Inspection on 19/02/07 for St Georges Residential Care Home

This inspection was carried out on 19th February 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Georges Residential Care Home 19/02/09

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 St Georges Residential Care Home 100 St Georges Avenue Northampton Northamptonshire NN2 6JF Lead Inspector Keith Charlton Key Unannounced Inspection 19th February 2007 02:00 St Georges Residential Care Home DS0000068236.V329368.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 St Georges Residential Care Home DS0000068236.V329368.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. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Georges Residential Care Home Address 100 St Georges Avenue Northampton Northamptonshire NN2 6JF 01933 316753 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) Compass Care Lorraine Graham Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (5) of places St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within category MD maybe admitted into St Georges Residential Care Home unless that person falls within category LD ie dual disability. No person to be admitted into St Georges Residential Care Home in categories LD or MD when 5 persons in total of these categories/combined categories are already accommodated in this home. N/a Date of last inspection Brief Description of the Service: This is a newly opened home. It is located in a detached house in a popular residential area in Northampton. The property is pleasantly decorated throughout and residents rooms are personalised with belongings. The home can accommodate up to five residents with a learning disability and associated mental health issues. Residents benefit from easy access to a range of local facilities such as parks, pubs and shops. Fees are typically £ 1800 to £2200 per week – this information was provided on the day of the inspection. There are costs for personal extras – hairdressing, toiletries, etc. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was on duty to assist with the inspection process. Other support staff also assisted. Planning for the Inspection included assessing any notifications of significant events sent to the Commission for Social Care Inspection by the home. There have been no complaints received regarding the home since it opened. Any major incidents occurring have been reported to the Commission for Social Care Inspection and appropriate Agencies involved. The Inspections took place between 14.00 and 18.30 on day one and completed two days later, and included a tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with four residents, two members of staff, and the Registered Manager, plus one relative on the phone. What the service does well: The service focuses on residents’ individual needs, e.g. residents spoken with generally said they liked living in the home and thought staff were largely friendly, that they liked their activities and their bedrooms. Residents have very comprehensive, useful and up to date assessments of their needs. This ensures that the care receive is tailor made to meet their requirements. Care Plans are comprehensive and detailed to assist staff to deliver care that fits individual service users care needs. Individual Activities Programmes help residents plan their time, provide stimulation and assist them to work towards their goals. Staff were found by the inspector to be positive, friendly and helpful in their dealings with residents. The Registered Manager was found to be an excellent role model for staff in how she communicates with residents and encourages them to make responsible choices. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 6 Bedrooms are personalised and homely and organised to residents’ styles of living with personal possessions in them to make them homely. Facilities are kept in a generally clean and tidy condition and decor is bright. The Registered Manager arranges regular residents meetings to provide information about services and asks their views about them. The minutes kept are detailed and clear. The Registered Manager is proactive in planning for staff training and asking for suggestions on how to improve the service. Staff are supplied with information as to residents conditions so that they understand residents needs and how to approach them. Detailed staff meeting notes are kept to alert staff to care needs and consistently good staff practice. What has improved since the last inspection? What they could do better: Whilst it is acknowledged that some residents have major challenging behaviours at times, any house rules set up need to ensure that residents are not treated like children - told to go to bed at a certain time etc, but encouraged to make responsible decisions on an individual basis, to enable effective choice in their lifestyles. The food supply needs to be improved so that it is tasty and properly cooked to enable residents to enjoy this important area of living. A choice of foods needs to be recorded as available to service users with more emphasis on healthy eating. Setting up a staff training matrix would quickly supply information as to whether staff need any essential training to help provide more effective care to service users. It is recommended that the light carpet is replaced for a more manageable one, based on residents choice, as currently this flooring is prone to stain and therefore will quickly look grubby. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 7 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. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 8 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 St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 9 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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A thorough assessment system to meet residents needs is in place; this ensures that the service will be able to meet the person’s needs on admission. EVIDENCE: A resident said that he visited the home for a trial before he made up his mind about coming to live there. Staff said that a trial period is available for residents to sample living at the home before becoming confirming a permanent stay. There is a Company Policy and Procedure regarding how to properly admit residents. Evidence seen by the inspector showed that there are detailed social work assessments and assessments completed by management prior to the admission of residents, followed by an assessment feedback form completed by the Registered Manager if she has not carried out the initial assessment, to ensure that care supplied is fully appropriate. There is also an assessment carried out by a consultant regarding strategies to manage residents challenging behaviours. St Georges Residential Care Home DS0000068236.V329368.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 good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of people living in the home are generally well met though house rules need to be reviewed to ensure residents are always treated like adults with the ability to choose their lifestyles, subject to the Risk Assessment process to ensure all persons are fully protected. EVIDENCE: Residents spoken with thought they were generally well looked after but there were a number of concerns as to how they were restricted in their day-to-day living choices. The Registered Manager explained that because some residents had challenging behaviour then it was felt necessary for some rules as to going to bed/ getting up/ use of the lounge/use of the TV etc had to be put into place and this had been agreed with their Social Worker/ Community Psychiatric Nurse etc. The Registered Manager said that she would review the house rules to try to St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 11 ensure that residents choices were not overly restricted, and that review would be relevant in the coming weeks due to a change in placement arrangement for one resident. The Line Manager subsequently wrote to the Inspector to state that such issues are addressed in the individual Care Plans, though this did not appear to be the case at inspection as all service users had to go to bed by a certain time. The inspector case tracked two care records, which again clearly demonstrated that service users changing needs are being monitored and supported whilst living at the home. Records, observations and discussions with residents demonstrate that they can make some decisions about their lives and independent life styles are encouraged, e.g. a resident has gone from full staff assistance when going out to being monitored from a distance, that residents are encouraged to do household chores, do as much of their personal care as possible, they can prepare food with staff supervision, and they are asked where they want to go on holiday etc. Residents are asked their views on important issues in their meetings and these are recorded regarding food, holidays, outings etc. Evidence was seen of a range of risk assessments, which addressed activities chosen by residents that may present risk. These included safety in the community. Risk assessments identified aspects of each resident’s care needs that resulted in increased vulnerability. This is good practice. Staff spoken with were knowledgeable about the care and support each service user required. Staff were observed offering choices to service users, e.g. what they wanted from local shops, what activities they wanted to do that day etc. The Registered Manager spent time with residents when they frequently came to her and offered them responsible options as to what they wanted to do, to encourage positive behaviour. St Georges Residential Care Home DS0000068236.V329368.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home have the opportunity to have a fulfilling lifestyle. EVIDENCE: St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 13 Residents spoken to said they had their daily programmes and they generally liked to do their activities. Residents said they had recently been to the Gateway club, and going to pubs, which they said they liked doing. There was evidence of activities – golf, music, cooking, going out to activities – colleges, discos, local pubs etc. Records showed that residents have been asked where they want to go on holiday. Residents Meeting notes showed that they have been consulted and trips are planned in the future. Staff said that residents use a range of community facilities including local shops, pubs, the park, the post office, to get their money as well as attending specific groups for people with learning disabilities. Residents said they could have their visitors to the home and that there were no restrictions on visiting times. The Registered Manager said that a resident had a girlfriend and he could invite her to visit when he wanted to. The service has a policy on intimate relationships, which respects the ability of residents to have consensual relationships. Staff members said that it was important for residents to maintain contact with their friends and family. A relative said that staff did not always able to communicate important issues such as change of dates for review meetings but this had improved and the care provided her son was much better now that the Registered Manager had intervened. There were comments received from residents regarding the food being cold/uncooked. The inspector supported this view, as the sample of food supplied to him was cold in part with one food item uncooked. The Registered Manager said that she would look into providing cookery training for staff. There was a discussion about the need to review the food supply to encourage interest in healthy eating and involve a dietician in furthering this issue. The Registered Manager said this would be carried out. Residents Meeting minutes evidenced that residents are asked what food they would like for the week, thereby encouraging their choice, although food records did not show that residents were given a choice of food for each meal. The Registered Manager said full recording of food would occur in the future. A resident said he was not allowed to have an egg or bacon sandwich for lunch. This was confirmed by the Registered Manager, who agreed this choice would be provided in the future. The Line Manager subsequently wrote to the Inspector to state that issues regarding the food supply were being addressed. St Georges Residential Care Home DS0000068236.V329368.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. Residents receive good personal support with their physical and emotional health needs being well met. EVIDENCE: There is a comprehensive information kept in Care Plans, which details all medical appointments and check ups on an individual basis - from nurses, GPs, dentist, etc. Care Plans indicate all aspects of service users health care needs are covered – e.g. management of personal care, monitoring weight, communication, social skills, work and play etc. Accident Records were checked and it was found that in general staff had reacted appropriately to all situations presented, though more detail was needed to one accident where it did not state what treatment the resident received. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 15 Staff stated that the pharmacist has trained all staff that deal with medication, and the Registered Manager also said that she also assesses staff competence before allowing them to issue medication. The home has a policy and procedure for the safe administration of medications, which staff can refer to. Medication records were checked and found to be up to date, with only a small number of gaps in records. The Registered Manager said these would be followed up. Medication is kept securely locked away. St Georges Residential Care Home DS0000068236.V329368.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. Residents welfare is protected by the procedures of the service. EVIDENCE: Residents said that if they were worried about anything they would speak to staff or the Manager and they generally thought it would be followed up. The Commission for Social Care Inspection has also received no complaints regarding the service since it opened. The Complaints Procedure seen by the inspector reflected the National Minimum Standard. There are residents meetings held where all residents are invited to attend and share their views about the home. A record of these meetings is kept for reference. Staff members on duty were asked about their understanding of whistle blowing procedures, and both demonstrated a generally good understanding of the protection of residents from abuse, though one new staff was not fully aware of outside agencies to refer to if the in house arrangement failed. The Registered Manager said that this staff member would be receiving Vulnerable Adults protection training shortly. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 17 There have been a number of incident reports supplied to the Commission for Social Care Inspection, whereby the Registered Manager has produced Action Plans to protect residents from abuse. This has meant that there has been increased supervision of residents where necessary. St Georges Residential Care Home DS0000068236.V329368.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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable environment, and standards of hygiene are good. EVIDENCE: Residents said that they liked their bedrooms and they could have their things in them. One resident wanted to have a two seater sofa in his bedroom and that the bed was too short for him. The Registered Manager said these issues would be followed up. Some residents showed the inspector their bedrooms. They said they were encouraged by staff to tidy their bedrooms and make their beds. Observations of the bedrooms demonstrated that décor in their bedrooms suit their lifestyles. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 19 Communal areas looked comfortable and generally clean. Standards of cleanliness and odour control in all areas of the home were good, except where there were a number of stains on the beige carpet. There was a discussion with the Registered Manager regarding the appropriateness of having such a light carpet, which is bound to have prominent staining. The Registered Manager said she was following up this issue to try to replace to more appropriate flooring. St Georges Residential Care Home DS0000068236.V329368.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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a dedicated staff group, with sufficient staff numbers on duty to meet residents needs. EVIDENCE: St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 21 Residents spoken to were satisfied in general with staff and saw them as largely helpful and friendly. There were some comments that staff were abrupt at times and did not always knock before entering bedrooms. The Registered Manager was not certain there was proper substance in these remarks because of the challenging behaviour of some residents, but said that these issues would be raised with staff in a staff meeting. The relative spoken to said staff were generally friendly and this had improved a lot since the home had first opened. She, and some residents, found it difficult to communicate with some staff due to their accents and English language skills. The Registered Manager acknowledged this was an issue for some staff and said that this has been looked into and would continue to be followed up, so that staff communication is improved. Staffing levels during the course of the inspection met the relevant minimum standards. There are three to four care staff on duty during daytime/evening periods, and this was found to be the case by the inspector, with an awake staff member at night and a sleeping staff member on duty on call if needed. This relatively high staffing ratio is needed because of the challenging behaviour of residents. It was noted by the inspector that staff were working up to fifteen hour shifts, which considering the challenges they continually face whilst working, could well lead to fatigue and impaired work performance. The Registered Manager acknowledged this could be the case and agreed to alter shifts to make them much shorter. The Line Manager subsequently wrote to the Inspector to state that long shifts were not normal and only occurred due to an emergency situation. Staff records were inspected and found to have all the necessary statutory checks, so as to protect residents from unsuitable staff. Staff members were spoken to and had a good knowledge of service uses care needs and were committed to providing a good service to residents. There was evidence on files that they are to be supplied with regular supervision. The Registered Manager has stated that a comprehensive training programme is being set up and she supplied the inspector with the home’s detailed induction package and a Learning Disability Award Framework programme, which is to be commenced shortly. The Training Programme will include staff achieving National Vocational Qualification qualifications. Staff spoken to said they were encouraged to undertake training. This needs to be followed up to attain the 50 needed to attain the National Minimum Standard. The Registered Manager said staff will all have training in a wide range of topics – e.g. Lifestyle Planning, Communication, Health Action Planning, Risk Assessment, Report Writing, Fire, Food Hygiene, First Aid, training in residents St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 22 conditions, e.g. all mental health conditions etc. All staff need training in coping with challenging behaviour, which was acknowledged by the Registered Manager. Training records are kept at Head Office – it is recommended copies be kept within individual staff files so that they can be swiftly checked upon inspection. It was recommended that a training matrix be set up to quickly identify who needs training in what topic. The Line Manager subsequently wrote to the Inspector to state that this was being addressed. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 23 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the generally proactive management of the home. EVIDENCE: St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 24 Residents, staff and the relative spoken to spoke highly of how the Registered Manager runs the home. The Staff Meeting notes seen are detailed and comprehensive and focus on ensuring staff meet residents care needs. Service users and other interested parties – relatives, GPs, Nurses, Social Workers etc are to be asked as to their views on the way the home is run through a detailed Quality Assurance survey. The Registered Manager then needs to analyse the results of surveys, to produce an Action Plan to cover any issues raised and include this information in the Statement of Purpose. Staff members were asked as to the fire procedure and were generally aware of this though there were some issues raised which the Registered Manager said would be followed up by testing staff knowledge. Fire records showed that regular testing of fire bells did not always take place, though emergency lighting testing was in place and there are regular fire drills, though there needs to be more detailed records kept to record who has taken part in the drill and what happened. The fire risk assessment is in place though this appeared limited with no action regarding staff training etc. The Registered Manager said these issues would be followed up. Some residents monies were checked and found to be in order. Records had receipts and running balances, though need two signatures for each transaction. Monies are regularly checked to ensure they are correct. In terms of health and safety there are Risk Assessments for safe working practices in place, Control of Substances Hazardous to Health assessments, protected radiators, and window restrictors in place. Health and Safety Policies and Procedures are in place and staff said they are encouraged to read them though only one staff had signed to state they had read them. The Registered Manager said this would be followed up to check all staff know and understand the policies. The hot water temperature was measured and found to be within the National Minimum Standard. As the National Minimum Standard is 43c, water can be hotter than this if residents wish to have a warmer bath, subject to a Risk Assessment. There were hot water monitoring charts in place to ensure residents are protected from scalding temperatures. St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 25 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 4 3 X 4 X 5 X 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 4 32 X 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 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 1 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A 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 YA17 Regulation 16 Requirement The food supply needs to be improved so that residents are presented with tasty and nutritious food. Timescale for action 19/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA7 Good Practice Recommendations Staff need to ensure that residents can make decisions that is only limited through the assessment system involving the resident. Therefore a review of the house rules is needed. A review of staff shifts is needed to ensure that working excessive shifts does not unduly fatigue staff. 2. YA32 St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 St Georges Residential Care Home DS0000068236.V329368.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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