Inspection on 24/07/06 for Southlands

This inspection was carried out on 24th 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 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

Southlands 28/11/05

Southlands 03/08/05

Southlands 23/02/05

Southlands 15/11/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Southlands Southlands East Street Harrietsham Maidstone Kent ME17 1HH Lead Inspector Eamonn Kelly Key Unannounced Inspection 24th July 2006 10:00 Southlands DS0000023871.V300952.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 Southlands DS0000023871.V300952.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. Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southlands Address 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) Southlands East Street Harrietsham Maidstone Kent ME17 1HH 01622 858713 01622 858713 southlands@counticare.co.uk Counticare Limited Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Some service users may also have a diagnosis of mental health needs. Date of last inspection 28th November 2005 Brief Description of the Service: Southlands residential home provides care and support for up to 6 adults with learning disabilities. Some may also have mental health difficulties. The home is one of 13 residential homes operated by Counticare Ltd. Its head office is at The Martello centre, Neason Way, Folkestone, Kent CT19 6DR. The company has a day centre at Folkestone. Some staff training is provided at this location. The company also operates a supported living project in Folkestone. Twenty-four hour support is provided at the home. The current resident group are all female. Service use’s bedrooms are on the ground (2 bedrooms) and first floors (4 bedrooms). Each service user has a single bedroom (two of which have an en-suite facility). There is access to public transport on the main A20 Ashford to Maidstone Road nearby. Shops and other amenities are within a short walking distance. There are car-parking facilities at the front of the premises. There is a patio and garden to the rear backing on to open farmland. Weekly fees are £1000-£1200. Additional charges are made for hairdressing, private chiropody, magazines, some transport costs (but not contributions to the home’s costs in running its MPV), entrance to external activity centres and private spending. Each personal contract signed by service users or their representative contains details of additional charges specifically applying. Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit between 4.30 and 8.00pm consisted of meeting with service users and members of staff on duty. No visitors were met. Survey questionaires (“Have your say about...”) were sent by the CSCI to the home prior to the inspection visit. The senior team leader assisted five service users to complete the questionnaire. Relatives or representatives returned a small number of completed survey questionnaires. Some representatives were also phoned by the Commission to obtain clarification of their views. Comments from these returns are included in last section of the report. The inspection visit concentrated on the care and support in place for service users. Meetings with members of staff and service users served to give a broad understanding of how service user’s current and changing needs are addressed. The results indicated that service users are well cared for at the home. What the service does well: What has improved since the last inspection? What they could do better: It is acknowledged that the remaining parts of the refurbishment programme will include updating of 2 bathrooms, repair of the gravity shower room floor, Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 6 and conversion of two rooms from storage areas to an activities centre. This will also include provision of a private telephone for service users. The support given to service users was seen to be appropriate when the inspection visit was made. However, the acknowledgement by the deputy manager and senior team leader of the issues reflected in the CSCI survey should be accompanied by further reflection on the effects of possible dissatisfaction with aspects of service. 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. Southlands DS0000023871.V300952.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 Southlands DS0000023871.V300952.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): 2, 3, 4, 5. Quality on this outcome area is good. This judgement was made using available evidence including a visit to this service. Prospective service users and their representatives have the benefit of knowing that service user’s support needs are assessed in detail to enable them to be confident that their needs would be met. EVIDENCE: A new placement was being considered at the time of the inspection visit. The deputy manager and senior team leader had obtained information about the levels of support needed. Prospective service users and their representative are invited to visit on several occasions to meet staff and other service users and to get a feel for aspects of life at the home. Care plan records are begun at this stage. This includes outline day care planners to assess what activities and level of interventions are best to meet the person’s aspirations and current abilities. The series of steps taken by staff in the example discussed are designed to give the prospective service user confidence in helping to choose the right facility for his/her care and then to enable the person to settle in to a new environment. Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 9 Counticare Ltd has a placements officer to assist with liaison between families, care managers, medical practitioners and the home. The home caters for female service users only and this practice is referred to in the home’s Service User’s Guide. Each service user has a contract between themselves and the home that outlines the rights and responsibilities of both parties. Where the service no longer meets the service user’s needs, they and their representatives are assisted in finding suitable alternative facilities. Examples where this process needs particular skill and knowledge were discussed during the inspection visit. Southlands DS0000023871.V300952.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, 10. Quality on this outcome area is good. This judgement was made using available evidence including a visit to this service. Service users enjoy a good quality of life. They can make decisions for themselves and receive good support and guidance in making these decisions. EVIDENCE: Care plan records contain details of service user’s support needs, how each of these are addressed and information about the success or otherwise of staff interventions. Service users have access to their records and sometimes update them with assistance from members of staff. The monitoring visit report by the company’s area manager stated that, at the last visit, the aims of care for two service users whose records were checked at the time were being demonstrably met. During this inspection visit, profiles of all six service users were discussed with the deputy manager and senior team leader. All service users were met and, in different ways depending on their capabilities, they expressed how they felt, Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 11 what some of their concerns were or what they wished to achieve. All were well cared for by the home and their support needs were fully known to staff. Staff and service users work together to meet agreed aims. Particular risks associated with the frailties or dependency levels of each service user are identified and examples of how these are recorded and taken into account were discussed. Members of staff regard the practice of having key-workers as useful and some service users accrue clear advantage from this arrangement. Each service user has a programme for the week. Whilst they are encouraged to meet agreed commitments, they are not pressured to conform to others opinions of how their lives should be run. An example of how this practice was followed was when some service users and members of staff went to a pub in the evening: there was no pressure exerted on service users to go or stay and 4 of the 6 service users went in due course. In other instances, service users have chosen to have their bedrooms decorated or maintained in particular ways that at first appeared unusual. However, staff have met their preferences and recorded the reasons in care plans. Most service users do not handle their own major financial matters. However, they are assisted to manage some day-to-day finances with staff support. Expenditure made on behalf of residents is recorded to ensure that service user’s personal monies are properly managed. In the most recent report by the company’s monitoring officer, it was stated that an audit of service user’s personal monies was carried out in which no errors were found. Members of staff are aware of circumstances in which information would be shared to safeguard service users, for example, under local authority adult protection procedures. Information about service users and staff is stored securely. This topic is included in the home’s induction programme. Southlands DS0000023871.V300952.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 on this outcome area is good. This judgement was made using available evidence including a visit to this service. Service users have opportunities to live a responsible, valued and socially active life. They are assisted to achieve their ambitions and have positive lifestyles. EVIDENCE: The stated aim of the home is for service users to have as normal as life as possible. This involves provision of a range of opportunities to develop and improve confidence, to move towards independent living, and to take part in educational development. Each service user has goals that they help to choose. Care plan records and day care planners are used to track their progress towards agreed goals. They have opportunities to access educational, recreational and social events both Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 13 within the home and the wider community. Two rooms within the premises, currently used for general storage, are being made ready as an activities centre. The home has the full-time use of a multi-seat vehicle to assist with transport. Service users may also use public transport where this is safe and achievable. Some service users have been helped with achieving paid or voluntary employment. Families and friends are encouraged generally to visit and support service users. Some service users have developed personal friendships with others outside the home. Members of staff advise and support service users during shorter and sustained friendships, including personal friendships. Friendships have been made also through social events, for example, through the disco that service users help to organise at an external venue. Planned holidays are part of services provided. Service users help to choose venues and plan details of the holiday. Privacy for service users is maintained. Service users are encouraged to respect each other’s right to privacy, for example, entering other person’s bedroom with permission. Communal areas are open to all. Some service users are able to look after their bedroom door keys. Service users have mail given to them unopened but care is taken to assist them with correspondence. Some need support by their key-worker to deal appropriately with mail. Service users shop weekly or more often with staff assistance. The fridge held a range of fresh foods, with others in the freezer. The aim is for a range of foods to be purchased from which service users can choose what they want to eat at the time. Some service users assist in food preparation and can help themselves to drinks from the fridge. There is separation of service user and staff food with staff supplies held in a separate fridge. Specific practices are in place to restrict access to food. In the profiles of service users discussed during the inspection visit, where this happens the arrangements are described in care plan records. The senior team leader and deputy manager outlined how members of staff support service users in meeting healthy diets which could involve agreed ways of control and restraint Southlands DS0000023871.V300952.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 on this outcome area is good. This judgement was made using available evidence including a visit to this service. Service user’s health and care needs are well managed. Care is taken in striving to meet their individual preferences and needs. EVIDENCE: Male staff are not employed at Southlands: there is no restriction to employing male staff at other Counticare Ltd homes but the policy is to have female carers only at Southlands to support female service users. Service users are assisted discreetly with all aspects of personal care. Service users have flexibility in their routines. In most instances, routines are the preferred option for service users and to alter a routine without good reason can cause anxiety. An example of service user choice and flexibility in routines was observed when an evening visit was made to a local pub. Service users have physical and mental health dependency support needs as well as support needs for learning disabilities and assistance with recognised syndromes. Care plan records contain details of how support is provided to each service user in a personalised way to meet their personal, emotional and Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 15 health needs. This involves access to GP’s, community psychiatric nurses, district nurses, dentists and opticians. There is active involvement by care managers with most service users, according to the information submitted by the company’s area manager to the Commission. Two service users have representation by an advocate. Service users also benefit from participation in key-worker arrangements. This encourages some to have confidence in talking about their concerns or aspirations with members of staff they know best. This support might also include advice and guidance in dealing with personal relationships with people outside the home. In the examples of profiles of services users discussed during the inspection visit, members of staff had an in-depth knowledge of their specific and wider support needs and there was evidence that these needs were addressed. The senior team leader stated that this support is reviewed regularly and that service users are protected at all times by the presence of more experienced staff to support more recently appointed staff. In the examples discussed, members of staff had a good knowledge of how to work effectively with service users who have autistic disorders, epilepsy, one or more recognised syndromes, physical and learning disabilities and mental health challenges. Medication practices are good with secure storage of medications. Records of administration are completed accurately and at the time of administration. Staff administering medication may only do so after they have had suitable training. One member of staff has recently completed a training course over 12 weeks. This level of training is being arranged for all staff administering medications. Service users may part or fully self-medicate within a risk assessment process. Homely and as required medication is separately recorded to monitor usage. Southlands DS0000023871.V300952.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 on this outcome area is good. This judgement was made using available evidence including a visit to this service. Service users and their representatives are able to raise concerns and be assured that these concerns will be listened to and acted on. EVIDENCE: Service user and their representatives are encouraged by staff to make their views known, according to senior members of staff on duty. This aspect of service provision was difficult to confirm because a member of staff completed the CSCI survey for 5 service users. The outcome was complete satisfaction expressed on behalf of all these service users. The reason was that service users could not do so themselves. The opportunity was not taken to involve families or service user’s representatives in this quality assurance exercise. Where representatives independently provided feedback to the Commission, some reservations about aspects of services were expressed. These are referred to later in this report. However, observations indicated that members of staff listen to service user’s concerns and aspirations and these are acted upon. The home has a complaints procedure. There was a relaxed atmosphere at the home and service users were content, at ease and they spoke freely. A copy of the local authority adult protection procedure was available to staff. A policy on adult protection for staff to have knowledge of and follow has been produced. All members of staff are expected to understand the implications of the document and it is included in the home’s induction procedure. Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 17 Staff met on this occasion had a good awareness of what constitutes abuse. A question on abuse is included in staff recruitment interviews. Staff on duty stated that formal training and mentoring arranged by the company assists their knowledge in this area. Southlands DS0000023871.V300952.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, 30. Quality on this outcome area is good. This judgement was made using available evidence including a visit to this service. Service users have the benefit of living in a comfortable and safe environment. EVIDENCE: The premises have an office, kitchen, dining room, laundry room, 6 single bedrooms (two of which have en-suite facilities) and a staff bedroom (with ensuite). The rear garden and patio are suitable for use by service users, staff and visitors. There are sufficient bathroom facilities. Bathrooms are soon to be refurbished. The gravity shower facility on the ground floor has an uneven floor and water flows back towards the door disadvantaging service users and staff. The premises were refurbished last year. Some aspects of the programme remain. That is, upgrading of 2 bathrooms, alteration of 2 storage rooms to an activities centre and repair of the shower room floor. Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 19 Temperature control valves were fitted to hot water outlets to reduce the risk of scalds. Service users use their rooms to entertain friends or just be in private to listen to music, watch TV, relax and sleep. A ‘baby monitoring’ system is used for one service user with her agreement. A separate phone line for service users will be installed when the activity room is completed to help them make and receive calls in private. A service user has the benefit of having a mobile phone. Bedrooms are highly personalised with service user’s possessions and had all necessary furniture and facilities. Two bedrooms have some different features but this was the wish of occupants and their wishes have been met as it meets their expectations without compromising their safety or comfort. All areas of the home were clean, tidy and well maintained. A fire risk assessment has been carried out and is kept updated. Staff and residents are reminded to work to good food hygiene standards to prevent the risk of illness. Service users help to keep the premises clean insofar as their abilities allow. The laundry (locked when not in use) provides space with a washing machine, tumble drier and storage. Some service users are able to assist with their own laundry as part of learning domestic skills. The risks of cross infection are reduced by use of a hand-wash basin. Care is taken with use and storage of chemicals (COSHH). Southlands DS0000023871.V300952.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. Quality on this outcome area is good. This judgement was made using available evidence including a visit to this service. Service users have the benefit of being supported by members of staff that receive appropriate training, guidance and supervision. EVIDENCE: The owner company provides training at individual homes and at its day centre premises in Folkestone with the assistance of a training officer. During a previous inspection visit, members of staff stated that courses were helpful and that they also had the benefit of being able to attend external training courses. Some training is provided as ‘workshops’ rather than certificated training to enable staff to get a grasp of issues faced by them in the course of caring for people with social, personal and health care needs. A previous CSCI recommendation was that all members of staff should receive suitable training in how to restrain and control service users lawfully and appropriately when care plans require this. With the very high participation of agency staff and employment of new staff without experience, adhering to good practice is a major challenge for the home. The senior team leader and deputy manager Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 21 stated that there is greater emphasis on following established practice in this area and it is included in outline form in staff induction. The company’s website states that there is a “full induction package on commencement…as well as compulsory workshops on basic food and hygiene, epilepsy awareness, diet and nutrition, and first aid during the probationary period. External courses through local colleges and specialist training organisations are also available. Many employees have completed NVQ Levels 2 & 3 in Care, …or specific behavioural courses relating to learning disability”. Both senior members of staff met had respectively achieved NVQ Level 2 and 3 in Promoting Independence. One member of staff was working under supervision. The staff files seen indicated that a structured induction programme is provided for new staff. There is a staff supervision and appraisal system for which detailed records are held. Recruitment practice promotes safety of service users through use of an application form, CRB and POVA checks, recorded interview and checks on employment history. Advice was offered to the senior team leader to ensure that she had confirmation about POVA-first responses being received before a new member of staff started work under supervision. New members of staff initially work under supervision. A senior team leader and 3 support workers were on duty during the evening period when the inspection visit was made. The needs of service users returning from external locations were being met as well as the needs of those who were escorted out or stayed at home that evening. Two members of staff are at the home at night. Southlands DS0000023871.V300952.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 on this outcome area is good. This judgement was made using available evidence including a visit to this service. Service users benefit from a well managed, safe and well maintained service. EVIDENCE: Over the past year there have been difficulties in managing the service. A new manager has been recruited and will take up her post in August 2006. The deputy manager and senior team leader have experience in managing the service. Both have an NVQ in Promoting Independence. There was an open and positive atmosphere at the home. Service users were comfortable and at ease. Members of staff had a good knowledge of their support needs. Relatively new members of staff were supervised and advised by a senior team leader. Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 23 Counticare Ltd use survey questionnaires to obtain the views of families and others associated with the care of service users. A member of staff completed the CSCI survey on behalf of 5 of the 6 service users. This did not involve an independent advocate or close family member. The outcome was that there was optimum satisfaction expressed on their behalf with all aspects of service and support provided. Where representatives provided an independent response, there were some concerns expressed. These were that there was significant staff turnover, low staffing levels on occasions, the home did not have sufficient car drivers and some aspects of support for service users were insufficient. The senior team leader acknowledged this feedback and added that the company was addressing the issues. Support needs and goals of care are recorded in individual care plan. The success of all aspects of support is monitored and recorded. Medication records were up-to-date. Members of staff have access to a policy and procedure manual. A useful feature of a coaching pack that staff are encouraged to use is that it contains clear information about each service user’s support needs and data about relevant illnesses and disabilities. The home provided access to a file of safety and associated maintenance documents. The pre-inspection questionnaire supplied to the Commission by the area manager contained a declaration about all relevant safety checks. Members of staff have the benefit of local management and supervision as well as support within a larger specialist organisation. This support includes regular monitoring visits from a representative of the company, a training centre at Folkestone, and the services of a training officer. Southlands DS0000023871.V300952.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 x 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 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 3 3 3 3 3 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 3 3 x 3 x x 3 x Southlands DS0000023871.V300952.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 Southlands DS0000023871.V300952.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Southlands DS0000023871.V300952.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!