Inspection on 12/06/07 for Scotter House

This inspection was carried out on 12th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Scotter House 24/01/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Scotter House Scotter House West Common Lane Scunthorpe North Lincolnshire DN17 1DS Lead Inspector Stephen Robertshaw Key Unannounced Inspection 12th June 2007 09:00 Scotter House DS0000066544.V343281.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 Scotter House DS0000066544.V343281.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. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scotter House Address Scotter House West Common Lane Scunthorpe North Lincolnshire DN17 1DS 01724 855051 01724 872070 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) North Lincolnshire Council Karen Whitby Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Scotter House is a purpose built care home in the west of Scunthorpe, it is being developed on a ongoing basis to ensure that the environment is still appropriate to the needs of the individual service users. The accommodation is provided over two floors. All rooms are provided for single occupation and three of the bedrooms include en-suite facilities including shower/bath and toilets. There are spacious communal areas throughout the home. The communal areas include a newly built conservatory with decking garden area, in the main part of the house a lounge/dining room, a kitchenette, a shower room and toilet. Improvement has already been made to bathing facilities in this part of the building including all of the bathrooms and shower rooms being renovated.. A large kitchen serves all of the Scotter complex. The service users contribution towards their care fees at the home range between £62.35 and £96 per week. The only other payments made by service users are for personal toiletries and any other personal items that they require. Previous inspection reports are made available to the service uses, their families and any other visitors to the home. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit to Scotter House was unannounced and took place on the 12th June 2006. The inspector was in the home for approximately six and a half hours. The evidence to support this report was gathered through the inspectors contact with service users and visitors, interviews with staff and management, direct observation of the service users interactions with each other and with the staff group and observation of documentation in the home. The inspector spoke with six of the service users and one visitor, he also interviewed three members of staff and the manager of the home and five service users, and six staff questionnaires were returned to the inspector. Additional information was supplied through the services contacts with the Commission since the last inspection and a pre-inspection questionnaire that had been returned to the inspector. What the service does well: What has improved since the last inspection? Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 6 There were no requirement or recommendations made at the last inspection. Therefore no comment can be made in relation to improvements since the last inspection except that the environment is continually improving to meet the individual needs of the service users. 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. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users are provided with an opportunity to visit the home and their needs are fully assessed before they are admitted. EVIDENCE: The service users spoken to by the inspector stated that they had been given the opportunity to visit the home before they had been admitted in to Scotter House. This ranged from a visit for a couple of hours to overnight stays. The homes statement of purpose was updated in March 2007. This document is clearly set out and includes pictures to support individual service users with the understanding of them. The service user guide/agreement also includes pictures so that the service users can more easily understand the information. The home provides most of it places for respite care however there remains three long term service users at the time of the inspection. At the time of the site visit there were 11 service users living at the home. The inspector case tracked three of the service users and all of their care files provided evidence that they had received a full assessment of the individual needs before they were admitted in to the home. The local authority owns the Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 9 home and therefore all of the service users files included care management assessments of needs and care plan. There was evidence to support that the manager or senior staff of the home also carry out a pre-admission assessment of the individual service users to make sure that they can be met within the home and ensures that anyone outside of the homes registration will not be admitted. The staff training records and interviews with the inspector confirmed that they have the necessary skills and knowledge to care for the individual service users. A visitor stated to the inspector that the staff were ‘fabulous’ and that the service users were ‘well cared for and looked after’. All of the service users care files include an agreement for their placement at the home. Two of the three had been signed by the service users in agreement to them, the third file had the agreement in place however it had not been signed by the service users or their representative to recognise their agreement to it. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users individual needs and choices are supported in the home. EVIDENCE: The care files seen by the inspector for the individual service users included clear care plans that had been develop in conjunction with the service users, their families, their responsible care management team and care staff working at the home. All of the needs identified in the service users original assessments had been identified in their care plans. Service users spoken to by the inspector were aware of their care plans and who their key worker was in the home. One service user stated to the inspector that the staff ‘are very good and help me to do what I want to do’. However not all of the care plans had been evaluated on a regular basis to make sure that they were still appropriate to the needs of the service users. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 11 There are very regular service user meetings held at the home to gain their view on the services that are being made available to them. It is important for the home to continue with these meetings on a regular basis as most of the service users access the home for respite care on a rolling or ad hoc basis and therefore there are a lot of different needs and choices that need to be heard and considered. This also supports the homes quality assurance monitoring systems. Service users are encouraged to manage their own finances. The inspector observed the financial records/pocket money accounts for three of the service users. All of the records seen by the inspector had been accurately recorded and were up to date. Where appropriate care plans were supported by risk assessments. These included where there were restrictions in the service users freedom of movement and mobility problems. There was no evidence to support that the risks assessments are evaluated on a regular basis to ensure that they were still relevant to the needs of the individual service users. All of the confidential information in the home was stored in accordance with the Data Protection Act 1998. The service users care files included a confidential section where confidential care information could be stored. Scotter House DS0000066544.V343281.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): 11,12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users are encouraged to maintain and develop their personal lifestyles at the home. EVIDENCE: The inspector looked at the care files for three of the service users living at the home. The dairy records and care plans supported the evidence that the service users are encouraged to maintain and develop their social, emotional, communication and independent living skills. Two of the service users were identified as having different cultures to the remaining service users and it had been identified in their care plans and assessments how these needs must be addressed. The manager informed that inspector that due to one-service users religious beliefs they could only be showered and must be supported by male staff. When the service user was not in respite care provision was made for Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 13 them to visit the home to access the shower facilities that were not available to them in their own home. All of the questionnaires returned to the inspector from the service users and the staff supported that the service users are encouraged to maintain and develop their personal lifestyles at the home. One service user stated to the inspector that they ‘go out’ in to the community to places that they want to. The longer-term service users are supported to access training and education in the community. The care plans and diary entries showed the times that they access these services. There were also training agreements and contracts included in the service users care files. There was also evidence to support that if respite care service users are encouraged to access all of the training and social activities that they attend when they are not receiving respite care at the home. At the time of the site visit two of the service users were away from the home on their annual holiday (on holiday in Whitby) accompanied by care staff from the home to support them. The service users are encouraged to maintain and develop their relationships with their family and friends. A visitor to the home stated that they are ‘always made welcome’ by the management and staff, and they ‘understand’ care needs of their relative. Direct observations supported the evidence that the daily routines of the service users are flexible and the preferred names identified in their care plans are used at all times when the staff communicate with them. The relationships between the staff and service users were observed to be very relaxed, friendly and supportive. A service user spoken to b y the inspector said that there were ‘always enough staff’ to help them with their needs. The inspector observed a mealtime in the home and ate with several of the service users. The meal was relaxed and service user were observed to be offered alternatives to the main meal that was being provided if they did not wish to have that one. The visitor and service users said that there always appeared to be good and varied food offered at mealtimes, however one staff questionnaire stated that they would like to see more variety in the menus offered at the home. The inspector looked around the homes main kitchen on his tour of the premises. The kitchen was very clean and the cooks were aware of any dietary needs of the service users including cultural needs. The service users care plans also included an assessment of their nutritional needs. The microwave oven needed to be replaced and a handle had broken off a freezer door. The kitchen has two large ovens, one that had been marked as ‘out of order’. The kitchen staff stated that this oven had been out of use for several months and at times made their duties difficult. The manager of the home stated that Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 14 the future plans for the home was to refurbish and redevelop the kitchen area and therefore there was no intention at this point to replace the oven that is said to be ‘beyond repair’. The main kitchen also has its own washing machine to wash the cooks uniforms and kitchen cloths. The manager also showed the inspector the training kitchens that have been developed and introduced to the home. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This means that the service users personal and healthcare needs are met through the services provided at the home. EVIDENCE: The home does not provide nursing care to the service users, however their care plans showed that when they have any healthcare needs the home are supported with these through healthcare professionals that are based in the community, this included district nurses, community learning disability social workers and nurses, chiropodists and consultant psychiatrists. A visitor to the home stated that they are always kept up to date in their family members healthcare needs when they are in the home. They also stated that this was ‘much better’ than experienced at other homes. The service users were observed by the inspector to be provided with services and care in a way that did not stigmatise the individual but supported their dignity, respect and understanding and also supported personal control in the service users daily lives. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 16 In the previous section of the report it was identified how the home excelled in meeting a service users personal needs in providing appropriate shower facilities to them during their respite care in the home and also providing the same facilities when the service user was back living in their own home. None of the service users in the home administer their own medication. All of the staff that administers prescribed medication to the service users had received appropriate accredited medication training. The inspector observed the medication records in the home and they were all up to date and had been accurately recorded. The pharmacy that provides the medication to the home also audits the medication in the home on a six monthly basis. All medication receipts and returns were clearly recorded. The controlled medication in the home was also appropriately stored and recorded. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users are safe in the home. EVIDENCE: The home has a clear and effective complaints policy and procedure. The management and staff at the home have developed a more simple diagrammatic complaints procedure/flow chart to make it more accessible and understandable to the service users. A record is maintained of all complaints and concerns that are raised at the home and this included details of the investigation process and the outcome of the investigation. Service user questionnaires showed that they have an understanding of how to make a complaint if they have one and whom they would report it to. Staff training records supported the evidence that all of the staff receive safeguarding adults training and before they are employed to work at the home they must have received clearance from the appropriate vetting authorities. Interviews with staff also supported the evidence that they understand what safeguarding adults is about and they also knew how to report any allegations or suspicions of abuse. Care files observed by the inspector also included policies and procedures for service users aggression and physical harm towards other service users. Scotter House DS0000066544.V343281.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): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment of the home is suitable to the needs of the service users. EVIDENCE: The inspector made a tour of the premises. The home is constantly being redeveloped to make sure that it can meet all of the needs of the service users. The building was very clean and was free of any offensive odours. The main kitchen in the home has been identified as an area that is to be further developed in the next year. There are also two training kitchens for the service users to maintain and develop their independence skills. The service users also have access to four lounges and a conservatory. There is also a decking area in the central courtyard of the home. The bedrooms in Scotter House are all for single occupation. The three longterm service users had all decorated and furnished their personal rooms to Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 19 their own tastes and preferences. The service users stated to the inspector how happy they were with their accommodation. One service user told the inspector ‘my room is beautiful’. Three of the service users individual rooms include en-suite facilities. There are a further six toilets and two bathrooms that are spaced well around the home. The bathrooms had recently been renovated to a very good standard and promoted a homely atmosphere in them. The home has a clear fire risk assessment that is appraised on an annual basis by the management of the service. This also includes contingency plans for emergency alternative accommodation for the service users. Accessibility to the whole home is available to all of the service users. This includes access to the first floor via a passenger lift. The service has two mobile hoists that have a safe storage area in a room off one of the corridors. All of the service and maintenance records were in position and were up to date. Several of the service users bedrooms are fitted with frames that overhead tracking so that hoists can be attached to assist service users in and out of bed when necessary. The laundry was securely locked for safety, however the inspector went in to the laundry and identified that the washing facilities were programmable to disinfection and sluicing standards. The home also comprises smaller domestic appliances that the service users can access to maintain and develop their independent living skills. Scotter House DS0000066544.V343281.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): 31,32,33,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the care staff have the necessary skills and knowledge to safely care for the service users. EVIDENCE: The inspector observed the care staff personnel and training files for three of the staff that work in the home. Three care staff were also interviewed by the inspector. All of the files seen by the inspector included clearly defined job descriptions and personal specifications. The files included confirmation that the staff receive approved safety vetting before they are employed to work with the service users. This included two written references and Criminal Record Bureau checks. The induction and foundation training for the staff is provided through the local authorities training department. The inspector was informed by the manager of the home that this training complies with the national standards for induction and foundation training in care. The home also has its own induction plan that Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 21 makes sure that the staff understand their role in the home and gives them the opportunity to learn their way around the building and identify were everything was. Staff interviewed by the inspector had all worked for the home for a considerable length of time and therefore had not undertaken the up to date induction training. The staff records showed that when staff work at the home they consistently remain there for long periods of time. This helps the service users to feel more comfortable as whenever the go in to the home for respite care the same staff will usually be available to them. One service user told the inspector ‘the staff are very good, I like them’. Staff were observed interacting with the service users and the relationships between them were seen to be At the time of the site visit two of the care staff had taken a service user to Whitby for a holiday. There are no staff working in the home that are under twenty one. When staff are employed to work at the home they are all provided with a copy of the General Social Care Councils codes of conduct and practice. The staff records also supported that they receive the recommended minimum of six formal supervision periods per year. The supervision is in line with the local authorities policies and procedures and is usually held on a monthly basis. The home have not yet achieved their commitment to NVQ (National Vocational qualification) training. Although staff and management appear to be very positive towards NVQ training one staff questionnaires that was returned to the inspector that they wanted to undertake NVQ training and had been ‘waiting for seven years’ and still had not been put forward for the training. Several members of staff in interview and in their questionnaires commented that the same staff always seem to be off work sick and this puts pressure on the other staff to cover their work. The inspector discussed this with the home manager who informed him that the matter was on the agenda with the management team. The staff group receive diversity training and the staff compliment includes carers that were not born in Britain. This enhances the language and diverse care needs that are needed in the home in an ever changing environment and makes the service more open to individual service users that previously may not have chosen to access the service. Scotter House DS0000066544.V343281.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): 37,38,39,41,42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the management of the home understands and supports the needs of the individual service users and the needs of the care staff and the service itself. EVIDENCE: The manager of the home is a qualified social worker (DipSW) and has completed the Registered Managers Award. She also has a Diploma in Higher Education, a Certificate in Education and a Diploma in Counselling. The manager of the home is also a qualified NVQ work base assessor. The management approach to the home is open, positive and provides a homely atmosphere. This evidence was supported through discussions with Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 23 service users, visitors to the home and interviews with staff. All of these people confirmed that the manager is always available to them when they are on duty and they believed that the manager listened to what they had to say and acted positively on their comments. One visitor stated that the manager was ‘very friendly and approachable. The manager accompanied the inspector on most of his tour around the premises. During this time many of the service users were interacting with the manager of the home. Their interactions were very relaxed and it was obvious that there were good and trusting relationships between them. The service users have regular meetings at the home to determine their opinion in relation to how services are delivered to them at the home. POSH meetings (People of Scotter House) are held on a monthly basis. These meetings included what foods should be included on the homes menus and what activities the service users would like to be involved in. the meetings are also used to update the service users with the changes going on inside the service. The home has an effective quality assurance and monitoring system. Questionnaires are routinely sent out to service users, their families and outside professionals. The manager of the home then analyses the information that is returned to the service and develops an action plan to improve the quality of services being provided through Scotter House. The action plan is then published and is made available to the service users, their families and outside professionals. All of the records that are required by regulation were in position in the home and were up to date and had been accurately recorded. The home also has an effective and clear business and financial plan that covers the home for the next year. New procedures have also been introduced for the safe keeping of service users finances whilst they are resident in the home. This includes pictures to help the service users to understand them. All of these records were stored in accordance with the Data Protection Act 1998. Scotter House DS0000066544.V343281.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 4 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 3 X 3 3 3 Scotter House DS0000066544.V343281.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 2. Refer to Standard YA5 YA6 Good Practice Recommendations The registered manager should make sure that all of the service users or their representatives sign their individual contract to identify that they are in agreement with them. The registered manager should make sure that all of the care plans in the home are evaluated on a regular basis to make sure that they still meet the needs of the service users. The registered manager should make sure that the service users risk assessments are regularly evaluated to make sure that they are still relevant to the care of the individual service users. The registered person should replace the microwave oven in the main kitchen to ensure the health and safety of the service users. The registered person should consider the consequences for the kitchen staff with the second oven being out of commission. Dialogue needs to be opened to ensure that they are aware of all of the planned developments for the DS0000066544.V343281.R01.S.doc Version 5.2 Page 26 3. YA9 4. 5. YA17 YA17 Scotter House 6. YA32 7. YA42 kitchen area, The registered manager should make sure that a minimum of 50 of the care staff have achieved NVQ 2 or equivalent to demonstrate that they understand the needs of the service users and know how the meet them. The registered person should repair or replace the broken handle on the freezer to ensure the health and safety of the people accessing the freezer. Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Scotter House DS0000066544.V343281.R01.S.doc Version 5.2 Page 28 - 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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