Inspection on 07/11/06 for St Lucia House

This inspection was carried out on 7th November 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Lucia House 18/01/06

St Lucia House 16/06/05

St Lucia House 17/11/04

St Lucia House 20/07/04

St Lucia House 14/01/04

St Lucia House 15/10/03

St Lucia House 28/01/03

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 St Lucia House 54 The Avenue Cliftonville Northampton Northants NN1 5QG Lead Inspector Mrs Helen Wilson Unannounced Inspection 7th November 2006 01:30 St Lucia House DS0000031874.V318180.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 Lucia House DS0000031874.V318180.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 Older People and 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 Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Lucia House Address 54 The Avenue Cliftonville Northampton Northants NN1 5QG 01604 630521 01604 626221 jgrace@northamptonshire.gov.uk www.northamptonshire.gov.uk Northamptonshire County Council 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) Miss Jennifer Grace Care Home 16 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (4) of places St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home will limit the service to the following service user categories: Total number of service users: 16 Learning Disability (LD): 16 Learning Disability over 65 years (LD(E)): 4 18th January 2006 Date of last inspection Brief Description of the Service: The Northampton County Council is the Registered Provider for St Lucia. St Lucia is a purpose built Care Home situated in a residential area close to local shops and Northampton Town Centre. The Home is registered to provide personal care and support only, for up to 16 service users by reason of learning disability. Community health care professionals meet all health care needs. The current service users have lived at the Home for a long time and includes a mix of men and women of the age range 45 years to late seventies with varying degrees of learning difficulty. An additional condition of registration allows for those service users over the age of 65 years, who have made St Lucia their home, to stay. However, no admissions of adults in their sixties would be made. Communal accommodation provided includes four lounges, a games room, 2 kitchenettes. All private accommodation is for single occupancy incuding a double room currently used as a single. There is off road parking for staff and visitors at the side of the house, and a small garden to the rear of the property, which is accessible for service users. The current fee is £552.00 per week additional charges are made for chiropody, hairdressing and continence products.. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is on outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. This was an afternoon inspection on 7 November 2006 carried out without prior notice and some five hours were spent at the home. Discussions were held with the Registered Manager, Ms Jennifer Grace, specific case files and records were checked and conversations held with people living at the home and three staff working on shift. The primary method of inspection used was ‘case tracking’ which involved selecting service users and tracking the care received through review of the case records. Prior to the visit the Commission for Social Care Inspection had sent comment cards out to selected service users to obtain their views of the service given at the home. These replies are still awaited. The judgements about practices and interaction at St Lucia are mainly based on observations by the inspector during the visit. What the service does well: The home continues to arrange weekday programmes for the majority of service users to attend daycentres and work places as part of activities out in the community. In house there is a large downstairs activities room for service users to take part in music, disco and games. Service users were also relaxing in the various lounge areas. There has been significant progress made by St Lucia staff in proactively developing a programme of choices for service users to expand their integration into the local community. Service users now have support from staff, during days when work and day centres are not operating, in small groups of two or three to go into town for example to join the library, learn how to use the bus station and timetables, develop safe traffic skills. Activities in-house have also encouraged individual service users to bake and cook some meals, develop some life skills such as housekeeping tasks and budgeting of money. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 6 The home now has a seven-seater people carrier which has allowed service users and staff to make trips out further afield to places of interest, local forests and pub lunches. Despite the lack of a Northants County Council Quality Assurance reviewing system, the Registered Manager has proactively circulated survey forms to families and service users about the way St Lucia provides care and support. The responses shown to the inspector were mostly positive and the Manager following analysis of the replies has taken action to make any improvements where necessary. For example families commented that telephone responses were not clearly identifying which staff member was answering the call and this practice has been improved. The system for receiving, administration and recording of medication continues to be satisfactory. The Registered Manager monitors medication records and stock on a regular but random basis to ensure staff are following set procedures in handling medication. What has improved since the last inspection? What they could do better: The Registered Manager plans to continue the work being done to make the care service more person- centred to reflect the growing ability of service users to develop independent living skills. St Lucia House DS0000031874.V318180.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 Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides clear information about the range of services and its facilities. A robust procedure for admission is in place however there have been no recent newcomers to the home. EVIDENCE: The Statement of Purpose document is kept under review by the Registered Manager to give clear details of the services and staff of the home. There have been no recent admissions to the home and service users have lived together for many years being given care appropriate to their individual assessed needs. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 10 Contracts/agreements had been exchanged and signed by each person detailing the facilities and services of St Lucia House. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The processes for supporting service users to make decisions and choices in their lives have been significantly the focus of the staff giving service users new living skills and goals. EVIDENCE: There has been significant progress made in planning for changing needs and personal goals of service users in the recent months since the last inspection. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 12 From checking three service users’ case files it was noted that care plans have been recently improved and expanded to identify exactly how care is to be given and for example how many staff are needed to support people with mobility and hoisting during personal care tasks. Staff and individual service users are beginning to draw together “all about me” pen pictures so that care plans can be further developed into fully personcentred plans focussing on wishes, interests and possible future development and independent living skills. The backlog of un-numbered receipts that account for all monies spent or held on behalf of service users has been resolved with the records now up-to-date and receipts numbered and filed. Additional administrative hours were allocated to this task following the recommendation of the last inspection. Service users and staff have regular meetings together in small intimate numbers to talk about what should be organised or changed at the home and what new activities and skills are to be tried out. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 14 Good progress is being made to reduce the institutionalised aspects of service users lives. EVIDENCE: The service users as a group have lived for many years together at St Lucia House and over the years routines, activities and their lifestyles had become rather “institutional”. This inspection has shown marked changes that evidence that the service users’ living skills and abilities are at the centre of the home’s operation. Staff are proactively encouraging service users to become familiar with local shops, public transport, college activities, cooking and household tasks. Two service users said that they now have responsibility for tidying their own bedrooms and help to make some snacks for teatime cleaning up the kitchen when they finish. Regular activities are organised including keep-fit, cinema trips, theatre outings, bingo, disco dancing, etc. There is now a people carrier vehicle that enables small groups of service users and staff to go out to varied leisure events and for meals at local pubs. Several service users have been on group holidays with members of staff. Families and friends are welcomed at St Lucia and there had been a 60th birthday party arranged in the home’s activity room by one family the previous weekend and all service users had attended and by all accounts everyone had a great time. Service users appeared to enjoy each other’s company sitting in the lounges and talking , showing off their craft work and watching television programmes. Some people go to the local Gateway Club on Monday evenings to meet friends from outside of the home. Service users can have keys to their rooms however many choose just to close over their bedroom doors, two people have asked for notices on their doors to stop others from entering without being invited and this is respected by the other service users concerned. St Lucia now employs two cooks releasing care staff from having to prepare meals. The menu plans demonstrate that a range of balanced, nutritious meals are provided and a clear record is kept of each service user’s food intake. The cook makes all main meals from fresh ingredients and the homemade food on the evening visit looked and smelled appetising. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Appropriate personal and healthcare is provided to the service users. EVIDENCE: Personal care is given whenever possible by the same gender of staff to that of individual service users. Staff were seen during this inspection to take service users away from public areas sensitively to carry out personal care. Service users are supported to attend GP appointments, hospitals etc. One casefile showed that care plans had been revised and adjusted for a person on return from a hospital stay and follow-up healthcare organised. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 16 The system for receiving, administration and recording of medication continues to be satisfactory. The Registered Manager monitors medication records and stock on a regular but random basis to ensure staff are following set procedures in handling medication. Three service users’ medication administration records were checked and found to be satisfactory with levels of stock held. The Registered Manager was asked to bring one medical profile up-to-date to show a change from tablet to syrup medication. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust procedures and sound practice in listening to people and resolving issues. EVIDENCE: The home has no recorded complaints in the last ten months. Several sets of relatives have however complimented and praised the home for the care given to service users. Service users were seen being confident in raising problems and voicing issues with staff at the home. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Lucia House is homely, comfortable and clean. Internal furnishings and décor are the choice of service users and the home has a modern style meeting the needs of people currently living there. EVIDENCE: St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 19 Four bedrooms were identified in 2000 during the registration of the home as being undersized and the home was asked for a proposal to phase the use of these rooms out. One undersized bedroom has now been vacated and the elderly service user reallocated a larger ground floor bedroom where supervision needs and mobility issues can be better addressed. The middle lounge has been refloored with laminate wood effect flooring and looks clean and modern. There is a large downstairs activities room for service users to take part in music, disco and games. A window restrictor in the lounge has been fitted following the last inspection but continues to be unsafe due to service users being able to dislodge the fitment. The Registered Manager has therefore asked for the window itself to be replaced with a non-opening type to ensure people are safe. A stairlift has been fitted to both staircases making it easier for service users to reach the upper floors of the home. The people who live at St Lucia are now mainly middle aged with several requiring additional help around the home. Toilets, bathrooms and some bedrooms were checked in addition to communal lounges in the home; all areas were clean, odour-free and homely. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team is skilled, competent and enthusiastic. EVIDENCE: The pre-inspection questionnaire detailed that the staffing structure of the home consists of a Team Manager (the Registered Manager), Senior Residential Support Worker, four Residential Support Workers, six support Assistants, two Domestic staff, two cooks and a clerk. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 21 Staff members were able to demonstrate that they knew the likes and dislikes of the service users and all three interviewed were clearly interested in how best to encourage and support the people living there. Staff members are clear about their roles and responsibilities and said that they felt well supported by seniors and the Registered Manager. Staff meetings are held regularly and each day there is a handover session at shift changeovers when any issues are discussed concerning the care of service users. Staff said that shift rotas are fair and allow for each person to have holidays and days off. One person said that the employment of a cook earlier in 2006 has helped care staff concentrate on the service users’ living skills. All three staff interviewed confirmed that supervision is carried out regularly. Staff records of training show a regular programme for all staff in core subjects and in specific areas of training to support and understand the particular care needs of current service users. Three additional staff are due to start National Vocational Qualification Level training and the Registered Manager informed the inspector that National Vocational Qualifications were being arranged also for domestic services and catering staff. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear sense of direction and leadership in the home and the outcome is good care and support for the service users. St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Registered Manager proactively sought appropriate placement for an ageing service user with changing health and care needs who had been reassessed as requiring nursing care. Regular visits are made by senior managers of the Northampton County Council to monitor the operation of the home. Members of staff said that the style of management at the home is supportive, enthusiastic and approachable. Daily records, care plans and medication records were checked for three service users and were detailed and up-to-date. Notifications of any incident/accident are being appropriately sent to Commission for Social Care Inspection following discussion at the last inspection. Regular servicing and maintenance is carried out including water checks, fire protection appliances, electrical equipment and records are available of fire drills and staff training. The Registered Manager stated that the home’s budget was sound and had allowed for additional equipment and adequate staffing resources at the home. Despite the lack of a Northants County Council Quality Assurance reviewing system, the Registered Manager has proactively circulated survey forms to families and service users about the way St Lucia provides care and support. The responses shown to the inspector were mostly positive and the Manager following analysis of the replies has taken action to make any improvements where necessary. For example families commented that telephone responses were not clearly identifying which staff member was answering the call and this practice has been improved. St Lucia House DS0000031874.V318180.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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 3 39 2 40 3 41 3 42 3 43 3 4 4 4 3 x LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Lucia House Score 3 3 3 x DS0000031874.V318180.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? 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 St Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Lucia House DS0000031874.V318180.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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