Inspection on 24/01/07 for Selly Oak Road (310)

This inspection was carried out on 24th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Selly Oak Road (310) 13/01/09

Selly Oak Road (310) 13/02/06

Selly Oak Road (310) 17/10/05

Selly Oak Road (310) 24/03/05

Selly Oak Road (310) 28/09/04

Selly Oak Road (310) 17/01/04

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Tanglewood

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Harmony Care Home

Olivet Christadelphian Care Homes

Sayer House

Beacon Centre For The Blind

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Bryndale Avenue, 41 Flats 13, 14 & 18

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

CARE HOME ADULTS 18-65 Selly Oak Road (310) Selly Oak Birmingham West Midlands B30 1HL Lead Inspector Donna Ahern Key Unannounced Inspection 24 January & 5 February 2007 14:00 Selly Oak Road (310) DS0000016962.V326324.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 Selly Oak Road (310) DS0000016962.V326324.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. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Selly Oak Road (310) Address Selly Oak Birmingham West Midlands B30 1HL 0121 459 5199 0121 451 3523 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) Birmingham Focus on Blindness Mrs Barbara Wright Care Home 5 Category(ies) of Sensory impairment (5) registration, with number of places Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Residents must be aged under 65 years That Barbara Wright successfully completes the Registered Managers Award or equivalent by August 2005. That the home can continue to accommodate one named service user over the age of 65 years. 13th February 2006 Date of last inspection Brief Description of the Service: 310 Selly Oak Road is a detached property situated in a residential area of Kings Norton in pleasant grounds and benefits from off-road parking. The rear garden is mostly laid to lawn with a patio area furnished with attractive garden furniture. The home provides care and accommodation to five adults with sensory disabilities. Disabled access to the ground floor of the home is good. There is no lift; therefore residents with a physical disability cannot be accommodated on the first floor. There are ramps, handrails and adapted bathing facilities on the ground floor of the home. Each resident has their own room, which has been decorated according to their individual tastes. The furnishings and decoration of the home are generally of a good standard. There is a lounge, a separate dining room, kitchen, laundry room, toilet and one bedroom on the ground floor. On the first floor there are four single bedrooms, staff sleep-in room/office, bathroom and separate toilet. The home is within walking distance of local shops, transport links to the city centre, leisure facilities and places of worship. Rubery, which has cinemas, shops and restaurants, is a fifteen-minute drive away. The CSCI inspection report was available in the Home and residents confirmed that the outcome of inspections is shared with them. The current scale of charges for the Home is £642.48-£800.22 Per Week. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The fieldwork visit was unannounced involved one inspector and took place over an afternoon and evening returning a few days later on a morning to complete the fieldwork. This was the homes first key inspection for the inspection year 2006-2007. During the fieldwork the inspector met all residents, observed the opportunities and support provided to residents, looked at the premises, and read records about care, staffing, and health and safety. The inspector spoke to the manager and spoke to three staff informally. The home is required to report incidents, accidents and other events that occur in the home to CSCI. These are called regulation 37 notifications. All information reported via a regulation 37 notifications since the last inspection was analysed prior to the fieldwork visit. A pre inspection questionnaire was completed by the manager and returned to CSCI. Information from the questionnaire was used to help complete this report. CSCI sent questionnaires to the Home to be distributed to residents and their relatives. Three residents completed the questionnaires and made very positive comments about staff including “ the staff are very good” “the Home is excellent” “I have the complaints procedure on tape” and “I always get the chance to speak to the inspector during inspections”. One questionnaire was returned from a relative who said, “Residents are happy and know they are well cared for. I feel confident that this will continue under the current management”. What the service does well: The home is well managed. Residents are supported to maintain contact with people important to them so they maintain personal relationships. Residents enjoy a range of activities that meet their individual needs. They attend day centres; go out for meals and local clubs in the community. Residents are fully involved in planning their holidays and enjoy weekends away as well as holidays abroad. Residents receive good support to attend health appointments. Good support is provided so that residents receive medication in a way that meets their needs. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 6 It is really positive that some residents manage their own medication with the appropriate assistance from staff. Residents said that they had a copy of the complaints procedure on audiotape in their room. They said that they could talk to staff or the manager if they are not happy about something. The Home is comfortable and domestic in layout and style. There are lots of personal items around the Home including photographs, pictures, plants and flowers making it a welcoming and comfortable environment for residents. Interactions between residents and staff were friendly and relaxed. Residents spoke very positively about the staff team and manager. Residents said that they are asked about the day to day running of the Home. They said they are always informed about the outcome of inspections and what needs to be done following an inspection. Record keeping is good and health and safety is well managed so that residents live in a safe and comfortable house. 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. The summary of this inspection report can be made available in other formats on request. Selly Oak Road (310) DS0000016962.V326324.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 Selly Oak Road (310) DS0000016962.V326324.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have information to enable them to make an informed choice about whether or not they want to live in the home. EVIDENCE: The Home has a stable resident group there have been no new admissions to the Home for more than ten years. Therefore it was not possible to assess standard 2 relating to assessment of residents before they move into the Home. The provider has an assessment procedure that if followed should ensure that prospective residents needs would be assessed prior to admission. The statement of purpose and service user guide was looked at and describes the services and facilities provided. Residents spoke very positively about the home and the support that they receive from staff. They told the inspector that they are kept fully informed about the running of the home. One resident is over the age of 65 years. A variation has been agreed so that the registration certificate reflects the category of resident’s accommodated. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 9 The organisation plans to reprovide the service in a purpose built home. Plans are only in the very early stages and the organisations said that all relevant parties would be kept informed of developments. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s) 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further development of individual care plans is required so that staff have the information they need to enable them to meet residents assessed needs and goals. EVIDENCE: Progress had been made on implementing a care plan format and two peoples care plans were looked at. The individual plans had details of how staff should support people with their health, communication, personal care and social needs. It contained clear information about the person’s likes and dislikes and how to maintain contact with their relatives and friends. Information was easy to find and follow. It was written in an easy read style. Residents spoken with said that are involved in developing their care plan. Further development is required so that individual goals are identified; these are personal aims that the person wants to achieve either personally or with Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 11 support from care staff. Some sections of the care plan were still being completed so that a comprehensive plan detailing how care needs should be met is in place for each person. A number of risk assessments were in place and some were looked at and generally they gave clear information about the risks to residents and the required action from staff to manage the risks. Some minor additions were required to one risk assessment. Residents said that they had been involved in reviews with the Sight Loss Team and Physical Disability team of Birmingham Social Care and Health. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to maintain contact with people important to them so they maintain personal relationships. Residents enjoy a range of activities that meet their individual needs. EVIDENCE: All residents attend a day centre either on a full or part time basis. The day centre is specifically for people who have a sensory impairment. A resident said, “I really enjoy the two days I don’t go to the day centre. I can have some time to enjoy at home and like to knit, relax and talk to staff. I also enjoy going out with staff to the shops and for something to eat”. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 13 Three residents are actively involved in the church and attend weekly services and have developed friendships through this and attend a range of social events linked to the church. Care plans seen indicated that each person spiritual and cultural needs had been explored and documented so these needs are met. Residents have different hobbies and interest, which they are supported to maintain and develop. One person is a really keen football fan and recently went to the football clubs shop and is planning to develop a scrapbook. They are also planning to attend regular matches with the support of a volunteer worker recently recruited. Another resident said they enjoy going to a local social club for a drink at the weekend. Some of the residents are very keen on certain television programmes and follow some of the “soaps”. Residents chatted enthusiastically about holidays they have been on. Two people went to Malta, One went to Spain and two went to Somerset. Residents said they are actively involved in planning the holidays and decide where they go and who they go with. Plans were already well underway for a long weekend break to a hotel, which all residents are going on at the start of the summer. The atmosphere in the Home was very relaxed. Residents were informed and consulted about day-to-day matters in the Home. Residents asked the inspector to fill in the visitor’s book. Residents answered the phone. There was a very good rapport between residents and staff. Menus seen indicated that a range of nutritious and culturally appropriate food is provided. Meals served on the day were well prepared. Support given to people whom require assistance was given in an unrushed way. Residents said, “we are asked what we would like to eat” “ choices are always available” “The food is lovely”. “There is always fresh fruit available”. They said they are involved in planning the menus. A resident explained that menus are planned in conjunction with the day centre so that there is a balance of food across the day. A record of what each person has eaten is kept so that staff can ensure that all residents receive a balanced food intake to maintain healthy living. Food stocks seen provided a good choice of food and fresh fruit and vegetables were available. Residents talked about family and friends and said that their visitors are made welcome to the home and they are supported to maintain contact with their family and friends. Conversations with staff indicated that they understood the importance of supporting residents to maintain and develop personal relationships and the importance of this. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place ensure that residents receive the support to meet their health care needs. Medication is well managed ensuring that residents receive their medication as prescribed. EVIDENCE: Resident’s individual plans seen had details of people’s personal care routines and preferences. Health care notes looked at indicate that residents are supported to attend routine G.P, dentist, and optician appointments. All care staff presently employed in the home are female it is positive that some male volunteer staff have been recruited to support some of the male residents. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 15 Records seen and discussions with staff indicated that health professionals are involved in the care of individuals. Health Action plans have been implemented and were still being developed. This is a personal plan about what a person needs to stay healthy and what healthcare services they need to access. Residents are weighed monthly and records of these are kept at the home so that staff can monitor peoples weight for the early detection of other health problems. At night if required residents would seek support from the staff member on a sleep in shift, as there is no waking night staff. Residents spoken with said they know how to get staff assistance if needed and there is a nurse call system in all rooms in the Home. Details of resident’s medication and their consent to receive medication is documented on their care plan. Each person has a wall-mounted cupboard in his or her own bedroom for medication. One resident talked through the arrangements in place for medication administration. They self-administer and receive support from staff for the ordering in of medication and the checking of what has been delivered from the pharmacy. Their medication has been set out in a way that helps them to distinguish between medication to be taken in the morning and medication required at night. Risk assessments for selfadministration had been completed. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient systems in place to ensure that concerns about the service would be raised and addressed. EVIDENCE: The complaints procedure included all the required information to enable residents or their representatives to make a complaint to the organisation. The procedure was available on audiotape so it is accessible to people with visual impairment. Residents said that they had a copy of the audiotape in their room. They said that they could talk to staff or the manager if they are not happy about something. Some residents said they could also talk to staff at the day centre, family or friends. The complaint log seen and the manager confirmed that no complaints have been received in the last twelve months. CSCI had not received any complaints about this home. The Protecting Vulnerable Persons Policy (reviewed November 2006) and the Multi-Agency Guidelines, which are produced in conjunction with Social Care and Health were available in the Home and provide information for staff to follow if a protection matter, occurred. Staff have received training on adult Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 17 protection matters (November 2005). A whistle blowing policy is also available and describes how staff would be supported if they raised concerns. Selly Oak Road (310) DS0000016962.V326324.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, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is clean, safe, hygienic and comfortable for residents. EVIDENCE: The Home is comfortable and domestic in layout and style. There are lots of personal items around the Home including photographs, pictures, plants and flowers making it a welcoming and comfortable environment for residents. All five residents showed the inspector their room. These were very personalised and residents had been supported to display personal items. All residents said that they enjoy spending sometime in their own room. A resident said he really enjoys listening to radio programmes and the “Soaps”. Another resident said they enjoy spending sometime in their room. They said their room had been moved around to improve access and they were pleased with the layout, they now had a small table to keep personal items on. Some residents have their own telephone line in their room so they can make and Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 19 receive calls in private. A resident said that their room had just been painted and that they picked the colours. Another person’s room was just about to be painted and again they had been consulted over how they wanted their room to look. There is one bedroom on the ground floor, which is accessible for a person with limited mobility there is also a shower room with a fully accessible shower. There is no passenger lift so the first floor is not accessible for a person with limited mobility. The bathroom and toilet on the first floor are small and domestic in style. There are handrails on the stairs to help residents safely use the stairs. There is specialist lightening throughout the house, which maximises the light and reduces shadows for people with low vision. The general standard of cleanliness throughout the home was good. Cleaning schedules are in place so that a hygienic environment is maintained minimizing any risks to residents. Food stored in the fridge was signed and dated so that practice was in line with food safety legislation. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels, now that they have been reviewed, meet the personal, social and recreational needs of residents. Staff receive the support and supervision so that they can meet residents individual needs. EVIDENCE: Rotas indicated and the manager confirmed that there is one staff member on duty on weekday mornings. At all other times there is two staff on duty apart from Saturday’s afternoons/evening when there is three staff on duty to support evening activities. At night there continues to be one staff member sleeping in, on call. The previous report required that staffing levels were kept under review so that adequate staff are on duty to meet residents needs. There has been some changes in peoples needs and people are requiring more support and supervision from staff. The morning staffing levels in particular required close Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 21 monitoring. The provider confirmed at the time of the fieldwork visit that a recent review of staffing levels had taken place and staffing levels will be increased to two staff on duty at peak times on weekday mornings. A new staff member has been recruited to the position and will commence mid February. Interactions between residents and staff were friendly and relaxed. Residents spoke very positively about the staff team and manager. Two staff files were assessed and had details of the application form, references, CRB checks and identification details indicating that the organisation has robust recruitment procedures to protect residents. Staff files had minutes of supervision sessions and indicated that six sessions per annum take place so that staff receive the supervision and support to do their job and meet residents needs. The Staff training matrix had been updated and indicated that all staff receive mandatory training and training specific to the needs of residents. All new staff complete training in sight loss awareness. Certificates were seen on staff files as evidence of training they have completed. New staff are supported to do LDAF (Learning disability Award Framework). Three staff are working towards NVQ level 2 and three are working towards NVQ level 3 and one is working towards NVQ level 4. Staff meeting minutes was available and indicated that practice issues are discussed with the staff team. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42, 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements in place ensure that resident’s health, safety and welfare is promoted. Resident’s views are sought about the day-to-day running of the Home. EVIDENCE: The manager has many years experience working with the client group. She has completed NVQ level 4 and the Registered Manager award. The relationships between residents and staff were very good. Progress had been made on all previous requirements indicating compliance with regulations. Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 23 Residents said that they are always informed about the outcome of inspections and what needs to be done and when it will be done. At the time of the fieldwork visits residents asked the inspector for feedback on how the inspection had gone. A number of health and safety records were looked at. The manager had also completed the pre inspection questionnaire to confirm dates of health and safety checks. Fire safety records showed that the fire alarm system is tested and serviced as required so that it is kept in a safe working condition. Fire drills were being carried out every six months so that residents and staff have the opportunity to practice safe evacuation in the event of an emergency. The organisation has a health and safety officer who undertakes an assessment of the premises, examines risk assessments and provides staff training. A full audit of the premises was completed in July 2006 and any action points identified had been dealt with. Water temperature checks are completed weekly to prevent the risk of scalding. Certificates were in place, which showed that electrical and gas equipment had been tested and serviced for the protection of residents. Representatives of the registered provider do unannounced visits each month to talk to residents about the Home and to check and comment on the standards of care, record keeping and the environment, reports seen of the visits raised no concerns. The organisation has a lead person for quality assurance regular meetings take place, which involves residents, and focus on maintaining and promoting standards within the Home. Selly Oak Road (310) DS0000016962.V326324.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 N/A 3 3 4 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 3 Selly Oak Road (310) DS0000016962.V326324.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. 1. 2. Standard YA6 YA9 Regulation 15 (1)(2) 13 (4) Requirement Care plans required further development. Minor additions were required to risk assessments. Timescale for action 31/03/07 28/02/07 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 Selly Oak Road (310) DS0000016962.V326324.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Selly Oak Road (310) DS0000016962.V326324.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. 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