Inspection on 28/11/06 for Sedgemoor & Framley

This inspection was carried out on 28th November 2006.

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

Sedgemoor & Framley 14/11/08

Sedgemoor & Framley 21/02/06

Sedgemoor & Framley 09/08/05

Sedgemoor & Framley 09/03/05

Sedgemoor & Framley 18/05/04

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

CARE HOME ADULTS 18-65 Sedgemoor & Framley 2-4 Mill Road Eastbourne East Sussex BN21 2LY Lead Inspector Nigel Thompson Unannounced Inspection 28th November 2006 09:30 Sedgemoor & Framley DS0000021207.V315404.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 Sedgemoor & Framley DS0000021207.V315404.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. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sedgemoor & Framley Address 2-4 Mill Road Eastbourne East Sussex BN21 2LY 01323 725825 01323 412118 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) Eastbourne & District Mencap Miss Paula Wheeler Care Home 23 Category(ies) of Learning disability (23) registration, with number of places Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is twentythree (23). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Service users with a learning disability only to be admitted. That one (1) service user with a physical disability may be accommodated in Sedgemoor (2 Mill Road). 21st February 2006 Date of last inspection Brief Description of the Service: Sedgemoor and Framley is a care home for 23 adults with learning disabilities. The registered providers are Eastbourne and District Mencap. The premises have been converted into one home from two large Victorian houses. The home also provides a bungalow which offers two service users more independent living arrangements. There are two lounges, one which has recently been redecorated and furnished, two dining rooms and two large kitchens. One dining room opens onto a raised terrace area that looks out to a large well-maintained rear garden. Sedgemoor and Framley continues to provide a safe and happy environment whereby young people can learn to live as independently as their disability will allow, within their own home. Service users are enabled to access work placements, college courses, day centres and a range of leisure activities within the home and in the local community. The current fees at Sedgemoor and Framley, as of 28 November 2006, are £371.15 per week. Additional charges are made for hairdressing, chiropody, magazines and toiletries. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in November 2006. It found that all of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were twenty three service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with five service users, two relatives, three members of staff and the Registered Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. The purpose of this inspection was to monitor care practices at Sedgemoor and Framley and the focus was on the quality of life for people who live at the home. What the service does well: The relaxed, homely and welcoming environment has evolved over many years and continues to reflect the stability and commitment within the staff team and the open and inclusive management style of the established and clearly dedicated Manager and Deputy Manager. The well maintained décor and good quality furniture and furnishings continues to provide a comfortable, pleasant and homely environment for service users. Effective systems are in place for the admission and ongoing care of service users. High quality individual care plans developed from comprehensive preadmission assessments ensure that an individual’s needs are met in a structured and consistent manner. Communication and consultation with service users’ family members is effective and ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 6 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. Sedgemoor & Framley DS0000021207.V315404.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 Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users know that the home is able to meet their individual care and support needs. EVIDENCE: Comprehensive and detailed information regarding the home has been produced and is made available to all prospective service users. The quality and accessibility of the ‘Introduction for new residents’, including a ‘Statement of Purpose ‘ and ‘Service User Guide’ is further enhanced by the effective use of photographs and diagrams. The manger confirmed that Sedgemoor and Framley continues to maintain a good working relationship with the local Community Learning Disability Team (CLDT), who consequently have a sound understanding and awareness of the suitability of the home and the range and quality of the services provided. A referral to the home from the CLDT consists of a thorough Social Care Assessment and any additional relevant reports. The manager or deputy manager will also visit the prospective service user and carry out a full pre- Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 9 admission assessment, including any personal and emotional care and support needs, mobility issues, social and cultural needs and family involvement. Assessments that were examined were found to contain a detailed and informative ‘Individual Profile’, effectively completed in the first person. In addition to establishing whether the individual’s care and support needs can be met within the home, the manager also stressed the importance of ensuring compatibility with existing service users. As well as being invited to visit the home to look around and meet with existing residents and staff, prospective service users have the opportunity to stop overnight or occasionally for a weekend stay before moving in. The manager confirmed that new service users undergo a three month trial period at the home, followed by a thorough placement review, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Comprehensive, high quality care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: High quality service user care plans, ‘Person centred plans’ (PCPs) are in place and as previously documented, the effective use of pictures, photographs and diagrams in the plans ensure the assessment and ongoing care planning process is more clearly focused on and accessible to the individual service user. The manager confirmed that service users and, where appropriate, a relative or representative continue to be directly involved in annual care plan reviews. It was evident from plans that were examined that reviews are appropriately recorded and plans are amended appropriately to reflect changing needs or Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 11 circumstances. Information recorded includes who was present at the review and details of issues discussed and agreed goals. It was noted that any amendments to the care plan are routinely signed and dated by the service user, a relative or advocate and a member of staff. As part of the routine ‘personal assessment’ of service users, risk and the potential for risk is assessed, addressed and recorded through various ratings, including: ‘Independent’ and ‘verbal’ or ‘physical’ prompt. Risk assessments are in place relating to certain behaviour, including: ‘selfinjurious’, ‘self neglect’ and ‘absconding’. In accordance with the person centred approach to care planning, it was noted that risks are recorded in the first person and provide evidence of regular and effective consultation with service users. Individuals are clearly enabled and supported to make decisions about many aspects of their life and are made aware of and understand the reasons for specific action being taken. Monthly ‘Residents’ Meetings’ continue to provide all service users with the opportunity to discuss any issues or concerns they may have. Independence and individuality continue to be encouraged and promoted within the home and are reflected in the personalising of service users’ rooms, the choice of bedclothes and colour schemes and individual preferences for menus and activities. One to one support remains a feature of the weekly ‘Training day’, when instead of attending day centres, individual service users stay in the home and have the opportunity to catch up with their personal laundry and shopping. In care plans that were examined it was noted that the ‘Key Worker Role Chart’ includes visual prompts in the form of diagrams and pictures of the service user’s individual interests and choices. Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The manager confirmed that, where appropriate, service users’ family links continue to be supported, however not all service users have regular family contact. Visiting to the home is unrestricted and service users’ relatives and friends are made welcome at any reasonable time. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 13 On the day of the inspection, two service users’ relatives were spoken to and both expressed a high level of satisfaction with the home and the care and support provided: ‘She is so happy here and that is very important to me’. ‘The staff are so kind and can’t do enough to help. I’m always made very welcome’. ‘It’s a great comfort to know that she is being looked after so well’. Community participation remains a focus in the home and service users are evidently encouraged and supported to visit local restaurants, cinemas, theatres, shops and other amenities. The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, including bowling and swimming, reflecting their individual needs, preferences and abilities. One service user continues to work once a week in the café of a local hospital and another resident is member of the local leisure centre. The deputy manager confirmed that preparations are currently underway for the very popular Christmas Party, to be held in the home, and to which service users’ friends and relatives are invited to attend. The three week rolling menu is varied, balanced and nutritious and reflects seasonal variations The cook confirmed that meals are based on service users’ identified likes and preferences, which are regularly discussed at service users’ meetings. Specialist diets currently catered for include two low fat, sugar free, two diabetic diets and one celiac, gluten free. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. Many service users are evidently involved in various aspects of meal preparation, including baking, laying the table, washing up and drying and preparing packed lunches. Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: In accordance with their personal care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, service users were observed being supported in a sensitive, professional and respectful manner by members of staff. Documentary evidence was in place to demonstrate that the health and emotional care needs of service users continue to be met within the home. Individual care plans that were examined were found to contain detailed information, clearly developed through close consultation with and direct involvement of service users and their relatives. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 15 Comprehensive needs assessments and details of staff intervention and action to be taken, ensures a structured and consistent approach to individual care and support. The Manager confirmed that close and effective working relationships between service users and their key worker ensured that any subtle change in an individual’s mood or behaviour can be identified and addressed at an early stage. All service users are registered with local GPs and have access via the CLDT to other health care professionals, including physiotherapists, psychologists and occupational therapists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. The recently developed ‘Annual Healthcare Assessment’ is proving effective and beneficial. In service users’ plans that were examined, it was evident that the assessment contains a comprehensive record of many aspects of an individual’s personal healthcare, including weight, mobility, eyesight and hearing and any identified mental health issues. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. The manager confirmed that only senior staff have responsible for administering medication and all have received appropriate training and are individually assessed and authorised to do so. This was confirmed through discussions with staff and supported by training records examined. Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: A clear, comprehensive and accessible complaints procedure is in place. Service users and members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to the manager or deputy manager and each person was confident that they would be listened to. Policies and procedures relating to abuse, including whistle blowing are in place and were found to be up to date and well maintained. The manager confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. The manager confirmed that she and the deputy manager recently attended a Social Services run workshop, entitled ‘Adult Protection Awareness’. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 17 Abuse training, including ‘Managing adult abuse’, is provided for all staff and this was evidenced by training records and certificates in staff files and confirmed through discussions with members of staff during the inspection. An impressive and informative laminated document, entitled ‘Abuse is wrong’ has been recently developed and is displayed on the service users’ notice board. It makes effective use of illustrations to advise service users that ‘Everyone has rights’ and to provide guidance for individuals who may experience or witness any form of abuse. Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from all necessary specialist equipment and pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: The well maintained décor and good quality furniture and furnishings continues to provide a comfortable, pleasant and homely environment for service users. Since the previous inspection, the lounge in Sedgemoor has been redecorated and new curtains fitted. It was noted that seven service users’ rooms have also been redecorated and refurbished and environmental standards remain high throughout the home. The Manager confirmed that the health, safety and welfare of service users remains a priority. Environmental adaptations and specialist equipment are provided as necessary and includes hoists, ripple mattresses, electric thermaposture beds, audio loop system and assisted baths. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 19 Independence continues to be promoted within the home, as far as is practicable, and this is evident from the personalising of service users’ rooms, which clearly reflects individual tastes, preferences and interests. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are protected from the home’s thorough recruitment policy and procedures and benefit from sufficient trained, competent and supervised staff on duty at all times to meet their assessed care and support needs. EVIDENCE: The manager clearly recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training, the ‘Common Induction Standard’, which is compatible with Skills for Care (Formerly TOPSS). In addition to this programme, appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: ‘There is always plenty of opportunities for training here.’ Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 21 Following discussion with the manager, it was agreed that a staff training matrix is to be developed and implemented. There are currently seven members of staff who hold the National Vocational Qualification (NVQ) level 2. The manager confirmed that a further four staff are due to commence studying by March 2007. In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis. It was noted that the manager provides supervision for the deputy manager and senior staff and also carries out annual appraisals. Formal supervision for the remaining care staff is the responsibility of the deputy manager. Through direct observation and discussions with members of staff, it is evident that the manager also operates an ‘open door’ policy, with staff feeling confident and able to discuss any issues at anytime. The home continues to operate thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Sedgemoor & Framley DS0000021207.V315404.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from a well managed home, effective quality monitoring systems, thorough health and safety checks and guidelines and efficient record keeping. EVIDENCE: From direct observation and through discussions with service users, relatives, and members of staff, it is evident that the manager continues to demonstrate a clear and positive sense of leadership and direction. She is conscientious, motivated and approachable and, ably supported by a very effective and efficient deputy manager, creates an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for service users, their relatives and other visitors to the home. Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 23 Collated responses from the most recent survey indicate a high level of satisfaction with the home and the care and support provided: ‘A lovely friendly atmosphere on entering, where everyone is treated as an individual’. ‘The residents are always very happy, well cared for and respected by the staff’. ‘She absolutely loves living there and I am so grateful every day for their care and dedication to the residents’. ‘I like living here!’ The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. It was noted that the most recent drill was carried out in July this year. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Sedgemoor & Framley DS0000021207.V315404.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 3 4 3 5 X 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 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Sedgemoor & Framley DS0000021207.V315404.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!