help themselves from and snack foods were also available in the home. Comments made by the manager and staff indicate that a reasonable balance is being struck between healthy eating and enjoying extra treats. As previously noted, two service users are encouraged to develop cooking skills by taking part in cooking the main meal one evening a week. The home’s menus were observed to be reasonably varied and well balanced. The menus contain written comments to demonstrate that people’s individual preferences are considered when the menus are devised with service users, each week. Since the last inspection positive work has taken place to fully refurbish the kitchen area, so that it now contains modern, attractive units and equipment. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 and 21 Service users support needs are recorded in a care plan and staff respect people’s routines so that care is provided in a manner that service users are happy with. The home supports people to receive access to support from health professional and to make use of community health services so that their health needs are properly addressed. The home encourages and supports service users to hold and administer their medication, where they are able to do so, in order that they are able to retain their independence in a safe manner. The home is seeking to help people to make plans, in the event of their death, so that their wishes may be respected and acted upon. EVIDENCE: During the course of the inspection staff were seen to approach service users in a friendly and respectful manner. Service users appeared very relaxed in the company of staff and carried out their early morning routine’s in a very relaxed and confident manner. Comments made by the member of staff on duty in the morning demonstrated a sound knowledge of people’s support needs. Comments made by service users confirmed a high level of satisfaction with SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 14 the help they receive from staff at the home. Service users confirmed that their personal routines are respected, such as flexible bedtimes and opportunities to sleep in if they wished. All the current service users are ambulant and do not require the use of specialist lifting equipment. A good sized walk in shower room is available downstairs in the home, fitted with grab rails for people to steady themselves, where necessary. Guidelines are in place for male staff, where they are required to provide personal care support to female service users so that this undertaken sensitively and in a manner that seeks to respect people’s dignity. Service users were all very well groomed and dressed in good quality, age appropriate clothing. Information contained in people’s health records and care plans confirms that the home takes account of people’s health needs and supports service users to gain access to health professionals to meet their needs. In particular the home has worked closely with a consultant psychiatrist and a community nurse to monitor some people health conditions. One service user has recently been supported by the home to have various tests and investigations to address their needs. All service users have had health plans completed with the involvement of the community nursing services and entries in people’s records confirm that they are assisted to attend routine health appointments, such as GP, dentist and opticians check ups. A lockable cupboard is in place for the safe storage of medication. Some people hold their own medication. Lockable drawers are provided for people to keep their medication safe and staff monitor medication taken by people. All medication is recorded on medication record sheets as it arrives at the home, in order that it can be correctly accounted for. Risk assessments are in place where service users handle their own medication and the manager stated that she intends to review these documents and add further information regarding individuals’ medication monitoring arrangements. Good arrangements are in place for 3 monthly audits of the medication systems by the pharmacist, so that safe medication practices are maintained. Good work is taking place to sensitively ascertain service users wished in the event of their death. People have been issued with illustrated booklets to complete, with support from staff, to help them think through the practical issues associated with planning funeral arrangements. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home provides opportunities for people to raise their concerns and complaints so that they can be investigated and responded to appropriately. Suitable procedures are in place at the home so that the people living there are protected from any risk of abuse. EVIDENCE: An organisational complaints procedure is in place for staff and an illustrated version of the complaints procedure has been provided to the people living at the home. Each person has information about the home, including the complaints procedure that they keep in their bedrooms. Comments made by service users indicated that they are aware of how they may raise their concerns. As previously noted monthly meetings take place at which service user may raise any concerns. However comments made by people indicate that they would be more inclined to raise any concerns beforehand with their key worker or other staff at the home. The manager was also observed to be accessible and responsive to queries made by people during the inspection. A complaints log is available for recording complaints. The manager confirmed that there have been no complaints at the home during the last year. Comments made by staff indicated a satisfactory awareness of the adult abuse procedures that are available in the home. Staff have also been made aware of the whistleblowing procedures and to whom they should raise any concerns about the home, if this became necessary. Expenditure records are maintained by staff to account for service users monies where they are involved in assisting people to manage their monies and periodic checks of service users finances are carried out by the organisation’s finance manager. The manager confirmed that there have not been any adult abuse investigations involving people at the home. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 The home is well maintained and furnished so that people are provided with a clean, comfortable and homely environment to live in. Staff are provided with procedures and training so that the home is maintained in a clean and hygienic condition. EVIDENCE: 27 Stratford Rd provides comfortable, attractive accommodation for 5 people. Two people have bedrooms on the ground floor and 3 people’s bedrooms are on the first floor. The bedrooms show ample evidence to confirm that people have been supported to personalise these areas to meet their needs and reflect their personalities. Many bedrooms contain TV’s and music players, ornaments, pictures and other personal belongings as well as cupboards and wardrobes for the storage of clothes and personal belongings. Two bedrooms also have specialist beds in place to meet their needs. The lounge and dining areas are comfortable and have domestic style furniture in place, providing a very warm and homely atmosphere in the home. As previously noted the kitchen has recently been fully refurbished, including new units and kitchen equipment. Service users were seen to take pride in their SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 17 home and to assume responsibility for attending to daily tasks around the house. The gardens are well maintained and contain garden furniture for people to use during the summer months. An infection control policy is in place at the home and staff have just been provided with infection control training. The laundry room is situated away from the kitchen and presents no hazards associated with the need to take dirty laundry thorough food preparation areas. The home was found to be very clean, well aired and free from any offensive odours. The small size of the home and people’s current needs mean that there is not currently a need for a clinical waste contract at the home. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 New staff are being appropriately vetted so that service users are protected by the home’s recruitment procedures. The home provides staff with access to a suitable range of training so that they are properly equipped to meet the needs of people living at the home. EVIDENCE: The recruitment files of two staff recruited at the home since the last inspection were examined and found to contain appropriate information to confirm that appropriate vetting procedures are being carried out by the home, including checking evidence of identity and taking up references. A record of the Criminal Record Bureau (CRB) disclosure checks is held on file at the home and a number CRB certificates were examined by the inspector, at a visit to the organisation’s head office, 24th June 05. One service user at the home confirmed that she has been involved in interviewing new staff for the home. Training information and a sample examination of course certificates confirms that staff are being provided with a suitable range of training opportunities to equip them for their work at the home. Staff are being trained in health and safety related areas of practice, such as food hygiene, first aid, medication, infection control and fire safety as well as training in care practices, such as mental health awareness. Staff have also been provided with Learning Disability Award Framework induction and foundation training and four staff have completed NVQ level 2/3 courses. Two more staff are due to start NVQ SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 19 training in September 05. These courses provide people with a sound basis to underpin care practices. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The home encourages service users to express their views and to take an active role in the day-to-day running of the home, so that they are involved in the development of the home. Suitable arrangements are in place for maintaining good health and safety practices at the home, so that the welfare of service users and staff is protected. EVIDENCE: Illustrated consultation booklets have been devised, for the people living at the home to give their views of the service they receive. The manager explained people were supported to complete the booklets with the assistance of a manager from a different service, so as to provide some independence to the consultation process. The manager explained that a number of professionals have also been consulted and that everyone’s comments are currently being collated, with a view to devising an action plan, to address any issues that may arise out the consultations. As previously noted service users are heavily SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 21 involved in the day-to-day running of the home and are represented at staff interviews. They also have regular meetings to discuss issues in the home, and make plans, such as holiday arrangements. An examination of the home’s fire safety log indicates that fire alarms and lights are being tested at the appropriate frequency and that fire safety equipment is being appropriately maintained. Testing of the home’s electrical equipment took place September 04 and gas equipment was checked in March this year. Shower heads are being routinely de scaled and boiler temperatures are monitored to reduce any potential risk of legionella at the home. A risk assessment was seen to be in place for the control of substances hazardous to health (COSHH) e.g. cleaning materials. Staff are being provided with access to training courses to address health and safety related practices, such as first aid and food hygiene. Risk assessments are in place taking account of people’s assessed needs and a number of environmental hazards, such as epilepsy seizure in shower, fire risk assessments and hot water temperatures. The manager explained plans for radiator covers to be fitted to all radiators later this year to remove any possibility of radiator scalding. SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SCIC - Stratford Road, 27 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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 5 Regulation 5 Requirement Proceed with plans to review peoples contracts and include any additional charges that service users may have to fund, e.g. transport. Timescale for action 14/9/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard None. Good Practice Recommendations SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 SCIC - Stratford Road, 27 E53 s4445 SCIC 27 Stratford Rd v241403 270705 Stage 4.doc Version 1.40 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. 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