Inspection on 07/07/08 for Stanley House

This inspection was carried out on 7th July 2008.

CSCI found this care home to be providing an Good service.

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

Stanley House 30/07/07

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

CARE HOME ADULTS 18-65 Stanley House Bosbury Herefordshire HR8 1HB Lead Inspector Sarah Blake Unannounced Inspection 7th July 2008 09:30 Stanley House DS0000068706.V367429.R02.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 Stanley House DS0000068706.V367429.R02.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. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanley House Address Bosbury Herefordshire HR8 1HB 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) 01531 640 840 01531 640 826 Stanley House Limited Mrs Catherine Yeates Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11), Physical disability (11) of places Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care to service users of both sexes whose primary care needs on admission to the home are within the following categories: Physical Disability over the age of 18 (PD) 11 Mental Disorder over the age of 18 (MD) 11 The maximum number of service users to be accommodated is 11. 2. Date of last inspection 30th July 2007 Brief Description of the Service: Stanley House is a converted Georgian farmhouse owned and managed by four Directors. Two of the Directors work in the home on a day-to-day basis; Catherine Yeates as the registered manager and Linda Jones as the Administrator. The home opened in February 2007 and offers 11 places for male and female residents over the age of 18 who have a physical or mental disability (excluding dementia & learning disability). The accommodation is provided in single bedrooms with en-suites or dedicated bathroom facilities. The house is set in over 6 acres of grounds with beautiful views over the Herefordshire countryside. The gardens are well established and provide seating areas and benches and a tennis court, which families and visitors are welcome to use. The schedule of fees is available from the home. Items not covered by the fees are personal clothing, hairdressing, cigarettes, specific requested outings/holidays incurring a charge, some specialist equipment (generally most nursing equipment is included, but in the case of a particular resident requiring something that would not normally be provided or is specific to the needs of one individual only, the home reserves the right to exclude the provision of such equipment). The home also reserves the right to charge for travel expenses for individual outings. There is a copy of this report at the home, which is available for people visiting the home to see. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good outcomes. We spent a day at the home, talking to the people who use the service and the staff, and looking at the records, which must be kept by the home to show that it is being run properly. These include records relating to the care of people who use the service. The service had previously completed an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. Some of the manager’s comments have been included within this inspection report. We also received completed survey forms from people who use the service, their relatives and health professionals who work with the home. The information from these sources helps us understand how well the home is meeting the needs of the people using the service. What the service does well: The home provides a comfortable, homely environment where there is great flexibility to meet the individual needs of the people who use the service. There is good information available to help people make up their minds as to whether they wish to live at Stanley House. People who use the service are in control of their care and how their needs are met. They do not have to fit their lives around the routines of the home: the home adapts to their needs and wishes as far as is possible. The home has a welcoming and friendly atmosphere and people are encouraged to pursue their own interests, with appropriate support if needed. Food is home-cooked, and the meals are varied and appetising. The home works with dieticians to ensure that all the people who use the service receive a balanced diet, whatever their specialist dietary needs. Personal care is provided in a respectful way, which promotes people’s independence. The home is an exceptionally pleasant environment, and is kept clean and hygienic. Staff are friendly and have a good rapport with the people who use the service. The staff are well trained and provide a good standard of care. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 6 The home is well managed by an experienced and knowledgeable manager and her team. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stanley House DS0000068706.V367429.R02.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 Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is sufficient information available for people to make up their minds whether Stanley House is right for them. People who use the service have their needs assessed before they arrive at the home so that staff can provide the correct level of care, and their needs can be met. EVIDENCE: Stanley House provides a range of information for people who are deciding whether or not it would be the right place for them to live. The home has a website (www.stanleyhousecare.co.uk), which is informative and describes the facilities well. The manager told us that information is also available in Braille or on an audio CD. The Statement of Purpose and Service User Guide are comprehensive and easy to read. They give full details of what Stanley House offers people. A resident told us “I was given more than enough information about the home.” Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 9 The home welcomes visits from people who are choosing where they might wish to live. The manager told us that most people who use the service have respite visits before they finally decide. One relative told us in a survey form: “My husband looked around Stanley House and was asked if he wanted to move here. He said yes”. We saw records to show that the manager had been to visit people before they arrived at the home, so that she could carry out an assessment of their needs. We saw one assessment, which was thorough and contained the information that staff would need in order to be able to provide care as soon as the person arrived at the home. Stanley House DS0000068706.V367429.R02.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, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home works with residents to ensure that individual plans are relevant and up to date. Residents are supported to make decisions about how they live their lives, and to take risks so that they can be as independent as possible. EVIDENCE: We looked at records for three people who use the service. The records showed that each person has a personal plan which sets out clearly how much help is needed. These plans are regularly evaluated, and we saw that people had signed the plans to show that they had been involved in drawing them up and were in agreement with what was written in them. We spoke to one of the people who use the service and she told us that she appreciates being involved in planning her care. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 11 People’s individual plans cover all areas of their lives and are written in a way which is easy to understand and which promotes independence. We talked with people who use the service, and they told us that the home supports them to make decisions about their lives. One person told us “I’m always in control.” Each resident has a key worker. The residents we spoke to all knew who their key worker was, and the key workers were clear about their role in supporting the people who use the service. The home tries to ensure that people who use the service can have a key worker of their own gender if that is what they prefer, and we saw that two male residents had a male key worker. The manager told us that the home does not have set routines, but encourages flexibility in all areas of daily life. We saw that people who use the service could make choices for themselves, for example when and where they wished to eat their meals. People who use the service are supported to take risks, if that is their wish. The manager told us that she is committed to this principle, and we saw the records for one person, which had been completed by the manager: “I have discussed with X (name of resident) the risks related to him continuing to mobilise unassisted and he acknowledges these but still prefers to try to mobilise independently”. Stanley House DS0000068706.V367429.R02.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. The home provides a range of opportunities for residents to take part in social and leisure activities. Residents are encouraged to make choices about how they manage their daily lives. The food provided by the home is nutritious and meets the needs of people with specialised dietary requirements. EVIDENCE: The home arranges social and leisure opportunities for the people who use the service. These include gardening at Holme Lacy College, Tai Chi, art therapy and shopping trips. There are photos of some of the activities displayed in the reception hall, and we saw flower arrangements which had been made by some of the people who use the service. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 13 Throughout the home, there are examples of artwork produced by the residents. The home arranges events throughout the year, and we saw that a summer fair was being planned, with people who use the service being involved in the planning. These events are very popular with the local community. The home employs a trained therapist to provide massage and Reiki therapy. There are weekly art therapy sessions led by a qualified art therapist. One person told us that she appreciates the fact that there is no pressure on her to take part in activities if she does not wish to. The home has a small vegetable garden, which some of the people who use the service help to maintain. The local Church of England priest visits the home every week, and staff will accompany people to places of worship if required. One person told us that he had been to the local church regularly until he became too ill to go. The manager told us that the home would do all they could to enable people of other faiths to attend their place of worship. People who use the service are encouraged to maintain relationships with families and friends. We saw one person whose family had brought him back from a weekend at home, and the staff were welcoming and friendly to his family. The dining area is the heart of the home and people who use the service congregate around the table to chat or read the newspapers. Meals are homecooked and take into account people’s varying dietary needs. The home offers snacks, fresh fruit and drinks throughout the day, and we saw visitors being offered hot drinks. We saw staff supporting someone to eat at lunchtime, and this was done in a way which was unhurried and respectful. We spoke to a resident who has specialist dietary needs, and he told us that his needs are met and he has plenty of variety in his diet. Some of the comments we received from people who use the service about the food were “the meals are very nice” and “the food is great”. We saw the menu for the week, and it showed a varied and balanced diet. Stanley House DS0000068706.V367429.R02.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, 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of care based on the individual needs of the residents. The home has good procedures for managing medication. The home is working within the Gold Standard Framework which aims to ensure that people are enabled to live well until they die. EVIDENCE: We looked at care plans for three people who use the service. These were clearly laid out and included all aspects of daily life. We saw that people who use the service had signed the care plans to show that they had been involved in the planning and review. We saw staff responding to people’s needs sensitively, and providing personal care in a way which promotes dignity and protects peoples’ privacy. The manager and her team have excellent knowledge of the needs of the people who use the service, and a particular expertise in Huntington’s Disease. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 15 A Health Care Manager told us “Cathy and her team are experts in care of people with Huntington’s disease”. A local GP commented “They have considerable knowledge of Huntingtons disease”. The home told us that they call for medical help if they consider it necessary. We saw that one person was at high risk of developing pressure sores, and that the home had promptly sought advice from the District Nurses. One person told us that the home had called in his GP immediately when his blood pressure had become raised. Records showed that people are asked if they wish to take responsibility for their own medication. At the time of the inspection, none of the people who use the service were doing so. We saw that medication is stored securely and safely, and that medication records are kept accurately. At the previous inspection, the home was required to ensure that “all medication received and administered must be signed for on the Medication Administration Records. If medication is not given a code must be used to give the reason why it is not given to ensure that residents are being given their medication as prescribed.” We saw that the records were up to date and that, where people had refused to take their medication, this had been recorded on the sheet. At the previous inspection, the home was required to review their medication policy and to include a list of ‘homely’ remedies i.e. medication which is not prescribed but can be bought at a pharmacy. The home has a new medication policy which meets these requirements. The home is working within the Gold Standard Framework, which aims to ensure that people are enabled to live well until they die. People who may end their lives at the home are supported to make decisions regarding care at the end of their lives. The home works closely with the local hospice and some staff have received specialist training. Stanley House DS0000068706.V367429.R02.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. The home has a clear procedure for complaints and actively supports residents who wish to raise concerns. Staff are recruited well and are trained in the protection of vulnerable people. This helps to protect the people who use the service. EVIDENCE: We received seven completed surveys from people who use the service, and all seven told us that they knew who to talk to if they had any concerns, and that they knew how to make a complaint. We saw copies of the home’s complaints procedure in the Service User Guide which is in each person’s bedroom. We looked at the home’s complaints log. This showed that the home had received three complaints since it opened in February 2007. All the complaints had been managed appropriately. The Commission has received no complaints about the home. Staff recruitment is thorough and all necessary checks are made to ensure that only suitable staff are employed by the home. Staff receive training on the protection of vulnerable people, and the staff we spoke to showed a good understanding of abuse and neglect. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is an exceptionally pleasant place to live. It is well-maintained and kept clean and tidy. Infection control is well managed. EVIDENCE: The home has been adapted to meet the needs of the people who use the service without losing its character. It has the atmosphere of a large family home, and the furnishings are modern and well maintained. There are homely touches, such as pictures and mirrors on the walls. There is a large sitting room with comfortable armchairs, and a sun room with a snooker table and computer. Patio doors lead out on to a terrace with tables and chairs. The dining area has a large table, which both the residents and staff use as a place to sit and chat during the day. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 18 The bedrooms are all either en-suite or with a dedicated bathroom, and there are assisted bathing facilities. We saw that people had personalised their rooms with ornaments and family photos. The home has three resident cats, and some of the staff sometimes bring their dogs to work with them. This adds to the homely atmosphere. The garden and the extensive grounds are well-kept and there is a small vegetable garden. We saw a letter from a social worker who commented “I found Stanley House a welcoming and homely environment that has managed to provide a “home” without the medical feel typical of so many nursing homes”. Infection control is well managed. There is a dispenser for hand sanitiser beside the front door and a notice asking visitors to use it before entering the home. We saw that staff were wearing gloves and aprons when providing personal care. The home is kept very clean and tidy. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff are trained and knowledgeable about the needs of the people who use the service. Staff recruitment procedures protect the people who use the service. There are usually sufficient staff available to support residents. EVIDENCE: We received many positive comments about the staff from our surveys. Some of the comments from the people who use the service were “They help you with everything” and “They are always there for me.” Health and social care professionals such as doctors and social workers told us “Staff are keen and enthusiastic to support clients, families and visitors and professionals”, “Cathy and her team have my utmost respect for their dedication and support” and “The respectful and dignified approach shown by all the staff I encountered made a huge contribution to the general atmosphere”. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 20 We looked at records for three members of staff, and these showed that staff recruitment is managed well, with all necessary checks being carried out before staff are employed. We saw the induction pack, which gives staff the information they need when they begin work at the home. Staff told us that they receive training in areas such as moving and handling, infection control, the protection of vulnerable people and fire safety, and we saw certificates in staff files to confirm this. Moving and handling training needs to be improved, as currently it does not include practical sessions for staff to become confident with techniques and equipment. This will help to ensure that staff are competent to assist the people who use the service with their mobility needs. Staff obviously enjoy their work, and one staff member told us “Stanley House is a very open and friendly place to work where I feel the management makes time to discuss any problems/concerns relating to myself and residents.” We looked at staff rosters, and these showed that there are usually sufficient staff on duty to meet the needs of the people who use the service. The manager told us that she has a bank of staff who she can call on in the event of staff shortage. People who use the service told us that there are always enough staff available to meet their needs. The roster for the week showed that there was one afternoon when only one nurse and one inexperienced care worker would be on duty from 15.00 until 16.30. We visited the home again that afternoon and found that these were the only staff on duty. We required the manager, when she returned, to ensure that sufficient suitably qualified, competent and experienced staff are available at all times, to ensure the safety of the people who use the service. The manager has written to us and assured us that she will make sure that there are adequate staffing levels at all times. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. 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. The home is well managed by an experienced and knowledgeable manager. Residents can be confident that their views are listened to and acted upon. The health and safety of the people who use the service are protected by the policies and procedures in the home. EVIDENCE: Stanley House has a strong management team with a clear focus on the needs and wishes of the people who use the service. The nurse manager and general manager work closely together to make sure that the views of the people who use the service underpin the way the home is run. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 22 The home uses six monthly surveys to find out the views of the people who use the service. There are monthly residents’ meetings where people are encouraged to air their views. In addition to this, it is obvious from discussion and general observation, that the relationship between managers and the people who use the service is excellent. This means that the home is responsive to people’s needs. One resident told us “Cathy always listens and changes things if they’re not right for us”. One of the Directors of the home visits every month to check on the quality of the service. We saw records which showed that issues raised during these visits have always been followed up. We received five surveys from health professionals, and they all praised the management of the home highly. Comments received included “It is a very caring and compassionate nursing home” and “Nothing is too much trouble”. The majority of the residents at the home have Huntington’s Disease, which is a hereditary disorder of the central nervous system. People with Huntington’s Disease benefit from living in an environment where staff have good knowledge of how the disease progresses. Stanley House offers this expertise, as the manager has an interest in, and extensive knowledge of, the disease. A specialist advisor for Huntington’s Disease told us “Huntington’s Disease is a very rare illness and the staff at Stanley House have a very good understanding of how the condition affects each individual patient. The skills and expertise this nursing home has is excellent” and “It gives the Huntington’s Disease patients ‘hope’, ‘care’ and a homely environment. They feel safe and well cared for”. We saw records to show that the home has a regular schedule for all maintenance checks. At the previous inspection, the home was required to ensure that all window openings above the ground floor were checked to ensure the safety of the people who use the service. We saw that all windows on the first and second floors were fitted with restrictors to make sure that they could not be opened too widely. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 3 3 X 3 X X 3 X Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA33 Regulation 18 (1) (a) Requirement You must ensure that at all times suitably qualified, competent and experienced staff are working at the home in such numbers as are appropriate for the health and welfare of the people who use the service. Timescale for action 10/07/08 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 YA32 Good Practice Recommendations You should ensure that moving and handling training includes opportunities for practical work, using the equipment and techniques which will be required for the people who use the service. This will ensure that people’s health and safety are protected during moving and handling. Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Stanley House DS0000068706.V367429.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!