Inspection on 18/07/06 for Shinewater Court

This inspection was carried out on 18th July 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shinewater Court 05/11/07

Shinewater Court 11/10/05

Shinewater Court 13/06/05

Shinewater Court 12/10/04

Shinewater Court 01/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Shinewater Court Milfoil Drive North Langney Eastbourne East Sussex BN23 8ED Lead Inspector Nigel Thompson Unannounced Inspection 18th July 2006 09:30 Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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 Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shinewater Court Address Milfoil Drive North Langney Eastbourne East Sussex BN23 8ED 01323 769196 01323 460279 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) The Disabillities Trust Miss Carol Wade Care Home 31 Category(ies) of Physical disability (31) registration, with number of places Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is thirtyone (31). Service users are aged 18 - 65 years on admission. Only adults with a physical disability are to be accommodated. Date of last inspection 11th October 2005 Brief Description of the Service: Shinewater Court is owned, managed and staffed by the Disabilities Trust and was opened in 1988. It is registered with the Commission for Social Care Inspection and provides residential care and support for up to 31 people with a physical disability, aged from 18-65 years of age, on admission. The premises are purpose built and are designed to a high specification, with wheelchair access throughout. Service user accommodation comprises of a bed-sitting room, with full en-suite facilities or a spacious, self-contained flat. An alarm call system, television and telephone points are fitted as standard. There are several large communal areas, a spacious café style dining room and a choice of three shared kitchens. Throughout the complex there are electric doors and a lift provides access to the lower ground floor. Independence is promoted within the home and service users are encouraged and enabled to make choices and take decisions affecting their day-to-day living. Meals are prepared on the premises by the experienced chef and cook and are varied, balanced and nutritious. Other facilities provided include a fully equipped Activities Centre, with a range of computers and adaptations, a mini bus, a physiotherapy room and a large, safe and secluded garden. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The range of weekly fees, as of 18 July 2006, is £546 - £935. Additional charges, not included in the fees, include hairdressing, transport, newspapers and holidays. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six and a half hours in July 2006. It found that the majority of the 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. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were twenty-six service users living at the home. The inspection involved a tour of the premises, examination of the home’s records and discussion with the Independent Living Coordinator (ILC), who was in charge of the service, in the absence of 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. Six service users and three members of care staff were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: The Disabilities Trust remains clearly committed to maintaining and raising standards of care and achieving the aims, objectives and stated purpose of the home. Shinewater Court is an established, well managed and well maintained service that continues to provide high quality care and accommodation for people with a physical disability. Effective systems are in place for the admission and ongoing care of service users. Individual care plans developed from comprehensive pre-admission assessments ensure that an individual’s needs are met in a structured and consistent manner. Effective communication and consultation systems are in place. Service users are directly involved in developing and reviewing their individual care plans. They maintain control of their plan and are encouraged and enabled to direct their own care. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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 Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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 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 are provided with sufficient information to decide whether the home is able to meet their specific needs. EVIDENCE: Comprehensive information is made available to all prospective service users, their relatives and associated care managers. A generic information pack, including updated Statement of Purpose ‘ and ‘Service User Guide’, provided by the Disabilities Trust contains various, easily accessible inserts with service specific details relating to Shinewater Court. Clear admission criteria and a thorough pre-admission assessment of each prospective service user, which incorporates a comprehensive breakdown of all personal, emotional and social care needs, ensures that all identified needs can be met. Any specialist equipment and adaptations are provided, as required. Although there have been no service users admitted to Shinewater Court since the previous inspection, relevant documentation relating to the admission process was examined. Pre-admission assessment forms that were viewed, Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 9 including the ‘Application for residential accommodation’ contained the individual’s medical history and diagnosis, specific care issues including mobility, nutritional needs, physiotherapy requirements and personal care needs. Following discussion with the ILC and to demonstrate service user awareness and involvement in the process, it is recommended that the completed needs assessment be signed by or on behalf of the service user. A comprehensive and detailed breakdown of individual services provided, ‘Fee Analysis’, is completed in respect of each new service user. Included in this analysis are: ‘Care hours’; ‘Activities’; ‘Physiotherapy’; ‘Independent living skills’; ‘Ancillary staff’ and ‘Residential living costs’. A review of all new placements is carried out after six weeks, to establish if the service user is settling in and whether or not their care needs can be and are being met. Subsequent reviews are held after three months, then at six monthly intervals thereafter. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users’ care plans enable staff to meet assessed needs in a structured and consistent manner. However individual plans, including risk assessments do not always reflect changing support needs. Systems for consultation and participation remain effective and service users are enabled and supported to take acceptable risks. EVIDENCE: It was evident that service users continue to be directly involved in their individual care planning and maintain control and possession of their plan. The ILC confirmed that service users are encouraged and enabled to direct staff as to how their own care is provided. One service user confirmed that she actually writes her own plan and regularly consults with staff regarding the care and support that she requires: ‘I’ll soon say if I’m not happy with something’. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 11 High quality care plans have been developed from the individual’s assessed needs and were found to be in place for each service user. Individual plans that were examined were found to be accurate, generally well maintained, and to include all personal and social care needs, as well as any specific or specialist requirements. From my tour of the premises and through discussion and observation it is clear that service users are closely involved in directing their own care and support and continue to maintain control and possession of their individual care plan. However in certain plans that were viewed it was evident that information had not been updated and reviews were either overdue or had not been adequately recorded. Two service users spoken, with during the inspection, confirmed that their plan had not recently been reviewed or discussed with them: ‘Nobody has gone through it with me, that I can remember’. To demonstrate good practice, it is recommended that service users - or a representative on their behalf- sign the care plan to confirm their agreement with the content and any subsequent changes. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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. Family and community links are good and support and enrich service users’ social opportunities. Activities are well managed and are age and culturally appropriate. Service users benefit from menus that are balanced and nutritious and reflect their individual likes and preferences. EVIDENCE: Independence is promoted within the home. Service users are provided with opportunities for social, communication and independent living skills. As previously documented, many service users express their independence by directing others as to how their care is delivered. The ILC confirmed that family links continue to be variable but are always encouraged and supported by staff, where appropriate, in accordance with the wishes of the individual. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 13 Throughout Shinewater Court, the level of independence also varies. One individual recently achieved a personal goal by ‘going home’ to visit his family, with staff support. Another service user regularly goes out shopping independently and continues to work, in a voluntary capacity, as a teaching assistant in a local primary school. An Activities Centre, fully equipped with a range of computers and adaptations, provides a supervised, stimulating and social environment for service users to engage in appropriate recreational and leisure interests. Service users are encouraged and enabled to attend their chosen place of worship. Several service users have been attending local, part time college courses, depending on individual interests. Courses include literacy and numeracy, cooking and computer graphics. Service users, who choose to are enabled and supported to participate in the local community, including visiting local shops, cafes and restaurants. However, the ILC confirmed that Health and Safety legislation has had some impact on the social opportunities for service users. An example given to demonstrate this is the current situation where taxi drivers will no longer collect people who are unable to transfer independently. A qualified chef and an experienced, full time cook work opposite shifts in the kitchen, providing varied, balanced and nutritious meals. A daily menu is displayed in the dining area. Menus are planned in consultation between service users and the chef and reflect seasonal variations. Service users, spoken with during the inspection, expressed general satisfaction with the standard of the meals provided: ‘The food here is pretty good and yes there is a choice’. Meals are served three times a day in a pleasant and very spacious, café-style dining room. A range of snacks and drinks is available throughout the day and evening. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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: The ILC confirmed that independence is promoted, as far as is possible and practicable, within a risk management framework. Service users continue to exercise a high level of control over their lives and are encouraged and supported to do so. This was evident through direct observation during the inspection and from discussions with service users and staff. Staff clearly work very closely with individual service users and consequently they are able to quickly pick up any subtle changes in their mood, behaviour or physical condition. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 15 As previously documented, all service uses are provided with a copy of the ‘Charter of Service User Rights’, which evidently forms the basis of care provision at Shinewater Court and underpins the ethos of the home and the work undertaken there. Service users spoken with during the inspection were aware of their rights and had clear expectations of the staff and the service and support they received. All service users maintain responsibility for controlling and administering their own medication, within a risk management framework. There are satisfactory storage arrangements for the medicines and all service users have a lockable facility in their room. A community pharmacist visits the home every three months and reviews all aspects of the storage, administration, recording and disposal of medication. A record is maintained of all medicines received into the home. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 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 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 and each person was confident that they would be listened to. It was noted that there have been six complaints recorded by the home since the last inspection. All have evidently been responded to within the prescribed timescale, with one outcome still pending. Policies and procedures relating to abuse, including whistle blowing are in place and were found to be up to date and well maintained. The ILC 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. This was supported by members of staff, spoken with during the inspection. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 17 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 pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: Shinewater Court is purpose built and the premises continue to be safe and well maintained. All areas of the home are level and wheelchair accessible and have been thoughtfully designed and developed to meet service users’ individual and collective needs. As previously documented, 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 reflects individual tastes, preferences and interests. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 18 Service users spoken with during the inspection expressed a high level of satisfaction with their rooms and confirmed their direct involvement in choosing leisure and recreational equipment, including televisions and music systems: ‘I like my room. I was able to choose what I wanted and I think that I’ve got everything that I need in here’. It was noted that all individual rooms have been adapted with ceiling mounted tracking for hoists. Flats and bed-sitting rooms are all fitted with full en-suite facilities and are comfortably furnished and decorated. The ILC confirmed that service users have responsibility for their personal environment and, where appropriate, work with support from staff to maintain their private accommodation. Infection control systems, including sluicing facilities, are in place and levels of cleanliness and hygiene remain high throughout the home. Dispensers for alcohol based hand cleaners are situated throughout the unit. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 19 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 ILC confirmed that the stable and dedicated staff team is able to meet the assessed, individual and collective needs of service users within the home and it was evident from the rota, that was examined that there is sufficient staff on duty throughout the day. Staff spoken with during the course of the inspection confirmed that they had been issued with job descriptions when they started their employment. They were able to describe their roles and responsibilities and those of their colleagues. Staff also spoke positively about the level of support they received: ‘Everyone here, including the manager and team leaders helps and supports each other – it is such a good atmosphere here and a good place to work’. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 20 Thorough and robust recruitment and selection procedures are in place. Staff files that were inspected were found to be well maintained and contained all necessary recruitment details, including satisfactory written references and Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Representatives of the ‘Service Users’ Forum’ continue to be directly involved in staff interviews. The process for formal staff supervision remains the same with the registered manager and Head of Care supervising the team leaders, who in turn, through a ‘cascade’ process, provide formal supervision for all other members of staff in the home. Senior staff receive specific training in providing effective supervision. All staff have an annual appraisal, the ‘Personal Development Review’ (PDR) and receive formal supervision every two months. Following examination of recording documentation and discussion with the ILC, it is recommended that, to improve its effectiveness, the ‘matrix’ for staff supervision be updated and completed appropriately. The recording format for individual supervision sessions should also be reviewed and amended to include ‘action points’ carried over from the previous session. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 21 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: The atmosphere at Shinewater Court remains relaxed, friendly and welcoming. Staff, spoken to during the inspection felt valued and supported by the manager and senior staff team. They confirmed the manager’s calm, open and approachable style of leadership and clear and positive sense of direction: ‘I do feel involved and valued’. ‘They are all very helpful and supportive and always ready to listen’. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 22 Continuous quality assurance and self-monitoring takes place at Shinewater Court and the Disabilities Trust remains clearly committed to maintaining and raising standards of care and achieving the aims, objectives and stated purpose of the home. A senior manager from the Trust continues to carry out monthly quality assurance visits to the home and their subsequent report, covering all aspects of the service, provides useful feedback for the manager. In addition to this quality monitoring visit, the registered manager carries out a self-assessment audit of the home at least once a year and managers from the Trust’s Quality Assurance Division attend the home, every six months, to speak with service users and staff and monitor levels of satisfaction. Positive comments received from service users reflect a high level of satisfaction with the home and the services provided: ‘Shinewater Court is the best home I have lived in’. The ILC confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. This was confirmed, during the inspection, through discussions with members of staff and supported by individual training records. Environmental risk assessments are regularly reviewed. COSHH assessments and guidelines are in place. Documentary evidence is in place to demonstrate that fire safety equipment and systems, throughout the premises, are regularly checked and tested. Temperature regulators are fitted to all hot water outlets, accessible to service users. Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 23 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 X 2 3 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 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 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 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 Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 24 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. Standard YA6 Regulation 15 (2) (b & c) Requirement It is required that care plans be regularly reviewed to reflect changing needs and that service users be directly involved in the process. Timescale for action 30/09/06 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 YA2 YA6 Good Practice Recommendations It is recommended that the completed needs assessment form be signed by or on behalf of the service user. It is recommended that service users - or a representative on their behalf- sign their individual care plan to confirm their agreement with the content and any subsequent changes. It is recommended that the current matrix for staff supervision be updated and fully completed and the recording format for supervision sessions be amended to include any action points, as discussed. 3. YA36 Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 25 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 Shinewater Court DS0000021212.V293690.R01.S.doc Version 5.1 Page 26 - 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!